PMID- 26781917
OWN - NLM
STAT- MEDLINE
DCOM- 20181015
LR  - 20240328
IS  - 2045-7960 (Print)
IS  - 2045-7979 (Electronic)
IS  - 2045-7960 (Linking)
VI  - 26
IP  - 1
DP  - 2017 Feb
TI  - Trajectories of maternal depression: a 27-year population-based prospective 
      study.
PG  - 79-88
LID - 10.1017/S2045796015001109 [doi]
AB  - AIMS: To identify distinct trajectories of depression experienced by a 
      population-based sample of women over a 27-year period and to assess the validity 
      of the derived trajectories. METHOD: The Mater University of Queensland Study of 
      Pregnancy is a birth cohort study which commenced in 1981. Women (N = 6753) were 
      interviewed at their first clinic visit, at 6 months, then 5, 14, 21 and 27 years 
      after the birth of their child, using the Delusions Symptoms - States Inventory. 
      Some 3561 (52.7%) women were followed up at 27 years, with 3337 (49.4%) of the 
      sample completing the Composite International Diagnostic Interview (CIDI). 
      Depression trajectories over a 27-year period were identified using Latent Class 
      Growth Modelling (LCGM). LCGM was used to identify respondents with similar 
      patterns of depression over a 27-year period. At the 27-year follow-up women who 
      completed the CIDI, were stratified according to their trajectory group 
      membership. RESULTS: Three trajectory groups, each with different life-course 
      patterns of depression were identified. The low/no symptoms of depression 
      trajectory group comprised 48.4% of women. The mid-depression group (41.7%) had a 
      consistent pattern of occasional symptoms of depression. The high/escalating 
      trajectory group comprised 9.9% of the women in the study. We then examined each 
      trajectory group based on their completion of the CIDI at the 27-year follow-up. 
      Using the CIDI, 27.0% of women in the study had met the DSM-IV criteria for 
      lifetime ever depression by their mean age of 46.5 years. The responses to the 
      CIDI differed greatly for each of the trajectory groups, suggesting that the 
      trajectories validly reflect different life histories of depression. The 
      high/escalating trajectory group had an earlier age of first onset, more frequent 
      episodes, longer duration of each episode of depression and experienced higher 
      levels of impairment for their episodes of depression. For the high symptoms 
      trajectory group, clinically significant depression is estimated to be 
      experienced by women almost one in every 6 days of their life. CONCLUSION: While 
      symptoms of depression are commonly experienced in a large community-based sample 
      of women, a minority of women experience many episodes of depression in their 
      lifetime. It is this group of women who are most impaired and should be of most 
      concern, and who should be the main target of prevention and treatment 
      initiatives.
FAU - Najman, J M
AU  - Najman JM
AD  - Schools of Public Health and Social Science,The University of 
      Queensland,Brisbane,Australia.
FAU - Plotnikova, M
AU  - Plotnikova M
AD  - School of Public Health,The University of Queensland,Brisbane,Australia.
FAU - Williams, G M
AU  - Williams GM
AD  - School of Public Health,The University of Queensland,Brisbane,Australia.
FAU - Alati, R
AU  - Alati R
AD  - School of Public Health,The University of Queensland,Brisbane,Australia.
FAU - Mamun, A A
AU  - Mamun AA
AD  - School of Public Health,The University of Queensland,Brisbane,Australia.
FAU - Scott, J
AU  - Scott J
AD  - UQCCR,The University of Queensland,Brisbane,Australia.
FAU - Wray, N
AU  - Wray N
AD  - Queensland Brain Institute,The University of Queensland,Brisbane,Australia.
FAU - Clavarino, A M
AU  - Clavarino AM
AD  - School of Pharmacy,The University of Queensland,Brisbane,Australia.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20160119
PL  - England
TA  - Epidemiol Psychiatr Sci
JT  - Epidemiology and psychiatric sciences
JID - 101561091
SB  - IM
MH  - Adult
MH  - Australia/epidemiology
MH  - Depression/diagnosis/epidemiology/*psychology
MH  - Depression, Postpartum/diagnosis/epidemiology/*psychology
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Longitudinal Studies
MH  - Mothers/*psychology
MH  - Postpartum Period/*psychology
MH  - Pregnancy
MH  - Pregnancy Outcome/psychology
MH  - Psychiatric Status Rating Scales
MH  - Risk Factors
MH  - Socioeconomic Factors
MH  - Women's Health
PMC - PMC7137647
OTO - NOTNLM
OT  - Depression
OT  - population survey
OT  - prospective study
OT  - women
EDAT- 2016/01/20 06:00
MHDA- 2018/10/16 06:00
PMCR- 2016/01/19
CRDT- 2016/01/20 06:00
PHST- 2016/01/20 06:00 [pubmed]
PHST- 2018/10/16 06:00 [medline]
PHST- 2016/01/20 06:00 [entrez]
PHST- 2016/01/19 00:00 [pmc-release]
AID - S2045796015001109 [pii]
AID - 00110 [pii]
AID - 10.1017/S2045796015001109 [doi]
PST - ppublish
SO  - Epidemiol Psychiatr Sci. 2017 Feb;26(1):79-88. doi: 10.1017/S2045796015001109. 
      Epub 2016 Jan 19.