An exploratory analysis of contraceptive method choice and symptoms of depression in adolescent females initiating prescription contraception

Francis, Jenny; Presser, Liandra; Malbon, Katherine; Braun-Courville, Debra; Linares, L. Oriana

doi:10.1016/j.contraception.2014.12.010

Cited by 17 publications

(15 citation statements)

References 33 publications

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“…A plausible assumption is that girls and women in need of a method less dependent on remembering a pill every day might belong to a more vulnerable population. Indeed, adolescents with depression have been found to be more likely to select an IUD as their contraceptive method [ 39 ]. Users of levonorgestrel IUDs also report higher rates of anxiety and non-clinical depression, but clinical depression is not more prevalent among users [ 40 ].…”

Section: Discussionmentioning

confidence: 99%

Hormonal contraception increases the risk of psychotropic drug use in adolescent girls but not in adults: A pharmacoepidemiological study on 800 000 Swedish women

2018

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The burden of depression and anxiety disorders is greater in women, and female sex hormones have been shown to affect mood. Psychological side effects of hormonal contraception (HC) are also a common complaint in the clinic, but few previous studies have investigated this subject. We therefore wanted to investigate whether use of HC was associated with adverse psychological health outcomes, and whether this association was modified by age. All women aged 12–30 years on 31 December 2010, residing in Sweden for at least four years and with no previous psychiatric morbidity (n = 815 662), were included. We followed the women from their first HC use (or 31 December 2010, if they were non-users) at baseline, until a prescription fill of psychotropic drugs or the end of the one-year follow-up. We performed age-stratified logistic regression models and estimated odds ratios (OR) to measure the association between different HC methods and psychotropic drug use, as well as the area under the receiver operating curve to estimate discriminatory accuracy of HC in relation to psychotropic drugs. Overall, we found an association between HC and psychotropic drugs (adjusted OR 1.34, 95% confidence interval [CI] 1.30–1.37). In the age-stratified analysis, the strongest association was found in adolescent girls (adjusted OR 3.46, 95% CI 3.04–4.94 for age 12 to 14 years), while it was non-existent for adult women. We conclude that hormonal contraception is associated with psychotropic drug use among adolescent girls, suggesting an adverse effect of HC on psychological health in this population.

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Section: Discussionmentioning

confidence: 99%

Hormonal contraception increases the risk of psychotropic drug use in adolescent girls but not in adults: A pharmacoepidemiological study on 800 000 Swedish women

2018

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“…These studies have not consistently found similar results. Some studies have found that depressive symptoms were associated with choosing less effective contraceptive methods [11,13,14], while others have found that more depressive symptoms were associated with choosing more effective contraceptive methods [7,9,12]. Finally, others have found no association between depressive symptoms and the contraceptive method effectiveness level chosen [10,11].…”

Section: Introductionmentioning

confidence: 99%

The effects of preabortion depressive symptoms on postabortion contraceptive effectiveness level chosen among women seeking abortions

Vafai

Steinberg

2018

Contraception

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“…One study found that screening positive for depression was associated with choosing no method versus any method among women seeking family planning services (Garbers et al, 2010). Other studies, including one among women seeking abortion care, have found that having more depressive symptoms was associated with choosing more versus less effective methods (Francis et al, 2015; Steinberg et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Current and past depressive symptoms and contraceptive effectiveness level method selected among women seeking reproductive health services

Steinberg

Adler

Thompson

et al. 2018

Social Science & Medicine

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An exploratory analysis of contraceptive method choice and symptoms of depression in adolescent females initiating prescription contraception

Cited by 17 publications

References 33 publications

Hormonal contraception increases the risk of psychotropic drug use in adolescent girls but not in adults: A pharmacoepidemiological study on 800 000 Swedish women

Hormonal contraception increases the risk of psychotropic drug use in adolescent girls but not in adults: A pharmacoepidemiological study on 800 000 Swedish women

The effects of preabortion depressive symptoms on postabortion contraceptive effectiveness level chosen among women seeking abortions

Current and past depressive symptoms and contraceptive effectiveness level method selected among women seeking reproductive health services

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