2009
DOI: 10.1089/jwh.2008.0984
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Prepregnancy Depressive Mood and Preterm Birth in Black and White Women: Findings from the CARDIA Study

Abstract: Objectives: We examine associations among race, prepregnancy depressive mood, and preterm birth (<37 weeks gestation) in a cohort study of black and white women. Methods: We tested for mediation of the association between race and preterm birth by prepregnancy depressive mood among 555 women enrolled in the Coronary Artery Risk Development in Young Adults (CARDIA) Study. Results: Black women had significantly higher levels of prepregnancy depressive mood (modified CES-D score 13.0 vs. 9.5, t ¼ À4.64, p < 0.001… Show more

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Cited by 23 publications
(18 citation statements)
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“…Participants respond on a 0–3 scale (0 = rarely or none of the time , or less than 1 day, and 3 = most or all of the time , or 5–7 days) to questions such as, “I felt that I could not shake off the blues even with help from my family or friends.” The possible range of scores is 0–60, with a score of 16 or more commonly indicating depression. The measure has demonstrated associations with perceived stress, PTB, and physiologic stress response (Christian, Franco, Glaser, & Iams, 2009; Gavin, Chae, Mustillo, & Kiefe, 2009; Yim et al, 2009) and had a correlation coefficient of .93 in the current study.…”
Section: Methodssupporting
confidence: 50%
“…Participants respond on a 0–3 scale (0 = rarely or none of the time , or less than 1 day, and 3 = most or all of the time , or 5–7 days) to questions such as, “I felt that I could not shake off the blues even with help from my family or friends.” The possible range of scores is 0–60, with a score of 16 or more commonly indicating depression. The measure has demonstrated associations with perceived stress, PTB, and physiologic stress response (Christian, Franco, Glaser, & Iams, 2009; Gavin, Chae, Mustillo, & Kiefe, 2009; Yim et al, 2009) and had a correlation coefficient of .93 in the current study.…”
Section: Methodssupporting
confidence: 50%
“…1,32,33 Rates of preterm birth vary by ethnicity, thus ethnicity was also included as a covariate. 34 Maternal MDD was tested as a possible mediator for any significant relationship between gestational age and psychiatric outcomes via a bootstrapping method which estimates standard errors of the direct and indirect effects for significance testing. 35 Current analyses utilized 5,000 bootstrap resamples to generate 95% confidence intervals with Mplus 7.0 statistical software.…”
Section: Methodsmentioning
confidence: 99%
“…Pre-pregnancy depression is significantly related to preterm births (OR 1.04; 95% CI: 1.02 to 1.07) [122], and adolescent depression per se was significantly associated with an increased risk of miscarriages (AOR 2.25; 95% CI: 1.12 to 4.50) [123]. In a study by Seth et al [124], adolescents with high levels of psychological distress were reported to have high-risk behavior, relative to those with low levels of psychological distress.…”
Section: Maternal Mental Healthmentioning
confidence: 99%