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Review
. 2024 Jan 31;12(1):2305741.
doi: 10.1080/21642850.2024.2305741. eCollection 2024.

Mental health outcomes beyond the post-partum period among adolescent mothers: a systematic review and meta-analysis

Komal Abdul Rahim  1   2   3 , Natasha J Egglestone  4 , Irakli G Tsagareli  4 , Wania Usmani  5 , Salima Meherali  6 , Zohra S Lassi  7   8
Affiliations
Review

Mental health outcomes beyond the post-partum period among adolescent mothers: a systematic review and meta-analysis

Komal Abdul Rahim et al. Health Psychol Behav Med. .

Abstract

Background: Adolescence is the most crucial part of life. The vulnerability of adolescent mothers is even more pronounced and can affect various health aspects. While they suffer from social and emotional stresses shortly after giving birth, the long-term effect after the post-partum period of adolescent pregnancy on the mental outcomes holds prime importance. Thus, this systematic review aims to ascertain the association between adolescent pregnancy on mental health outcomes.

Methods: The search strategy was run in June 2023 on databases including PubMed, CINAHL, Scopus, Psych Info, and Embase . Quality assessment of the studies was done using the National Institute of Health (NIH)'s National Heart, Lung and Blood Institute (NHLBI) tool for observational studies. For studies that measured similar outcomes, a meta-analysis was conducted.

Findings: The search strategy yielded 21 results from all databases and cross-referencing. Of these, all except for one (case-control) were cross-sectional and cohort studies. The pooled analysis found a significant association between adolescent pregnancy and depression (RR 1.34; 95% CI 1.05, 1.72, 6 studies, heterogeneity: Chi2 P 0.01; I2 = 60%); however, no association was found in anxiety (RR 1.05; 95% CI 0.26, 4.14, 2 studies; heterogeneity: Chi² P = 0.0003; I2 = 93%) and suicidal ideation (RR 3.21; 95% CI 0.17, 59.33; 3 studies; heterogeneity: Chi2 P < 0.00001; I2 = 98%).

Implication: These findings suggest that the mental health needs of adolescent mothers must be addressed and innovative and effective interventions that support and address the mental health needs of adolescent mothers are needed to improve their mental health.

Keywords: Adolescent; depression; mental health; post-partum; teenage pregnancy.

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Conflict of interest statement

No potential conflict of interest was reported by the author(s).

Figures

Figure 1.
Figure 1.
PRISMA flow diagram.
Figure 2.
Figure 2.
Adolescent pregnancy and depression.
See this image and copyright information in PMC

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