Combinations of adverse childhood events and risk of postpartum depression among mothers enrolled in a home visiting program

Nichole Nidey; Katherine Bowers; Robert T. Ammerman; Anita N. Shah; Kieran J. Phelan; Margaret J. Clark; Judith B. Van Ginkel; Alonzo T. Folger

doi:10.1016/j.annepidem.2020.09.015

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Combinations of adverse childhood events and risk of postpartum depression among mothers enrolled in a home visiting program

Journal article

Peer reviewed

Combinations of adverse childhood events and risk of postpartum depression among mothers enrolled in a home visiting program

Nichole Nidey, Katherine Bowers, Robert T. Ammerman, Anita N. Shah, Kieran J. Phelan, Margaret J. Clark, Judith B. Van Ginkel and Alonzo T. Folger

Annals of epidemiology, Vol.52, pp.26-34

12/01/2020

DOI: 10.1016/j.annepidem.2020.09.015

PMCID: 7725898

PMID: 33010417

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https://www.ncbi.nlm.nih.gov/pmc/articles/7725898View

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Abstract

The purpose of this study was to examine how combinations of adverse childhood events (ACEs) contribute to the risk of postpartum depression and the mediating role of prenatal social support. The Adverse Childhood Experiences Scale Questionnaire and the Edinburgh Postnatal Depression Scale Questionnaire were used to measure the study's exposure and outcome. Among a cohort of 419 mothers enrolled in a home visiting (HV) program, latent class analyses were used to identify classes of ACEs exposure. General linear models assessed the risk of postpartum depression, and prenatal social support was examined as a mediator. Four distinct classes of ACE exposure were identified. On the Edinburgh Postnatal Depression scale, mothers who were classified in Classes 1–3 scored higher by 2.6–4.4 points compared with women in Class 0. ACE class was found to be indirectly associated with postpartum depression scores through prenatal social support. Identifying combinations of ACEs in an HV program has the potential to improve the characterization of ACEs among low-income perinatal women in the United States. Elucidating how these combinations contribute to the risk of postpartum depression has the potential to identify women at increased risk, which can help HV programs prioritize prevention efforts.

Adverse childhood events

Depression

Postpartum

Social support

Details

Title: Subtitle: Combinations of adverse childhood events and risk of postpartum depression among mothers enrolled in a home visiting program
Creators: Nichole Nidey - Cincinnati Children's Hospital Medical Center
Katherine Bowers - Cincinnati Children's Hospital Medical Center
Robert T. Ammerman - University of Cincinnati Medical Center
Anita N. Shah - Cincinnati Children's Hospital Medical Center
Kieran J. Phelan - Kaiser Permanente San Rafael Medical Center
Margaret J. Clark - Cincinnati Children's Hospital Medical Center
Judith B. Van Ginkel - Cincinnati Children's Hospital Medical Center
Alonzo T. Folger - Cincinnati Children's Hospital Medical Center
Resource Type: Journal article
Publication Details: Annals of epidemiology, Vol.52, pp.26-34
DOI: 10.1016/j.annepidem.2020.09.015
PMID: 33010417
PMCID: 7725898
NLM abbreviation: Ann Epidemiol
ISSN: 1047-2797
eISSN: 1873-2585
Publisher: Elsevier Inc
Grant note: DOI: 10.13039/100007305, name: Maternal and Child Health Bureau; name: Health Resources and Services Administration, Department of Health and Human Services; name: National Institute of Child Health and Human Development and U.S. Department of Housing and Urban Development, award: R01HD066115
Language: English
Date published: 12/01/2020
Academic Unit: Epidemiology; Addiction Medicine; Craniofacial Anomalies Research Center
Record Identifier: 9984446436702771

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