Predictors of depression and anxiety during adolescence: the impact of birth weight

被引:1
|
作者
Costa Machado, Fernanda [1 ]
Souza Vitalle, Maria S. [2 ]
Franco, Maria [3 ]
机构
[1] Univ Fed Sao Paulo, Div Translat Med, Sch Med, Sao Paulo, Brazil
[2] Univ Fed Sao Paulo, Dept Pediat, Sch Med, Sao Paulo, Brazil
[3] Univ Fed Sao Paulo, Sch Med, Div Nephrol, Rua Botucatu 703, BR-04023062 Sao Paulo, SP, Brazil
基金
巴西圣保罗研究基金会;
关键词
Adolescent; Depression; Depressive disorder; Anxiety; Birth weight; PRENATAL EXPOSURE; SYMPTOMS; CHILDREN; FETAL; RISK; DISORDERS; BORN; CORTISOL; OUTCOMES; PRETERM;
D O I
10.23736/S0026-4946.17.04452-8
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
BACKGROUND: A complex association has been observed between birth weight (BW) and depression/anxiety symptoms at various stages of life. The purpose of this study was to evaluate whether adolescents with low or insufficient BW were more likely to report depressive/anxiety symptoms. METHODS: A cross-sectional study was conducted with 102 adolescents (40 boys and 62 girls). RESULTS: Our results demonstrated that the incidence of depressive symptoms was 63% in the first BW quartile and 20% in the fourth quartile. Similarly, we observed that anxiety symptoms were present in 83% of the adolescents in the first BW quartile, followed by 36% in the fourth BW quartile. After adjustment, our study identified potential risk factors that were associated with anxiety symptoms, including female gender (P=0.026) and having a BW in the first quartile (P=0.049). Moreover, the adjusted odds of having depression were 4.5 times higher in adolescents with BW in the lowest quartile (P=0.035). We also found that the incidence of depressive symptoms among females was 61% in the first BW quartile and 30% in the fourth BW quartile and that it was 67% versus 12%, respectively, among males. Finally, a model that used anxiety symptoms as the dependent variable produced similar data. CONCLUSIONS: Our findings suggest that a deleterious fetal environment appears to have a significant impact on psychiatric issues.
引用
收藏
页码:430 / 437
页数:8
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