%0 Journal Article %J Journal of consulting and clinical psychology %D 2004 %T Prevalence, course, and predictors of emotional distress in pregnant and parenting adolescents. %A Milan, Stephanie %A Ickovics, Jeannette R %A Kershaw, Trace %A Lewis, Jessica %A Meade, Christina %A Ethier, Kathleen %K Adolescent %K Depressive Disorder, Major %K Female %K Humans %K Parenting %K Pregnancy %K Pregnancy in Adolescence %K Prevalence %K Prospective Studies %N 2 %P 328-40 %R 10.1007/s10995-010-0650-3 %V 72 %X This study examines trajectories and correlates of emotional distress symptoms in pregnant adolescents (n = 203) and nulliparous adolescents (n = 188) from economically disadvantaged communities over an 18-month period. For both groups, the prevalence of significant emotional distress exceeded expectation based on adolescent norms; however, the severity of symptoms did not differ between the 2 groups. Results from growth curve modeling revealed a significant decline in symptoms during the study period for both groups, but pregnant adolescents experienced a different pattern of decline. Also, certain interpersonal factors (e.g., history of physical maltreatment, partner support) appeared to play a more important role in the emotional well-being of pregnant and parenting adolescents relative to nulliparous adolescents. Implications for early identification and intervention are discussed. %8 2004 Apr