Social Contingencies in Mental Health: A Seven‐Year Follow‐Up Study of Teenage Mothers

This paper reports analyses from a 7‐year follow‐up investigation of women pregnant as teenagers who had been studied during their pregnancy and shortly following their child's birth. The objective of these analyses was to identify potentially modifiable factors that might influence or condition psychological adaptation within this high‐risk population. Consistent with prior research, differences in social support and in personal resources or attributes effectively predicted depressive symptomatology, suggesting that such differences constitute crucial mental health contingencies and thereby represent promising intervention targets. Contrary to prior research, differences in stress exposure were found to be of substantial explanatory significance, with lifetime accumulation of major, potentially traumatic events representing the most significant element. These findings suggest the need to develop a greater understanding of socially or programatically modifiable determinants of stress exposure and to take seriously the prospect of developing interventions that reduce such exposure.