teenage parent population. Adolescent women enrolled in the intervention may have been more likely to provide ideal answers, which may have introduced confounding. We were also unable to assess the true population-based in cidence of postpartum depression. The incidence of depression may be lower than in other population-based samples because women were enrolled in a care program providing services to prevent postpartum depression. Although this study involved a small sample size of 106 women, these women provided a robust number of 289 study visits, which were used in longitudinal data analyses. Because this study consisted primarily urban, minority women, the results may not be generalizable to all adolescent women. Thesefindings must be replicated in other clinical settings with a socioeconomically diverse pop- ulation of adolescent mothers.