Depression in Pregnant Adolescents: Considerations for Treatment

McClanahan, Kimberly K.

doi:10.1016/j.jpag.2008.04.006

Cited by 21 publications

(14 citation statements)

References 35 publications

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“…Schmidt et al (2006) reported higher incidence of depressive symptoms in adolescent mothers than in older mothers. Furthermore, McClanahan, (2009) supported that teenage or adolescent mothers are more likely to develop depression during pregnancy and postpartum compared to older mothers (McClanahan, 2009;NIHCM, 2010). This is because of the unique challenges of this developmental period; as well as the fact that adolescent mothers tend to be more socially isolated, experience higher levels of parenting stress, have lower self-esteem and confidence, and experience family conflict, all of which have been found to be associated with depressive symptoms among adolescent mothers.…”

Section: Discussion Of Findingmentioning

confidence: 99%

Knowledge of Postpartum Depression and its Associated Risk Factors Among Nurse-Midwives in a Nigerian Tertiary Hospital

Afolayan¹,

Onasoga²,

Rejuaro³

et al. 2016

Sierra Leone j. biomed. res.

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Background: Postpartum depression (PPD) is a global childbirth-related problem that affects many women and if ignored can have long-term adverse consequences, for both mother and child. Therefore, timely identification of its risk factors requires a good knowledge base for the care provider. Methods: A descriptive cross sectional study was used to assess the knowledge of PPD and its associated risk factors among nurse-midwives in a tertiary hospital in Bayelsa State, Nigeria. A systematic random sampling technique was used to select a sample size 114 nurse-midwife respondents. A well-structured questionnaire was used to collect data from the participants. The same were analyzed using descriptive and inferential statistics with level of significance was set at 0.05(5%). Findings: Despite the fact that majority of nurse-midwives rated their information level on postpartum depression as moderate, most of them still maintained that cigarette smoking, unwanted pregnancy, poor economic status cannot predispose a woman to PPD. Furthermore, majority affirmed that Edinburg Postnatal Depression Scale (EPDS) can be used to screen for PPD yet only about half of the respondents opined that PPD tendency can be detected during pregnancy and less than half of them affirmed that a score of > 10 using the EPDS indicates depression. The study also found significant relationship between educational qualification and level of information about PPD and its associated risk factors. Conclusion: The level of knowledge of nurse-midwives is not at the expected level since majority still have knowledge deficit regarding risk factors and how to detect PPD. Hence, it was recommended that periodic suitable training programs on PPD should be developed for healthcare professionals especially for nursemidwives who are the first point of contact during antenatal, labour and post-natal period.

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Section: Discussion Of Findingmentioning

confidence: 99%

Knowledge of Postpartum Depression and its Associated Risk Factors Among Nurse-Midwives in a Nigerian Tertiary Hospital

Afolayan¹,

Onasoga²,

Rejuaro³

et al. 2016

Sierra Leone j. biomed. res.

View full text Add to dashboard Cite

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“…In several recent studies, depressive symptoms have also been associated with poor functioning and lower health-related QoL among pregnant adults, even when controlling for age, race/ethnicity, educational level (17), marital status, gestational age (16,17), pregnancy intention (16), number of previous pregnancies (15,42), obstetric complications, and social support (15,17). Among pregnant adolescents, the prevalence of clinically relevant depressive symptoms has been estimated to be almost twice as high compared to pregnant adults (1,43). Several Portuguese studies have also shown significantly higher severity of depressive symptoms among pregnant adolescents than among pregnant adults (41,44).…”

Section: The Association Between Depressive Symptoms and Qolmentioning

confidence: 99%

Examining the Links Between Perceived Impact of Pregnancy, Depressive Symptoms, and Quality of Life During Adolescent Pregnancy: The Buffering Role of Social Support

Pires

Araújo-Pedrosa

Canavarro

2013

Matern Child Health J

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The aims of the current study were to examine the indirect effect of the perceived impact of pregnancy on quality of life (QoL) through the severity of depressive symptoms among a sample of pregnant adolescents, and to explore whether adolescents' satisfaction with support from their mothers (SM) or partners (SP) was a buffer of this effect. Demographic and pregnancy-related data were collected for 395 pregnant adolescents age 12-19 and were controlled for testing the proposed indirect effect. SM and SP were tested as moderators of the links between perceived impact of pregnancy and depressive symptoms and between depressive symptoms and QoL. A computational tool for path analysis-based moderation and mediation analysis as well as their combination was used to test indirect and interaction effects (PROCESS). A significant indirect effect of the perceived impact of pregnancy on QoL through the severity of depressive symptoms was found (0.51, CI = 0.29/0.78). There was no significant direct effect of the perceived impact of pregnancy on QoL after controlling for the severity of depressive symptoms. SM and SP buffered the indirect effect by weakening the association between a negative perception of the impact of pregnancy and higher severity of depressive symptoms. Identifying adolescents with a negative perception of the impact of pregnancy, improving the quality of their relations with their mothers and partners, and promoting satisfactory support from these figures may be extremely important to prevent and treat depressive symptoms and, in so doing, improve adolescents' QoL during pregnancy.

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“…This phenomenon has long been a topic of concern worldwide, but its visibility has been increasing in developed countries over the past few decades. Social changes in traditional gender roles and family structures (Singh and Darroch 2000) along with the negative outcomes relative to adolescent mothers, their children, and families, have contributed to the conceptualization of adolescent pregnancy as a social and a public health problem McClanahan 2009). As such, a growing body of research has focused on its occurrence and its impact on adolescents' life trajectories.…”

Section: Introductionmentioning

confidence: 99%

Ecological Contexts in Adolescent Pregnancy: The Role of Individual, Sociodemographic, Familial and Relational Variables in Understanding Risk of Occurrence and Adjustment Patterns

et al. 2011

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Adolescent pregnancy appears today as an intricate tapestry where different dimensions interact. In our study we examined the associations between individual, sociodemographic, familial, and relational variables and their impact on the occurrence of pregnancy and adolescents' adjustment to it. Participants were Portuguese pregnant and non-pregnant adolescents (N = 833). Ecological contexts were characterized, and individual and relational adjustment (depressive symptoms and quality of life; perceived quality of relationship with significant others-parents, romantic partner and friends) were evaluated. Differences between the ecologies of adolescents in both groups were identified. Familial and relational variables were significantly associated with both the risk of pregnancy and more difficulties in adjustment. Implications for preventive intervention are discussed.

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Depression in Pregnant Adolescents: Considerations for Treatment

Cited by 21 publications

References 35 publications

Knowledge of Postpartum Depression and its Associated Risk Factors Among Nurse-Midwives in a Nigerian Tertiary Hospital

Knowledge of Postpartum Depression and its Associated Risk Factors Among Nurse-Midwives in a Nigerian Tertiary Hospital

Examining the Links Between Perceived Impact of Pregnancy, Depressive Symptoms, and Quality of Life During Adolescent Pregnancy: The Buffering Role of Social Support

Ecological Contexts in Adolescent Pregnancy: The Role of Individual, Sociodemographic, Familial and Relational Variables in Understanding Risk of Occurrence and Adjustment Patterns

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