Depressive symptoms among reservation-based pregnant American Indian adolescents.

Abstract:

OBJECTIVES:To examine rates and correlates of depressive symptoms among pregnant reservation-based American Indian (AI) adolescents from the Southwestern United States (N = 53). METHODS:Data were derived from a study evaluating a home-visiting program designed to promote positive parenting among young families. Participants included a volunteer, convenience sample of expectant mothers who completed behavioral and mental health self-report questionnaires. Depressive symptoms were assessed using the Center for Epidemiological Studies-Depression scale (CES-D). Three risk domains were analyzed in relation to depressive symptoms: sociodemographics, family relations, and psychosocial functioning. RESULTS:Forty-seven percent of expectant mothers scored at or above the widely accepted clinical cutoff score of 16 on the CES-D; 30% scored at or above 20, a score more likely to reflect elevated depressive symptoms among adolescents; and almost 20% scored at or above 28 (one standard deviation above the mean), a score suggestive of clinical depression. Higher levels of depressive symptoms were associated with less use of public assistance, external locus of control, less social support, and lower self-esteem. CONCLUSIONS:Data suggest that a large proportion of pregnant AI adolescents reported elevated depressive symptoms, though rates are similar to non-pregnant AI adolescent samples.

journal_name

Matern Child Health J

authors

Ginsburg GS,Baker EV,Mullany BC,Barlow A,Goklish N,Hastings R,Thurm AE,Speakman K,Reid R,Walkup J

doi

10.1007/s10995-008-0352-2

subject

Has Abstract

pub_date

2008-07-01 00:00:00

pages

110-8

eissn

1092-7875

issn

1573-6628

journal_volume

12 Suppl 1

pub_type

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