Acculturative stress negatively impacts maternal depressive symptoms in Mexican-American women during pregnancy
Acculturative stress negatively impacts maternal depressive symptoms in Mexican-American women during pregnancy
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DOI：
10.1016/j.jad.2015.01.036
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发表时间：
2015-05-01
影响因子：
6.6
通讯作者：
Flores, Ana-Mercedes
中科院分区：
文献类型：
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作者：
D'Anna-Hernandez, Kimberly L.;Aleman, Brenda;Flores, Ana-Mercedes
背景：与普通人群相比，墨西哥裔美国妇女表现出较高的产前抑郁症状发生率。尽管墨西哥裔美国孕妇经历了文化适应、文化适应和歧视等文化压力，可能会导致抑郁症状的增加，但这些社会文化因素对抑郁症状的贡献尚不清楚。方法：98名墨西哥裔孕妇在怀孕早期从社区医院诊所招募。女性完成了关于文化适应、文化适应压力、感知歧视、一般感知压力、母亲抑郁症状以及墨西哥文化价值观的潜在保护因素的调查。结果：经历了更大的文化适应和感知压力，但没有感知到歧视或文化适应的女性，在怀孕期间抑郁症状显著增加。此外，经历了更大文化压力的女性认同墨西哥和美国文化价值观的混合体。然而，只有墨西哥人尊重的文化价值才能预防母亲的抑郁症状，而坚持英国人的独立和自力更生的价值是一个风险因素。限制：研究的局限性是工作的横断面和描述性自我报告性质，强调了进一步研究的必要性。此外，本研究并未对压力的生理指标进行分析。结论：结果表明，在具有文化能力的产科护理中，文化适应压力是潜在的干预目标，高于其他文化压力来源。这些发现对孕期母亲的心理健康治疗有影响，这可能会影响母亲的胎儿规划，并可能有利地影响脆弱的墨西哥裔美国人的围产期结局。(C)2015爱思唯尔B.V.保留所有权利。
Background: Mexican-American women exhibit high rates of prenatal maternal depressive symptoms relative to the general population. Though pregnant acculturated Mexican-American women experience cultural stressors such as acculturation, acculturative stress and discrimination that may contribute to elevated depressive symptoms, the contribution of these socio-cultural correlates to depressive symptomology is unknown.Method: Ninety-eight pregnant women of Mexican descent were recruited from a community hospital clinic during their first trimester. Women completed surveys about acculturation, acculturative stress, perceived discrimination, general perceived stress, and maternal depressive symptoms as well as the potential protective factor of Mexican cultural values.Results: Women who experienced greater acculturative and perceived stress, but not perceived discrimination or acculturation, reported significantly elevated depressive symptoms during pregnancy. Also, women who experienced greater acculturative stress identified with a mixture of Mexican and American cultural values. However, only the Mexican cultural value of respect was protective against maternal depressive symptoms while adhering to the Anglo value of independence and self-reliance was a risk factor.Limitations: A limitation in the study is the cross-sectional and descriptive self-report nature of the work, underscoring the need for additional research. Moreover, physiological measures of stress were not analyzed in the current study.Conclusions: Results point to acculturative stress, above other cultural stressors, as a potential intervention target in culturally competent obstetric care. These findings have implications for maternal mental health treatment during pregnancy, which likely affects maternal fetal programming and may favorably affect perinatal outcomes in the vulnerable Mexican American population. (C) 2015 Elsevier B.V. All rights reserved.