Informative title: Effects of social support, parenting stress and self-efficacy on postpartum depression among adolescent mothers in Jordan.
Informative title: Effects of social support, parenting stress and self-efficacy on postpartum depression among adolescent mothers in Jordan.
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信息标题：社会支持、养育压力和自我效能对约旦青少年母亲产后抑郁症的影响。
DOI：
10.1111/jocn.15846
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发表时间：
2021
影响因子：
4.2
通讯作者：
J. Gamble
中科院分区：
文献类型：
--
作者：
K. Mohammad;Hanan Sabbah;M. Aldalaykeh;M. Albashtawy;Kholoud Z Abuobead;D. Creedy;J. Gamble
目的和目标
本研究探讨了社会支持，父母的压力和母亲的自我效能感对产后抑郁症在约旦的青少年母亲。
背景
少女怀孕可能对年轻妇女、家庭和社区造成严重的健康、社会和经济后果。在约旦，少女怀孕的发生率从2012年的5%上升到2018年的15%。在阿拉伯和中东国家，很少有人关注青少年母亲的产后抑郁症。
方法
在一个方便抽样的横断面设计中，200名年龄小于20岁，产后6至8周，能说和读阿拉伯语的妇女在一个参与的卫生诊所接受了采访。访谈发生在妇女预约门诊之前或之后，包括社会人口学资料、爱丁堡产后抑郁量表（EPDS）、产妇社会支持量表（MSSS）、育儿压力量表（PSS）和自我效能感量表（PSES）。数据收集于2018年12月至2019年4月期间进行。报告遵循STROBE指南。
结果
结果显示，28.5%的青少年母亲可能有产后抑郁症。报告高社会支持、高养育压力、低自我效能、经济压力和婚姻冲突的母亲的EPDS得分显著高于未报告这些压力的母亲。
结论
本研究中报告的产后抑郁症的患病率需要立即采取行动进行早期评估，检测和干预。高水平的社会支持可能会让年轻母亲感到不堪重负，并导致养育压力大，母亲自我效能低和婚姻冲突。
与临床实践的相关性
与20岁以上的母亲相比，青少年母亲患PPD的风险更高。需要考虑的是社会支持的质量，而不是可获得性。年轻母亲需要教育和早期干预预防战略，以使她们为成为母亲做好更好的准备，并管理与她们不断变化的社会角色有关的压力。
AIM AND OBJECTIVE
This study investigated the effects of social support, parenting stress and maternal self-efficacy on postpartum depression among adolescent mothers in Jordan.
BACKGROUND
Adolescent pregnancy may have serious health, social and economic consequences for young women, families and communities. In Jordan, the incidence of adolescent pregnancy has increased from 5% in 2012 to 15% in 2018. Little attention has been given to postpartum depression among adolescent mothers in Arab and Middle Eastern countries.
METHOD
In a cross-sectional design using convenience sampling, 200 women aged less than 20 years, six to eight weeks postpartum and who could speak and read Arabic were interviewed in a participating health clinic. The interview occurred before or after a woman's scheduled clinic appointment and included socio-demographic data, Edinburgh Postnatal Depression Scale (EPDS), Maternity Social Support Scale (MSSS), Parenting Stress Scale (PSS) and Perceived Self-efficacy Scale (PSES). Data collection took place between December of 2018 and April of 2019. Reporting followed the STROBE guidelines.
RESULTS
Results revealed that 28.5% of adolescent mothers had probable postpartum depression. Mothers who reported high social support, high parenting stress, low self-efficacy, financial stress and marital conflict had significantly higher EPDS scores than those who did not report these stressors.
CONCLUSION
Prevalence of postpartum depression reported in this study warrants immediate action on early assessment, detection and intervention. High levels of social support may feel overwhelming for young mothers and contribute to high parenting stress, low maternal self-efficacy and marital conflict.
RELEVANCE TO CLINICAL PRACTICE
Adolescent mothers are at increased risk of PPD compared to mothers over 20 years of age. Perceived quality rather than availability of social support needs to be considered. Young mothers require education and early intervention prevention strategies to better prepared them for motherhood and manage stressors associated with their changing social role.
纽约市青少年女性围产期抑郁症状轨迹。
DOI：
10.1016/j.jadohealth.2019.12.017
发表时间：
2020
期刊：
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
影响因子：
--
作者：
Simons,HannahR;Thorpe,LornaE;Jones,HeidiE;Lewis,JessicaB;Tobin,JonathanN;Ickovics,JeannetteR
通讯作者：
Ickovics,JeannetteR