Salud Mental

Association between depressive symptoms and psychosocial factors and perception of maternal self-efficacy in teenage mothers

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Ma. Asunción Lara
Pamela Patiño
Laura Navarrete
Zaira Hernández
Lourdes Nieto

Abstract

Introduction. Teenage pregnancy is a national health priority. Having to deal with pregnancy during adolescence can cause the mother, at an already vulnerable age, to doubt her maternal capacity to cope with a challenge of this magnitude. The teenage mother’s assessment of her maternal self-efficacy is associated with her performance, in other words, the way she relates and responds to the needs of her infant, which has major implications for the latter’s development.

Objective. To study the association between personal (depressive symptoms, self-esteem) and environmental characteristics (social support, partner satisfaction) and those of the infant (problems with infant care, the infants’s temperament) and the perception of maternal self-efficacy (PME) in adolescent mothers.

Method. Cross-sectional study. The following instruments were applied: Center for Epidemiologic Studies Depression Scale (CES-D), Post-partum Depression Predictors Inventory-Revised (PDPI-R), and Maternal Efficacy Questionnaire to 120 mothers under 20 during the first six months postpartum. Bivariate lineal regression and hierarchical linear regression analyses were used for the data analysis.

Results. When adjusting for other variables, symptoms of depression and difficult infant temperament were associated with lower PME. Social support was only associated with increased PME in the bivariate analysis.

Discussion and conclusion. These findings contribute to the limited literature on the subject and provide elements for designing strategies to improve adolescent mothers’ PME to encourage behaviors that are more relevant and sensitive to infants’ physical and emotional needs.

Keywords:
Postpartum depression, maternal self-efficacy, adolescents, psychosocial factors

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References

Gutiérrez JP, Rivera-Dommarco J, Shamah-Levy T, Villalpando-Hernández S, Franco A, Cuevas-Nasu L, et al. Encuesta Nacional de Salud y Nutrición 2012. Resultados Nacionales. Cuernavaca, México: Instituto Nacional de Salud Pública (MX), 2012. http://ensanut.insp.mx/informes/ENSANUT2012ResultadosNacionales.pdf.

DeVito J. Self-Perceptions of Parenting Among Adolescent Mothers. J Perinat Educ 2007;161:16-23.doi: 10.1624/105812407X170680.

Instituto Nacional de Estadística y Geografía, INEGI. Estadísticas A Propósito De Día Internacional De La Juventud, 2015. http://www.inegi.org.mx/saladeprensa/aproposito/2015/juventud0.pdf

Baldwin W, Cain V. The Children of Teenage Parents. Fam Plann Perspect 1980;12(1):34-43. doi: 10.2307/2134676.

Shapiro JR, Mangelsdorf SC. The determinants of parenting competence in adolescent mothers. J Youth Adolesc 1994;23(6):621-641.

Brooks-Gunn J, Furstenberg F. The children of adolescent mothers: Physical, academic, and psychological outcomes. Dev Rev 1986;6:224-251.

Brooks-Gunn J, Chase-Lansdale PL. Adolescent parenthood. En: Bornstein MH, editor. Handbook of parenting, Vol. 3, Status and social conditions of parenting. Mahwah, NJ: Lawrence Erlbaum, Associates;1995.

Bandura A. Self-efficacy. En: Ramachaudran VS, editor. Encyclopedia of human behavior Vol. 4. New York: Academic Press; 1994. p. 71-81.

Teti DM, Gelfand DM. Behavioral Competence among Mothers of Infants in the First Year: The Mediational Role of Maternal Self-Efficacy. Child Dev 1991;62(5):918-929.

Kendall S, Bloomfield L. Developing and validating a tool to measure parenting self-efficacy. J Adv Nurs 2005 Jul;51(2):174-81.

Bouma R, Schweitzer R. The impact of chronic childhood illness on family stress: A comparison between autism and cystic fibrosis. J Clin Psychol 1990;46(6):722–730.

Hastings R, Brown T. Behavior problems of children with autism, parental self-efficacy and mental health. Am J Ment Retard 2002;107(3):222–232.

Coleman PK, Karraker KH. Self-Efficacy and Parneting Quality: Findings and future applications. Dev Rev 1997;18:47–85. doi:10.1006/drev.1997.0448.

Cutrona CE, Troutman BR. Social support, infant temperament, and parenting self-efficacy: A mediational model of postpartum depression. Child Dev 1986;57(6):1507–1518.

Cox JE, Buman M, Valenzuela J, Joseph NP, Mitchell A, Woods ER. Depression, Parenting Attributes, and Social Support among Adolescent Mothers Attending a Teen Tot Program. J Pediatr Adolesc Gynecol 2008;21(5):275-281. doi: 10.1016/j.jpag.2008.02.002.

Knoche LL, Givens JE, Sheridan SM. Risk and Protective Factors for Children of Adolescents: Maternal Depression and Parental Sense of Competence. J Child Fam Stud 2007;16(5):684-695. doi 10.1007/s10826-006-9116-z.

Navarro C, Navarrete L, Lara MA. Factores asociados a la percepción de eficacia materna durante el posparto. Salud Ment 2011;34(1):37-43.

Leahy-Warren P, Mccarthy G. Maternal parental self-efficacy in the postpartum period. Midwifery 2011;27(6):802-810. doi: 10.1016/j.midw.2010.07.008.

Le H, Lambert SF. Culture, Context, and Maternal Self-Efficacy in Latina Mothers. Appl Dev Sci 2008;12(4):198-201.

Álvarez-Nieto C, Pastor-Moreno G, Linares-Abad M, Serrano-Martos J, Rodríguez-Olalla L. Maternidad temprana: percepciones e implicaciones de las madres de las adolescentes. Matronas Prof. 2014;15(3):88-94.

Clemmens, D. (2001). The relationship between social support and adolescent mothers’ interactions with their infants: A meta-analysis. J Obstet Gynecol Neonatal Nurs 30(4):410–420.

Azmoude E, Jafarnejade F, Mazlom SR. The Predictors for Maternal Self-efficacy in Early Parenthood. JMRH 2015; 3(2):368-376. doi: 10.22038/jmrh.2015.4050.

Lipscomb ST, Leve LD, Harold GT, Neiderhiser JM, Shaw DS, Ge X, Reiss D. Trajectories of parenting and child negative emotionality during infancy and toddlerhood: a longitudinal analysis. Child Dev 2011;82(5):1661-1675. doi: 10.1111/j.1467-8624.2011.01639.x.

Farkas C, Valdés N. Maternal stress and perceptions of self-efficacy in socioeconomically disadvantaged mothers: An explicative model. Infant Behav Dev 2010;33(4):654-662. doi: 10.1016/j.infbeh.2010.09.001.

Radloff L. The CES-D Scale: a self report depression scale for research in the general population. (1977) Appl Psych Meas 1977;1(3):385-401. doi: 10.1177/014662167700100306.

González-Forteza C, Jiménez-Tapia JA, Ramos-Lira L, Wagner FA. Aplicación de la Escala de Depresión del Center of Epidemiological Studies en adolescentes de la Ciudad de México. Aplicación de la Escala de Depresión del Center of Epidemiological Studies en adolescentes de la Ciudad de México. Salud Pública Mex 2008;50(4):292-299.

Records K, Rice M, Beck CT. Psychometric Assessment of the Postpartum Depression Predictors Inventory–Revised. J Nurs Meas 2007;15(3):189-202.

Ibarra-Yruegas B, Lara MA, Navarrete L, Nieto L, Valle OK. Psychometric properties of the Postpartum Depression Predictors Inventory-Revised for pregnant women in Mexico. J Health Psychol 2016. doi:10.1177/1359105316658969.

Consejo de Organizaciones Internacionales de las Ciencias Médicas (CIOMS). Pautas Éticas Internacionales para la Investigación Biomédica en Seres Humanos Santiago de Chile: Programa regional del Bioética OPS-/OMS. CIOMS, 2003. http://www.cioms.ch/publications/guidelines/pautas_eticas_internacionales.htm

Bandura A. Regulation of cognitive processes through perceived self-efficacy. Dev Psychol 1989;25:725-73.

Panzarine S, Slater E, Sharps P. Coping, social support, and depressive symptoms in adolescent mothers. J Adolesc Health 1995;17(2):113-119.

Lanzi RG, Bert SC, Jacobs BK. Depression Among a Sample of First-Time Adolescent and Adult Mothers. J Child Adolesc Psychiatr Nurs 2009;22(4):194-202. doi: 10.1111/j.1744-6171.2009.00199.x.

Lara MA, Berenzon S, Juárez García F, Medina-Mora ME, Natera Rey G, Villatoro Velázquez JA, et al. Population study of depressive symptoms and risk factors in pregnant and parenting Mexican adolescents. Rev Panam Salud Publica 2012;31(2):102–8.

Razurel C, Kaiser B, Antonietti J, Epiney M, Sellenet C. Relationship between perceived perinatal stress and depressive symptoms, anxiety, and parental self-efficacy in primiparous mothers and the role of social support. Women & Health 2016:1-19.

Martínez BA, Quintino PF. Estudio del embarazo en adolescentes en el Distrito Federal, desde un enfoque de género, 2005-2014. México: Consejo de Evaluación del Desarrollo Social del Distrito Federal, 2016. http://www.evalua.cdmx.gob.mx/docs/gral/Informe%20Estudio%20de%20Embarazo%20de%20Adolescente.pdf

Baginsky, BA. Prevention of Depression in Postpartum Adolescents. JOSNR 2008;2(1):10-14.

Barry TD, Dunlap ST, Cotten SJ, Lochman JE, Wells KC. The influence of maternal stress and distress on disruptive behavior problems in boys. J Am Acad Child Adolesc Psychiatry 2005;44(3):265-273.