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首页> 外文学位 >Self-esteem, stressful life events, social support, and postpartum depression in adolescent mothers in Thailand.
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Self-esteem, stressful life events, social support, and postpartum depression in adolescent mothers in Thailand.

机译：泰国青春期母亲的自尊心，压力大的生活事件，社会支持和产后抑郁。

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摘要

Adolescent pregnancy is an important social and public health problem in Thailand accounting for 13.0% of all pregnancies annually. In Thailand, premarital relations and pregnancy out of marriage are considered very dishonorable and bring great shame upon the family.; Research in countries other than Thailand reveals that adolescent pregnancy is associated with postpartum depression. Self-esteem, stressful life events, and social support have been found to be associated with postpartum depression but primarily in adult mothers in western countries. A few studies have examined the relationships of these three factors in adolescent mothers but not in nonwestern countries such as Thailand.; This cross-sectional, prospective, correlational study, therefore focused on adolescent mothers in Thailand in order to examine the: (1) relationships between self-esteem and stressful life events with postpartum depression, (2) moderating effect of social support on postpartum depression, and (3) effects of maternal characteristics (age, education, parity, marital status, family income, employment status, and unintended pregnancy) on postpartum depression. A convenience sample of 119 adolescent mothers, ages 14 to 19, was recruited from three hospitals of two provinces, Khon Kaen and Udonthani, of Thailand. Participants completed a self-report questionnaire containing measures of self-esteem (Rosenberg, 1965), stressful life events (Norbeck, 1984), social support (MSPSS, Zimet, et al, 1988), postpartum depression (CES-D, Radloff, 1977), and demographic questionnaires at six weeks postpartum.; Of the total adolescent mothers, 54.6% had a score of 16 or greater indicating a high level of depressive symptoms, with 21% of the total sample scoring 23 or greater indicating the need for psychiatric referral. When controlling for maternal characteristics, only self-esteem and negative stressful life events were significant predictors of postpartum depression (beta = -.368, p .000 and beta = .451, p .000, respectively). All independent variables explained 43.4% (adjusted) of the variance in overall postpartum depression. Postpartum depression was common among Thai adolescent mothers but that self-esteem and social support were high at six weeks postpartum. There is a need to identify adolescent mothers who have low self-esteem and experience high negative stressful life events because they are at increased risk for postpartum depression.
机译：在泰国，青春期怀孕是一个重要的社会和公共卫生问题，每年怀孕的人数占13.0％。在泰国，婚前关系和婚外怀孕被认为是非常不光彩的，给家庭蒙上了极大的耻辱。除泰国以外的其他国家的研究表明，青春期妊娠与产后抑郁症有关。自尊，压力大的生活事件和社会支持与产后抑郁症有关，但主要发生在西方国家的成年母亲中。一些研究检查了这三个因素在青春期母亲中的关系，但未在泰国等非西方国家中进行过研究。因此，这项横断面，前瞻性，相关性研究的重点是泰国的青春期母亲，以便研究：（1）自尊与压力性生活事件与产后抑郁之间的关系，（2）社会支持对产后抑郁的调节作用，以及（3）产妇特征（年龄，学历，同等，婚姻状况，家庭收入，就业状况和意外怀孕）对产后抑郁的影响。从泰国孔敬和乌隆他尼两个省的三家医院招募了119名年龄在14至19岁的青春期母亲的便利样本。参与者完成了一份自我报告调查表，其中包括自尊量度（Rosenberg，1965年），压力性生活事件（Norbeck，1984年），社会支持（MSPSS，Zimet等人，1988年），产后抑郁症（CES-D，Radloff， （1977年）和产后六周的人口统计学调查表。在总的青春期母亲中，有54.6％的得分为16分或更高，表明抑郁症状水平很高，在总样本中有21％的得分为23分或更高，表明需要进行精神科转诊。在控制孕产妇特征时，只有自尊和负性压力生活事件是产后抑郁的重要预测指标（分别为β= -.368，p <.000和β= .451，p <.000）。所有自变量均解释了总产后抑郁症差异的43.4％（已调整）。产后抑郁症在泰国青春期母亲中很常见，但是在产后六周，自尊和社会支持很高。有必要确定自尊心低，经历负性生活事件较多的青春期母亲，因为她们的产后抑郁风险增加。

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  • 作者

    Srisaeng, Pakvilai.;

  • 作者单位

    Case Western Reserve University (Health Sciences).;

  • 授予单位 Case Western Reserve University (Health Sciences).;
  • 学科 Health Sciences Nursing.; Psychology Clinical.
  • 学位 Ph.D.
  • 年度 2003
  • 页码 206 p.
  • 总页数 206
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 预防医学、卫生学;医学心理学、病理心理学;
  • 关键词

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