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Meza-Rodríguez MDP, Farfan-Labonne B, Avila-García M, Figueroa-Damian R, Plazola-Camacho N, Pellón-Díaz G, Ríos-Flores BA, Olivas-Peña E, Leff-Gelman P, Camacho-Arroyo I. Psychological distress, anxiety, depression, stress level, and coping style in HIV-pregnant women in Mexico. BMC Psychol 2023; 11:366. [PMID: 37915068 PMCID: PMC10621089 DOI: 10.1186/s40359-023-01416-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2023] [Accepted: 10/27/2023] [Indexed: 11/03/2023] Open
Abstract
PURPOSE To evaluate the presence of psychological distress (PD) and its association with the mental health and coping styles of pregnant women living with HIV (PWLWH). METHOD An observational, cross-sectional descriptive study was performed. Seventy-three PWLWH were included. Patients responded to a psychometric battery for PD, depression, anxiety, stress, and coping style evaluation. The scales used in the study were: Goldberg's 30-item General Health Questionnaire (GHQ-30), State-Trait Anxiety Inventory (STAI), Zung Depression Self-Measurement Scale (ZDS), Nowack Stress Profile, Lazarus and Folkman's Coping Styles Questionnaire. RESULTS PD was observed in 31.5% of the participants. PD-positive patients showed a higher probability of presenting traits of depression and anxiety and medium/high stress levels. Besides, they preferentially used emotion-focused coping styles. CONCLUSION PD is associated with a higher probability of presenting anxiety and depression in PWLWH. Emotion-focused coping style could be a factor in decision-making associated with risk behaviors in PWLWH.
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Affiliation(s)
- María Del Pilar Meza-Rodríguez
- Coordinación de Investigación en Psicología, Instituto Nacional de Perinatología, Montes Urales 800, CDMX, C.P. 11000, México
| | - Blanca Farfan-Labonne
- Departamento de Fisiología y Desarrollo Celular, Instituto Nacional de Perinatología, Montes Urales 800, CDMX, C.P. 11000, México
| | - Miroslava Avila-García
- Departamento de Infectología e Inmunología, Instituto Nacional de Perinatología, Montes Urales 800, CDMX, C.P. 11000, México
| | - Ricardo Figueroa-Damian
- Departamento de Infectología e Inmunología, Instituto Nacional de Perinatología, Montes Urales 800, CDMX, C.P. 11000, México
| | - Noemí Plazola-Camacho
- Departamento de Infectología e Inmunología, Instituto Nacional de Perinatología, Montes Urales 800, CDMX, C.P. 11000, México
| | - Gabriela Pellón-Díaz
- Departamento de Neurociencias, Instituto Nacional de Perinatología, Montes Urales 800, CDMX, C.P. 11000, México
| | - Braulio Alfonso Ríos-Flores
- Departamento de Neurociencias, Instituto Nacional de Perinatología, Montes Urales 800, CDMX, C.P. 11000, México
| | - Efraín Olivas-Peña
- Departamento de Neurociencias, Instituto Nacional de Perinatología, Montes Urales 800, CDMX, C.P. 11000, México
| | - Phillipe Leff-Gelman
- Departamento de Investigación en Salud Reproductiva y Perinatal, Instituto Nacional de Perinatología, Montes Urales 800, CDMX, C.P. 11000, México
| | - Ignacio Camacho-Arroyo
- Unidad de Investigación en Reproducción Humana, Instituto Nacional de Perinatología-Facultad de Química, Universidad Nacional Autónoma de México, Montes Urales 800, Lomas de Chapultepec Miguel Hidalgo, Ciudad de México, C.P. 11000, México.
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Atkins R, Johnson S, Pontes MCF, Stellmacher T, Gadaleta D, Lewis H, Qosja A, Finkelstein D, Williams W. Socio-Demographic and Coping Correlates and Predictors of Depressive Symptoms Among Low-Income and Ethnic Minority Mothers At-Risk. Clin Nurs Res 2021; 31:100-114. [PMID: 34328019 DOI: 10.1177/10547738211029685] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This study identified coping and sociodemographic correlates and predictors of depressive symptoms in mothers at risk for clinical depression. A descriptive, cross-sectional design was employed. A convenience sample of 88 low-income or ethnic-minority mothers aged 21 to 45 completed a depression scale, demographic data sheet, and responded to an open-ended question. Content analysis, descriptive, and inferential statistics was used for data analysis. Exactly 42.5% of mothers reported high depressive symptoms (>16). Lower income levels (r = .342, p = .01) and head-of-household status (r = .220, p = .04) were significantly associated with higher depressive symptoms. Those who used social support coping had lower depressive symptoms than those who did not (t = 2.50, p = .014). Those using emotion-focused coping only had higher depressive symptoms than those using a mix of coping strategies (t = 2.60, p = .011). Healthcare providers can employ vigilant depression screening and encourage utilization of a mix of problem and emotion-focused coping strategies to reduce depressive symptoms and prevent clinical depression.
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Affiliation(s)
| | | | | | | | | | | | | | | | - Wanda Williams
- Rutgers the State University of New Jersey School of Nursing-Camden, USA
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Atkins R, Luo R, Wunnenberg M, Ayres C, Lipman TH, Pena-Cardinali V, Hayes L, Deatrick JA. Contributors to Depressed Mood in Black Single Mothers. Issues Ment Health Nurs 2020; 41:38-48. [PMID: 31424976 DOI: 10.1080/01612840.2019.1631414] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Participants: A convenience sample of 210 community dwelling Black single mothers ages 18 to 45, who reside in U.S. urban communities.Methods: A descriptive, cross-sectional design was employed. Participants responded to an open-ended question that asked about reasons for depressed mood. A directed approach to content analysis was used to categorize the responses based on existing theoretical formulations and empirical findings about the causes of depression in women. Percentages and frequencies were used to describe the results of the analysis.Findings: A total of 319 usable responses were provided. Collectively and individually the most frequent responses were consistent with Social/Environmental factors such as lack of financial resources (n = 115; 36.05%), followed by Psychological factors such as general cognitive/emotional feelings of stress (n = 60; 18.81%), and parenting stressors or daily hassles (n = 40; 12.54%). Physiologic factors such as a having physiologic or medical conditions were reported less often (n = 14; 4.39%).Conclusions/Implications: Social/Environmental and Psychological factors contribute to depressed mood more often than Physiological factors in Black single mothers. Depression prevention efforts should target the social determinants of mental health in Black single mothers who should be connected with appropriate financial, psychological, educational and social service resources in the community.
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Affiliation(s)
- Rahshida Atkins
- School of Nursing-Camden, Rutgers The State University, Camden, New Jersey, USA
| | - Rufan Luo
- Department of Psychology, Rutgers, The State University of New Jersey-Camden, Camden, New Jersey, USA
| | - Mary Wunnenberg
- School of Nursing-Camden, Rutgers The State University, Camden, New Jersey, USA
| | - Cynthia Ayres
- School of Nursing-Camden, Rutgers The State University, Camden, New Jersey, USA
| | - Terri H Lipman
- School of Nursing, University of Pennsylvania , Philadelphia, Pennsylvania, USA
| | | | - Latisha Hayes
- School of Nursing-Camden, Rutgers The State University, Camden, New Jersey, USA
| | - Janet A Deatrick
- School of Nursing, University of Pennsylvania , Philadelphia, Pennsylvania, USA
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Social support, work hours and health: A comparative study of sole and partnered Australian mothers. WOMENS STUDIES INTERNATIONAL FORUM 2014. [DOI: 10.1016/j.wsif.2013.10.010] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Schwarz AG, McVeigh KH, Hoven C, Kerker BD. Racial and Ethnic Differences in Depression by Partner Status and the Presence of Children in the Household. Womens Health Issues 2012; 22:e553-61. [DOI: 10.1016/j.whi.2012.07.006] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2011] [Revised: 07/18/2012] [Accepted: 07/19/2012] [Indexed: 11/30/2022]
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McConnell ED. House Poor in Los Angeles: Examining Patterns of Housing-Induced Poverty by Race, Nativity, and Legal Status. HOUSING POLICY DEBATE 2012; 22:605-631. [PMID: 23585711 PMCID: PMC3620202 DOI: 10.1080/10511482.2012.697908] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
Housing affordability in the United States is generally operationalized using the ratio approach, with those allocating more than thirty percent of income to shelter costs considered to have housing affordability challenges. Alternative standards have been developed that focus on residual income, whether income remaining after housing expenditures is sufficient to meet non-housing needs. This study employs Los Angeles Family and Neighborhood Survey data to consider racial/ethnic, nativity and legal status differences in one residual income standard. Logistic regression analyses of housing-induced poverty focus on whether there are differences among five distinct groups: U.S.born Latinos, Non-Hispanic Whites, and African Americans, authorized Latino immigrants, and unauthorized Latino immigrants. Results suggest that: 1) Latino natives are significantly more likely to be in housing-induced poverty than African Americans and Latino immigrants, and 2) unauthorized Latino immigrants are not more likely to experience the outcome than other groups. The present work extends previous research. First, the results provide additional evidence of the value of operationalizing housing affordability using a residual income standard. Alternatives to the ratio approach deserve more empirical attention from a wider range of scholars and policymakers interested in housing affordability. Second, housing scholarship to date generally differentiates among Latinos by ethnicity, nativity, and citizenship. The present study contributes to emerging research investigating heterogeneity among Latinos by nativity and legal status.
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Affiliation(s)
- Eileen Diaz McConnell
- School of Transborder Studies, Arizona State University, Lattie Coor Hall, Room 6650, PO Box 873502, Tempe, AZ 85287-3502, , 480.727.7083 voicemail
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Patterns of depression in cancer patients: an indirect test of gender-specific vulnerabilities to depression. Soc Psychiatry Psychiatr Epidemiol 2011; 46:767-74. [PMID: 20574846 DOI: 10.1007/s00127-010-0246-7] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/21/2010] [Accepted: 06/03/2010] [Indexed: 10/19/2022]
Abstract
BACKGROUND Higher rates of depression in women compared to men have been attributed to intrinsic biological or psychological vulnerabilities, to their disproportionate exposure to stressful events and circumstances, or to the combined contributions of these factors. PURPOSE This study aimed to determine if there is a gender disparity in depression rates in patients with advanced cancer, a circumstance associated with multiple stressors and a high prevalence of depression. METHOD Data were collected from 569 patients, assessing demographic characteristics, depressive symptoms, physical symptoms, and social support. RESULTS Clinically significant symptoms of depression (BDI-II scores ≥16) were reported by more than 20% of the sample, with no significant gender differences in depression. There were no significant gender differences in potentially confounding factors such as social support or physical symptom burden. CONCLUSION The results indicated that men and women may be equally likely to develop depression when faced with a highly stressful circumstance.
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Herman S, Archambeau OG, Deliramich AN, Kim BSK, Chiu PH, Frueh BC. Depressive symptoms and mental health treatment in an ethnoracially diverse college student sample. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2011; 59:715-20. [PMID: 21950252 PMCID: PMC3210726 DOI: 10.1080/07448481.2010.529625] [Citation(s) in RCA: 50] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/18/2023]
Abstract
OBJECTIVES To study (a) the prevalence of depressive symptoms and (b) the utilization of mental health treatment in an ethnoracially diverse sample consisting primarily of Asian Americans, European Americans, Native Hawaiians, and Pacific Islanders. PARTICIPANTS Five hundred eighty-nine college students. METHOD A questionnaire packet that included the Center for Epidemiological Studies Depression Scale (CES-D) was administered to students in introductory psychology courses. RESULTS (a) There were no differences among ethnoracial groups in levels of depressive symptoms as measured by the CES-D; (b) 71% of participants with high levels of depressive symptoms had not received any mental health treatment in the previous 12 months; and (c) European Americans were 3.7 times more likely to have received mental health treatment in the previous 12 months than other students. CONCLUSION Outreach efforts designed to improve utilization of mental health treatment services by depressed college students, especially by members of ethnoracial minority groups, should be increased.
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Affiliation(s)
- Steve Herman
- Department of Psychology, University of Hawaii at Hilo, Hilo, Hawaii 96720, USA.
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Tucker MM, Kelley ML. Social Support and Life Stress as Related to the Psychological Distress of Single Enlisted Navy Mothers. MILITARY PSYCHOLOGY 2009. [DOI: 10.1080/08995600903249198] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Lara-Cinisomo S, Griffin BA, Daugherty L. Disparities in detection and treatment history among mothers with major depression in Los Angeles. Womens Health Issues 2009; 19:232-42. [PMID: 19589472 DOI: 10.1016/j.whi.2009.03.007] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2008] [Revised: 03/23/2009] [Accepted: 03/24/2009] [Indexed: 10/20/2022]
Abstract
OBJECTIVE We sought to determine disparities in detection and treatment histories among a group of racial and ethnically diverse mothers with major depression. METHOD Our sample included 276 racially and ethnically diverse mothers who participated in the Los Angeles Family and Neighborhood Survey and who were classified with major depression based on the Comprehensive International Diagnostic Interview-Short Form. We used logistic regression to assess the association between demographic factors and previous detection with major depression, mental health specialty use, and the use of a primary care physician among these women. The demographic factors examined included race and ethnicity, immigration status, marital status, education, income, body mass index (BMI), maternal age, number of children, children's ages, history of emotional problems, and history of diabetes. RESULTS Results indicated that 69% of mothers had not been previously detected with major depression nor had they sought mental health treatment in the 12 months before the interview. The odds of having been previously diagnosed with major depression were significantly higher among White and single mothers, as well as among mothers with higher BMIs and those with a history of emotional problems. Nonimmigrant mothers without emotional problems had a higher odds of having seen a mental health specialist in the 12 months before the interview compared with immigrant mothers without emotional problems; no differences in mental health treatment were found between nonimmigrant and immigrant mothers with emotional problems. Finally, African-American mothers and those with a history of diabetes had significantly higher odds of seeing a primary care physician compared with Hispanic mothers and those with no history of diabetes, respectively. CONCLUSION Our analyses of a population of depressed mothers living in Los Angeles highlight the need for identification and treatment of racial minority and immigrant mothers.
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