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This study tested a conceptual model developed to explain the link between kinship support and the psychological well-being of economically disadvantaged African-American adolescents. The relation of kinship support with maternal and adolescent well-being and mothers' child-rearing practices was assessed in 51 African-American families whose incomes placed them at or below the poverty threshold. Findings revealed that kinship social support to mothers/female guardians was positively associated with adolescent psychological well-being, maternal well-being, and more adequate maternal parenting practices (acceptance, firm control and monitoring of behavior, autonomy granting). Maternal well-being and more adequate maternal parenting practices were positively related to adolescent well-being. Evidence of the mediational role of maternal well-being and parenting practices was revealed. When the effects of maternal well-being and maternal parenting practices were controlled, significant relations between kinship support and adolescent well-being were no longer apparent.

Study Objective Few studies have examined the effects of maternal depressive symptoms among adolescent women. The purpose of this study was to investigate the impact of depressive symptoms on birth outcomes of infants born to adolescent mothers. Design The medical records of pregnant adolescent patients were examined. Information about maternal depressive symptoms and birth outcomes was collected. Setting Data were collected at Washington Hospital Center, a nonprofit, community-based hospital that serves residents throughout the Washington, DC area. Participants Participants were 294 African-American and Latina adolescent mothers. Mean age was 16.2 years (standard deviation [SD] 1.4). Based on self-reports of depressive symptoms, adolescents were categorized by the following: no reported symptoms, depressive symptoms without SI/SA (suicidal ideation or attempt), and depressive symptoms with SI/SA. Main Outcome Measures Infant birth weight and gestational age at delivery. Results Over one-quarter of pregnant adolescents in this study reported symptoms of depression. Adolescents reporting depressive symptoms with SI/SA delivered babies that weighed 239.5 grams (98.3% confidence interval [CI] 3.9 to 475.1) less than babies born to mothers reporting depressive symptoms without SI/SA. There was no association between reported symptoms and gestational age. Conclusions Results suggest that compared to nonpregnant teens and adults, pregnant teens may have an increased risk for depression. Additionally, pregnant adolescents with suicidal ideation are at greater risk for delivering infants of lower birth weight compared with teens reporting depressive symptoms without SI/SA and teens reporting no symptoms. This study supports the need for early screening and treatment of depression for young pregnant women.

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Racial discrimination is a ubiquitous experience for Black adolescents; it has been linked to poorer psychological outcomes including higher depressive symptoms and lower self-esteem. However, the mechanisms through which racial discrimination is associated with psychological well-being are still not well understood, particularly among Black early adolescents. The current study investigated two dimensions of racial discrimination: racial discrimination frequency (RDfreq) and racial discrimination stress (RDstress). Specifically, we explored the prevalence of RDfreq and RDstress among Black youth and whether RDstress mediated the association between RDfreq and psychological well-being. Seventy-four Black middle school students (68.1% female; mean age = 12.1) completed self-report

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