Protective Strength Factors, Resources, and Risks in Relation to Depressive Symptoms Among Childbearing Women of Mexican Descent

Heilemann, MarySue V.; Frutos, Lisa; Lee, Kathyrn A.; Kury, Felix Salvador

doi:10.1080/07399330490253265

Cited by 100 publications

(110 citation statements)

References 28 publications

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“…Over 70% of the current sample was from Central America, which is a substantially larger proportion than in other community-based studies on mental health treatment seeking (Alvidrez 1999;Fiscella et al 2002;Kimerling and Baumrind 2005). The majority of our sample had extensive psychological histories (i.e., trauma, depression) that are consistent with studies demonstrating that Latinos/as have higher prevalence rates of major depression than their White counterparts (Alderete et al 1999;Heilemann et al 2004;Katragadda and Tidwell 1998). The high rates of depression history and low mood in this sample of predominantly Central American immigrants underscore the need to consider the mental health needs of subgroups of Latinos/as (US Department of Health and Human Services 1999; Harris et al 2005).…”

Section: Discussionsupporting

confidence: 78%

Community-Based Mental Health Service Utilization Among Low-Income Latina Immigrants

Hochhausen

Perry

2009

Community Ment Health J

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Latina immigrants may be at increased risk for mental illnesses, but have less access to and seek mental health services less often than Black and White counterparts. Guided by the Andersen Behavioral Model of service utilization, the current study employed a medical chart review to elucidate factors associated with use of mental health services at a community health center. Of the clients referred for mental health services, only 36% followed through on the referral. Older age, use of case management services, and depressive symptomatology were predictors of attending mental health services. These findings have implications for community health and mental health providers.

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Section: Discussionsupporting

confidence: 78%

Community-Based Mental Health Service Utilization Among Low-Income Latina Immigrants

Hochhausen

Perry

2009

Community Ment Health J

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“…The strength factor of mastery was independently associated with a lower likelihood of having high levels of depressive symptoms, and both intimate partner violence exposure and a history of any trauma was associated with a greater likelihood of having high levels of depressive symptoms. Research has shown that resilience and mastery are important for the mental health of pregnant Latinas 47 and for the mental health of trauma-exposed Latinas. 60 Exploring these factors in pregnant Latinas exposed to intimate partner violence may provide an opportunity to focus on patient strengths amid otherwise adverse conditions.…”

Section: Discussionmentioning

confidence: 99%

“…28,29 Although a solid body of work focuses on Latinas and mental health, fewer studies focus on mental health in pregnant Latinas exposed to intimate partner violence. Depression, ranging from 38% to 51% among pregnant Latinas, 30,31 is the most common mental health outcome associated with intimate partner violence. There is also evidence of an association between intimate partner violence and posttraumatic stress disorder (PTSD), [32][33][34][35][36][37] but little is known about PTSD rates among pregnant Latinas or differences in depression or PTSD and exposure to intimate partner violence.…”

Section: Introductionmentioning

confidence: 99%

“…Resilience was measured with a 6-item modifi ed version of the Acceptance of Self and Life subscale of the Resilience Scale. 30,[46][47][48] Item scores range from 6 to 24 for the modifi ed subscale of the Resilience Scale with high scores indicating high resilience. Social support was measured with a modifi ed version of the Medical Outcomes Study Social Support Survey related to instrumental support (eg, receiving transportation favors) and emotional support (eg, having someone to talk to) from formal and informal sources.…”

mentioning

confidence: 99%

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Intimate Partner Violence, Depression, and PTSD Among Pregnant Latina Women

Rodríguez¹,

Heilemann²,

Fielder³

et al. 2008

The Annals of Family Medicine

159

126

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PURPOSE We undertook a study to describe factors related to depression and posttraumatic stress disorder (PTSD) among pregnant Latinas who were or were not exposed to intimate partner violence. METHODSWe interviewed 210 pregnant Latinas attending prenatal clinics located in Los Angeles, California. Latinas who did and did not have histories of intimate partner violence were recruited. We then assessed the women for strengths, adverse social behavioral circumstances, posttraumatic stress disorder (PTSD), and depression. RESULTSSignifi cantly more women exposed to intimate partner violence scored at or above the cutoff point for depression than women who were not (41% vs 18.6%; P <.001). Signifi cantly more women exposed to intimate partner violence scored at or above the cutoff point for PTSD than women who were not (16% vs 7.6%; P <.001). Lack of mastery, which measures feelings of being in control of forces that affect life (odds ratio [OR], 0.72; 95% confi dence interval [CI], 0.62-0.84), a history of trauma not associated with intimate partner violence (OR, 1.33; 95% CI, 1.08-1.63), and exposure to intimate partner violence (OR, 2.43; 95% CI, 1.16-5.11) were associated with depression after adjusting for age, language of interview, and site effects. Stress (OR, 1.72; 95% CI, 1.34-2.2) and a history of trauma (OR, 1.45; 95% CI, 1.03-2.04) were independently associated with PTSD, whereas higher income was associated with decreased risk of PTSD (OR, 0.10; 95% CI, 0.02-0.63), after adjusting for age, language of interview, and site effects.CONCLUSIONS Intimate partner violence was signifi cantly associated with depression and PTSD but was associated with depression only after controlling for other factors in the multivariate model. The risk for depression declined with greater mastery but increased with a history of trauma or exposure to intimate partner violence. Stress, a history of trauma not associated with intimate partner violence, and lower income were all independently associated with increased risk for PTSD. INTRODUCTIONA pproximately 1.5 million women in the United States experience intimate partner violence every year. [1][2][3][4][5][6][7][8][9][10][11][12][13] The prevalence among pregnant women is estimated at 5.2%.14 Thus, intimate partner violence is at least as common as gestational diabetes (2% to 3%) and approaches rates of preeclampsia (5.7% to 14.3%). 15 Moreover, 23% to 52% of women who experienced abuse during pregnancy were battered in the year before conception. 5,16,17 Women abused during pregnancy have 3 times the odds of attempted or completed homicide, 18 are more likely to have unplanned pregnancies and seek pregnancy care after 20 weeks, and are at greater risk for adverse birth outcomes 19 and maternal complications. [20][21][22][23] Intimate partner violence is also associated with such adverse health behaviors as smoking [24][25][26] and problem drinking. 26,27 The prevalence of intimate partner violence among Latinas in the United States during pregnancy and the perin...

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“…This modified version consisted of five items instead of the seven items that normally constitute this measure. Several studies using this five-item scale have reported acceptable reliability for this measure (e.g., Green & Rodgers, 2001;Heilemann & Frutos, 2004). Items were rated on a 4-point Likert scale, where 1 = strongly agree and 4 = strongly disagree.…”

Section: Perceived Masterymentioning

confidence: 99%

The Effects of Parenting Stress, Perceived Mastery, and Maternal Depression on Parent–Child Interaction

Farmer

Lee

2011

Journal of Social Service Research

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The purpose of this study was to test a model that delineated the interrelationships among parenting stress, perceived mastery (defined as the belief that one's life chances are under one's own control), maternal depression, and parent-child interaction. A secondary data analysis of the Fragile Family and Child Well-Being Study was conducted, using a sample of 2,650 mothers. Results suggest that parenting stress undermines one's sense of perceived mastery which, in turn, resulted in depression. Moreover, the results also indicated that parenting stress directly affected maternal depression and parent-child interaction. There was no support for the hypothesis that parenting stress undermines one's sense of perceived mastery which, in turn, resulted in depression, which affected one's parent-child interaction. Implications of these findings for professionals working with mothers of young children are discussed. Future research should test this model using other forms of parenting behavior.It has been 27 years since Belsky (1984) published his seminal work on the ecological model of the determinants of parenting behavior. Belsky identified three domains of determinants of parenting behavior. These domains are parent characteristics (i.e., psychological resources and developmental histories), characteristics of the child, and contextual sources of stress and social support. For Belsky, these domains have both a direct and indirect effect on parenting behavior. Belsky speculates that the indirect effect of sources of support and stress on parenting behavior will be through the psychological resources of the parent. Yet, most studies that have exam-

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Protective Strength Factors, Resources, and Risks in Relation to Depressive Symptoms Among Childbearing Women of Mexican Descent

Cited by 100 publications

References 28 publications

Community-Based Mental Health Service Utilization Among Low-Income Latina Immigrants

Community-Based Mental Health Service Utilization Among Low-Income Latina Immigrants

Intimate Partner Violence, Depression, and PTSD Among Pregnant Latina Women

The Effects of Parenting Stress, Perceived Mastery, and Maternal Depression on Parent–Child Interaction

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