Use of Computer Interview Data to Test Associations between Risk Factors and Pregnancy Outcomes

Baca, Janet C’de; Lapham, Sandra C.; Skipper, Betty J.; Watkins, Margaret

doi:10.1006/cbmr.1997.1449

Cited by 17 publications

(10 citation statements)

References 19 publications

(30 reference statements)

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“…ACASI, however, has been shown to allow for more accurate reporting of sensitive topics 32 and has been useful in obtaining psychosocial risk information during pregnancy. 33 Stress is also a complex construct and its relationship with depression may vary along different dimensions, including the type and timing of the stressful life event, which are not captured in this analysis. It is possible that the effects of the individual events may differ across individuals; however, we did not weight events by a subjective assessment of the event.…”

Section: Discussionmentioning

confidence: 99%

“…This technology helps participants who have lower reading skills complete the survey 31 and elicits valid and more accurate responses . 32,33 Participation was voluntary, confidential, and did not influence the provision of health care or social services. All procedures were approved by the Yale University Human Investigation Committee and by Institutional Review Boards at study clinics.…”

Section: Methodsmentioning

confidence: 99%

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Depression During Pregnancy Among Young Couples: The Effect of Personal and Partner Experiences of Stressors and the Buffering Effects of Social Relationships

Divney

Sipsma

Gordon

et al. 2012

Journal of Pediatric and Adolescent Gynecology

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Study Objective To assess the relationship between personal and romantic partner’s experiences of stressful life events and depression during pregnancy, and the social moderators of this relationship among 296 young couples with low incomes from urban areas. Participants and Setting We recruited couples who were expecting a baby from four OB/GYN and ultrasound clinics in lower CT; women were ages 14-21 and male partners were 14+. Design and Outcome Measures We analyzed self-reports of stressful events in the previous six months, depression in the past week and current interpersonal social supports. To determine the influence of personal and partner experiences of stressful events on depression, we used multilevel dyadic models and incorporated interaction terms. We also used this model to determine whether social support, family functioning and relationship satisfaction moderated the association between stressful events and depression. Results Experiences of stressful life events were common; 91.2% of couples had at least one member report an event. Money, employment problems and moving were the most common events. Personal experiences of stressful life events had the strongest association with depression among men and women; although partner experiences of stressful life events were also significantly associated with depression among women. Social support, family functioning and romantic relationship satisfaction significantly buffered the association between personal and partner stressful events and depression. Conclusion Interventions that improve relationships, support systems, and family functioning may reduce the negative impact of stressors, experienced both personally and by a romantic partner, on the emotional well-being of young expectant parents.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Depression During Pregnancy Among Young Couples: The Effect of Personal and Partner Experiences of Stressors and the Buffering Effects of Social Relationships

Divney

Sipsma

Gordon

et al. 2012

Journal of Pediatric and Adolescent Gynecology

View full text Add to dashboard Cite

show abstract

“…This technology allows participants with low literacy to complete the survey (Des Jarlais & Turner, 1998) and elicits more accurate and valid responses to sensitive questions (C'de Baca, Lapham, Skipper, & Watkins, 1997; Latkin, Vlahov, & Anthony, 1993). …”

Section: Methodsmentioning

confidence: 99%

Stress and behavioral risk among young expectant couples

Divney

Gordon

Magriples

et al. 2016

Journal of Adolescence

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Few studies have explored stress and coping among adolescents who are expecting a baby. In particular, young men's experiences during pregnancy have largely been ignored, despite the fact that a young man's experiences and behaviors carry implications for his own, his partner's and his child's health. This study examined the association between maternal and paternal experiences of stress during pregnancy with one's own and one's partner's health behaviors and depressive symptoms among 294 young expectant couples in the U.S. Multilevel modeling showed that one's own experiences of stress were associated with more unhealthy behaviors and more depressive symptoms among both expectant mothers and fathers. Paternal experiences of stress were predictive of more maternal conduct problems, while maternal experiences of stress were predictive of more paternal depressive symptoms and less paternal substance use. These findings highlight the importance of social relationships in affecting health behaviors and mental health among expectant adolescents.

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“…Follow-up interviews were conducted during the third trimester of pregnancy (average gestational age = 35.0 weeks, SD = 3.1); as well as 6 and 12 months postpartum. Audio-CASI, previously validated among pregnant women (C'de Baca, Lapham, Skipper, & Watkins, 1997), allows respondents to simultaneously listen with headphones and see questions on a computer laptop, facilitating completion for participants with lower reading skills. All procedures were approved by the Yale and Emory University Human Investigation Committees.…”

Section: Methodsmentioning

confidence: 99%

Effects of group prenatal care on psychosocial risk in pregnancy: Results from a randomised controlled trial

Ickovics

Reed

Magriples

et al. 2011

Psychology & Health

141

132

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Few interventions have succeeded in reducing psychosocial risk among pregnant women. The objective of this study was to determine whether an integrated group prenatal care intervention already shown to improve perinatal and sexual risk outcomes can also improve psychosocial outcomes compared to standard individual care. This randomised controlled trial included pregnant women ages 14–25 from two public hospitals (N = 1047) who were randomly assigned to standard individual care, group prenatal care or integrated group prenatal care intervention (CenteringPregnancy Plus, CP+). Timing and content of visits followed obstetrical guidelines, from 18-week gestation through birth. Each 2-h group prenatal care session included physical assessment, education/skills building and support via facilitated discussion. Using intention-to-treat models, there were no significant differences in psychosocial function; yet, women in the top tertile of psychosocial stress at study entry did benefit from integrated group care. High-stress women randomly assigned to CP+ reported significantly increased self-esteem, decreased stress and social conflict in the third trimester of pregnancy; social conflict and depression were significantly lower 1-year postpartum (all p-values <0.02). CP+ improved psychosocial outcomes for high-stress women. This ‘bundled’ intervention has promise for improving psychosocial outcomes, especially for young pregnant women who are traditionally more vulnerable and underserved.

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Use of Computer Interview Data to Test Associations between Risk Factors and Pregnancy Outcomes

Cited by 17 publications

References 19 publications

Depression During Pregnancy Among Young Couples: The Effect of Personal and Partner Experiences of Stressors and the Buffering Effects of Social Relationships

Depression During Pregnancy Among Young Couples: The Effect of Personal and Partner Experiences of Stressors and the Buffering Effects of Social Relationships

Stress and behavioral risk among young expectant couples

Effects of group prenatal care on psychosocial risk in pregnancy: Results from a randomised controlled trial

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