Self-efficacy and postpartum depression teaching behaviors of hospital-based perinatal nurses.

Based upon the Self-Efficacy Theory, this study examined the relationship between self-efficacy, self-efficacy-related variables, and postpartum depression teaching behaviors of hospital-based perinatal nurses. Findings revealed that teaching new mothers about postpartum depression is related to a perinatal nurse's self-efficacy in postpartum-depression teaching, self-esteem, and the following self-efficacy-related variables: social persuasion (supervisor's expectations for teaching); mastery (postpartum depression continuing education and teaching experience); and vicarious experience (observing other nurses teach new mothers about postpartum depression). Teaching new mothers about postpartum depression can assist mothers in overcoming barriers to depression treatment.

Feasibility, acceptability, and initial efficacy of a knowledge-contact program to reduce mental illness stigma and improve mental health literacy in adolescents.

The purpose of this school-based cluster-randomized trial was to determine the initial acceptability, feasibility, and efficacy of an existing community-based intervention, In Our Own Voice, in a sample of US adolescent girls aged 13-17 years (n = 156). In Our Own Voice is a knowledge-contact intervention that provides knowledge about mental illness to improve mental health literacy and facilitates intergroup contact with persons with mental illness as a means to reduce mental illness stigma. This longitudinal study was set in two public high schools located in a southern urban community of the U.

Engaging adolescent mothers in a longitudinal mental health intervention study: challenges and lessons learned.

Little is known about recruiting and retaining adolescent mothers in research studies. Investigators who study adolescent mothers have been guided by trial and error, clinical experience, qualitative inquiry, literature of special populations, or the advice of stakeholders. This paper describes the challenges and lessons learned in engaging adolescent mothers in a longitudinal community-based mental health intervention study.

How Adolescent Girls Understand and Manage Depression Within Their Peer Group: A Grounded Theory Investigation.

Depression is prevalent among adolescent girls, but few receive mental health treatment. Adolescent girls often forgo needed mental health treatment because they fear responses of peers about depression. Understanding the processes of how adolescent girls respond to peers with depression is an important first step to improve access to mental health treatment.

Adapting and testing telephone-based depression care management intervention for adolescent mothers.

This phase 1 clinical trial combined qualitative and quantitative methods to modify a collaborative care, telephone-based, depression care management intervention for adolescent mothers and to determine the acceptability, feasibility, and initial efficacy of the intervention in a sample of adolescent mothers (n = 97) who were recruited from a Teen Parent Program. Outcomes included measures of depressive symptoms, functioning, and use of mental health services. Acceptability of the intervention was demonstrated, but feasibility issues related to the complex life challenges confronting the adolescent mother.

Conceptual model of research to reduce stigma related to mental disorders in adolescents.

The purpose of this paper was to explicate an initial conceptual model that is amenable to testing and guiding anti-stigma interventions with adolescents. Multidisciplinary research and theoretical articles were reviewed and a conceptual model was developed. The conceptual model can guide anti-stigma interventions and should undergo testing and refinement in the future to reflect scientific advances in stigma reduction among adolescents.

Intention to seek depression treatment in adolescent mothers and a comparison group of adolescent girls.

The aims of the study were (a) to determine the efficacy of the theory of reasoned action in predicting intention to seek depression treatment in adolescent mothers (n = 64) and a comparison group of adolescent girls (n = 65) and (b) to explore the role of empirically suggested variables (e.g., social support and current symptoms of depression) in increasing the explanatory power of the model.

Reducing stigma related to mental disorders: initiatives, interventions, and recommendations for nursing.

Twenty percent of Americans suffer from mental disorders, but most do not receive treatment. Stigma is an important barrier to mental health treatment and recovery. This article aims to summarize current national initiatives to reduce stigma, clarify the current knowledge of stigma-reducing interventions, and provide recommendations to nurses on implementing and investigating stigma-reducing interventions.

Analysis of popular press articles concerning postpartum depression: 1998-2006.

The purpose of the study was to analyze the content of popular press magazine articles that focused on postpartum depression, published from 1998-2006. Replicating earlier research by Martinez, Johnson-Robledo, Ulsh, and Chrisler, 2000, 47 articles were identified and their content analyzed in the areas of etiology, symptoms, treatment, resources, and demographic assumptions about readers. Popular press magazines contained contradictory information about the definition, prevalence, onset, duration, symptoms, and treatment of postpartum mood disorders.

Testing a bioecological model to examine social support in postpartum adolescents.

Purpose: The purpose was twofold and included examining a bioecological model as a framework to describe social support in postpartum adolescents. The second purpose was to determine the relationship between a comprehensive view of the context of social support and symptoms of depression.

Design: Cross-sectional design with convenience sampling (n=85) of adolescents at 4-6 weeks postpartum, recruited from two community hospitals.

Stigma towards mental illness: a concept analysis using postpartum depression as an exemplar.

Stigma towards mental illness is poorly understood, often unrecognized by nurses, and impacts both treatment seeking behavior and treatment adherence. Stigma towards mental illness is a serious issue in all cultures and ethnicities, and has a detrimental impact on an individual's functioning in all life domains. The aim of this analysis is to clarify the modern use of the concept of stigma towards mental illness, using the Walker and Avant concept analysis method, with postpartum depression as the exemplar.

The impact of postpartum depression on mothering.

As a rule, mothers are the primary caregivers of infants regardless of employment or marital status. Thus, any factors that impact mothering affect the infant and have public health significance. National attention is now focused on postpartum depression, a major variable affecting mothering.