Effectiveness of using the Centering Teen Pregnancy Program on Postpartum Depression among Adolescent Mothers: A Posttest Only Quasi-experimental Design using a Comparison Group
DOI:
https://doi.org/10.31584/jhsmr.201934Keywords:
adolescent mother, Centering Teen Pregnancy Program, postpartum depression, pregnancyAbstract
Objective: To examine the effectiveness of the Centering Teen Pregnancy Program on postpartum depression among adolescent mothers.
Material and Methods: Study sample was 60 adolescent mothers who attended a prenatal care clinic and delivered at a tertiary hospital in Thailand. Convenience sampling was used to select the participants. Thirty participants were assigned into the intervention group and the comparison group. The comparison group received standard nursing care. The intervention group received the Centering Teen Pregnancy Program. Research instruments consisted of the Centering Teen Pregnancy Program, which was modified from the original Nursing Practice Guideline for Teenage Pregnancy, and research questionnaires including demographic data sheets, maternal and infant health records, and the Center for Epidemiologic Studies Depression Scale. All the research instruments were content validated and tested for reliability. Independent t-test and chi-square were used for data analysis.
Results: The average depression score was statistically significantly lower in the intervention group than in the comparison group. Postpartum depression was experienced by 23.2% of adolescent mothers in the comparison group but by only 3.3% in the intervention group.
Conclusion: The Centering Teen Pregnancy Program was effective in reducing postpartum scores and lowering the number of women having postpartum depression. Therefore, the introduction of the Centering Teen Pregnancy Program and the training of healthcare providers to integrate the Centering Teen Pregnancy Program into the standard care for the prevention of postpartum depression are recommended.
References
1. Sukrat B, Eamkong P. Statistics on adolescents Thailand 2015 [monograph on the Internet]. Bangkok: Department of Health, Ministry of Public Healh; 2016 [cited 2018 May 22]. Available from: https://rh.anamai.moph.go.th/ewt_dl_link.php?nid=147
2. Chiasawan K, Serisathein Y, Yusamran C, Vongsirimas N. Factors predicting postpartum depression in adolescent mothers. J Nurse Sci 2011;29:61-9.
3. Kim TH, Connolly JA, Tamim H. The effect of social support around pregnancy on postpartum depression among Canadian teen mothers and adult mothers in the maternity experiences survey. BMC Pregnancy Childbirth 2014. doi:
10.1186/1471-2393-14-162.
4. Dubber S, Reck C, Müller M, Gawlik S. Postpartum bonding: the role of perinatal depression, anxiety and maternal-fetal bonding during pregnancy. Arch Womens Ment Health 2015;18:187-95.
5. Lovejoy MC, Graczyk PA, O’Hare E, Neuman G. Maternal depression and parenting behavior: a meta-analytic review. Clin Psychol Rev 2000;20:561-92.
6. Murray L, Arteche A, Fearon P, Halligan S, Croudace T, Cooper P. The effects of maternal postnatal depression and child sex on academic performance at age 16 years: a developmental approach. J Child Psychol Psychiatry 2010;51:1150-9.
7. Murray L, Arteche A, Fearon P, Halligan S, Goodyer I, Cooper P. Maternal postnatal depression and the development of depression in offspring up to 16 years of age. J Am Acad Child Adolesc Psychiatry 2011;50:460-70.
8. Letourneau NL, Dennis CL, Benzies K, Duffett-Leger L, Stewart M, Tryphonopoulos PD, et al. Postpartum depression is a family affair: addressing the impact on mothers, fathers, and children. Issues Ment Health Nurs 2012;33:445-57.
9. World Health Organization. WHO recommendations on postnatal care of the mother and newborn [monograph on the Internet]. Geneva: WHO; 2013 [cited 2018 Apr 12]. Available from:https://www.who.int/maternal_child_adolescent/documents/postnatal-care-recommendations/en/
10. Yim IS, Tanner Stapleton LR, Guardino CM, Hahn-Holbrook J, Dunkel Schetter C. Biological and psychosocial predictors of postpartum depression: systematic review and call for integration. Annu Rev Clin Psychol 2015;11:99-137.
11. Guintivano J, Sullivan PF, Stuebe AM, Penders T, Thorp J, Rubinow DR, et al. Adverse life events, psychiatric history, and biological predictors of postpartum depression in an ethnically diverse sample of postpartum women. Psychol Med 2018;48:1190-200.
12. Limlomwongse N, Liabsuetrakul T. Cohort study of depressive moods in Thai women during late pregnancy and 6–8 weeks of postpartum using the Edinburgh Postnatal Depression Scale (EPDS). Arch Womens Ment Health 2006;9:131-8.
13. Hawes K, McGowan E, O’Donnell M, Tucker R, Vohr B. Social emotional factors increase risk of postpartum depression in mothers of preterm infants. J Pedistr 2016;179:61-7.
14. Borra C, Lacovou M, Sevilla A. New evidence on breastfeeding and postpartum depression: the importance of understanding women’s intentions. Matern Child Health J 2015;19:897–907.
15. Roomruangwong C, Withayavanitchai S, Maes M. Antenatal and postnatal risk factors of postpartum depression symptoms in Thai women: a case-control study. Sex Reprod Health 2016;10:25-31.
16. Top ED, Karaçam Z. Effectiveness of structured education in reduction of postpartum depression scores: a quasiexperimental study. Arch Psychiatr Nurs 2016;30:356-62.
17. McCarter-Spaulding D, Shea S. Effectiveness of postpartum education in the reducing symptoms of postpartum depression. J Obstet Gynecol Neonatal Nurs 2015;44(Suppl 1):S58-9.
18. Glavin K, Smith L, Sorum R, Ellefsen B. Supportive counselling by public health nurses for women with postpartum depression. J Adv Nurs 2010;66:1317-27.
19. Horowitz JA, Murphy CA, Gregory K, Wojcik J, Pulcini J, Solon L. Nurse home visits improve maternal/infant interaction and decrease severity of postpartum depression. J Obstet Gynecol Neonatal Nurs 2013;42:287-300.
20. Goodman JH, Prager J, Goldstein R, Freeman M. Perinatal dyadic psychotherapy for postpartum depression: a randomized controlled pilot trial. Arch Womens Ment Health 2015;18:493-506.
21. Zlotnick C, Tzilos G, Miller I, Seifer R, Stout R. Randomized controlled trial to prevent postpartum depression in mothers on public assistance. J Affect Disord 2016;189:263-8.
22. Howell EA, Bodnar-Deren S, Balbierz A, Loudon H, Mora PA, Zlotnick C, et al. An intervention to reduce postpartum depressive symptoms: a randomized controlled trial. Arch Womens Ment Health 2014;17:57–63.
23. Sommana P, Na phikun T, Utsaha S. Development of nursing practice guideline for teenage pregnancy. Chiangrai: Mae Fah Luang University; 2010.
24. Sangsawang B, Wacharasin C, Sangsawang N. Interventions for the prevention of postpartum depression in adolescent mothers: a systematic review. Arch Womens Ment Health 2018. doi: 10.1007/s00737-018-0901-7.
25. Xie RH, Yang J, Liao S, Xie H, Walker M, Wen SW. Prenatal family support, postnatal family support and postpartum depression. Aust N Z J Obstet Gynaecol 2010;50:340-5.
26. Kieffer EC, Caldwell CH, Welmerink DB, Welch KB, Sinco BR, Ricardo Guzman J. Effect of the healthy MOMs lifestyle intervention on reducing depressive symptoms among pregnant Latinas. Am J Community Psychol 2013;51:76-89.
27. Faul F, Erdfelder E, Buchner A, Lang A. G*Power version 3.1.2 [computer software]. Kiel: Universität Kiel; 2008. Available from: https://www.psycho.uni-duesseldorf.de/abteilungen/aap/gpower3/download-and-register
28. Trangkasombat U, Larpboonsarp V, Havanond P. CES-D as a screen for depression in adolescents. J Psychiatr Assoc Thailand 1997;42:2-13 .
29. Ghasemi A, Zahediasl S. Normality tests for statistical analysis: a guide for non-statisticians. Int J Endocrinol Metab 2012;10:486-9.
30. Quelopanam AM, Champion JD, Reyes-Rubilar T. Factors associated with postpartum depression in Chilean women. Health Care Women Int 2011;32:939-49.
31. Evans M, Donelle L, Hume-Loveland L. Social support andonline postpartum depression discussion groups: a content analysis. Patient Educ Couns 2012;87:405-10.
32. Phipps MG, Raker CA, Ware CF, Zlotnick C. Randomized controlled trial to prevent postpartum depression in adolescent mothers. Am J Obstet Gynecol 2013;208:192.e1-6.
2. Chiasawan K, Serisathein Y, Yusamran C, Vongsirimas N. Factors predicting postpartum depression in adolescent mothers. J Nurse Sci 2011;29:61-9.
3. Kim TH, Connolly JA, Tamim H. The effect of social support around pregnancy on postpartum depression among Canadian teen mothers and adult mothers in the maternity experiences survey. BMC Pregnancy Childbirth 2014. doi:
10.1186/1471-2393-14-162.
4. Dubber S, Reck C, Müller M, Gawlik S. Postpartum bonding: the role of perinatal depression, anxiety and maternal-fetal bonding during pregnancy. Arch Womens Ment Health 2015;18:187-95.
5. Lovejoy MC, Graczyk PA, O’Hare E, Neuman G. Maternal depression and parenting behavior: a meta-analytic review. Clin Psychol Rev 2000;20:561-92.
6. Murray L, Arteche A, Fearon P, Halligan S, Croudace T, Cooper P. The effects of maternal postnatal depression and child sex on academic performance at age 16 years: a developmental approach. J Child Psychol Psychiatry 2010;51:1150-9.
7. Murray L, Arteche A, Fearon P, Halligan S, Goodyer I, Cooper P. Maternal postnatal depression and the development of depression in offspring up to 16 years of age. J Am Acad Child Adolesc Psychiatry 2011;50:460-70.
8. Letourneau NL, Dennis CL, Benzies K, Duffett-Leger L, Stewart M, Tryphonopoulos PD, et al. Postpartum depression is a family affair: addressing the impact on mothers, fathers, and children. Issues Ment Health Nurs 2012;33:445-57.
9. World Health Organization. WHO recommendations on postnatal care of the mother and newborn [monograph on the Internet]. Geneva: WHO; 2013 [cited 2018 Apr 12]. Available from:https://www.who.int/maternal_child_adolescent/documents/postnatal-care-recommendations/en/
10. Yim IS, Tanner Stapleton LR, Guardino CM, Hahn-Holbrook J, Dunkel Schetter C. Biological and psychosocial predictors of postpartum depression: systematic review and call for integration. Annu Rev Clin Psychol 2015;11:99-137.
11. Guintivano J, Sullivan PF, Stuebe AM, Penders T, Thorp J, Rubinow DR, et al. Adverse life events, psychiatric history, and biological predictors of postpartum depression in an ethnically diverse sample of postpartum women. Psychol Med 2018;48:1190-200.
12. Limlomwongse N, Liabsuetrakul T. Cohort study of depressive moods in Thai women during late pregnancy and 6–8 weeks of postpartum using the Edinburgh Postnatal Depression Scale (EPDS). Arch Womens Ment Health 2006;9:131-8.
13. Hawes K, McGowan E, O’Donnell M, Tucker R, Vohr B. Social emotional factors increase risk of postpartum depression in mothers of preterm infants. J Pedistr 2016;179:61-7.
14. Borra C, Lacovou M, Sevilla A. New evidence on breastfeeding and postpartum depression: the importance of understanding women’s intentions. Matern Child Health J 2015;19:897–907.
15. Roomruangwong C, Withayavanitchai S, Maes M. Antenatal and postnatal risk factors of postpartum depression symptoms in Thai women: a case-control study. Sex Reprod Health 2016;10:25-31.
16. Top ED, Karaçam Z. Effectiveness of structured education in reduction of postpartum depression scores: a quasiexperimental study. Arch Psychiatr Nurs 2016;30:356-62.
17. McCarter-Spaulding D, Shea S. Effectiveness of postpartum education in the reducing symptoms of postpartum depression. J Obstet Gynecol Neonatal Nurs 2015;44(Suppl 1):S58-9.
18. Glavin K, Smith L, Sorum R, Ellefsen B. Supportive counselling by public health nurses for women with postpartum depression. J Adv Nurs 2010;66:1317-27.
19. Horowitz JA, Murphy CA, Gregory K, Wojcik J, Pulcini J, Solon L. Nurse home visits improve maternal/infant interaction and decrease severity of postpartum depression. J Obstet Gynecol Neonatal Nurs 2013;42:287-300.
20. Goodman JH, Prager J, Goldstein R, Freeman M. Perinatal dyadic psychotherapy for postpartum depression: a randomized controlled pilot trial. Arch Womens Ment Health 2015;18:493-506.
21. Zlotnick C, Tzilos G, Miller I, Seifer R, Stout R. Randomized controlled trial to prevent postpartum depression in mothers on public assistance. J Affect Disord 2016;189:263-8.
22. Howell EA, Bodnar-Deren S, Balbierz A, Loudon H, Mora PA, Zlotnick C, et al. An intervention to reduce postpartum depressive symptoms: a randomized controlled trial. Arch Womens Ment Health 2014;17:57–63.
23. Sommana P, Na phikun T, Utsaha S. Development of nursing practice guideline for teenage pregnancy. Chiangrai: Mae Fah Luang University; 2010.
24. Sangsawang B, Wacharasin C, Sangsawang N. Interventions for the prevention of postpartum depression in adolescent mothers: a systematic review. Arch Womens Ment Health 2018. doi: 10.1007/s00737-018-0901-7.
25. Xie RH, Yang J, Liao S, Xie H, Walker M, Wen SW. Prenatal family support, postnatal family support and postpartum depression. Aust N Z J Obstet Gynaecol 2010;50:340-5.
26. Kieffer EC, Caldwell CH, Welmerink DB, Welch KB, Sinco BR, Ricardo Guzman J. Effect of the healthy MOMs lifestyle intervention on reducing depressive symptoms among pregnant Latinas. Am J Community Psychol 2013;51:76-89.
27. Faul F, Erdfelder E, Buchner A, Lang A. G*Power version 3.1.2 [computer software]. Kiel: Universität Kiel; 2008. Available from: https://www.psycho.uni-duesseldorf.de/abteilungen/aap/gpower3/download-and-register
28. Trangkasombat U, Larpboonsarp V, Havanond P. CES-D as a screen for depression in adolescents. J Psychiatr Assoc Thailand 1997;42:2-13 .
29. Ghasemi A, Zahediasl S. Normality tests for statistical analysis: a guide for non-statisticians. Int J Endocrinol Metab 2012;10:486-9.
30. Quelopanam AM, Champion JD, Reyes-Rubilar T. Factors associated with postpartum depression in Chilean women. Health Care Women Int 2011;32:939-49.
31. Evans M, Donelle L, Hume-Loveland L. Social support andonline postpartum depression discussion groups: a content analysis. Patient Educ Couns 2012;87:405-10.
32. Phipps MG, Raker CA, Ware CF, Zlotnick C. Randomized controlled trial to prevent postpartum depression in adolescent mothers. Am J Obstet Gynecol 2013;208:192.e1-6.
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Published
2018-12-07
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Jitmanowan P, Sopajaree C, Utsaha S, Na phikun T. Effectiveness of using the Centering Teen Pregnancy Program on Postpartum Depression among Adolescent Mothers: A Posttest Only Quasi-experimental Design using a Comparison Group. J Health Sci Med Res [Internet]. 2018 Dec. 7 [cited 2024 Nov. 23];37(1):17-24. Available from: https://he01.tci-thaijo.org/index.php/jhsmr/article/view/138565
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