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Postpartum depression and acculturat...
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Alhasanat, Dalia.
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Postpartum depression and acculturation among U.S. immigrant women of Arabic descent.
紀錄類型:
書目-電子資源 : Monograph/item
正題名/作者:
Postpartum depression and acculturation among U.S. immigrant women of Arabic descent./
作者:
Alhasanat, Dalia.
出版者:
Ann Arbor : ProQuest Dissertations & Theses, : 2017,
面頁冊數:
143 p.
附註:
Source: Dissertation Abstracts International, Volume: 78-08(E), Section: B.
Contained By:
Dissertation Abstracts International78-08B(E).
標題:
Nursing. -
電子資源:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10256948
ISBN:
9781369687415
Postpartum depression and acculturation among U.S. immigrant women of Arabic descent.
Alhasanat, Dalia.
Postpartum depression and acculturation among U.S. immigrant women of Arabic descent.
- Ann Arbor : ProQuest Dissertations & Theses, 2017 - 143 p.
Source: Dissertation Abstracts International, Volume: 78-08(E), Section: B.
Thesis (Ph.D.)--Wayne State University, 2017.
Purpose and Background/Significance: Postpartum depression (PPD) affects 12-20% of U.S. mothers. The PPD rates for women of Arabic descent are even higher (up to 37%). The purpose of this dissertation research was to examine the impact of acculturative stress, social support, and acculturation on PPD symptoms among these women. The specific aims of this study were: Specific Aim 1. Examine the relationships among acculturative stress, social support, acculturation, and PPD symptoms among U.S. immigrant women of Arabic descent; Specific Aim 2. Examine if social support moderates the associations between acculturative stress and PPD symptoms among U.S. immigrant women of Arabic descent; and Specific Aim 3. Examine if acculturation variables mediate the associations between acculturative stress and PPD symptoms among U.S. immigrant women of Arabic descent.
ISBN: 9781369687415Subjects--Topical Terms:
528444
Nursing.
Postpartum depression and acculturation among U.S. immigrant women of Arabic descent.
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Postpartum depression and acculturation among U.S. immigrant women of Arabic descent.
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Source: Dissertation Abstracts International, Volume: 78-08(E), Section: B.
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Adviser: Carmen Giurgescu.
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Thesis (Ph.D.)--Wayne State University, 2017.
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Purpose and Background/Significance: Postpartum depression (PPD) affects 12-20% of U.S. mothers. The PPD rates for women of Arabic descent are even higher (up to 37%). The purpose of this dissertation research was to examine the impact of acculturative stress, social support, and acculturation on PPD symptoms among these women. The specific aims of this study were: Specific Aim 1. Examine the relationships among acculturative stress, social support, acculturation, and PPD symptoms among U.S. immigrant women of Arabic descent; Specific Aim 2. Examine if social support moderates the associations between acculturative stress and PPD symptoms among U.S. immigrant women of Arabic descent; and Specific Aim 3. Examine if acculturation variables mediate the associations between acculturative stress and PPD symptoms among U.S. immigrant women of Arabic descent.
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Method: Using a cross-sectional correlational descriptive design, a sample of 115 U.S. immigrant women of Arabic descent were enrolled from clinics in Dearborn, MI. Participants completed a demographic questionnaire, the Multi-dimensional Acculturative Stress Inventory, the Acculturation Rating Scale for Arabic Americans-II, the Multidimensional Scale of Perceived Social Support, and the Edinburgh Postnatal Depression Scale between 1-12 months postpartum.
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Results: Women had a mean age of 29+/-5 years and were 5+/-4 months postpartum. Women have been in the U.S. for 7+/-6 years and had a mean education of 12+/-4 years. The majority of women had an annual household income of less than $40,000 (88%), were unemployed (80%), and preferred Arabic language for interview (68%). Specific Aim 1: Higher levels of acculturative stress (p= .003) and lower levels of social support (p<.0001) predicted PPD symptoms while controlling for years of education, gestational age at birth, and antenatal anxiety. Using stepwise multiple linear regression analysis with all of the variables in the equation to determine if acculturative stress, social support, and acculturation variables [attraction to American Culture (AAmC) , attraction to Arabic Culture (AArC), and marginalization) were predictors of PPD symptoms after controlling for covariates. In the optimal model, higher levels of education (p<.0001), higher reports of antenatal anxiety (p=.02), and lack of social support (p<.0001) predicted PPD symptoms. The model explained 50% of variance in PPD symptoms (R2=.501, p<.0001 for the optimal model). Specific Aim 2: Social support predicted PPD symptoms (p= .014). However, acculturative stress and the interaction term between acculturative stress and social support were not statistically significant. Thus, the moderating effect of social support on the association between acculturative stress and PPD symptoms was not supported. Specific Aim 3: First we examined if acculturative stress predicted PPD symptoms. Acculturative stress was a significant predictor for PPD symptoms (p= .004). We then examined if acculturative stress predicted acculturation (AAmc, AArC and marginalization). Acculturative stress was a significant predictor for AAmC and AArC; however, acculturative stress did not predict marginalization, therefore marginalization was excluded from the mediation analysis. Next we examined if acculturation (AAmC and AArC) predicted PPD symptoms. AAmC and AArC did not predict PPD symptoms. We examined the mediating effect of AAmC and AArC on the association between acculturative stress and PPD symptoms. The mediation analysis was found not significant. Thus, the results of the study did not support the hypothesis that acculturation is a mediator on the association between acculturative stress and PPD symptoms.
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Conclusions: Lack of social support, higher level of education, and antenatal anxiety predicted PPD symptoms in U.S. immigrant women of Arabic descent. Future research is needed to examine acculturative stress and acculturation among immigrant women of Arabic descent in different settings. Longitudinal studies and utilizing diagnostic assessment of PPD is highly recommended. Nurses need to screen immigrant women for anxiety and depression during antenatal visits and develop evidence-based interventions targeted to improve social support and mental health during pregnancy and postpartum for these women. (Abstract shortened by ProQuest.).
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http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10256948
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