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Biomedical subjects

M Cynthia Logsdon

Publications and source records attributed to M Cynthia Logsdon.

18 recordsLinked to original sources
PubMed2006

Raising the awareness of primary care providers about postpartum depression.

About 13% of women experience depression in the first year after childbirth. Postpartum depression has deleterious effects on the woman's relationships, her functional status, and her ability to care for her infant. Primary care providers have the most contact with postpartum women, but may be unable or unwilling to screen, treat, and/or refer the women. Thus, many women with postpartum depression are not receiving mental health services. The purpose of this article is to describe methods to raise the awareness of primary care providers about postpartum depression, thereby eliminating a major barrier to mental health treatments of postpartum women.

Attitude of Health Personnel↗
PubMed2006

A comparison of screening instruments for depression in postpartum adolescents.

TOPIC: It is important to screen postpartum adolescents for depression during routine healthcare visits so that depression can be identified and treated. PURPOSE: The purpose of the manuscript is to compare available depression screening instruments and to provide guidance to healthcare providers on choice of instrument. SOURCES USED: Published studies. CONCLUSIONS: In order to capture the common symptoms of adolescent and postpartum depression, a combination of screening instruments should be used.

Adolescent↗
PubMed2006

The Postpartum Support Questionnaire: psychometric properties in adolescents.

PROBLEM: Receiving adequate social support has been associated with positive outcomes for the postpartum adolescent and her baby. Therefore, social support is an important variable to include in research studies of postpartum adolescents. However, instruments developed for use in adults cannot be assumed to reliably and validly measure health-related concepts such as social support in adolescents (Rogler, 1999; Yarcheski, Mahon, & Yarcheski, 1992) without psychometric evaluation. PURPOSE: Therefore, the purpose of this study was to describe the reliability and validity of the Postpartum Support Questionnaire (PSQ) (Logsdon, 2002; Logsdon, Usui, Birkimer, McBride, 1996) with adolescents. METHOD: The PSQ was revised for use with adolescents, based upon focus groups with adolescents and professionals. Then, the PSQ was administered to a convenience sample of postpartum adolescents (N = 109) recruited from the Teenage Parent Program. FINDINGS: High internal consistency reliability was demonstrated for the total instrument and subscales. Factor analysis supported four factors, in line with the PSQ data with adults, with some indication for an additional adolescent factor. However, in adolescents material support and emotional support tend to load on the same factor. CONCLUSIONS: Social support may be defined differently in postpartum adolescents, but further research with a larger sample is needed to substantiate this finding. Instruments with psychometric data specific to adolescents should be chosen by researchers who study this group.

Adaptation, Psychological↗
PubMed2005

Bioecological model for guiding social support research and interventions with pregnant adolescents.

Many environmental processes influence the pregnant adolescent and each process can either unlock the potential of the adolescent or act as a barrier to goal achievement or development. Social support is a powerful force in preventing adverse maternal and infant outcomes in the pregnant adolescent, and can come from several sources in the environment. The purpose of this article is to describe the use of the bioecological model of development to frame the complex environmental processes that determine social support received by pregnant adolescents. The bioecological model also can be used to guide mental health assessment of pregnant adolescents.

Adolescent↗
PubMed2004

Prediction of postpartum social support and symptoms of depression in pregnant adolescents: a pilot study.

Many pregnant adolescents remain in school, creating unique challenges for professionals to meet their educational and health needs. In this descriptive pilot study of pregnant adolescents (n = 26), 68% demonstrated symptoms of depression as measured by the Center for Epidemiologic Studies Depression Scale (CES-D). In addition, there was an expectation by the pregnant adolescent that postpartum social support received, as measured by the Postpartum Support Questionnaire, would be different from what is important to her. As an important part of the team, school nurses are uniquely positioned to screen pregnant adolescents for depression and to assist them in learning how to negotiate for the social support that is important to them.

Adolescent↗
PubMed2004

Depression in adolescent girls: screening and treatment strategies for primary care providers.

Adolescent girls are at a higher risk of depression than boys are. Depression is of particular concern in pregnant and postpartum adolescents because of the potential impact on the infant. Primary care providers (PCPs) should routinely screen adolescent girls for depression and consider depression in their differential diagnoses of somatic complaints. Both medications and psychotherapy are effective treatments for depression in adolescents. Interpersonal psychotherapy and cognitive therapy are both effective. PCPs have additional obligations to understand the possible barriers to adolescent use of mental health services in the community and to use available resources to advocate for appropriate health care for adolescents.

Adolescent↗
PubMed2003

Role functioning and symptom remission in women with postpartum depression after antidepressant treatment.

The primary purpose of this pilot study was to compare improvement of symptoms and role functioning in women with postpartum depression after 8 weeks of treatment with antidepressants. The study was a secondary data analysis from the preliminary data of a double blind, randomized clinical trial. The participants (n=61) were primarily Caucasian and slightly over half were married, first time mothers, and middle- to upper-middle-class. At intake, most participants were moderately to severely ill. At week one and week eight of the study, measures of symptoms and functioning were only moderately correlated. After 8 weeks of antidepressant treatment, symptoms and most measures of functional status improved; however, improvement in one dimension did not imply improvement in the other. Recommendations are given for clinical practice and further research in this area.

Adaptation, Psychological↗
PubMedDate not supplied

Social and professional support for pregnant and parenting women.

PURPOSE: A literature review to contrast the role of social and professional support in improving maternal and infant outcomes in pregnant and parenting women. In addition, recommendations are made for future research and policy and program development concerning support needed by pregnant and parenting women. DATA SOURCES: Data were limited to published studies. Searches of computerized databases, hand searches of journals, and backward searches from reference lists of studies were conducted. Nursing, medicine, psychology, public health, sociology, and social work literatures were searched (CINAHL, Medline, PsychLit, Social Sciences Abstracts, Social Sciences Citation, and Social Work Abstracts). STUDY SELECTION: The studies focused on outcomes of social support and professional support to pregnant and parenting women. The samples of the studies included pregnant women and parenting women up to 2 years postpartum. Studies reviewed were conducted in the United States or Canada and included maternal and/or infant outcomes. All ages and races of pregnant and parenting women were considered. DATA EXTRACTION: Data were extracted from each study concerning the theoretical framework, variables, sample, design, measuring instruments, interventions, and outcomes. DATA SYNTHESIS: Social support outcomes were summarized in paragraphs while a table was used to summarize professional support intervention outcomes. CONCLUSIONS: Outcomes associated with specific support interventions should be clearly identified, informed by theory, and include assisting the pregnant and parenting woman to improve her social support.

Clinical Competence↗
PubMedDate not supplied

Paraprofessional support for pregnant & parenting women.

PURPOSE: To review evidence regarding the role of paraprofessional support in improving maternal and infant outcomes in pregnant and parenting women. Although support provided by significant others (social support), by professionals, and by paraprofessionals are frequently considered together in literature reviews, this is inappropriate because the components of the support in each case differ. DATA SOURCES: Data were limited to published studies. Searches of computerized databases (CINAHL, Medline, PsychLit, Social sciences abstracts, Social sciences citation, and Social work abstracts), hand searches of journals, and backward searches from reference lists of studies were conducted. Nursing, medicine, psychology, public health, sociology, and social work literatures were searched. STUDY SELECTION: The studies included had statistically significant outcomes of paraprofessional support to pregnant and parenting women. Studies were published in 1985 or later, were conducted in the United States or Canada, and included maternal and/or infant outcomes. DATA EXTRACTION: Data were extracted from each study concerning the theoretical framework, design, sample, measuring instruments, interventions, and outcomes. CONCLUSIONS: Programs providing paraprofessional support to childbearing women are clearly providing an important service, but empirical evidence is not adequate to determine which specific paraprofessional program works for a specific population of women to achieve the best long-term outcomes for both women and children. Although proponents of paraprofessional support programs for pregnant and parenting women have reported some successes, more data are needed. Researchers should continue to conduct well-designed and controlled studies to compare outcomes from the three types of support. Nurses in practice should build on services provided by paraprofessionals in order to meet women's need for support and to achieve desired outcomes.

Community Health Services↗
PubMedDate not supplied

Web sites for postpartum depression: convenient, frustrating, incomplete, and misleading.

PURPOSE: To evaluate the content and the technology of Web sites providing information on postpartum depression. STUDY DESIGN AND METHODS: Eleven search engines were queried using the words "Postpartum Depression." The top 10 sites in each search engine were evaluated for correct content and technology using the Web Depression Tool, based on the Technology Assessment Model. RESULTS: Of the 36 unique Web sites located, 34 were available to review. Only five Web sites provided >75% correct responses to questions that summarized the current state of the science for postpartum depression. Eleven of the Web sites contained little or no useful information about postpartum depression, despite being among the first 10 Web sites listed by the search engine. Some Web sites contained possibly harmful suggestions for treatment of postpartum depression. In addition, there are many problems with the technology of Web sites providing information on postpartum depression. CLINICAL IMPLICATIONS: A better Web site for postpartum depression is necessary if we are to meet the needs of consumers for accurate and current information using technology that enhances learning. Since patient education is a core competency for nurses, it is essential that nurses understand how their patients are using the World Wide Web for learning and how we can assist our patients to find appropriate sites containing correct information.

Databases, Bibliographic↗
PubMedDate not supplied

Readability: an important issue impacting healthcare for women with postpartum depression.

PURPOSE: To evaluate the reading level of depression-screening instruments commonly used in postpartum depression (PPD) and evaluate the reading level of prevalent consumer pamphlets and books on PPD. DESIGN AND METHODS: Descriptive study evaluating the reading level of four PPD instruments (the Edinburgh Postnatal Depression Scale, The Center for Epidemiologic Symptoms of Depression, the Postpartum Depression Screening Scale, and the Beck Depression Inventory-II), five pamphlets from grassroots organizations, and seven consumer books using the Fry Readability Graph. RESULTS: The readability of the postpartum screening instruments varied, but all were at or below the recommended 6th grade reading level. CES-D had the lowest reading level (grade 2). The readability of the consumer publications also varied, but all had a higher reading level than the recommended 6th grade level, some at the college reading level. CLINICAL IMPLICATIONS: Readability is an important consideration in the choice of depression-screening instruments and written materials for consumers. Nurses using any of the four postpartum screening instruments studied can feel confident that women who can read will be able to read them. The readability of a book, pamphlet, or instrument should be of concern to nurses who work with women during the postpartum period.

Attitude to Health↗
PubMedDate not supplied

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. The impact of postpartum depression on the various components of the maternal role is described. Recommendations for health care practice include screening for depression across the first postpartum year and developing a strong network for mental health referrals.

Attitude to Health↗
PubMedDate not supplied

Contemporary mothering in a diverse society.

The contextual and environmental factors that may affect mothering and perceptions of the maternal role in today's increasingly diverse society are described. Following a historical overview of the development of maternal role theory within the nursing literature, the influence of images and myths in Western society, race/ethnicity, cultural background, and employment status are discussed. Guidelines for nursing interventions that allow for individual and cultural differences are provided.

Acculturation↗
PubMedDate not supplied

Social support in pregnant and parenting adolescents: research, critique, and recommendations.

UNLABELLED: ISSUE AND PURPOSE: Adolescent pregnancies continue to occur at an alarming rate in the United States, resulting in adverse outcomes for both the adolescent and her baby. Since social support has been shown to improve pregnancy and parenting outcomes, a critique of research in this area is presented. SOURCES: Published literature. CONCLUSIONS: Multisite research studies, which are longitudinal in design, are needed, with particular attention paid to variations in the need for social support by stage of adolescence.

Adolescent↗
PubMedDate not supplied

Postpartum depression and social support in adolescents.

OBJECTIVE: The purpose of the study was to determine the effectiveness of a social support intervention delivered to pregnant adolescent girls between 32 and 36 weeks of gestation in preventing symptoms of depression at 6 weeks postpartum. DESIGN: The study used a repeated measures design. SETTING: Data were collected at a teenage parenting program, an educational option of the public school system. PARTICIPANTS: Participants (n = 128) were pregnant and postpartum adolescents. MAIN OUTCOME MEASURE: Symptoms of depression at 6 weeks postpartum. INTERVENTION: Participants completed the Postpartum Support Questionnaire, Rosenberg's Self-Esteem instrument, and the Center for Epidemiological Studies of Depression instrument at baseline, then were randomly assigned to one of three intervention groups (pamphlet, video, or pamphlet plus video) or the control group. The content of the intervention was based on a synthesis of the literature describing social support needed and desired by postpartum adolescents. RESULTS: No significant differences were found in Center for Epidemiological Studies of Depression instrument scores among the groups at 6 weeks postpartum. Using path analysis, the authors found that predictors of symptoms of depression at 6 weeks postpartum were (a) receiving more support from friends, family, and others and (b) having low self-esteem. CONCLUSION: These findings differ from earlier studies, and both research and clinical implications are discussed.

Adolescent↗
PubMedDate not supplied

Social support during adolescent pregnancy: piecing together a quilt.

OBJECTIVE: To investigate pregnant adolescents' experiences of receiving support, including variations by age. DESIGN: The study was guided by feminist theory. SETTING: An alternative, public school for pregnant and parenting adolescents in an urban area of the Southern United States. PARTICIPANTS: Participants (n = 30) consisted of 6 early (13-14), 19 middle (15-16), and 5 late (17-18) adolescents. Nineteen of the participants were African American, 10 European American, and 1 Asian American. METHOD: A qualitative research design based on feminist theory with data collected through focus groups. The focus groups were audio-taped, transcribed verbatim, and checked against the first author's field notes, then analyzed using principles of analytic induction. Group interaction and influence were considered. RESULTS: The metaphor of a patchwork quilt emerged from the data and represented how adolescents "piece together" the support they need from adults, peers, and partners who are often unreliable. Affecting receipt of social support were the adolescents' relationships with their families and their babies' fathers, threats to their safety, and their socioeconomic status. CONCLUSIONS: These findings can be used by nurses, educators, and community leaders as they develop programs to meet the needs of these young women.

Adaptation, Psychological↗
PubMedDate not supplied

Social support in postpartum adolescents: guidelines for nursing assessments and interventions.

Social support plays an important role in reducing stress for postpartum adolescents. Health care providers should assess social support of postpartum adolescents each time they encounter the health care system. The assessment should include culturally sensitive individual questions or established social support instruments. If social support is found to be inadequate or insufficient, professional support interventions may be indicated. Health professionals should use clinical pathways to guide assessments and professional support interventions with postpartum adolescents.

Adolescent↗