PubMed HealthSearch

Biomedical subjects

S Panzarine

Publications and source records attributed to S Panzarine.

8 recordsLinked to original sources

Successful contraceptive behavior among adolescent mothers: are there predictors?

Of 43 adolescent mothers who had been enrolled in a specialized program of prenatal care, 20 reported no subsequent unplanned pregnancy for 2 years. Descriptive statistics were used to identify differences between these nonrepeaters and 23 repeaters. The locus-of-control framework provided the theoretical basis for the study. The two study groups and those lost to follow-up were similar in demographic characteristics. School attendance, contraceptive knowledge, use of contraception, locus of control, and maternal support did not effectively differentiate the two groups. Program activities, including attendance at prenatal groups and nurse/social worker visits, also did not explain recidivism. Implications of these findings for health care providers and for further research are discussed.

Adolescent

Teen mothering. Behaviors and interventions.

Data are reviewed that support the hypothesis that many adolescents interact with their infants in ways that may increase the infant's risk of developmental delay. The negative, long-term consequences of adolescent child-bearing create an environment that also augments this risk. Early intervention programs developed to address such risks are reviewed regarding their focus and content. Research designs used to evaluate their effectiveness are critiqued. The confounding of treatment approach with the frequency of contacts is a major limitation preventing an adequate evaluation of results. However, it is emphasized that despite a diversity of approaches to treatment and a lack of understanding as to what is responsible for the changes, intervention programs have been successful in improving adolescent maternal-infant interactions and/or enhancing infant development.

Adolescent

Stressors, coping, and social supports of adolescent mothers.

This report describes the perceived stressors, coping strategies, and social supports of a group of adolescent mothers during their first month at home after delivery. In addition to concerns about the baby and the limitations imposed by motherhood, many of the young mothers considered their interpersonal relationships as problematic. Findings suggest that the puerperium was not a time of major distress for most of these young women. Factors contributing to a relatively smooth transition to motherhood were the adolescent's use of anticipatory coping prior to the birth, their extensive reliance on family support once at home, and their past experience with childcare. Sharing childcare with the family was an important component of the support received by these adolescents, and it is suggested that the adolescent's mobilization of social supports may be essential to ther adaptation to motherhood. Professionals were infrequently mentioned as sources of support even though a majority of the sample participated in special adolescent maternity programs. Finally, findings also suggest that problem-focused coping was used more often when dealing with concrete stressors, while emotion-focused coping was used more in response to interpersonal problems.

Adaptation, Psychological

Coping: conceptual and methodological issues.

Nursing research has begun to explore the ways in which patients cope with the deleterious effects of physiological and psychological stressors, but the complexity of the construct of coping has been understated in such investigations. Clinical research in this area should reflect an appreciation of the multidimensionality of coping; the change that occurs in coping and its outcomes over time and across contexts; the salient variables that can affect the coping process, including stressor characteristics, environmental resources, and personal characteristics; and, the reciprocal nature of the relationship between coping and its adaptational outcomes.

Adaptation, Psychological