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Rapidly growing research on mothers’ perinatal depression, has demonstrated significant links among mothers’ depressive symptoms during pregnancy and the first year postpartum, their parenting, and multiple aspects of children’s development. This prospective longitudinal study contributes to research on mothers’ perinatal depression by examining the mechanisms by which maternal perinatal depression

Rapidly growing research on mothers’ perinatal depression, has demonstrated significant links among mothers’ depressive symptoms during pregnancy and the first year postpartum, their parenting, and multiple aspects of children’s development. This prospective longitudinal study contributes to research on mothers’ perinatal depression by examining the mechanisms by which maternal perinatal depression is associated with children’s adjustment early in development in a sample of 204 Mexican-origin adolescent mothers (Mage at Wave 1 = 16.80, SD = 1.0) and their children (58% boys). I expected that adolescent mothers’ negative parenting behaviors would mediate the associations between mothers’ perinatal depressive symptoms and three child outcomes: internalizing symptoms, externalizing behaviors, and cognitive ability. I further hypothesized that mothers’ perceived social support from their family would modify the extent to which mothers’ perinatal depressive symptoms negatively impact their parenting behaviors and their children’s developmental outcomes. Mothers reported on their own depressive symptoms, their perceived social support from their family and their children’s internalizing and externalizing problems; negative parenting was assessed using observational methods; and children’s cognitive ability was assessed using standardized developmental assessments. In this sample, adolescent mothers’ negative parenting behaviors did not significantly mediate the relations between mothers’ perinatal depression and children’s developmental outcomes. Further, perceived social support did not significantly buffer the effects of mothers’ perinatal depression on mothers’ negative parenting or children’s developmental outcomes. However, in line with hypotheses, results indicated that mothers’ prenatal depression had a wider impact on children’s adjustment outcomes than mothers’ postpartum depression, which appeared more specific to children’s internalizing problems. Discussion focuses on implications for intervention addressing adolescent mothers’ perinatal depression, as well as the need to continue to explore protective factors that have the potential to disrupt the negative intergenerational transmission of risks.
ContributorsSeay, Danielle M (Author) / Elam, Kit (Thesis advisor) / Iida, Masumi (Thesis advisor) / Thompson, Marilyn (Committee member) / Wilkens, Natalie (Committee member) / Arizona State University (Publisher)
Created2019
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Receiving support from intimate others is important to individual well-being across the lifespan. However, the role of support in adolescent romantic relationships has not been investigated extensively. Using two studies, this dissertation utilized data from N = 111 adolescent couples collected as part of the Adolescents, Schools, Peers,

Receiving support from intimate others is important to individual well-being across the lifespan. However, the role of support in adolescent romantic relationships has not been investigated extensively. Using two studies, this dissertation utilized data from N = 111 adolescent couples collected as part of the Adolescents, Schools, Peers, and Interpersonal Relationships (ASPIRE) to investigate the implications of support for adolescents’ relationship quality, and positive behavioral adjustment. The first study expanded on existing research by investigating whether support given in response to a partner’s experience of a stressful event, and gauged from the perspective of the support recipient, was associated with the quality of adolescents’ romantic relationships. The study, further investigated whether the association between support and relationship quality changed depending on stress levels experienced due to the stressful event. Results from the dyadic process multilevel model showed that support receipt was associated with increased relationship quality on the same day and that this association was moderated by stress. Results imply that support processes engaged in by adolescents may operate in a similar manner as they do for adults. Implications for the research literature are discussed.

The second study examined the role of parental support in adolescents’ romantic relationships. Although, research indicates parents continue to play an important role in the socialization of their children during the adolescent years, very little is known about the role of parenting practices in the domain of adolescent romantic relationships. Study two used longitudinal data to investigate the influence of parental support of adolescent romantic relationships and parental trust on adolescents’ disclosure of information about romantic relationships and adolescent problem behaviors. Results of the Actor Partner Interdependence Model indicated that parental support of romantic relationships but not parental trust was associated with increases in adolescent romantic relationship disclosure at time one, and decreases in problem behaviors at time two. Furthermore, important sex differences emerged. Sex differences and implications for parents of adolescents are discussed.
ContributorsPoulsen, Franklin O (Author) / Christopher, F Scott (Thesis advisor) / Iida, Masumi (Thesis advisor) / Updegraff, Kimberly (Committee member) / Randall, Ashley K. (Committee member) / Arizona State University (Publisher)
Created2016
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Description

In a healthcare system already struggling with burnout among its professionals, the COVID-19 pandemic presented a barrage of personal and occupational strife to US healthcare workers. Structural and everyday discrimination contributed to the health inequities of people of color in the US, exacerbated by COVID-19-related racism and xenophobia. There is

In a healthcare system already struggling with burnout among its professionals, the COVID-19 pandemic presented a barrage of personal and occupational strife to US healthcare workers. Structural and everyday discrimination contributed to the health inequities of people of color in the US, exacerbated by COVID-19-related racism and xenophobia. There is little research regarding the effects of COVID-19 and related and/or concurring discrimination upon minority nursing staff, despite their importance in supporting the diverse American patient population with culturally competent, tireless care amid the pandemic. This cross-sectional survey study aimed to examine 1) the relationships between discrimination, social support, resilience, and quality of life among minority nursing staff in the US during COVID-19, and 2) the differences of discrimination, social support resilience, and quality of life among minority nursing staff between different racial/ethnic groups during COVID-19. The sample (n = 514) included Black/African American (n = 161, 31.4%), Latinx/Hispanic (n = 131, 25.5%), Asian (n = 87, 17%), Native American/Alaskan Native (n = 69, 13.5%), and Pacific Islander (n = 65, 12.7%) nursing staff from 47 US states. The multiple regression results showed that witnessing discrimination was associated with a lower quality of life score, while higher social support and resilience scores were associated with higher quality of life scores across all racial groups. Furthermore, while participants from all racial groups witnessed and experienced discrimination, Hispanic/Latinx nursing staff experienced discrimination most commonly, alongside having lowest quality of life and highest resilience scores. Native American/Alaskan Native nursing staff had similarly high discrimination and low quality of life, although low resilience scores. Our findings suggest that minority nursing staff who have higher COVID-19 morbidity and mortality rates (Hispanic/Latinx, Native American/Alaskan Native) were left more vulnerable to negative effects from discrimination. Hispanic/Latinx nursing staff reported a relatively higher resilience score than all other groups, potentially attributed to the positive effects of biculturality in the workplace, however, the low average quality of life score suggests a simultaneous erosion of well-being. Compared to all other groups, Native American and Alaskan Native nursing staff’s low resilience and quality of life scores suggest a potential compounding effect of historical trauma affecting their well-being, especially in contrast to Hispanic/Latinx nursing staff. This study has broader implications for research on the lasting effects of COVID-19 on minority healthcare workers’ and communities’ well-being, especially regarding Hispanic/Latinx and Native American/Alaskan Native nursing staff.

ContributorsLaufer, Annika Noreen (Author) / Chen, Angela (Thesis director) / Fries, Kathleen (Committee member) / Edson College of Nursing and Health Innovation (Contributor) / Barrett, The Honors College (Contributor)
Created2021-05
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Description
Background: It is estimated that 50% of all mental illness arises prior to age 14, an incident attributed in part to disruptions and imbalances within the family system. Equine assisted learning is a complementary and alternative approach to family therapy which is being used increasingly to promote mental health in

Background: It is estimated that 50% of all mental illness arises prior to age 14, an incident attributed in part to disruptions and imbalances within the family system. Equine assisted learning is a complementary and alternative approach to family therapy which is being used increasingly to promote mental health in both adults and children. This study sought to build and deliver an evidence-based, family-centered equine assisted learning program aimed at promoting family function, family satisfaction and child social-emotional competence, and to measure its acceptability and preliminary effect.

Method: Twenty families with children 10 years and older were recruited to participate in a 3-week equine assisted learning program at a therapeutic riding center in Phoenix, Arizona. Sessions included groundwork activities with horses used to promote life skills using experiential learning theory. The study design included a mixed-method quasi-experimental one-group pretest posttest design using the following mental health instruments: Devereaux Student Strengths Assessment, Brief Family Assessment Measure (3 dimensions), and Family Satisfaction Scale to measure child social-emotional competence, family function, and family satisfaction, respectively. Acceptability was determined using a Likert-type questionnaire with open-ended questions to gain a qualitative thematic perspective of the experience.

Results: Preliminary pretest and posttest comparisons were statistically significant for improvements in family satisfaction (p = 0.001, M = -5.84, SD = 5.63), all three domains of family function (General Scale: p = 0.005, M = 6.84, SD = 9.20; Self-Rating Scale: p = 0.050, M = 6.53, SD = 12.89; and Dyadic Relationship Scale: p = 0.028, M = 3.47, SD = 7.18), and child social-emotional competence (p = 0.015, M = -4.05, SD 5.95). Effect sizes were moderate to large (d > 0.5) for all but one instrument (Self-Rating Scale), suggesting a considerable magnitude of change over the three-week period. The intervention was highly accepted among both children and adults. Themes of proximity, self-discovery, and regard for others emerged during evaluation of qualitative findings. Longitudinal comparisons of baseline and 3-month follow-up remain in-progress, a topic available for future discussion.

Discussion: Results help to validate equine assisted learning as a valuable tool in the promotion of child social-emotional intelligence strengthened in part by the promotion of family function and family satisfaction. For mental health professionals, these results serve as a reminder of the alternatives that are available, as well as the importance of partnerships within the community. For therapeutic riding centers, these results help equine professionals validate their programs and gain a foothold within the scientific community. Additionally, they invite future riding centers to follow course in incorporating evidence into their programs and examining new directions for growth within the mental health community.
ContributorsSolarz, Allison (Author) / Chen, Angela (Thesis advisor)
Created2019-05-02