Coping, social support, and parenting: Depressed vs non depressed adolescent mothers

SlFfATiLr-WPLAXfTS AJIONGYOUNG AWLESCEHlS: RELATlOf#SHIPTO PAOBLEH hEUAVIORS A5D AFFECTIVE OlSlAESS. !,JPy L. Uilbrandt A.C.S.U.. CJtherineJ. 6rJCk. N.S.. Gary lng~rsoll Ph.D.. Donald P. Urr. ff.0.Wrion County HJJlth Ik?partEJntand Indfma Unfversl'?ySchool of ftsdicfne,tndfmapolis. I#. Somatic SynptOm JPJ FOmJ” CDRplJfnts during Jdolescmce. Ihff StWy examined the frequency of heodachc Jnd abdominal pain Jnd their relatlonshlps to both high-rfsk behaviors and indicJtorr.uPaffectlVe distress among J heslthy adolescent f&WlJtiOl,. 626 12.16 yaar olds (795 of students In J nldw~stem. blue-collar junior high school1 conpleted J 44 item health behavfor questionnaire; the Frqmncy of syr~ptms mre ranked on Jn ordfnJ1 scale from l.(nJverl to 4 felmost UJflyl. 52% mre male; 79% were vhlte and 21% black. Affective dfstrms fAFF1 and oroblmbohavfor MO51 fectcrs had been previously fdcntfffed and ValfdJtJd usfng principal componmt hctor malysfs. AFF included sJdneSS, lomllness, nerwusness Jnd slnp problnn~; pIlOB fnrluded.substanceuse. sexual JCtivfty and delinquent behaviors. Group rtaanswith their S.E.H.: FERALE HALE :ieadaches 2.ll(D.D.l1 2.32(O.W1 p IIA% 0:os Stomach pafn 1.97fO.031 2.07lO.031 PROA' -0.22tO.051 D.DDDl 0.13tO.061 JFF -D.26(0.051 D.l5(0.051 O.ODDl Freoumcy of headache and abdominal pafn were mrrelJted lgavJwD.521. The contribution of cwplafnts. gender and age to the variance in PRO6 and M scores was sssessed.usfpg 3 way ANOVA. ROD scores wore higher fp<.OOll For boys, older students and those with mre frequent headaches and abdoafnJ1 Pain. AFF scores were higher fp<.OOlI for gfrls and those with more frpqumt Sj?lptOmS. No fnteractions with gend@r or age were observed, Since PFF and PRO3 factors are not correlated. swatfc s)aptoms my have several psycholoGical meanings. Adolescents with frequent somtic conplaints nay represent a particularly high risk population.

OP su‘lAL Aeuse Amom JooLEscB~s: A WPlJL4wIoN sJsuP G3wV. UtcbaJL Jonntek. Ph.D.. Robert Slum, M.D.. Ph.D.. LIuda Ho==‘e. Loie Ceer. Laura HutCon. Kim Health ProSram. Un‘veraity of Raolemioks‘. ninneeora, Winnee~Lbe, Nioneeote. n,e PrevaLnce end correlaree of eexual sbeee were studled in e ID305 athoic.lly diverec Ith-12th grade edoleeoents lo a le=~.W‘dnrsm metropol‘tm area. l&4% reported e”r= beiop ~snulIy abosad. ‘ncludl~ 172 of feeelas. 9.55 of meler. Prevalence vu &,,‘f‘uatly hi&m (an tested by Chi Squere) tn femi‘iea ulth one p.nat plur motbat adult W.22) vs. 6.62 for youths 10 rvo-perent horr. amna GJL~~ Amnr‘cana fl1.6Zl.colpnredrlth Jsfsns fP.121. Abuse Prav&,nea .,nn ‘ovenely related to rep+rrad school perfotrupnee. =elytG Kmm 1.32 of of those .IIC~ 6roop difference by rWV.4, e siSnnlf‘cnntly balar over** (p<.DOUD). Teatiw S=e.tac proportion of hlah risk for QreSnaney based on “~1 aettvlty .nd eontraceptlve uee patterns, rePort”d Sreatsr overall “tmsa and unhap~lnea”. leas parental caring. and wearer chemical ebuee aenl; tbeeee1ves. pertle”larly for Slrls (p<.mlU for eech. eign‘f‘caotly Srestesr Qvopcrt‘on of &wed JrvuQ reported cooe‘ly . pre@nency (172 ve. 52. pUMOO), 31% VB. IYY reperred El=& I=.te=COu=ee at (‘0 y-r, (p<.OOOD). vh‘le IW “8. 51 ind‘crted receut wle‘~ ~u‘cldol ideet‘on (p<.OUUUL SlSnlf‘centty more ahrsed fem.lm ce&wted I pr.sJtuncy (152 VB. 72). sod high ru‘cidr r‘vk lo aeeb help for stuee. sl@~‘Flcantly more (‘32 ve. 62) (both .t pUMOO). ahued .dOleJaote would 60 to M om "e. any other k‘Q IIOY~C(? (16.2% "I. lA.lZ* puOOO). Precrttionera should be alert echo01 ,%rrforaeece, aewl utivity. cbem1cel Ime, aod affective WBe 88 poes‘ble ‘nd,cato=a “l ebuee. vbile thoee with a knolm history of abuse .hn e greater ‘tkl‘huod of other kl.sh rink behwiore. conlBLATtL4

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co**w, SoclAL S”PPolT. AWD P*RlItlTIWo* DEPRESSEDYS NO3 Ph.D.. J.S.. DXPWJJllDA9DLSSCKwIWIIISKS . Seven Panrarine, Pbyl‘ie Sharps. Ph.D., 1.1.. Eliee Slater. Ph.D., Division ol Mo‘eecent mdicine. Un‘versity of H.sry‘md. RD. KetenUl depreesion he‘ been .esoC‘.ted with Qere”t,“g prob‘eu yet bee been m‘niu‘ly explored aooK edolevceot.mothers. This etody llrd to determine 11 hoe deprcnecd and non-depressed teen8 dlffsred oo utornal Cmnths Postwrt”m (PP), and 2) “hfch prenatal and 1 moth PP veriJb1.e predtctsd dcpresmm ~lyq.toma. 55 Qrh‘QW,,"S Hem ll*eYa" 15.5 years; 92.22 ado‘weantm nte rwxuited durinl prcmney. we” lleck; o11 were eing1e. Subjects were eeen prenatally. 1 month Pl’. and 6 moathe Pp. Vaye of cop,“6 with mtherbood and soc‘al eUQQovt(SS) wvre aueeeed .t each visit, utemal funcClo”‘n6 md deQreve‘a” “em nsarswd each PP visit, Subjeete we=e div‘ded into 3 S’ovpe beard upon rhe‘r h WBtli Sect Depre~eiol8 Inventory .corcs~ CtOup 1 (ecorvs 9-91 - no R\,"Q10!"6 (""28); GWM) Z (#corer 10-15) - mild WlO)i end GrO"Q 3 (scnrrs OIor 15) W-121. Six moth deta vere nn.ll:rrd ueinS e “JWVA ood AWVAe. ‘feeoe i” h,"Q 3 "el.2 less satisfied vith their SS W.DDlB. wed w=e mtion-focused capinS stretegies (p<.OOll, rePOrted ‘eIJ utensil coafldenee (,&OS) and ~r~tif‘eatlon fQ<.051, and exh‘biccd =n feedinS ‘nteract‘rms (Q<.05) rhan Grau,w 1 and 2. S” differeeeee vere found +n hev often they received SS. the s‘zc of rhe‘r cwfl‘cted eoeiel oetvork. nor utemal teaching ‘ntcrestlon.. A lorverd “K~.Wo‘yei~ oruioed the predictive veluc of QreMtel aed 1 month PP Te:ifib&J. W&S: 8 .;rnth Sari: %:.xoe 58 CPe ;.::?er,an. At I month PP. =tioWfo‘Wed co~‘oS, la,oetemll eoe!id;nfe. end Beck ecoree Qevdielvd 67X Of Vb0 ~61rianee im dvpreveive eymptome et 6 mmtha PP. with ‘12 of rhc “4ri”nc” explained by emotion-faeumd coping. “oderarely dwmmmed edolaecmte bwe IDI. percnt‘nK prebleu end perce‘vc lees SS. Adoleeevote “ho e=m Coping ulth persnthood by mtiw,-Imuned have lw confidence ‘n their m.eternel ebilitlee. and &w =ePo=t emtome of depres~lm at 1 month PP mhould be co”elde=ed et-?‘bk for Co,,tinved depnrrim and pare”tlnJ dtffLcuttie8..

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STRESS. PSYCSOSOCIALRESOURCES AN0 PRIMARY IHIJPPERESPONSE. Barbara K. Snyder, M.D.. Kleus J. RoShmann. Ph.D.. Lacmerd H. S‘S& M.D. Uoiv. of Rochester Wed. CL=., Rochester, N.Y. Hmy studies have shovo that life Btreee ia Janociated with decreased cellular iumoosty; studian of the effect of str.zm on Ianoral imuaic, Jre difficult thay YOC naturally-occurring r5ruus ** cnttgvn. We.axamlnad the relat‘oaehip between life eztreemand imm. IaeQOnel to e novel ent‘Seq-keyhole 1tiQet hemocymin (KLW. St?eee.vee m.resored by: I)Llfe Eveote Chockli,,t: eohjects (Se1 identify. Classify ee “Sood” or “bad”, end rete impact oo their lives of recent stressful events, and ZNlaeelas Scaler Se mote frequency and intensity of day-to-dey Peychosocial factors ve=e atudiad ae pot6ntielnedietinD vorioblas. usinS 1) TIM Hate1 Weslth Inventory: e11‘eea.s psycholoSica1 well-bvlnS (subscales: Positive Mfsst. 5otionalT‘~el sad psycholopical dietrees IeubneJlso: Aoxiet9. k!QH!eeiOn. tiea of Health h‘otory. health habits and demoS=oph‘c data "ere also sneminsd. So “ere 69 ;;::z feaeles, 18-26 yJJro, recruited frm a Sellore UoiVeroitY student pop. At vieit I‘. queotiommires were complstsd prior to KLIIhuniratian. Serum anti-KLIIantibody titer and _in-vitro lymphocyte QIOlifeCetiO#I (LPI were menouted at baseline and 3 and 6.vaabe after illunizat‘on. Only LP data vi11 LP was decreesed in Se uith high mores on thn stress mm~ures but riSnificant oolp for impect of “ed” etreeee. (r--.25+). 6s with 0 6rJJtsr rncant Chan8e la weight had milmificaotly leee LP et baseline (r--.35**). At z*. Ss rcQoZti”J SrePter haeeles ‘oteority had decreased LP (r--.2Se); 27.52 of the varimc~ in LP “a” expleinrd by greater~frequency of "sood" Jtrenn, leeeer frequeocy of “bad” -tolionel Ties end meller rseset vei@at ch.o~o. At 8e. higher scoree on the stress PC.8”Lm “me positively carreleted with FP rhaunh aiS,,ificsot only for ‘had” events frequency (r- .26*). I’kesc data underscorr tht of usi,,~ mbject. own s”aluJtiono of etreesful e”.“te. “Cued” end “bad” hove oP,Waite effects on paak (3 weak) Imao= =eoQo”ee followinS imonirntioo but oimilar effects bamelioe (decreasnd LP) and S weeks (increased LIP). I*p$.or; **p<.0111

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