Cheryl Anderson, RN, Ph.D., CNS
http://hdl.handle.net/10106/11676
2024-03-29T11:42:32ZPredicting posttraumatic stress and depression symptoms among adolescents in the extended postpartum period
http://hdl.handle.net/10106/27947
Predicting posttraumatic stress and depression symptoms among adolescents in the extended postpartum period
Connolly, John P.; Anderson, Cheryl A.
Background: Adolescent childbirth continues as a public health concern, and investigation of postpartum posttraumatic stress symptoms (PTSS) and depression is important to inform future research and practice. Longitudinal studies exploring PTSS alone or in combination with depression are non-existent for postpartum adolescent populations. This study aimed to identify stress/PTSS and depression symptoms at 72 hours and three, six, and nine months postpartum, and determine if symptoms at each time point predicted later symptoms.
Methods: A convenience sample of 303 adolescents 13e19 years of age were recruited from two postpartum units of one, large, public hospital. The Impact of Event Scale and the Edinburgh Postpartum Depression Inventory provided a
screen of symptoms for stress/PTSS and depression at all time points. A lagged autoregressive model was developed to assess the predictive power of symptoms at each time point to the next across the extended postpartum period.
Results: About 30% of adolescents displayed early symptoms; 20% showed symptoms at the final time point. Early symptoms did not predict symptoms at 3 months; yet, symptoms at 3 months predicted symptoms at 6e9 months.
Limitations: Attrition at final time points necessitated pooled data. Adolescents were primarily older, Hispanics, and recruited from one public hospital decreasing demographic representation. Use of screening tools prevented diagnostic
outcomes. Unknown stressors occurring before and after pregnancy or birth may have influenced final outcomes.
Conclusions: Early symptoms were common and 3 month symptoms predicted later symptoms. For at risk adolescents, a plan for follow-up beyond hospital discharge is recommended.
2018-11-20T00:00:00ZAdolescent Psychological Birth Trauma Following Cesarean Birth
http://hdl.handle.net/10106/27074
Adolescent Psychological Birth Trauma Following Cesarean Birth
Anderson, Cheryl Ann; Perez, Christina
**Please note that the full text is embargoed** ABSTRACT: This study explored associations between depressive symptoms, violence exposure, and psychological birth trauma (PBT) among 44 adolescents experiencing cesarean births. Within 72 hours postpartum, symptoms of PBT were measured via a subjective rating of the birth experience and the Impact of Event Scale (IES). The Edinburgh Postnatal Depression Scale measured depressive symptoms. Single questions assessed violence exposure including child abuse, partner violence, and traumatic life experiences as attribute variables. Adolescents were typically single with an unplanned, first pregnancy. A similar number of adolescents reported a negative or positive birth experience. Correlations between IES scores, parity, depressive symptoms, partner violence, gestational age, and a negative birth appraisal suggested interconnected prenatal vulnerabilities for birth trauma and adverse infant outcomes. Partner violence and depressive symptoms need continuous assessment throughout pregnancy. The potential for continued symptoms and presence of violence beyond discharge requires follow-up and education in pediatric settings at well-baby and routine visits.
2015-01-01T00:00:00ZFactors related to the seeking and contribution of prenatal care among ethnically diverse adolescents
http://hdl.handle.net/10106/27050
Factors related to the seeking and contribution of prenatal care among ethnically diverse adolescents
Anderson, Cheryl Ann; Rahn, Brittani
**Please note that the full text is embargoed**
2016-01-01T00:00:00ZChildbirth related fears and psychological birth trauma in younger and older age adolescents
http://hdl.handle.net/10106/27042
Childbirth related fears and psychological birth trauma in younger and older age adolescents
Anderson, Cheryl Ann; Gill, Mary
2014-01-01T00:00:00Z