Document Detail


Functional interpretations of sadness, stress and demoralization among an urban population of low-income mothers.
MedLine Citation:
PMID:  19156506     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: We sought to understand how low-income urban mothers explain feelings of sadness, stress or demoralization in the context of their life experiences.
METHODS: 28 in-depth qualitative interviews, constituting part of a community-based participatory research (CBPR) project aimed at developing a culturally relevant, community-based intervention for maternal depression. Qualitative data validity was ensured through investigator and expert triangulation, and through member checking.
RESULTS: The following themes emerged: (1) Informants spoke of wanting reprieves from chaos, and discussed this desire relative to wanting to be alone. By contrast, informants expressed loneliness not only in interpersonal terms, but also related to having problems that precluded future relationships, or feeling unique in experiencing an adversity. (2) Informants spoke of demoralization associated with feeling that their problems were externally imposed and therefore beyond their control, but spoke of empowerment associated with owning one's problems. (3) Informants discussed degrees of sadness in relation to their own abilities to adjust or modify their mood, or their ability to contain their feelings.
CONCLUSIONS: Our data suggest that helping a mother find reprieves from chaos, increasing her perception of her own locus of control around externally imposed adversities, and empowering her to recognize and self-manage her own feelings may constitute important elements of a culturally relevant, community-based intervention for depression.
Authors:
Michael Silverstein; Samere Reid; Kristina DePeau; Jacqueline Lamberto; William Beardslee
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2009-01-21
Journal Detail:
Title:  Maternal and child health journal     Volume:  14     ISSN:  1573-6628     ISO Abbreviation:  Matern Child Health J     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-02-22     Completed Date:  2010-05-21     Revised Date:  2011-09-26    
Medline Journal Info:
Nlm Unique ID:  9715672     Medline TA:  Matern Child Health J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  245-53     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Boston University School of Medicine, Boston Medical Center, Maternity Building, Boston, MA 02118, USA. michael.silverstein@bmc.org
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MeSH Terms
Descriptor/Qualifier:
Adult
Boston
Depression* / ethnology
Emotional Intelligence
Female
Humans
Interviews as Topic
Male
Mothers / psychology*
Poverty*
Stress, Psychological* / ethnology
Urban Population*
Young Adult
Grant Support
ID/Acronym/Agency:
K23 MH074079-03/MH/NIMH NIH HHS; K23MH074079/MH/NIMH NIH HHS; R03HD058075/HD/NICHD NIH HHS
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