Logsdon M Cynthia, Usui Wayne, Pinto-Foltz Melissa, Rakestraw Vivian Leffler
School of Nursing, University of Louisville, 555 South Floyd Street, Louisville, KY 40292, USA.
Arch Psychiatr Nurs. 2009 Feb;23(1):41-9. doi: 10.1016/j.apnu.2008.02.013. Epub 2008 Oct 15.
The aims of the study were (a) to determine the efficacy of the theory of reasoned action in predicting intention to seek depression treatment in adolescent mothers (n = 64) and a comparison group of adolescent girls (n = 65) and (b) to explore the role of empirically suggested variables (e.g., social support and current symptoms of depression) in increasing the explanatory power of the model. Findings between the two groups differed. Subjective norms, but not attitude, was a significant predictor of intention to seek depression treatment in adolescent mothers (F = 4.82, P = .00; R(2) = .14). In the comparison group of adolescent girls, both attitude and subjective norms predicted intention to seek depression treatment (F = 8.56, P = .00, R(2) = .22). The addition of depressive symptoms and social support increased the explanatory power of the model in the comparison group of adolescent girls (R(2) change = 0.10, P = .02) but resulted in the deletion of subjective norms from the regression equation. Implications for further research and practice are discussed.
(a)确定理性行动理论在预测青春期母亲(n = 64)和青春期女孩对照组(n = 65)寻求抑郁症治疗意向方面的有效性;(b)探讨经验性建议变量(如社会支持和当前抑郁症状)在增强模型解释力方面的作用。两组的研究结果存在差异。主观规范而非态度是青春期母亲寻求抑郁症治疗意向的显著预测因素(F = 4.82,P = .00;R(2) = .14)。在青春期女孩对照组中,态度和主观规范均能预测寻求抑郁症治疗的意向(F = 8.56,P = .00,R(2) = .22)。抑郁症状和社会支持的加入增强了青春期女孩对照组模型的解释力(R(2)变化 = 0.10,P = .02),但导致主观规范从回归方程中被剔除。文中讨论了对进一步研究和实践的启示。