Maradiegue Ann H, Lyon Debra E, Meyers Melanie F
School of Nursing, George Mason University, Fairfax, Virginia, USA.
Department of Family and Community Health Nursing, Virginia Commonwealth University, Richmond, Virginia, USA.
Nurs Health Sci. 2013 Jun;15(2):220-8. doi: 10.1111/nhs.12023. Epub 2012 Dec 5.
In this study, depressive symptomatology in Central American immigrant mothers with adolescent daughters living in the USA was explored. Using the Center for Epidemiologic Studies Depression Short Scale, the Family History Scale, an Acculturation Scale, and the core section of the Youth Conduct Disorder scale from the National Health and Nutrition Examination Survey, 101 Central American mothers were analyzed to identify predictors of depressive symptoms. Over one-third of the participants had depressive symptoms. There were no significant findings for acculturation as a predictor of depressive symptoms. Predictors that related to depressive symptomatology were a positive family history of depression, marital status (divorced), and having a daughter engaged in health risk behaviors. Clinicians working with mothers from Central America should consider risk of depression, whether there is a family history of depression; and additional stresses, such as the health risk behaviors of adolescents. Unprecedented levels of immigration around the world underscore the importance of meeting the healthcare needs of culturally-diverse groups.
在本研究中，对居住在美国且女儿处于青春期的中美洲移民母亲的抑郁症状进行了探究。使用流行病学研究中心抑郁短量表、家族史量表、文化适应量表以及来自美国国家健康与营养检查调查的青少年品行障碍量表的核心部分，对101位中美洲母亲进行了分析，以确定抑郁症状的预测因素。超过三分之一的参与者有抑郁症状。文化适应作为抑郁症状的预测因素没有显著结果。与抑郁症状相关的预测因素包括抑郁症的阳性家族史、婚姻状况（离异）以及女儿有健康风险行为。与来自中美洲的母亲打交道的临床医生应考虑抑郁症风险、是否有抑郁症家族史以及其他压力因素，比如青少年的健康风险行为。全球前所未有的移民水平凸显了满足文化多元群体医疗保健需求的重要性。
