Duke University School of Nursing, NC, USA; Indiana University School of Nursing, IN, USA.
Department of Psychiatry and Behavioral Science, Duke University Medical Center, NC, USA.
J Pediatr Nurs. 2020 Nov-Dec;55:250-257. doi: 10.1016/j.pedn.2020.07.004. Epub 2020 Sep 17.
Previous research has demonstrated that peers may play an integral role in the development of depressive symptoms among Latina adolescents; however, little is known about the function of peers in the ongoing management of depressive symptoms for Latina adolescents. The purpose of this study was to describe how peers influence Latina adolescents' experiences with the onset and ongoing management of depressive symptoms.
Qualitative descriptive methods were used in conducting semi-structured interviews with twenty-five young Latinas (ages 13-20) who had a history of depressive symptoms during adolescence. Participants were asked to describe their experiences with depressive symptoms and how they interacted with others in relation to their depressive symptoms. Thematic analysis methods were used to identify common themes in how peers influenced Latina adolescents' experiences with depressive symptoms.
Latina adolescents experienced tensions with peers in the development, disclosure, and self-management of depressive symptoms. Peers were: 1) allies and bullies; 2) confidants and betrayers; and 3) up-lifters and downers.
Peer relationships can be a source of risk and resiliency for Latina adolescents throughout the process of experiencing depressive symptoms.
Interventions preventing or treating depression among Latina adolescents should capitalize on the strengths of peer relationships, while recognizing that peers may also contribute to risk.
先前的研究表明，同伴在拉美裔青少年抑郁症状的发展中可能起着至关重要的作用；然而，对于同伴在拉美裔青少年抑郁症状的持续管理中的作用，我们知之甚少。本研究旨在描述同伴如何影响拉美裔青少年对抑郁症状的发生和持续管理的体验。
采用定性描述方法，对 25 名有青少年时期抑郁症状病史的年轻拉丁裔（年龄 13-20 岁）进行半结构式访谈。要求参与者描述他们的抑郁症状体验，以及他们在与抑郁症状相关的方面与他人的互动情况。采用主题分析方法来确定同伴如何影响拉美裔青少年抑郁症状体验的共同主题。
拉美裔青少年在抑郁症状的发展、披露和自我管理方面与同伴存在紧张关系。同伴可以是：1）盟友和欺凌者；2）知己和背叛者；3）鼓舞者和沮丧者。
在经历抑郁症状的整个过程中，同伴关系可能成为拉美裔青少年的风险和恢复力的来源。
预防或治疗拉美裔青少年抑郁的干预措施应该利用同伴关系的优势，同时认识到同伴也可能带来风险。
