黑人生育母亲抑郁的进化概念分析。
An evolutionary concept analysis of depression in Black mothers.
机构信息
Columbia University School of Nursing, 560 W 168th St, New York, NY 10032, United States of America.
出版信息
Arch Psychiatr Nurs. 2024 Dec;53:9-16. doi: 10.1016/j.apnu.2024.08.001. Epub 2024 Aug 17.
BACKGROUND
Depression is a common mental health disorder but can be difficult to diagnose. Its prevalence in Black mothers is nine times the national rate, possibly due to barriers in receiving care. In addition, depression may present differently in this group.
PURPOSE
The purpose of this concept analysis was to clarify the concept of depression in Black mothers.
METHODS
Four databases were searched for articles focusing on depression in Black mothers. Rodgers' Evolutionary Method was used to identify characteristics of depression.
FINDINGS
Antecedents included discrimination, decreased social support, and single marital status. Attributes included anger, low self-esteem, and self-hate. Consequences included negative mental health outcomes in the child.
DISCUSSION
Many of the characteristics of depression identified in this concept analysis are prevalent in Black mothers. Mental health screenings should include assessments of these factors, and providers should aid Black mothers in identifying stressors and formulating coping strategies.
背景
抑郁症是一种常见的心理健康障碍，但很难诊断。黑人母亲的患病率是全国水平的九倍，这可能是由于接受护理的障碍造成的。此外，这种族群的抑郁症表现可能不同。
目的
本概念分析的目的是澄清黑人母亲抑郁症的概念。
方法
在四个数据库中搜索了关于黑人母亲抑郁症的文章。采用罗德斯进化法确定了抑郁症的特征。
结果
抑郁症的前驱因素包括歧视、社会支持减少和单身婚姻状况。属性包括愤怒、低自尊和自我仇恨。后果包括儿童出现负面心理健康问题。
讨论
在这个概念分析中确定的许多抑郁症特征在黑人母亲中很普遍。心理健康筛查应包括对这些因素的评估，并且提供者应帮助黑人母亲识别压力源并制定应对策略。
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