Exploring Black Mothers' Lived Experiences of Depression and the Relationship to Their Child's Asthma: A Qualitative Study.

IF 1.4
Geraldine Méndez-González, Emma Straton, Taylor Brewer, Nia Moore, Shayla Stringfield, Amari McDuffie, Rachel H F Margolis
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Abstract

Purpose: Maternal depression represents a critical yet modifiable factor contributing to health inequity in pediatric asthma, particularly among Black families. Maternal mental health can directly affect a child's asthma management and outcomes; however, social work and behavioral health support remain largely absent from pediatric asthma care, and little is known about how mothers manage a child's asthma while also navigating their own mental health challenges. We sought to explore Black mothers' perceptions of depressive symptoms and how these symptoms affect their child's asthma.

Materials and methods: We conducted semi-structured interviews with 12 Black mothers of children at a community-based pediatric asthma clinic. Eligible participants screened positive for depressive symptoms (PHQ-9 > 4). Data were analyzed using thematic analysis, which included multiple coding strategies and analytic memoing to develop and refine themes.

Results: Mothers described extensive and chronic depressive symptoms, inadequate formal mental health treatment, and reliance on coping strategies and informal support. Mothers articulated the many ways in which their symptoms impaired their ability to manage their child's asthma,including responding to symptoms, medication use, and implementing environmental controls.

探索黑人母亲的抑郁生活经历及其与孩子哮喘的关系:一项定性研究。
目的:母亲抑郁症是导致儿童哮喘健康不平等的一个关键但可改变的因素,特别是在黑人家庭中。产妇心理健康可直接影响儿童的哮喘管理和结果;然而,在儿童哮喘护理中,社会工作和行为健康支持在很大程度上仍然缺失,而且人们对母亲如何在应对自己的心理健康挑战的同时管理孩子的哮喘知之甚少。我们试图探索黑人母亲对抑郁症状的看法,以及这些症状如何影响她们孩子的哮喘。材料和方法:我们在一家社区儿科哮喘诊所对12名黑人母亲进行了半结构化访谈。符合条件的受试者抑郁症状筛查呈阳性(PHQ-9 bbbb4)。数据分析使用主题分析,其中包括多种编码策略和分析记忆来开发和完善主题。结果:母亲描述了广泛和慢性的抑郁症状,缺乏正规的心理健康治疗,依赖于应对策略和非正式的支持。母亲们阐述了她们的症状在许多方面损害了她们管理孩子哮喘的能力,包括对症状作出反应、药物使用和实施环境控制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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