Interpersonal Psychotherapy’s problem areas as an organizing framework to understand depression and sexual and reproductive health needs of Kenyan pregnant and parenting adolescents: a qualitative study

BMC Pregnancy and Childbirth

Research

Obadia Yator¹  Vincent Nyongesa¹  Martha Kagoya¹  Manasi Kumar²  Joseph Kathono³  Holly A. Swartz⁴  Isaiah Gitonga⁵  Helena Verdeli⁶  Shillah Mwaniga⁷  Keng Yen Huang⁸  Nancy Grote⁹  Mary McKay^1,10 

[1] Department of Psychiatry, University of Nairobi, 00100 (47074), Nairobi, Kenya;Department of Psychiatry, University of Nairobi, 00100 (47074), Nairobi, Kenya;Brain and Mind Institute, Aga Khan University, Nairobi, Kenya;Department of Psychiatry, University of Nairobi, Kenya and Nairobi Metropolitan Services, Nairobi, Kenya;Department of Psychiatry, University of Pittsburgh, Pittsburg, USA;Department of Psychology, National University of Ireland, Maynooth, Ireland;Global Mental Health Lab, Columbia University, New York, USA;Nairobi Metropolitan Services, Nairobi, Kenya;Vrije University, Amsterdam, Netherlands;New York University, New York, USA;School of Social Work, University of Washington, Seattle, USA;Vice Provost of Interdisciplinary Initiatives, University of Washington, St Louis, USA;

关键词: Interpersonal problems;    Mental health;    Pregnant adolescents;    Poor social support;    Stress;    Depression;    Kenya;   

DOI  :  10.1186/s12884-022-05193-x

 received in 2021-06-04, accepted in 2022-11-08,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundPeripartum adolescents experience significant interpersonal transitions in their lives. Depression and emotional distress are often exacerbated by adolescents’ responses to these interpersonal changes. Improved understanding of pregnancy-related social changes and maladaptive responses to these shifts may inform novel approaches to addressing the mental health needs of adolescents during the perinatal period. The paper aims to understand the sources of psychological distress in peripartum adolescents and map these to Interpersonal Psychotherapy’s (IPT) problem areas as a framework to understand depression.MethodWe conducted interviews in two Nairobi primary care clinics with peripartum adolescents ages 16–18 years (n = 23) with experiences of depression, keeping interpersonal psychotherapy framework of problem areas in mind. We explored the nature of their distress, triggers, antecedents of distress associated with an unplanned pregnancy, quality of their relationships with their partner, parents, and other family members, perceived needs, and sources of support.ResultsWe found that the interpersonal psychotherapy (IPT) framework of interpersonal problems covering grief and loss, role transitions, interpersonal disputes, and social isolation was instrumental in conceptualizing adolescent depression, anxiety, and stress in the perinatal period.ConclusionOur interviews deepened understanding of peripartum adolescent mental health focusing on four IPT problem areas. The interpersonal framework yields meaningful information about adolescent depression and could help in identifying strategies for addressing their distress.

【 授权许可】

CC BY   
© The Author(s) 2022

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