Quality of life, depressive symptoms, suicidal behavior and social support among pregnant adolescents in Mexico

IF 2.3 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Clinical Medicine Insights. Cardiology Pub Date : 2023-04-01 DOI:10.1177/11795573231204015
Enrique Soto-Chavarría, Carlos Hidalgo-Rasmussen, Lourdes Nieto
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Abstract

Background Suicidal behavior in adolescents is a public health problem. Although it has been reported that there is a link between suicidal behavior and Quality of life (QoL), this relationship has not been explored in pregnant adolescents, nor have depressive symptoms been examined as mediators and social support as a moderator in a moderated mediation model. Methods In 2021, 143 pregnant adolescents between 13 and 19 years old from different states in Mexico were evaluated. The KIDSCREEN-52 instrument was applied to evaluate the Health-Related Quality of Life, the scale of expectation of living and dying of Okasha, the Edinburgh Postpartum Depression Scale, the family and partner support scale (AFA-R) and sociodemographic information. Moderated mediation analyses were completed. Results A relationship between QoL and suicidal behavior was found, and that relationship was mediated by depressive symptoms on all eighteen models. In addition, social support from the family moderated the mediation of depressive symptoms in 4 of 9 QoL dimensions, and social support from the partner moderated the mediating effect of depressive symptoms in 8 of 9 QoL dimensions. Conclusion The relationship between QoL and suicidal behavior was consistent with previous studies. The moderating role of social support and the mediation of depressive symptoms on the relationship between QoL and suicidal behavior were also consistent with the literature. Professionals who work with pregnant adolescents should consider both depressive symptoms and social support as important factors that influence QoL and suicidal behaviors.
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墨西哥怀孕少女的生活质量、抑郁症状、自杀行为和社会支持
青少年自杀行为是一个公共卫生问题。虽然有报道称自杀行为与生活质量(QoL)之间存在联系,但这种关系尚未在怀孕青少年中进行探讨,也没有在有调节的中介模型中检验抑郁症状作为中介和社会支持作为调节因素的作用。方法于2021年对墨西哥不同州的143名13 ~ 19岁怀孕少女进行评估。采用KIDSCREEN-52量表评估健康相关生活质量、Okasha生存和死亡预期量表、爱丁堡产后抑郁量表、家庭和伴侣支持量表(fa - r)和社会人口学信息。完成了有调节的中介分析。结果生活质量与自杀行为之间存在显著的关系,且均受抑郁症状的介导。此外,家庭社会支持在9个生活质量维度中的4个维度中调节了抑郁症状的中介作用,伴侣社会支持在9个生活质量维度中的8个维度中调节了抑郁症状的中介作用。结论生活质量与自杀行为的关系与以往研究一致。社会支持的调节作用和抑郁症状对生活质量与自杀行为关系的中介作用也与文献一致。与怀孕少女一起工作的专业人员应该考虑抑郁症状和社会支持作为影响生活质量和自杀行为的重要因素。
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来源期刊
Clinical Medicine Insights. Cardiology
Clinical Medicine Insights. Cardiology CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
5.20
自引率
3.30%
发文量
16
审稿时长
8 weeks
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