An evolutionary concept analysis of depression in Black mothers

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.