Professional support for adolescent mothers: Who gives it,how adolescent mothers evaluate it,what they would prefer

Forty-two adolescent mothers with 2-year-old children were questioned about their sources of social support, their satisfaction with that support, and their views about including members of their informal support network in the receipt of professional services. The results indicated that 74% of the mothers received parenting advice from some professional source, as well as from their informal support network, and that most were satisfied with their professional contacts. Nonetheless, 75% of the mothers indicated that they would like additional parenting advice from parenting classes, organized neighborhood groups, or from visiting public health nurses or other child development specialists. Ninety percent of the mothers thought it would be helpful to have members of their informal support network participate with them in the receipt of professional services, and 81% thought these individuals would be willing to do so. The implications of these findings for both future research and the design and implementation of programs directed toward adolescent parents and their children are discussed.     

Long-term support and personal adjustment of adolescent and older mothers.

Adolescent and older mothers reported the size and quality of social networks and perceptions of family support at 1, 6, and 12 months postpartum. Maternal behavior, general life satisfaction, and parental satisfaction were assessed at 12 months. No significant differences were found in the size of social networks and quality of interactions within those networks, though older mothers had significantly higher scores on perceived family support than did adolescent mothers. Perceived family support and quality of interactions within the social network generally were associated positively with maternal behavior, life satisfaction, and parental satisfaction. This was true in more cases for the adolescent than for older mothers.     

Peer referencing in adolescent decision making as a function of perceived parenting style

This study examined the relationship between parenting style and adolescent decision making. Two hundred sixty-two college students completed a decision-making scale as well as a parenting scale in an effort to determine if the child-rearing style of their parents was related to the tendency of these late adolescents to reference peers rather than parents or other adults in decision making. The results indicated that adolescents raised by authoritative parents tended to refer to their parents for moral and informational decisions, while adolescents raised by authoritarian, permissive, or neglecting-rejecting parents more often referenced their peers for moral and informational decisions. Adolescents referred to their peers for social decisions regardless of how they were raised. Parental responsiveness was a significant factor in determining the source of adolescent decision-making assistance, but parental demandingness was not. It was concluded that less orientation toward peers during late adolescence seems to be another advantage of authoritative parenting.     

Targeting adolescent mothers with depressive symptoms for early intervention

Infants of mothers with depressive symptoms show developmental delays if symptoms persist over the first 6 months of the infant's life, thus highlighting the importance of identifying those mothers for early intervention. In Study 1, mothers with depressive symptoms (n = 160) and mothers without depressive symptoms (n = 100) and their infants were monitored to identify variables from the first 3 months that predict which mothers would still be symptomatic at 6 months. A "dysregulation" profile was noted for the infants of depressed mothers, including lower Brazelton scores, more indeterminate sleep, and elevated norepinephrine, epinephrine, and dopamine levels at the neonatal period, and greater right frontal EEG activation, lower vagal tone, and negative interactions at the 3- and 6-month periods. A group of maternal variables from the neonatal and 3-month assessments accounted for 51% of the variance in the mothers' continuing depressive symptoms. These variables included greater right frontal EEG activation, lower vagal tone, and less positive interactions at 3 months, and elevated norepinephrine, serotonin, and cortisol levels at the neonatal stage. In Study 2, a similar sample of mothers with depressive symptoms (n = 160) and without depressive symptoms (n = 100) was recruited and followed to 3 months. Those symptomatic mothers who had values above (or below) the median (depending on the negative direction) on the predictor variables identified in Study 1 (taken from the first 3 months) were then randomly assigned to an intervention or a control group at 3 months. These groups were then compared with each other, as well as with the group without depressive symptoms, at 6 and 12 months. The intervention, conducted from 3 to 6 months, consisted of free day care for the infants and a rehab program (social, educational, and vocational) plus several mood induction interventions for the mothers, including relaxation therapy, music mood induction, massage therapy, and mother-infant interaction coaching. Although the mothers who received the intervention continued to have more depressive symptoms than did the nondepressed mothers, their interactions significantly improved and their biochemical values and vagal tone normalized. Their infants also showed more positive interations, better growth, fewer pediatric complications, and normalized biochemical values, and by 12 months their mental and motor scores were better than those of the infants in the control group.     

Unresolved states of mind, disorganized attachment relationships, and disrupted interactions of adolescent mothers and their infants

The links between unresolved maternal attachment status, disrupted maternal interaction in play situations, and disorganized attachment relationships were examined in a study of 82 adolescent mother-infant dyads. Maternal interactive behavior was measured using the Atypical Maternal Behavior Instrument for Assessment and Classification coding system. Additional rating scales were developed to correspond to the 5 dimensions of disrupted maternal behavior outlined by E. Bronfman, E. Parsons, and K. Lyons-Ruth (1999). A robust association was observed between disrupted maternal behavior and disorganized attachment. Ratings of disrupted maternal behavior revealed that disorganized attachment relationships were strongly related to ratings of fearful/disoriented behavior. Moreover, mothers who were unresolved were more likely than not-unresolved mothers to show disrupted patterns of interaction with their infants. Regression analyses suggested that disrupted behavior statistically mediated the association between unresolved status and disorganized attachment relationships.     

Parenting attitudes of adolescent and older mothers

The parenting attitudes of adolescent and older mothers were assessed at 1 and 12 months postpartum to explore group differences and determine if these attitudes predicted quality of home environment and parenting behaviors at 12 months. Adolescent mothers scored significantly lower than did older mothers in empathy toward children's needs, but there were no significant group differences on three other parenting attitude constructs. There were no significant correlations between parenting attitudes at 1 month and parenting behaviors at 12 months for either group. For adolescent mothers at 12 months postpartum, the only attitude construct that was significantly related to concurrent quality of parenting was developmental expectations of the child. These and other findings are discussed in the context of current theory and intervention related to adolescent parenting.     

Peer relationships and academic achievement as interacting predictors of depressive symptoms during middle childhood

This article reports a longitudinal investigation that examines academic and social difficulties as predictors of depressive symptoms during middle childhood. Participants were 199 elementary school children (M=9.1 years) who were followed for 2 consecutive school years. In both years of the project, children completed a questionnaire assessing depressive symptoms and a peer nomination inventory assessing friendships and social standing. Grade point averages (GPAs) were obtained from a review of school records. Low GPAs were predictive of depressive symptoms, but this effect did not hold for children who had numerous friends. Similarly, children who had relatively few friends tended to experience depressive symptoms. However, the effect was attenuated for children with high GPAs. Taken together, the findings suggest that competencies in 1 domain can moderate the risks associated with difficulties in the other domain.     

The process of pregnancy resolution among adolescent mothers

This paper reports on in-depth interviews with black and white unmarried adolescent mothers, from a variety of socioeconomic backgrounds, about their pregnancy resolution. They revealed the importance of family members and other significant adults in the decision process. The analysis also indicated that personal, familial, and religious values were primary considerations in deciding to bear and keep their children.     

Strange situation behavior of infants with adolescent mothers

Forty 6-month-old infants and their adolescent mothers were observed interacting at home and in Ainsworth's Strange Situation procedure when the infants were 14 months old. There were significantly more A-group infants (45%) and fewer C-group infants (3%) at 14 months in this sample of adolescent mothers than in other samples of adult mothers. Furthermore, A-group attachments were more common when levels of dyadic engagement at 6 months had been lower, and future A-group infants were less vocal at 6 months than were future B-group infants. At 6 months, mothers of future B-group infants provided more care than did mothers of future A-group infants. These findings provide some support for claims that adolescent mothers provide parenting of lower quality than adult mothers and that quality of early interactions may predict subsequent infant behavior in the Strange Situation.     

Preschool language development among children of adolescent mothers

This longitudinal study examined a comprehensive set of predictors of preschool language performance in a sample of children of adolescent mothers. Six domains of risk (low maternal verbal ability, intergenerational risk, contextual risk, relational risk, home environmental risk, and child characteristics) for poor preschool language development, measured throughout early childhood, were examined in a sample of 154 children born to adolescent mothers. Logistic regression revealed that having a poor language-learning home environment was associated with children's low language scores even after accounting for mothers' below-average verbal ability. More importantly, however, was the exploration of the 'dual risk' hypothesis that evaluated the effects of combined risk factors. Being reared by a mother with low verbal ability amplified the risk of a poor quality home linguistic environment, whereas having a poor home linguistic environment did not adversely affect the language development of children with mothers of average verbal ability. Implications for intervention are discussed with regard to specificity of intervention efforts within subpopulations of risk identified in this paper.     

Childrearing of firstborns by adolescent and older mothers

Adolescent and older mothers of firstborn infants were observed and interviewed to learn about their childrearing knowledge, attitudes, and behaviors. Adolescent mothers knew as much about developmental milestones and had equally positive attitudes about childrearing as older mothers. No significant differences existed between groups during observed sessions of direct childcare interactions. However, adolescent mothers scored significantly lower than older mothers on a measure of overall stimulation provided for the infant. Also, adolescents relied more on relatives and their mothers for help and information about childcare, while older mothers turned more often to friends. Implications of these results for providers of service to adolescent mothers are discussed.     

School peer counselling for bullying services as a source of social support: a study with secondary school pupils

Individual interviews to solicit secondary school pupils' (N=99) views of the peer counselling for bullying service in their own school, with a focus on the issue of social support for bullying-related problems, were conducted. Three themes were addressed: (1) willingness to use the service relative to other potential sources of support, (2) preferred gender and age of peer counsellor, and (3) disclosure of using the service to friends. Most participants reported a willingness to use the service, but only around one in 20 would 'definitely not' do so. Relative to their willingness to use the service, participants were more willing to solicit help from friends, but less willing to solicit help from their form teacher and siblings. Around a third of participants expressed a preference for seeing a counsellor of a particular gender, and around two thirds expressed a preference for seeing one of a specific relative age. Several significant differences were obtained between girls and boys, and between users and non-users of the service. The results are discussed in terms of the implications for providers of peer counselling for bullying services.     

Depression, self-esteem, loneliness, and social support among adolescent mothers participating in the new parents project

The purpose of this pilot study was to examine levels of depression, self-esteem, loneliness, and social support, and the relationships between these variables, among adolescent mothers participating in the New Parents Project (formerly called the Young Parents Project). The sample consisted of 21 adolescent mothers recruited from three primary health care practices in different Midwestern cities. It was found that depression scores were in the high range (CES-DC > 15) for 53% of the participants. Strong, significant relationships were found, except between depression and self-esteem. The implications for enhancement of the New Parents Project, so as to better meet the psychological needs of adolescent mothers, are discussed.     

Attachment concerns of mothers as manifested in parental,spousal, and friendship relationships

The present study examined the relation between attachment concerns of mothers and three of their close relationships: with their husband, best woman friend, and infant. Forty-live mothers completed an Attachment Concerns Questionnaire based on the Hazan and Shaver attachment measure, and the Sharabany Intimacy scale regarding their relationships with their husband and with their same-sex best friend; they were also observed with their infants (aged 14 to 22 months) in the Ainsworth Strange Situation procedure. Mothers’attachment concerns were significantly correlated both to their infants’attachment classifications and to reunion scores in the Strange Situation procedure (e.g., concern with closeness was positively correlated with avoidance; fear of abandonment was positively correlated with avoidance and resistance). Intimacy with husband and best woman friend were also correlated with mothers’attachment concerns (e.g., concern with closeness was negatively correlated with intimacy with the husband and fear of abandonment was negatively correlated with intimacy with the best friend). The findings are discussed in terms of the concept of an internal working model of attachment, and, in light of the similarity and the modular hypotheses regarding the nature of relationships and concordance among relationships.     

Family and peer social support as specific correlates of adolescent depressive symptoms

Depression models that emphasize the social environment have not been tested with adolescents and their specificity to depressive symptoms has not been demonstrated In a study of 94 adolescent inpatients, distinctions were drawn between family and peer support to determine if these sources of support were differentially related to depression symptoms. Step-down multivariate multipleregression analyses showed that depression symptoms were uniquely predicted by social relationship variables after accounting for the effects of anxiety and conduct disorder symptoms. Depression was negatively related to family and paternal support, but it was positively related to peer support. Furthermore, family and paternal support interacted with peer support in the prediction of depression. The results are consistent with the assertion that disturbances in important supportive attachments have special significance for the experience of depressive symptoms by adolescents.This research was supported by postdoctoral research fellowship funds provided to the first author by the National Research Council and a grant to the second author by the Graduate Student Association of Arizona State University. The authors express appreciation to Dr. Ruedi Hahnloser, Senior Psychologist, and the patients and staff of Camelback Hospitals for their cooperation in conducting this research.     

The psychological experiences of foster mothers of adolescent children

The present study explored the psychological experiences of foster mothers who were fostering adolescents abandoned by their biological parents and whose parents had passed away. A purposive sample of 20 foster mothers (age range 25 to 83 years) was informants. They completed semi-structured interviews on their experiences of providing care to foster children. Thematic analysis of the data revealed the following themes: structure of the support system, crisis management, relationships management, and resilience with spirituality as coping mechanisms. Foster parenting of adolescent children requires qualities of perseverance, love, humility, and faith in carers.     

Determinants of social support among low-income mothers: a longitudinal analysis

This study examined the reciprocal relationships between perceived mastery, stress, and three functional areas of social support: tangible support, informational support, and belongingness support. Data were collected during two face-to-face interviews with a sample of low-income, primarily African-American mothers, conducted approximately 1 year apart. Consistent with predictions, initial levels of mastery predicted higher subsequent levels of instrumental social supports (tangible and advice support), but were unrelated to belonging support. Conversely, initial levels of tangible support were predictive of later mastery. Perceived stress did not account for any additional variance in subsequent support, although initial levels of belonging support only did predict reduced stress at Time 2. Results suggest that successful attempts to garner instrumental supports is an important contributor to individuals' sense of self-efficacy, at the same time, self-efficacy leads to more successful use of existing social support systems. These findings point to the importance of having both available tangible support networks as well as close emotional supports for low-income parents. The importance of using longitudinal, multidimensional analyses to better understand the social support process is discussed.