Depression among Pregnant Adolescents: Literature Review

Depression among Pregnant Adolescents: Literature Review Review of Related Literature and Studies Depression among pregnant adolescents as well as the factors that contributes to the said condition is being discussed in this review of literature. The things that could help prevent or lessen depression and the use of The Kutcher Adolescent Depression Scale is also introduced. According to G. Tzilos et al,(2012). Depression during pregnancy is related to the increase number of mortality and morbidity among teenage mothers and infants. However, the cases of Adolescent pregnancy declined over the past years because of the strict implementation of contraceptive use in the United States still the number of occurring depression related to teenage pregnancy is alarming to the society nowadays. Early pregnancy does not only a threat to the mother but as well as the baby because when a teenager gets pregnant, it is expected that she will face many complications during and after her pregnancy and these complications could lead to death of her baby and herself. Adolescent Pregnancy is always perceived by the society as a major problem and a great threat that will add up to societal problems. These perceptions could make pregnant adolescents feel that they are being judged negatively by the society and could lead to depression. Majority of them felt that they are alw ays seen as persons who don’t know how to take good care of the upcoming baby because they are not yet fully matured. Some even relate teenage mothers to Erik Erikson’s Theory to illustrate that they are struggling in fulfilling two roles that they should take part. Pregnant Adolescents are not seeking for medical attention because for them they are mistreated and they are scared for the criticisms that they will receive from the people around them. That is why most pregnant adolescents’ faces problems and complications during labor because of lack of prenatal check-ups. Also in the studies planned pregnancy is compared to the unplanned of course planned pregnancy commonly happens to persons who went under the sacrament of matrimony and they unlikely to face complications and depression during pregnancy because of the support of their family as well as the society and those unplanned pregnancies are most likely to feel the opposite. The highest number of depress ion during pregnancy in found in the ethnicity of Latinas and a history of alcohol consumption and abuse whether it may be physical or sexual is found to be a significant contributing factors that could lead to depression. Pregnancy at an early age was commonly associated to poverty and societal issues. According to A. Katz, (2011) Majority of them voiced out that life before pregnancy was difficult and early pregnancy in their family was common so there is a possibility that they will follow the things that they have grown upon. Social connectedness plays an important role most specially the pregnant adolescent’s family. Some of the articles pointed out that the mother of the pregnant adolescent should be giving her more attention and support since she had been on the same experience before. Also, nurses were said to play a very important role in helping pregnant adolescents to prevent developing depression since they are the ones who will interact longer with their patients . One of the article’s main topic suggests that childbearing or being pregnant was the main reason why pregnant teenagers are experiencing depression. They say that depression seems to be linked with pregnancy because previous studies focus only on small populations. So what they did was they conducted a study with a big population between pregnant teens and pregnant adults. The questionnaires are given out to measure the level of depression inside it are questions such as things that bother them, how they manage feelings of sadness and concentration problems. The results showed that teenage mothers have an increase in depression incidence than adult mothers. However, carrying a child inside her womb was not the cause. They found out that even before they got pregnant, their level of depression was greater than compared to their friends and remained high even after giving birth to the baby. The results pointed out poverty and an existing stressor can predict adolescent pregna ncy because of the psychological thinking that if they become pregnant their life would be easier and the focus will be now given to the newborn baby. They observed that when they got pregnant, the chance is they become responsible for taking care of the baby inside her and the study suggested that research nowadays should focus on how the teenage mom going to pursue her ambitions in life after giving birth to the baby. Lastly, the study suggests that married teen pregnant mothers will likely develop a positive outcome in terms of behavior and decrease the likelihood of developing depression then unmarried teenage mothers. One study pointed out the factors that may increase the likelihood of teenage pregnancy. One factor that the researchers pointed to have a great impact on the incidence of teenage pregnancy was the age they started to engage in sexual intercourse they found out if a girl engages in sexual activity before 15 years old she is more prone in becoming pregnant. They al so pointed out United States as the most developed country with the highest incidence of adolescent pregnancy and one of the factors that causes early pregnancy was the number of sexual partners that an individual has. They say that if a girl had 3 or more sexual partners’ chances of being pregnant are high and if their partner’s age is more than 3 years of their age. The level of anxiety of a teenage father was discussed. Although there were only few studies about teenage fathers they found out that teenage father who became father for the first time has a high anxiety level compared to those who have been to the same situation before. The Kutcher Adolescent Depression Scale is a tool that is used by clinicians and researchers to identify adolescents who are at risk for developing depression. It is created by Dr. Stan Kutcher, various clinicians and researchers and it is acknowledged to be an effective tool in assessing depression among adolescents around the globe. There are three different scales of KADS a 6-item which is designed to be used in different institutions such as schools, other health care professionals and primary health care settings to screen patients who are at risk for developing depression as well as to evaluate young people who are always in distress and can be seen with symptoms of mental health problem. The 11-item KADS is usually used by health care providers and different clinical settings to treat adolescents who are experiencing depression. On the other hand, the 16-item KADS is exclusively designed for clinical research purposes only. KADS is a simple tool that understandable by an indiv idual who has a grade 6 reading level and ages 12 to 22 years old. Aside from being less complicated, the tool has been translated into many different languages for better understanding and it is free of charge. It has been recommended by many experts such as National Institute for Clinical Evaluation. In using the KADS the person should be instructed carefully by the health care provider, educator or any responsible person and should be clarified that the tool is for better understanding of the difficulties that the individual is facing. The last item of the scale is very sensitive to suicidal risk. Any individual who answered 1 or a little bit higher should be undergoing a further assessment for possible suicide. The KADS is free to use however it should not be copied or distributed without a written consent to Dr. Stan Kutcher. The people who created KADS appreciate receiving feedback on the said evaluation to determine whether KADS is still suitable or needs to be developed for better assessment. There are a lot of different studies regarding depressions among teenage pregnancy. Different methods were done to gather results and data. Participants are usually drawn to conduct different methods such as interviews and surveys. Different factors are studied to determine factors what depression can bring to pregnant adolescents. The most critical factor in health problems among adolescents are incidence and in labor and delivery. Complications that can be prevented by this studies. Young mothers should be educated in controlling depression because in can lead to different problems like diseases and suicidal tendencies. Different studies show that it occurs more in pre-developed countries. So comparative studies in the Philippines in specific rural and urban areas. Findings have shown that counseling and nursing interventions and services of preparing adolescents in motherhood. Teenage mothers shows higher rate of depression. One study shows that depression after likely to become d epressed after their babies were born than lower- or higher-resource adult mothers. Finding the root cause of depression of adolescents could help in a big way. Guiding 12-22 year old adolescents can prevent unwanted pregnancies and give them a reason to think this situation can affect them and their newborns. As researchers, information and statistics would be key in doing this comparative study in rural and urban areas. In Nigeria, the most important problem in health in adolescents especially in developing countries is from preterm labor and delivery. A teenage girl who is pregnant has a 40 % chance of women in Nigeria are 17.9 and 20.1 years and the incidence of abortion is about 25%. Millions of girls aged 15-19 have babies yearly but 10% of pregnancy due to the effect of early motherhood. Probably the cause of poverty in Africa. So the researchers assessed and explored the occurrence of complications in adult pregnancies and adolescents. The Philippines is a slightly developed country than Africa. Couples who have a lot of children is very common in both countries. Most of the started at the age 17-19 years. A study in Taiwan showed what risk factors and birth outcomes affect adolescent pregnancies. Fertility rates declined in Taiwan recently even thou birthrate in teenagers is highest in Asia. It remains a challenging issue for Taiwanese to control adolescent pregnancy. Ages 12-22 is critical year for an individual in exploring various curiosity that can affect negatively and positively. Smoking had significant higher rates of smoking during pregnancy for adolescent mothers but in drinking it was almost alike. These are causes that affect a mother dramatically and especially the baby upon birth. This could different deformities and even miscarriage. In tends to be worse especially in communities of the third world. Another study pointed out that in view of socio-cultural factors and good nutrition in early life for girls is essential. Programs that can guide them in different ways would be key to prevent early conception. In India, nearly one third of babies are low in birth weight. The main cause would be poverty which leads to under nutrition and diseases. Kumar et al. (2007) showed a high result of (26.1%) and stillbirths (4%) while Bhalerao et al. (1990) have reported a significantly higher proportion (8.6%) of spontaneous abortion in addition to premature labor (14%) in teenage pregnancy. It is said that better planning of appropriate measures to improve the situation. Studies show that individuals living in rural areas are undernourished throughout childhood and adolescence. About 36% women of reproductive age in India have low body mass index (BMI 2. Poor prepregnancy nutritional status of young rural girls is a result of nutritional as well as social factors and therefore, it is necessary to examine their interactive effect on reproductive health. According to ( Echa Kai,2008) who conducted a research on teenage pregnancy in Rajavith Hospital in India. Pregnancies occurring in adolescent girls have a higher risk than in adult females. Women ages According to the study (A.Katz,2011 and K Mccormick,2012) teenage pregnancy decreased because of the strict implementation of contraceptives in the United States. The US being a first world country, its resources are expandable and can be able to focus on different problems that country encounter. The United States was able to control teenage pregnancy because of health education by the use of contraceptives. Sex education is thought during high school to show teenagers the risk of unwanted pregnancy physically and mentally. The proper use of contraceptives is shown in order for them to be aware how unwanted pregnancies and diseases unsafe intercourse can affect an individual. As early as this age students are sexually aware. Pregnant adolescents are having difficulties in terms of playing 2 roles in life, being a mother and in the process being fully matured ( B.Tumage et al,2013 and J Magness 2012). Being a mother is big transitional change in a teenager. For her, able to care for the baby and herself would be a difficult task. At the adolescent age, an individual is starting to be mature enough in everyday responsibilities. Having a baby can affect an individual physically and mentally. At this young age, a drastic change can cause negative effects which can lead to depression. Guidance by family, counselors and health providers would be a key factor for them to be able adapt to this changes. Nurses play a vital role in preventing the development of depression by being approachable and providing assistance to them without any negative judgment (J.Magness, 2012). As health care providers. Nurses are aware how depression affects an individual. A nurse will be able to do interventions that will benefit the patient. Giving assistance without any judgment, for a nurse being a professional it is strictly not a personal matter but the goal is to provide care. The Patient-Trust relationship would be a vital key .Depression can lead to negative effect physically and mentally so it is necessary to prevent this. Unplanned pregnancy are most likely to develop depression (M. Phipps et al, 2012, K and Mccormick, 2012). An accidental pregnancy would be drastic change in lifestyle. Nowadays, people tend to hide if they are accidentally pregnant especially if they are young of age. For a person not be ready to bear child would be very difficult in the shift of living. It is common that both partners who did not planned for a baby tend to separate thus, the mother would suffer and she alone would give care and provide for the baby. This things could lead to depression that may lead various effects on the mother and the baby. Poverty was the main cause of teenage pregnancy and depression (G,Tzilos et al (2012), M Phipps,(2012) J Collingwood (2010). For an individual who is not educated, having a sexual relationship is some sort of pleasure without any consequences. Poverty, the most common problem of countries causes a negative effect in every aspect. Third world countries are usually the ones with the biggest population. Those not being able to afford contraceptive and the lack of health education causes unwanted pregnancy. An unwanted baby would cause depression. Gathering resources for the baby’s need would be a difficult task and would lead crimes and desperation. The baby would be most certainly affected by these by having inadequate care and nutrition.

A Character Study of J. Alfred Prufock

J. Alfred Prufock, the character in T.S. Eliot’s poem ‘The Love Song Of   J. Alfred Prufock’ is clearly portrayed in the poem as someone with a fleeting, flimsy personality, one who has a problem with self-esteem, and one who cannot take decisive action.The poem begins with a sweeping vista of frustration, â€Å"Let us go then, / you and I, /When the evening is spread out against the sky  Ã‚  Ã‚  Ã‚   / Like a patient etherised upon a table;† (1-3) setting the tone for the entire poem where the tone goes progressively miserable on the part of Prufock.Appropriately, this particular opening for the poem sets the stage for the character who goes through various situations and seems to be going around in circles or going back to ‘square one’ or is actually unable to progress in his character as illustrated by the refrain, â€Å"Let us go and make our visit. / In the room the women come and go / Talking of Michelangelo.† (12-14)   These lines are repeated numerous times throughout the poem usually after a series of narrations by the character focusing on what he has to go through.The previously mentioned sweeping vista of frustration also progresses as Prufock reveals more in the poem – unfortunately, there is no progress with the character as he consistently drags himself down, even to the bottom of the sea, in the end of the poem, â€Å"We have lingered in the chambers of the sea / By sea-girls wreathed with seaweed red and brown / Till human voices wake us, and we drown.† (129-131), indicating his inability to rise above the situation and merely succumb to the consequences of other people’s actions.Prufock, in the poem, manifests his fleeting, flimsy personality in many passages, like in the passage, â€Å"And time yet for a hundred indecisions, / And for a hundred visions and revisions,† (32-33), and in the repetition of the phrases, â€Å"There will be time, there will be timeâ₠¬ ¦There will be time†¦And time†¦Time for† (26,28-31)   Someone with the personality as indicated by these lines waits and expects for indecision to set in and cannot make up his mind as indicated by the phrase ‘visions and revisions’. (33)   In the same manner, the repetition of the ‘time’ phrases illustrates how Prufock allows time to pass him by in that instead of making time for things that he needs to do, he simply waits for time to come, and instead of grasping opportunity, remains passive.Prufock’s self-esteem problem is as well indicated by many lines that show how he feels about himself, foremost by his reference to his balding, â€Å"Time to turn back and descend the stair,   / With a bald spot in the middle of my hair – / [They will say: â€Å"How his hair is growing thin!†]† (39-41)Hair is a symbol of virility, and in these lines Prufock shows unsure he is of himself with the phrase ‘turn b ack’ (39) where he decides to go back down the stairs and hold his ground instead of moving up, because as shown in his internal thoughts, in the last bracketed line, he feels that people will be talking about his lack of virility.Prufock here illustrates his inability to cope with society in that he is quite concerned about what other people will say about him.   This lack of confidence and self-esteem is again validated when Profock talks about how he should make a decision, â€Å"And when I am formulated, sprawling on a pin, / When I am pinned and wriggling on the wall, / Then how should I begin / To spit out all the butt-ends of my days and ways?† (57-60)Here, he clearly shows how indecisive he can be, that even when he is in a situation that calls for drastic and immediate action, he resorts to slinking back and considering what he has done wrong, instead of considering what he can do right; ‘spit out all the butt-ends of my days and ways?† (60)Final ly, the very main train of Prufock in the poem that dominates the entire piece is his abject indecisiveness – while the whole poem takes this as its main subject matter, there are very detailed indications as to this particular trait of Prufock.   For instance, in the passage, â€Å"And how should I presume?†¦ And should I then presume? / And how should I begin?† (61, 68-69)More than this obvious indecision of the man when exposed to women is his deeper dilemma with what to do with himself, in the lines, â€Å"Though I have seen my head [grown slightly bald] brought in upon a platter / I am no prophet—and here’s no great matter; / I have seen the moment of my greatness flicker,† (82-84) These lines do not only show that Prufock is terribly indecisive, but it shows as well that because of his indecisiveness he had let opportunities pass to the point of regret and self-pity.The characterization of Prufock in the poem gave rise to what is known as Prufockian paralysis which is a personality type that is characterized by extreme self-pity, fleeting thought, severe loss of self-esteem, and serious indecisiveness to the point of corruption of the individual himself.   T.S. Elliot, in this poem, very accurately portrayed these traits in his character, Prufock, and created a living, breathing symbol of male indecision.

A Review of Joy Luck Club Essay Topics

A Review of Joy Luck Club Essay Topics She imagines all kinds of gruesome torture. The girls cannot relate to their mothers as they were raised in a different world. Getting the Best Joy Luck Club Essay Topics As a consequence, they have a wonderful deal of trouble communicating. And I know that it is too late. Answer all sections of the question in your responses. It also doesn't encourage action to take place because when the action is started, like a reprimand, it's frequently severe and unable to be stopped (Melani). An external conflict is every time a character must deal with problems originating from another man or the general public generally speaking. I understand this cause once I was little I use to observe the toy commercials on T. V and whenever I saw something which I wanted, I would tell her, and she'd get it for me, like nothing. So this is precisely what I will do. The Number One Question You Must Ask for Joy Luck Club Essay Topics It can distort the topic or don't deal adequately with one important facet of the topic. Both of them are anti-heroes that are courageous and wish to make the appropriate thing. She discovers that she's pregnant, but even this news can't lift her mood. Be certain to incorporate evidence from the text, and extend conclusions about the outcome of accepting the position which you've chosen. But I just let it occur. The supporting examples could possibly be missing occasionally or not well linked to the topic. Jing-mei's mother also took an excess job cleaning the house as a way to earn Jing-mei the chance to practice piano. If you don't now have a windshield. Usually it's a lengthy procedure and takes a longtime that has many wrong turns on the way. When you don't observe a shield on the website which matches that of yours. This permits you to truly feel confident in the choice you're making. Being particularly famed for works of literature specializing in mother-daughter ties, the author gives a chance to plunge into the hardships appearing as the effect of the generation gap. The narrative is pretty interesting up to now. Unfortunately Rose experienced racism although her spoken English was great. Finally learn more about the significance of dramatic irony to the total significance of the play. The Hidden Secret of Joy Luck Club Essay Topics Her marriage is quite poor. Immigration might be a good and a poor thing. The New Fuss About Joy Luck Club Essay Topics I tried to talk to a thick tongue. Just one sort of daughter can dwell in this home. Ying-ying wants her girl to have a joyful life. I believe this on account of the manner that my mom raised me. Parents play the biggest rolein evolving an individual. Such a society makes change extremely tricky. But then there are many ways it is different. To acquire knowledge in this manner and to internalize it, children have to be carefully trained. I think I can fulfill her expectations on account of the manner that she accepts what I do. Finding Joy Luck Club Essay Topics Our heritage has plenty of difficult stuff in it a great deal of misogyny, a great deal of fear and rage and death. She is going to fight me, as this is the character of two tigers. But now she wishes to be Chinese, it's so fashionable. Lindo realized that this isn't the sort of life that she wanted and she receives a rail ticket to Shanghai. He isn't trying to get Waverly to believe in this custom but she is trying to get Waverly to understand what she went through and how it affected her life. Why Almost Everything You've Learned About Joy Luck Club Essay Topics Is Wrong For years now, people from all around the world have immigrated in the United States with hopes of getting this dream. Examine the subject of marriage as it's represented in The Joy Luck Club. However it appears that, to lots of immigrants that the American dream has quite a different and more small definition. An issue for the tw o mothers and daughters is finding a voice, in other words, locating a way to express the vital self. What Is So Fascinating About Joy Luck Club Essay Topics? Suyuan Woo is the sole member of the Joy Luck Club who doesn't have her own voice within this bookshe died a couple of months before the story begins. When analyzing the Joy Luck club it's very important to take into account the life span of the writer. While they are presently in the us, they want to be sure their daughters are vulnerable to and keep the Chinese culture. Suyuandies two months before the beginning of the book, and therefore isn't able to tellthe stories.

Financial Crisis The Recession - 1336 Words

FINANCIAL CRISIS 2007-2009 Introduction: The 2007-2009 financial crisis is generally considered to be the worst since the Great Depression of the 1930s. It famously led to some major financial institutions such as Lehman Brothers to collapse while many others including HBOS and the Royal Bank of Scotland had to be bailed out by the government. The stock market crashed, unemployment escalated and we were plunged into a recession sometimes referred to as the Great Recession. Although the recession is now considered to be over, its effects can still be felt in the form of high rates of unemployment and an incredible rise in our country’s debt. This essay will aim to succinctly and coherently explain what happened during the 2007-2009†¦show more content†¦The banks see an opportunity to connect investors to home owners through mortgages. They buy mortgages from the mortgage lenders (with the money they’ve borrowed at low interest rates) and make collateralized debt obligations or CDOs. CDOs enable the b anks to split up mortgages into 3 categories or â€Å"tranches†: safe, medium and risky, which means they can sell to investors seeking any level of risk from low to high and therefore any level of reward. Each category has a credit rating, assessed by agencies (who are paid by the banks). These ratings proved to in fact be far too generous, claiming that investments were safer than they actually were. The investors can now invest their money in the seemingly safe tranche of the CDOs and mass investing starts to occur. So much so that everyone who is eligible to take out a mortgage already has. When a mortgage defaults, the lenders get the home owners’ house and because houses were always increasing in value, lenders are in certain respects covered in the eventuality of defaults and start to introduce risk to their mortgages. Instead of lending to responsible home owners through prime mortgages, the lenders lend money to irresponsible home owners through sub prime mort gages. These subprime mortgages don’t require down payments or proof of income. This is the turning point of the financial crisis. An important aspect to point out is that the