RNSurveyClinical nursing research2017

Outcomes of Depression in Black Single Mothers.

Rahshida L Atkins

PMID 26912710

WHAT IT FOUND

In Black single mothers, more negative thinking was linked to more depressive symptoms.

Symptoms were linked to lower perceived support and fewer healthy practices. Negative thinking alone did not directly predict healthy practices.

Key findings

01In 159 Black single mothers aged 18 to 45 years, depressive cognitions had a direct positive path to depressive symptoms (Gamma = .32).

02Depressive cognitions had a direct negative path to perceived social support (Gamma = −.27), and depressive symptoms had a direct negative path to perceived social support (Beta = −.29).

03Depressive symptoms had a direct negative path to positive health practices (Beta = −.26), while depressive cognitions did not have a significant direct path (Gamma = −.11).

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

Convenience sample, so participants may not represent all Black single mothers. Cross-sectional survey data, so the model cannot establish causation. Self-report measures only, and participants were recruited from a limited set of sites and by mail. Mothers receiving psychiatric care or counselling, taking antidepressants, pregnant, or with infants were excluded, so the findings may not apply to those groups.

The easy way to misread this

Do not read the model as proof that negative thinking causes depression or that changing negative thinking will improve social support or health practices. The study is cross-sectional, and the authors state that SEM cannot prove causation.

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