CORRELATES OF MAJOR DEPRESSIVE DISORDER AND EMOTION DYSREGULATION AMONG PARENTS OF PREGNANT TEENAGERS AT AIC IN WAMUNYU DISTRICT CHURCH COUNCIL, MACHAKOS COUNTY, KENYA
Abstract
Purpose of the study: The purpose of this study was to measure correlates of major depressive disorder and emotion dysregulation among parents of pregnant teenagers at AIC in Wamunyu District Church Council, Machakos County, Kenya
Problem statement: There is growing interest in studying the role of emotion regulation in major depressive disorder. Earlier studies have found that depressed individuals exhibit impairments in their ability to use emotion regulation strategies effectively, and rather, they are prone to use ineffective strategies such as rumination to regulate emotions. Major depressive disorder (MDD) and emotion dysregulation are significant psychological concerns that affect individuals undergoing stressful life events, such as parenting a pregnant adolescent. In Kenya, the phenomenon of teenage pregnancy remains a pressing social and public health challenge, often placing emotional, financial, and psychological strain on families, particularly parents. While extensive research has been conducted on teenage pregnancy and its effects on adolescents, comparatively little attention has been paid to the psychological impact on parents, who are also deeply affected by the associated stigma, social rejection, and economic burdens.
Method/methodology: This study adopted a quasi-experimental design. The participants were selected and assigned by the researcher and not by randomization. The study population included parents of teenagers aged 10-19 years who got pregnant in Kenya. The target population in this study comprised all the parents of pregnant teenagers in Machakos County. A total sample size of 108 participants was used. Emotion Regulation Inventory (ERI) was used in collecting data at from the participants. Analysis of Variance (ANOVA), regression models, and independent sample T test were used to show differences between the independent and dependent variables.
Results of the study: The analysis revealed that dysfunctional emotion regulation stood out as the most important correlate of major depressive disorder in this population. It further revealed that the selected independent variables did not significantly predict depression scores at baseline among the participants. In practical terms, although variables like emotion regulation dimensions and sociodemographic characteristics were considered, they did not provide a meaningful explanation for the variability in depressive symptoms at the start of the study period.
Conclusion and policy recommendation: The findings highlighted the critical role of emotional coping mechanisms in the mental health of parents dealing with the challenges of adolescent pregnancy and suggest a need for interventions that target maladaptive emotion regulation strategies to help reduce depression among affected individuals.
Key Words: Correlates, Emotional Dysregulation, Teenage Mothers
References
Ahinkorah, B. O., Kang, M., Perry, L., Brooks, F., & Hayen, A. (2021). Prevalence and factors associated with adolescent pregnancy in Sub-Saharan Africa: A multi-country analysis. Archives of Public Health, 79(1), 1–10. https://doi.org/10.1186/s13690-021-00620-7
Angold, A. (2015). Design and analysis in developmental psychopathology. Guilford Press.
Bailey, K. G. (2001). The psychology of personality: Viewpoints, research, and applications. Pearson Education.
Barasa, P. W. (2015). Foundations of research design in social sciences. Kenyatta University Press.
Batmaz, S., Yuncu, O. A., & Kocbiyik, S. (2015). Impaired autobiographical memory in remitted major depression: The role of cognitive distortions. Nöro Psikiyatri Arşivi, 52(1), 10–16. https://doi.org/10.5152/npa.2014.7248
Beck, A. T. (1963). Thinking and depression: I. Idiosyncratic content and cognitive distortions. Archives of General Psychiatry, 9(4), 324–333. https://doi.org/10.1001/archpsyc.1963.01720160014002
Beck, A. T. (1964). Thinking and depression: II. Theory and therapy. Archives of General Psychiatry, 10(6), 561–571. https://doi.org/10.1001/archpsyc.1964.01720240015003
Beck, A. T. (1976). Cognitive therapy and the emotional disorders. International Universities Press.
Beck, J. S. (2011). Cognitive behavior therapy: Basics and beyond (2nd ed.). Guilford Press.
Centers for Disease Control and Prevention. (2021). Youth risk behavior survey: Data summary & trends report 2009–2019. https://www.cdc.gov/healthyyouth/data/yrbs/pdf/YRBSDataSummaryTrendsReport2019-508.pdf
Clark, D. A., Beck, A. T., & Alford, B. A. (1999). Scientific foundations of cognitive theory and therapy of depression. Wiley.
Coelho, E. B. S., de Oliveira, L. A., de Moura, L. H., & dos Santos, L. P. (2022). Prevalence and risk factors of major depression among pregnant adolescents in Brazil: A cross-sectional study. BMC Psychiatry, 22(1), 1–10. https://doi.org/10.1186/s12888-022-03745-0
Cook, C., & Cameron, S. (2015). Social issues of teenage pregnancy. London: Routledge.
Cook, C., & Cameron, S. (2017). Teenage pregnancy in the United Kingdom: Trends, determinants, and consequences. London: Routledge.
Corey, G. (2017). Theory and practice of counseling and psychotherapy (10th ed.). Cengage Learning.
Creswell, J. W. (2014). Research design: Qualitative, quantitative, and mixed methods approaches (4th ed.). SAGE Publications.
Crossman, A. (2020). Independent and dependent variables in sociology research. ThoughtCo. https://www.thoughtco.com/independent-and-dependent-variables-3026167
Dobson, K. S., & Dozois, D. J. A. (2001). Historical and philosophical bases of the cognitive-behavioral therapies. In K. S. Dobson (Ed.), Handbook of cognitive-behavioral therapies (2nd ed., pp. 3–39). Guilford Press.
Doherty, D. A. (2018). Mental health and well-being of teenage mothers. Journal of Adolescent Health, 62(2), S1–S2. https://doi.org/10.1016/j.jadohealth.2017.11.001
Egeland, B. (2014). A longitudinal approach to research design in intervention studies. Journal of Child Psychology and Psychiatry, 55(4), 389–392. https://doi.org/10.1111/jcpp.12219
Egeland, J. (2014). Mechanisms of change in CBT: Cognitive changes as predictors of symptom change. Cognitive Therapy and Research, 38(2), 145–155. https://doi.org/10.1007/s10608-013-9581-9
Eurostat. (2017). Teenage births in the European Union. https://ec.europa.eu/eurostat
Ganchimeg, T., Ota, E., Morisaki, N., Laopaiboon, M., Lumbiganon, P., Zhang, J., & Mori, R. (2014). Pregnancy and childbirth outcomes among adolescent mothers: A World Health Organization multicountry study. BJOG: An International Journal of Obstetrics & Gynaecology, 121(S1), 40–48. https://doi.org/10.1111/1471-0528.12630
Gavin, A. R., Lindhorst, T., & Lohr, M. J. (2011). The prevalence and correlates of depressive symptoms among adolescent mothers: Results from a 17-year longitudinal study. Women’s Health Issues, 21(6), 444–451. https://doi.org/10.1016/j.whi.2011.03.010
Global Childhood Kenya. (2019). Teen pregnancy in Kenya: A national crisis. Nairobi: Global Childhood Kenya.
Gravetter, F. J., & Forzano, L. B. (2018). Research methods for the behavioral sciences (6th ed.). Cengage Learning.
Hodgkinson, S. C., Colantuoni, E., Roberts, D., Berg-Cross, L., & Belcher, H. M. E. (2010). Depressive symptoms and birth outcomes among pregnant teenagers. Journal of Pediatric and Adolescent Gynecology, 23(1), 16–22. https://doi.org/10.1016/j.jpag.2009.04.006
Kassa, G. M., Arowojolu, A. O., Odukogbe, A. A., & Yalew, A. W. (2018). Prevalence and determinants of adolescent pregnancy in Africa: A systematic review and meta-analysis. Reproductive Health, 15(1), 1–17. https://doi.org/10.1186/s12978-018-0460-4
Keegan, E., & Holas, P. (2009). Evolution of cognitive-behavioral therapy. Cognitive and Behavioral Practice, 16(2), 125–135. https://doi.org/10.1016/j.cbpra.2008.12.003
Leedy, P. D. (2019). Practical research: Planning and design (12th ed.). Pearson Education.
Martin, J. A., Hamilton, B. E., Osterman, M. J. K., & Driscoll, A. K. (2021). Births: Final data for 2019. National Vital Statistics Reports, 70(2), 1–50. Hyattsville, MD: National Center for Health Statistics.
Mathewos, M., & Mekuria, M. (2018). Prevalence and associated factors of depression among pregnant teenagers in Ethiopia. Journal of Reproductive Health, 15(1), 88–94. https://doi.org/10.1186/s12978-018-0525-0
Mgbokwere, U. P., Esienumoh, E. E., & Uyana, G. E. (2015). Teenage pregnancy and its impact on parental health and society. Journal of Psychology and Behavioral Science, 3(2), 95–102.
Muturi, J. (2021). Teen pregnancy statistics in Kenya. Nairobi: National Council for Population and Development.
Muturi, J. M. (2021). Teenage pregnancy in Kenya: Trends, challenges and policy options. African Population and Health Research Center (APHRC).
Nicolet, M. A., Tchokoteu, P. F., & Kemfang, G. B. (2021). Prevalence and determinants of major depression among pregnant adolescents in Yaoundé, Cameroon. Pan African Medical Journal, 39, 143. https://doi.org/10.11604/pamj.2021.39.143.28042
Oduor, A. (2020, July 16). COVID-19 lockdown sees 4,000 teens pregnant in Machakos. The Standard. https://www.standardmedia.co.ke
Oladeji, B. D., Ogunsemi, O. O., Adewuya, A. O., & Gureje, O. (2022). Prevalence and correlates of major depressive disorder among pregnant adolescents in primary maternal care in Nigeria. BMC Pregnancy and Childbirth, 22, 11–19. https://doi.org/10.1186/s12884-022-04842-5
Partridge-Hicks, C. (2020). Teen pregnancies spike in Kenya during COVID-19 lockdown. Africa News. https://www.africanews.com
Rahman, M. S. (2017). The advantages and disadvantages of using qualitative and quantitative approaches and methods in language “testing and assessment” research: A literature review. Journal of Education and Learning, 6(1), 102–112. https://doi.org/10.5539/jel.v6n1p102
UNFPA Kenya. (2021). Teenage pregnancy in Kenya: A public health crisis. Nairobi: United Nations Population Fund.
UNICEF. (2021). Adolescent pregnancy and child outcomes. New York: United Nations Children’s Fund.
Williamson, N. (2018). The impact of teenage pregnancy on the family: A qualitative study. International Journal of Child and Adolescent Health, 11(4), 497–510.
World Health Organization. (2016). Pregnancy in adolescence: The impact on families. Geneva: WHO Press.
World Health Organization. (2017). Global accelerated action for the health of adolescents (AA-HA!): Guidance to support country implementation. Geneva: WHO Press.
World Health Organization. (2019). Adolescent pregnancy fact sheet. Geneva: WHO. https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy
World Health Organization. (2020). Adolescent pregnancy. Geneva: WHO. https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy