Mexican-American adolescents' perceptions about causes of perinatal depression, self-help strategies, and how to obtain mental health information.

PROBLEM: Perinatal depression is a public health concern as it is associated with adverse pregnancy outcomes. Previous studies have recommended further examination of perinatal depression among Mexican-American adolescents. Thus, the purpose of this study was to understand pregnant and postpartum Mexican-American adolescents' knowledge and beliefs concerning perinatal depression.

METHODS: This qualitative descriptive study examined perceptions about the causes of perinatal depression, self-help strategies, and how to obtain mental health information. Data were analyzed using deductive and inductive qualitative content analysis. A convenience sample, consisiting of 20 pregnant and postpartum adolescents, self-identified as Mexican-Americans, between the ages of 15 and 19 years was interviewed.

FINDINGS: The quality of relationships with their family and significant other and difficulties in transitioning to motherhood were described as potential causes for depression. Journaling, exercising, and spending time with friends and family were identified as self-help strategies. Healthcare providers, the internet, and mothers who have experienced depression were stated as helpful sources of mental health information.

CONCLUSION: An assessment of their psychosocial environment is indicated to identify risk or protective factors for perinatal depression. Its consideration and inclusion in interventions may optimize mental health among perinatal adolescents.