Type of Document Dissertation Author Feltes, Kathleen A. URN etd-07052007-153045 Title Depression, Anger, Anxiety and Smoking in Pregnant Adolescents Degree Doctor of Philosophy Program Nursing School School of Nursing Advisory Committee
Advisor Name Title Thelma Patrick, PhD, RN, Dissertation Advisor, School of Nursing Committee Chair Donna Caruthers, PhD, RN, School of Nursing Committee Member Susan A. Albrecht, PhD, RN, FAAN, School of Nursing Committee Member Thomas Zullo, PhD, School of Education Committee Member Keywords
- pregnancy
- adolescent
- anxiety
- smoking
- anger
- depression
Date of Defense 2007-04-17 Availability unrestricted Abstract Purpose: To explore the relationships between smoking dependence behavior, depression, anger, and, anxiety in pregnant adolescents. Research hypotheses were: 1. Depression, anger, anxiety, and are mood states that are present in pregnant adolescents who smoke. 2. Depression, anger, and, anxiety are inter-related. 3. Depression, anger, and anxiety affect smoking dependent behavior of pregnant teens who began smoking prior to pregnancy. 4. Depression, anger, and, anxiety affect smoking consumption of pregnant teens who smoke.Methods: Secondary data analysis of baseline data from a longitudinal study, “Nursing Intervention for Young Pregnant Smokers” (PI: S. Albrecht, RO1 NR 03233) was performed. Of 224 eligible adolescents, 142 pregnant, smoker, adolescents signed an informed consent. One-hundred, eight complete and valid cases were analyzed for their responses to the following instruments: Modified State/Trait Anxiety Inventory (STAI), Modified Center for Studies of Depression (CES-D), Confidence and Temptation Scale, Fagerstrom Tolerance Nicotine Dependence Test (FTND).
Results: Descriptive and exploratory data analyses were used to identify outliers, assess missing data, and verify assumptions. In the correlational analysis, anger, anxiety, and depression are correlated (p = .000). In additional analysis, self-efficacy was correlated with anger (p = .007), anxiety (p = .001), and FTND score (p= .002). Hierarchial Multiple Regression, controlling for covariates, revealed that self-efficacy significantly predicted smoking dependence behavior (p = .006). Depression, anger, and, anxiety were not realized as predictors in this sample. However, an exploratory analysis of self-efficacy, the confidence that the adolescent express that smoking cessation could be achieved, revealed an inverse relationship to smoking dependence behavior.
Conclusions and Implications: Self-efficacy was inversely associated with smoking dependence behavior in this sample, while altered mood states did not influence smoking dependence behavior or smoking consumption. This analysis suggests that enhancing self-efficacy should be tested as a part of the intervention for smoking prevention and cessation programs in adolescents.
Files
Filename Size Approximate Download Time (Hours:Minutes:Seconds)
28.8 Modem 56K Modem ISDN (64 Kb) ISDN (128 Kb) Higher-speed Access finalFeltes.ETDtemplate.pdf 355.81 Kb 00:01:38 00:00:50 00:00:44 00:00:22 00:00:01 If you have questions or comments please send mail to ETD-Feedback.