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Perspectives of Stress, Psychological Distress and Self-care Among Perinatal African American Women: An Exploration of Intersectional and Integrative Factors to Help Women and Their Healthcare Providers Understand and Reduce Stress-related Risk Factors for Adverse Birth Outcomes
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| 자료유형 | 학위논문 |
|---|---|
| 서명/저자사항 | Perspectives of Stress, Psychological Distress and Self-care Among Perinatal African American Women: An Exploration of Intersectional and Integrative Factors to Help Women and Their Healthcare Providers Understand and Reduce Stress-related Risk Factors for Adverse Birth Outcomes. |
| 개인저자 | Sheffield, Karen Miles. |
| 단체저자명 | The University of North Carolina at Chapel Hill. Nursing. |
| 발행사항 | [S.l.]: The University of North Carolina at Chapel Hill., 2019. |
| 발행사항 | Ann Arbor: ProQuest Dissertations & Theses, 2019. |
| 형태사항 | 207 p. |
| 기본자료 저록 | Dissertations Abstracts International 81-03B. Dissertation Abstract International |
| ISBN | 9781085754071 |
| 학위논문주기 | Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2019. |
| 일반주기 |
Source: Dissertations Abstracts International, Volume: 81-03, Section: B.
Advisor: Woods-Giscombe, Cheryl. |
| 이용제한사항 | This item must not be sold to any third party vendors. |
| 요약 | Background: African American (AA) women have twice the rate of preterm birth and low birth weight compared to European American women. Exploring the unique factors of stress in AA women and their contributions to psychological distress and adverse birth outcomes are significant pathways to consider. The conceptual frameworks, Superwoman Schema (SWS) and network-stress (NS) highlight factors that may contribute to stress and psychological distress.Purpose: This is a three-manuscript dissertation. Chapter 2 presents a review of the literature surrounding mindfulness-based approaches with an emphasis on self-compassion as an adjunctive modality for perinatal anxiety. Chapter 3 presents the results of a mixed-methods study examining perspectives of stress in perinatal AA women as well as, explores their perspectives regarding mindfulness-based interventions. Chapter 4 explores the communication between perinatal AA women and their women's primary care providers regarding the ways in which stress is addressed.Methods: Chapter 2 is a literature review examining mindfulness-based approaches with an emphasis on self-compassion. Chapter 3 presents the results of a mixed-methods study. Women completed online questionnaires about SWS, NS, perceived stress, anxiety symptoms, depressive symptoms, mindfulness, mindful self-care and self-compassion. Interviews explored experiences of stress as well as perceptions regarding the development of a mindfulness-based intervention. Chapter 4 presents the qualitative results from a mixed-methods study and examines communication between perinatal AA women and their women's primary care providers.Results: A review of the literature suggests that mindfulness-based approaches that emphasize self-compassion should be considered when developing adjunctive approaches to conventional treatment for perinatal anxiety. The mixed-methods study data suggest associations among most of the SWS subscales and perceived stress with psychological distress, mindfulness, self-compassion and mindful self-care. Most women's primary care providers are not having conversations with perinatal AA women regarding their stress. Perinatal AA women believe that a mindfulness-based intervention is an acceptable strategy to manage their stress.Conclusion: Health care providers should consider AA women's unique perspectives of stress when addressing their health care needs. When developing a mindfulness-based intervention for perinatal AA women to cope with stress, the intervention must incorporate a safe and supportive space that promotes a sense of community. |
| 일반주제명 | Nursing. Mental health. Obstetrics. |
| 언어 | 영어 |
| 바로가기 | 
: 이 자료의 원문은 한국교육학술정보원에서 제공합니다. |
