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Depression, Anger, Anxiety and Smoking in Pregnant Adolescents

Feltes, Kathleen A. (2007) Depression, Anger, Anxiety and Smoking in Pregnant Adolescents. Doctoral Dissertation, University of Pittsburgh. (Unpublished)

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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.


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Item Type: University of Pittsburgh ETD
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Feltes, Kathleen, felteskk@carlow.eduKAKST120
ETD Committee:
TitleMemberEmail AddressPitt UsernameORCID
Committee ChairPatrick, Thelmapatrickt@pitt.eduPATRICKT
Committee MemberCaruthers, Donnacaru@pitt.eduCARU
Committee MemberAlbrecht, Susan Asaa01@pitt.eduSAA01
Committee MemberZullo, Thomaszullo@pitt.eduZULLO
Date: 6 July 2007
Date Type: Completion
Defense Date: 17 April 2007
Approval Date: 6 July 2007
Submission Date: 5 July 2007
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Institution: University of Pittsburgh
Schools and Programs: School of Nursing > Nursing
Degree: PhD - Doctor of Philosophy
Thesis Type: Doctoral Dissertation
Refereed: Yes
Uncontrolled Keywords: adolescent; anger; anxiety; depression; pregnancy; smoking
Other ID:, etd-07052007-153045
Date Deposited: 10 Nov 2011 19:49
Last Modified: 15 Nov 2016 13:45


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