Feltes, Kathleen A.
(2007)
Depression, Anger, Anxiety and Smoking in Pregnant Adolescents.
Doctoral Dissertation, University of Pittsburgh.
(Unpublished)
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.
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Details
Item Type: |
University of Pittsburgh ETD
|
Status: |
Unpublished |
Creators/Authors: |
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ETD Committee: |
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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: |
http://etd.library.pitt.edu/ETD/available/etd-07052007-153045/, etd-07052007-153045 |
Date Deposited: |
10 Nov 2011 19:49 |
Last Modified: |
15 Nov 2016 13:45 |
URI: |
http://d-scholarship.pitt.edu/id/eprint/8267 |
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