title: "I just start crying for no reason": the experience of stress and depression in pregnant, urban, African-American adolescents and their perception of yoga as a management strategy.
abstract: OBJECTIVE
  Perinatal health disparities are of particular concern with pregnant, urban, African-American (AA) adolescents, who have high rates of stress and depression during pregnancy, higher rates of adverse pregnancy and neonatal outcomes, and many barriers to effective treatment. The purpose of this study was to explore pregnant, urban, AA teenagers' experience of stress and depression and examine their perceptions of adjunctive nonpharmacologic management strategies, such as yoga.
  
  
  METHODS
  This community-based, qualitative study used nontherapeutic focus groups to allow for exploration of attitudes, concerns, beliefs, and values regarding stress and depression in pregnancy and nonpharmacologic management approaches, such as mind-body therapies and other prenatal activities.
  
  
  RESULTS
  The sample consisted of pregnant, AA, low-income adolescents (n=17) who resided in a large urban area in the United States. The themes that arose in the focus group discussions were that 1) stress and depression symptoms are pervasive in daily life, 2) participants felt a generalized sense of isolation, 3) stress/depression management techniques should be group based, interactive, and focused on the specific needs of teenagers, and 4) yoga is an appealing stress management technique to this population.
  
  
  CONCLUSIONS
  Findings from this study suggest that pregnant, urban, adolescents are highly stressed; they interpret depression-like symptoms to be signs of stress; they desire group-based, interactive activities; and they are interested in yoga classes for stress/depression management and relationship building. It is imperative that health care providers and researchers focus on these needs, particularly when designing prevention and intervention strategies.
authors: Department of Family and Community Health, Virginia Commonwealth University School of Nursing, Richmond, Virginia. Electronic address: kinserpa@vcu.edu.
authors: Patricia
authors: P
authors: Kinser
authors: Division of Epidemiology, Department of Family Medicine and Population Health, Obstetrics and Gynecology & Institute for Women's Health, Virginia Commonwealth University, Richmond, Virginia.
authors: Saba
authors: S
authors: Masho
mesh_terms: D000293:Adolescent; D001741:Black or African American / Q000523:psychology*; D055812:Community-Based Participatory Research; D003376:Counseling; D003448:Crying; D003863:Depression / Q000208:ethnology / Q000628:therapy*; D005260:Female; D017144:Focus Groups; D006801:Humans; D010465:Perception; D011203:Poverty; D011247:Pregnancy; D011248:Pregnancy Complications / Q000208:ethnology / Q000523:psychology / Q000628:therapy*; D036301:Qualitative Research; D013315:Stress, Psychological / Q000208:ethnology / Q000628:therapy*; D014505:Urban Population; D014768:Virginia / Q000453:epidemiology; D015013:Yoga
references: J Obstet Gynecol Neonatal Nurs. 2009 May-Jun;38(3):310-9
references: 19538619
references: Arch Psychiatr Nurs. 2013 Jun;27(3):137-47
references: 23706890
references: JAMA. 2003 Jun 18;289(23):3095-105
references: 12813115
references: Issues Ment Health Nurs. 2008;29(1):3-19
references: 18214775
references: ANS Adv Nurs Sci. 1986 Apr;8(3):27-37
references: 3083765
references: J Pediatr Adolesc Gynecol. 2012 Apr;25(2):98-102
references: 22088316
references: Obstet Gynecol. 2009 Sep;114(3):703-13
references: 19701065
references: Matern Child Health J. 2015 Jan;19(1):67-73
references: 24833286
references: Adv Nurse Pract. 2008 May;16(5):59-60, 62
references: 19999073
references: J Nurs Scholarsh. 2008;40(2):116-23
references: 18507565
references: Bull World Health Organ. 2009 Jun;87(6):410-1
references: 19565115
references: Matern Child Health J. 2012 Oct;16(7):1525-41
references: 22124801
references: J Pediatr Adolesc Gynecol. 2014 Jun;27(3):138-50
references: 24559618
references: Res Nurs Health. 2009 Aug;32(4):391-404
references: 19434649
references: Early Hum Dev. 2009 Jan;85(1):65-70
references: 18723301
references: J Clin Child Adolesc Psychol. 2005 Jun;34(2):292-300
references: 15901229
references: J Altern Complement Med. 2005 Apr;11(2):237-44
references: 15865489
references: Cochrane Database Syst Rev. 2009;(3):CD004366
references: 19588354
references: J Bodyw Mov Ther. 2012 Apr;16(2):204-9
references: 22464118
references: J Adolesc Health. 1995 Aug;17(2):113-9
references: 7495822
references: Obstet Gynecol Int. 2010;2010:952493
references: 21461335
references: Arch Womens Ment Health. 2012 Feb;15(1):1-14
references: 22215285
references: J Womens Health (Larchmt). 2012 Jan;21(1):43-9
references: 22060255
references: Issues Ment Health Nurs. 2013 Jun;34(6):402-11
references: 23805925
references: Psychiatr Serv. 2010 Apr;61(4):386-91
references: 20360278
references: JAMA. 2006 Feb 1;295(5):499-507
references: 16449615
references: Arch Gen Psychiatry. 2010 Oct;67(10):1012-24
references: 20921117
references: J Clin Psychiatry. 2001;62 Suppl 24:11-7
references: 11676428
references: J Health Soc Behav. 1990 Mar;31(1):43-57
references: 2313076
references: J Womens Health (Larchmt). 2009 Nov;18(11):1841-6
references: 19951220
references: Birth. 2010 Dec;37(4):353-4
references: 21083731
references: Br J Nurs. 2013 Jan 10-23;22(1):16-9
references: 23299206
references: Infant Behav Dev. 2014 Feb;37(1):44-56
references: 24463037
references: Adolescence. 2000 Autumn;35(139):445-53
references: 11130590
references: Hum Reprod. 2009 Jan;24(1):146-53
references: 18948314
references: J Adolesc. 1999 Feb;22(1):109-21
references: 10066335
references: Best Pract Res Clin Obstet Gynaecol. 2014 Jan;28(1):25-35
references: 24090740
references: Nurs Res. 2001 Sep-Oct;50(5):275-85
references: 11570712
references: Front Psychol. 2011 Jul 07;2:159
references: 21779273
references: Br J Nurs. 2013 Feb 14-28;22(3):170-3
references: 23411826
references: Obstet Gynecol. 2010 Nov;116(5):1064-70
references: 20966690
references: J Clin Psychopharmacol. 2010 Jun;30(3):259-66
references: 20473060
references: Cochrane Database Syst Rev. 2012;7:CD004366
references: 22786489
references: Res Nurs Health. 2000 Aug;23(4):334-40
references: 10940958
references: Ann Behav Med. 2007 Feb;33(1):11-21
references: 17291166
references: J Health Soc Behav. 2009 Sep;50(3):310-26
references: 19711808
references: Cochrane Database Syst Rev. 2008;(4):CD007142
references: 18843744
references: Birth. 2009 Sep;36(3):237-45
references: 19747271
references: J Psychosoc Nurs Ment Health Serv. 2013 Feb;51(2):15-8
references: 23330798
references: Ann N Y Acad Sci. 2004 Jun;1021:51-8
references: 15251873