PHD, Kent State University, 2015, College of Nursing
This cross–sectional, discriminant, secondary data analysis study aimed to: 1) examine if HIV–infected pregnant women in Thailand could be classified into depression groups (non–depressed, mildly–depressed, and severely–depressed) by time of knowing one's HIV serostatus, HIV–related physical symptoms, stressful life events, self–esteem, and emotional support; 2) identify significant predictors of depression classification; and 3) investigate the accuracy of discriminant functions in classifying the target population into depression groups.
The diathesis–stress model of depression (Kerns & Turk, 1984) was applied to guide the study. Depression refers to the degree of negative thinking, somatic complaints, and difficulties in interpersonal relationships the participant experiences in the past week as measured by the Center for Epidemiologic Studies for Depression Scale (CES–D).
This study analyzed existing data from 129 HIV–infected pregnant women from four hospitals in Thailand. Data were collected by self–administered questionnaires (alpha ranged from .78 – .90): Rosenberg Self–Esteem Scale, Multidimensional Scale of Perceived Social Support, Norbeck's Life Events Questionnaire, and CES–D. To answer the research questions, discriminant analysis and multinomial logistic regression (MLR) were used. G*Power generated a power of .85 for n = 129.
Discriminant analysis results showed that participants could be classified into non–depressed, mildly–depressed, and severely–depressed groups with HIV–related physical symptoms, self–esteem, and emotional support as significant predictors. The whole model yielded 30% of the explained variance. MLR results showed that non–depressed participants could be differentiated successfully from their severely–depressed counterparts. The odds were over 3 times greater that HIV–infected pregnant women with physical symptoms were classified into the severely–depressed group. The odds were over 21 times greater that HIV–infected pregna (open full item for complete abstract)
Committee: Ratchneewan Ross (Committee Chair); Barbara L. Drew (Committee Member); Christine Heifner Graor (Committee Member); Madhav P. Bhatta (Committee Member)
Subjects: Health Care; Nursing; Public Health; Womens Studies