FACTORS ASSOCIATED WITH MAJOR DEPRESSIVE DISORDER AMONG PARENTS OF PREGNANT TEENAGERS AT AFRICAN INLAND CHURCH IN WAMUNYU DISTRICT CHURCH COUNCIL, MACHAKOS COUNTY, KENYA
Abstract
Purpose of the Study: This study investigated factors associated with major depressive disorder among parents of pregnant teenagers at AIC Wamunyu District Church Council, Machakos County, Kenya.
Problem Statement: Parents of pregnant teenagers face heightened risk for major depressive disorder due to stigma and financial hardship. Research on their mental health remains scarce, particularly in faith-based communities.
Methodology: This cross-sectional study involved 108 parents of pregnant teenagers in Machakos County. Data were collected using a researcher-developed questionnaire. Chi-square tests and Pearson correlations examined associations between depression and socio-demographic variables.
Results: Depression was significantly associated with age (χ² = 63.057, p = .001), gender (χ² = 78.867, p < .001), education (χ² = 137.095, p < .001), employment (χ² = 85.543, p < .001), financial status (χ² = 104.457, p < .001), family structure (χ² = 91.200, p < .001), and residence (χ² = 97.152, p < .001). Employment status (r = -0.257, p = .008) and church leadership (r = -0.220, p = .024) correlated negatively with depression.
Conclusion: Demographic and socioeconomic factors significantly influence depression among parents of pregnant teenagers in faith-based communities. The psychological impact is shaped by parents' socioeconomic environment, requiring interventions addressing broader structural issues beyond individual mental health.
Recommendation: Policymakers should develop community-based mental health interventions incorporating faith-based support systems and economic empowerment programs for affected families.
Keywords: Depressive Disorder, Parents, Pregnant Teenagers, African Inland Church, Wamunyu District Church Council
References
Ahinkorah, B. O., Kang, M., Perry, L., Brooks, F., & Hayen, A. (2021). Prevalence and factors associated with adolescent pregnancy in Africa: A systematic review and meta-analysis. Archives of Public Health, 79(1), 1–15. https://doi.org/10.1186/s13690-021-00589-3
Brereton, C., & McGlinchey, E. (2020). Emotion regulation and depression: A biosocial perspective. Journal of Affective Disorders Reports, 2, 100031. https://doi.org/10.1016/j.jadr.2020.100031
Coelho, F. M., Siqueira-Campos, V. M., Silva, D. C. C., & de Oliveira, J. C. (2022). Depression in pregnant adolescents: Risk factors and associated outcomes. BMC Psychiatry, 22, 120. https://doi.org/10.1186/s12888-022-03745-5
Cook, R. J., & Cameron, L. (2015). Recognizing adolescents’ rights to prevent pregnancy and protect from maternal mortality. The International Journal of Gynecology & Obstetrics, 131(S1), S56–S59. https://doi.org/10.1016/j.ijgo.2015.02.008
Cook, R. J., & Cameron, L. (2017). Advancing reproductive rights in adolescence: A policy and public health priority. Global Public Health, 12(5), 603–619. https://doi.org/10.1080/17441692.2016.1158190
Dunlop, B. W., & Nemeroff, C. B. (2007). The role of dopamine in the pathophysiology of depression. Archives of General Psychiatry, 64(3), 327–337. https://doi.org/10.1001/archpsyc.64.3.327
Feigenbaum, J. D. (2007). Dialectical behavior therapy: An increasing evidence base. Journal of Mental Health, 16(1), 51–68. https://doi.org/10.1080/09638230601182094
Ganchimeg, T., Ota, E., Morisaki, N., Laopaiboon, M., Lumbiganon, P., Zhang, J., ... & Mori, R. (2014). Pregnancy and childbirth outcomes among adolescent mothers: A World Health Organization multicountry study. BJOG: An International Journal of Obstetrics & Gynaecology, 121(s1), 40–48. https://doi.org/10.1111/1471-0528.12630
Govender, K., Naicker, S. N., Meyer-Weitz, A., Fanner, J., Naidoo, A., & Penfold, W. L. (2020). Addressing teenage pregnancy in South Africa: The role of schools and teachers. South African Journal of Education, 40(s2), S1–S9. https://doi.org/10.15700/saje.v40ns2a1868
Joëls, M., Karst, H., Krugers, H. J., & Lucassen, P. J. (2008). Chronic stress: Implications for neuronal morphology, function and neurogenesis. Frontiers in Neuroendocrinology, 28(2–3), 72–96. https://doi.org/10.1016/j.yfrne.2007.10.006
Kamalak, Z., Sahin, N. H., & Sahin, N. O. (2016). Psychological problems of parents of pregnant adolescents. Archives of Psychiatric Nursing, 30(3), 338–342. https://doi.org/10.1016/j.apnu.2015.11.007
Kassa, G. M., Arowojolu, A. O., Odukogbe, A. A., & Yalew, A. W. (2018). Prevalence and determinants of adolescent pregnancy in Africa: A systematic review and meta-analysis. Reproductive Health, 15, 195. https://doi.org/10.1186/s12978-018-0640-2
Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. The Guilford Press.
Martin, J. A., Hamilton, B. E., Osterman, M. J. K., & Driscoll, A. K. (2021). Births: Final data for 2019. National Vital Statistics Reports, 70(2), 1–51.
https://www.cdc.gov/nchs/data/nvsr/nvsr70/nvsr70-02-508.pdf
Mgbokwere, U. P., Esienumoh, E. E., & Uyana, M. B. (2015). Social implications of teenage pregnancy among adolescent girls in Akwa Ibom State. Journal of Education and Practice, 6(5), 25–32. https://eric.ed.gov/?id=EJ1083776
Muthelo, L., Khoza, L., Maluleke, T. X., & Maputle, M. S. (2024). Mental health challenges among parents of teenage mothers in Limpopo Province, South Africa. Curationis, 47(1), a2437. https://doi.org/10.4102/curationis.v47i1.2437
Muturi, W. (2021). Teenage pregnancy in Kenya: A growing public health concern. East African Medical Journal, 98(2), 109–115.
Nicolet, M. Y., van Zyl, L. T., & van Niekerk, R. (2021). Depression among adolescent mothers: A systematic review. Journal of Adolescence, 89, 1–14. https://doi.org/10.1016/j.adolescence.2021.04.001
Ntshayintshayi, T., Vawda, N., & Mathews, C. (2022). Parents’ emotional responses to teenage pregnancy in South Africa. Health SA Gesondheid, 27, 1622. https://doi.org/10.4102/hsag.v27i0.1622
Obonyo, C. O., Muli-Kinagwi, K. A., & Gathumbi, A. W. (2023). The lived experiences of parents of teenage mothers in Nairobi County, Kenya. African Journal of Reproductive Health, 27(1), 88–100. https://doi.org/10.29063/ajrh2023/v27i1.9
Oduor, A. (2020, July 6). 4,000 teenage pregnancies recorded during lockdown in Machakos. The Standard Newspaper.
https://www.standardmedia.co.ke/kenya/article/2001377072
Öksüzoğlu, A., & TİMUR, S. (2022). The emotional impact of adolescent pregnancy on families: A qualitative study. Journal of Pediatric Nursing, 65, 57–63. https://doi.org/10.1016/j.pedn.2022.02.005
Oladeji, B. D., Ogunlesi, A. O., Aina, A. D., & Gureje, O. (2022). Predictors of depression in adolescent mothers: A Nigerian cohort study. Social Psychiatry and Psychiatric Epidemiology, 57(6), 1161–1171. https://doi.org/10.1007/s00127-021-02136-1
Osok, J., Kigamwa, P., Stoep, A. V., Huang, K., & Kumar, M. (2018). Depression and its psychosocial risk factors in pregnant Kenyan adolescents: A cross-sectional study in a community health centre of Nairobi. BMC Psychiatry, 18, 136. https://doi.org/10.1186/s12888-018-1725-x
Palazidou, E. (2012). The neurobiology of depression. British Medical Bulletin, 101(1), 127–145. https://doi.org/10.1093/bmb/lds004
Reiss, S., & Dombeck, M. (2007). Understanding the neurobiology of depression. MentalHelp.net. https://www.mentalhelp.net/articles/understanding-the-neurobiology-of-depression/
Seakamela, P. S., Chikobvu, P., & Makoae, M. (2023). Cultural stigma and mental distress among parents of adolescent mothers in Lesotho. PLOS ONE, 18(3), e0283372. https://doi.org/10.1371/journal.pone.0283372
Shaw, P., Stringaris, A., Nigg, J., & Leibenluft, E. (2014). Emotion dysregulation in attention deficit hyperactivity disorder. American Journal of Psychiatry, 171(3), 276–293. https://doi.org/10.1176/appi.ajp.2013.13070966
Smoller, J. W. (2016). The genetics of stress-related disorders: PTSD, depression, and anxiety disorders. Neuropsychopharmacology, 41(1), 297–319. https://doi.org/10.1038/npp.2015.266
Southward, M. W., & Cheavens, J. S. (2020). The role of emotion regulation in depression: Perspectives from dialectical behavior therapy. Cognitive Therapy and Research, 44, 712–722. https://doi.org/10.1007/s10608-020-10106-w
World Health Organization. (2017). Adolescent pregnancy: Issues in adolescent health and development. https://apps.who.int/iris/handle/10665/200174