The purpose of this study was to identify risk factors for early pregnancy and outcomes of early parenthood among girls with serious emotional disturbance (SED). Longitudinal data were collected during a 7-year period from 190 female adolescents with SED, ages 9 to 18 at the beginning of the study, and their families. Of the sample, 39% had their first pregnancy by age 18.The results of univariate analyses indicated that among examined risk factors (a) being African American, (b) low family income, (c) dropping out of school, (d) conduct disorder, and (e) substance use disorder were significantly (ps < .05) associated with early pregnancy. However, according to multivariate analysis, only dropping out of school was a significant predictor of early pregnancy.The study also examined outcomes of early parenthood for girls with SED. Girls who had children were more likely (ps < .05) to live in poverty, receive public assistance, and live independently. Dropout status also was examined as an outcome variable,and was a significantly more (p < .05) frequent consequence for girls who had children.
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References
1.
Alan Guttmacher Institute. (1994). Sex and America's teenagers. New York: Author.
2.
American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.
3.
Bardone, A.M., Moffitt, T.E., Caspi, A., Dickson, N., & Silva, P.A. (1996). Adult mental health and social outcomes of adolescent girls with depression and conduct disorder. Development and Psychopathology, 8, 811— 829.
4.
Becker-Lausen, E., & Rickel, A. (1995). Integration of teen pregnancy and child abuse research: Identifying mediator variables for pregnancy outcome. The Journal of Primary Prevention, 16, 39—53.
5.
Berry, H.E., Shillington, A.M., Peak, T., & Hohman, M.M. (2000). Multi-ethnic comparison of risk and protective factors for adolescent pregnancy. Child and Adolescent Social Work Journal, 17, 79—96.
6.
Bryk, A.S., & Raudenbush, S.W. (1992). Hierarchical linear models: Applications and data analysis methods. Newbury Park, CA : Sage.
7.
Casper, L.M. (1990). Does family interaction prevent adolescent pregnancy?Family Planning Perspectives, 22, 109—114.
8.
Chase-Lansdale, P.L., & Brooks-Gunn, J. (1994). Correlates of adolescent pregnancy and parenthood. In C. B. Fisher & R. M. Lerner (Eds.), Applied developmental psychology (pp. 207—236). NewYork : McGraw-Hill.
9.
Coley, R.L., & Chase-Lansdale, P.L. (1998). Adolescent pregnancy and parenthood. American Psychologist, 53, 152—166.
10.
Connelly, D.C. (1998). Hopefulness, self-esteem, and perceived social support among pregnant and nonpregnant adolescents. Western Journal of Nursing Research, 20, 195—209.
11.
Corcoran, J., Franklin, C., & Bell, H. (1997). Pregnancy prevention from the teen perspective. Child and Adolescent Social Work Journal, 14, 365—382.
12.
Costello, A., Edelbrock, C., Dulcan, M.K., Kalas, R., & Klaric, S. (1984). Development and testing of the NIMH Diagnostic Interview Schedule for Children (DISC-C) on a clinical population: Final report (Contract No. RFP-OB-81-002T). Rockville, MD: National Institute of Mental Health.
13.
Cox, D.R. (1972). Regression models and life tables. Journal of the Royal Statistical Society, 34, 187—220.
14.
Davis, M., & Stoep, A.V. (1997). The transition to adulthood for youth who have serious emotional disturbance: Development transition and young adult outcomes . The Journal of Mental Health Administration, 24, 400—427.
15.
Deal, L.W., & Holt, V.L. (1998). Young maternal age and depressive symptoms: Results from the 1988National Maternal and Infant Health Survey. American Journal of Public Health, 88, 266—270.
16.
Education for All Handicapped Children Act of1975, 20 U.S.C. § 1400 et seq.
17.
Elster, A.B., Ketterlinus, R., & Lamb, M.E. (1990). Association between parenthood and problem behavior in a national sample of adolescents. Pediatrics, 85, 1044—1050.
18.
Greenbaum, P.E., Dedrick, R.F., Friedman, R.M., Kutash, K., Brown, E.C., Lardieri, S.P., & Pugh, A.M. (1996). National Adolescent and Child Treatment Study (NACTS): Outcomes for children with serious emotional and behavioral disturbance . Journal of Emotional and Behavioral Disorders, 4, 130—146.
19.
Greenbaum, P.E., Prange, M.E., Friedman, R.M., & Silver, S.E. (1991). Substance abuse prevalence and comorbidity with other psychiatric disorders among adolescents with severe emotional disturbances . Journal of the American Academy of Child Adolescent Psychiatry , 30, 575—583.
20.
Handler, A. (1990). The correlates of the initiation of sexual intercourse among young urban black females. Journal of Youth and Adolescents, 19, 159—170 .
21.
Holden, G.W., Nelson, P.B., Velasquez, J., & Ritchie, K.L. (1993). Cognitive, psychological, and reported sexual behavior differences between pregnant and nonpregnant adolescents. Adolescence, 28, 557—572.
Kovacs, M., Krol, R., & Voti, L. (1994). Early onset psychopathology and the risk for teenage pregnancy among clinically referred girls. Journal of the American Academy of Child and Adolescent Psychiatry, 33, 106—113.
24.
Lawrence, F.R., & Hancock, G.R. (1998). Assessing change over time using latent growth modeling. Measurement and Evaluation in Counseling and Development , 30, 211—224.
25.
Levine, M., Toro, P.A., & Perkins, D.V. (1993). Social and community interventions. Annual Psychological Review, 44, 543—547.
26.
Luker, K. (1996). Dubious conception? The politics of teenage pregnancy . Cambridge, MA: Harvard University Press.
27.
Luster, T., & Small, S.A. (1994). Factors associated with sexual risk-taking behaviors among adolescents. Journal of Marriage and the Family, 56, 622—632.
28.
Mason, C.A., Chapman, D.A., & Scott, K.G. (1999). The identification of early risk factors for severe emotional disturbances and emotional handicaps: An epidemiological approach . American Journal of Community Psychology, 27, 357—381.
29.
Maynard, R. (1995). Teenage childbearing and welfare reform: Lessons from a decade of demonstration and evaluation research. Children and Youth Services Review, 17, 309—332.
30.
Medora, N.P., Goldstein, A., & von der Hellen, C. (1994). Romanticism and self-esteem among pregnant adolescent mothers, and nonpregnant, nonparenting teens. The Journal of Social Psychology, 134, 581—591.
31.
Miller, B.C., Benson, B., & Galbraith, K.A. (2001). Family relationships and adolescent pregnancy risk: A research synthesis. Developmental Review, 21, 1—38.
32.
Moore, K.A., Morrison, D.R., & Greene, A.D. (1997). Effects on the children born to adolescent mothers . In R. A. Maynard (Ed.), Kids having kids: Economic costs and social consequences of teen pregnancy (pp. 145—180). New York: Urban Institute Press.
33.
National Center for Health Statistics. (1999). Births: Final data for 1997(National Vital Statistics Reports). Atlanta, GA: Centers for Disease Control and Prevention, Author.
34.
Oates, G.L. (1997). Self-esteem enhancement through fertility? Socioeconomic prospects, gender and mutual influence. American Sociological Review, 62, 965—973.
35.
Olson, D.H. (1986). Circumplex model VII: Validation studies and FACES III. Family Process, 25, 337—351.
36.
Olson, D.H., Portner, J., & Lavee, Y. (1985). FACES III: Family Adaptability and Cohesion Evaluation Scales. St. Paul: University of Minnesota, Department of Family Social Science.
37.
Pugh, M.D., DeMaris, A., Giordano, P.C., & Groat, H.T. (1990). Delinquency as a risk factor in teenage pregnancy . Sociological Focus, 23, 89—100.
38.
Rodriquez, C., Jr., & Moore, N. B. (1995). Perceptions of pregnant/parenting teens: Re-framing issues for an integrated approach to pregnancy problems . Adolescence, 30, 685— 706.
39.
Rogers, M.M., Peoples-Sheps, M.D., & Suchindran, C. (1996). Impact of a social support program on teenage prenatal care use and pregnancy outcomes. Journal of AdolescentHealth, 19, 132—140.
40.
Roosa, M.W., Tein, J., Reinholtz, C., & Angelini, P.J. (1997). The relationship of childhood sexual abuse to teenage pregnancy. Journal of Marriage and the Family, 59, 119—130.
41.
Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press .
42.
Sawhill, I.V. (2000). Welfare reform and reducing teen pregnancy. The Public Interest, 1, 40—51.
43.
Scaramella, L.V., Conger, R.D., Simons, R.L., & Whitbeck, L.B. (1998). Predicting risk for pregnancy by late adolescence: A social contextual perspective. Developmental Psychology, 34, 1233—1245.
44.
Smith, C. (1996). The link between childhood maltreatment and teenage pregnancy. Social Work Research, 20, 131—140.
45.
Stevenson, W., Maton, K.I., & Teti, D. M. (1998). School importance and dropout among pregnant adolescents. Journal of AdolescentHealth, 22, 376—382.
46.
U.S. Census Bureau. (2000). Poverty in the United States: 1999 . Current Population Reports, 60—210.
47.
Upchurch, D.M., & McCarthy, J. (1990). The timing of a first birth and high school completion . American Sociological Review, 55, 224—234.
48.
Valois, R.F., Bryant, E.S., Rivard, J.C., & Hinkle, K.T. (1997). Sexual risk-taking behaviors among adolescents with severe emotional disturbance. Journal of Child and Family Studies, 6, 409—419.
49.
Wagner, M.M. (1995). Outcomes for youths with serious emotional disturbance in secondary school and early adulthood. The Future of Children , 5, 90—112.
50.
Widom, C.S., & Kuhns, J.B. (1996). Childhood victimization and subsequent risk for promiscuity, prostitution, and teenage pregnancy: A prospective study. American Journal of Public Health, 86, 1607—1612.
51.
Woodward, L.J., & Fergusson, D.M. (1999). Early conduct problems and later risk of teenage pregnancy in girls. Development andPsychology, 11, 127—141.
52.
Zoccolillo, M., Meyers, J., & Assiter, S. (1997). Conduct disorder, substance dependence, and adolescent motherhood. American Journal of Orthopsychiatry, 67, 152— 157.
