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Cited by 82Maternal Mental Health During Pregnancy and PostpartumRacial and Ethnic Identity ResearchMigration, Health and Trauma

Acculturative stress negatively impacts maternal depressive symptoms in Mexican-American women during pregnancy

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D’Anna-Hernandez, Kimberly L., Aleman, Brenda, Flores, Ana-Mercedes·2015·Journal of Affective Disorders
DOI 10.1016/j.jad.2015.01.036PMC PMC4721928
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Abstract

Background Mexican-American women exhibit high rates of prenatal maternal depressive symptoms relative to the general population. Though pregnant acculturated Mexican-American women experience cultural stressors such as acculturation, acculturative stress and discrimination that may contribute to elevated depressive symptoms, the contribution of these socio-cultural correlates to depressive symptomology is unknown.Method Ninety-eight pregnant women of Mexican descent were recruited from a community hospital clinic during their first trimester. Women completed surveys about acculturation, acculturative stress, perceived discrimination, general perceived stress, and maternal depressive symptoms as well as the potential protective factor of Mexican cultural values.Results Women who experienced greater acculturative and perceived stress, but not perceived discrimination or acculturation, reported significantly elevated depressive symptoms during pregnancy. Also, women who experienced greater acculturative stress identified with a mixture of Mexican and American cultural values. However, only the Mexican cultural value of respect was protective against maternal depressive symptoms while adhering to the Anglo value of independence and self-reliance was a risk factor.Limitations A limitation in the study is the cross-sectional and descriptive self-report nature of the work, underscoring the need for additional research. Moreover, physiological measures of stress were not analyzed in the current study.Conclusions Results point to acculturative stress, above other cultural stressors, as a potential intervention target in culturally competent obstetric care. These findings have implications for maternal mental health treatment during pregnancy, which likely affects maternal-fetal programming and may favorably affect perinatal outcomes in the vulnerable Mexican-American population.

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  • Acculturative stress and perceived stress together elevate depressive symptoms in Latina women, particularly those who have assimilated into U.S. culture, thereby increasing their risk of PTB.

    “This is problematic as acculturative stress and perceived stress together are known to elevate depressive symptoms in Latina women [13, 14], particularly those who have assimilated into U.S. culture, thereby increasing their risk of PTB [15].”

    From The mastery lifestyle intervention to reduce biopsychosocial risks for pregnant Latinas and African Americans and their infants: protocol for a randomized controlled trial (2022) · cites this paper as [14]

    The Results (Relationship between maternal cultural stress variables and maternal mental health) report that acculturative and perceived stress together predicted elevated depressive symptoms, but the study was limited to pregnant Mexican-American women, not Latina women generally. The assimilation and PTB portion follows a separate citation [15], so it is not attributed to this source. (LLM, conf=0.86)

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Authors
D’Anna-Hernandez, K. L., Aleman, B., & Flores, A.-M.
Affiliations
California State University, San Marcos (US)
Venue
Journal of Affective Disorders
Publisher
Elsevier BV
Published
2015-05
Volume
176
Pages
35-42
ISSN
0165-0327 (ISSN-L)
DOI
10.1016/j.jad.2015.01.036
PMC
PMC4721928
OpenAlex
W1987356794
Cited by
82
References
82
Citations by year
2026: 5 · 2025: 9 · 2024: 6 · 2023: 9 · 2022: 13 · 2021: 12 · 2020: 7 · 2019: 4 · 2018: 9 · 2017: 4 · 2016: 4
FWCI
6.08
Type
journal article
Language
en
Open access
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of Affective Disorders (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • Brain and Behavior Research Foundation NARSAD Young Investigator Award
  • NIMH R15 Award (1R15MH099498-01A1)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
Keywords
acculturative stress, maternal depressive symptoms, pregnancy, Mexican American women, acculturation, perceived discrimination, perceived stress, respect, independence and self-reliance, cultural stressors, maternal mental health
MeSH terms
Acculturation, Adaptation, Psychological, Adult, Attitude to Health, Cross-Sectional Studies, Depression, Female, Humans, Pregnancy, Pregnancy Complications, Risk Factors, Socioeconomic Factors, United States, Mexican Americans, Young Adult

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