PEDIATRICS Vol. 96 No. 2 August 1995, pp. 273-277
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Adolescent Development and Transitions to Motherhood

Patricia J. Flanagan MD1, Margaret M. McGrath RN, DNSc2, Elaine C. Meyer RN, PhD1, and Cynthia T. Garcia Coll PhD1

1 Department of Pediatrics, Women & Infants' Hospital and Brown University School of Medicine, Providence, RI
2 Department of Pediatrics, Women & infants' Hospital and Brown University School of Medicine, Providence, RI, Department of Pediatrics, University of Rhode Island, Providence, RI

Objective. To use both qualitative and quantitative methods to examine the experience of motherhood during adolescence and to evaluate developmental influences on the concept of maternal role.

Design. (1) A grounded theory approach was initially used to generate a hypothesis. Focus groups and individual interviews were analyzed for concept and theme. (2) A quantitative method using correlational analysis was used to test the hypothesis generated by qualitative study. A structured interview using five specific, scored questions about self and about motherhood was used to examine the relationship between developmental complexity of responses to questions about self and questions about motherhood.

Setting and Participants. The qualitative study involved group and individual interviews with 42 teenage mothers. The quantitative study involved individual interviews with 25 mothers, ages 14 to 18 years, at an innercity clinic for young parents and their infants. Race and ethnicity were heterogeneous, and 100% received Aid to Families With Dependent Children.

Results. The major hypothesis generated from the qualitative analysis was that an adolescent mother's conceptualization of her maternal role is related to her own psychosocial and cognitive development. The quantitative study revealed a strong correlation between the developmental complexity of responses to questions about self and the complexity of responses to questions about motherhood (r2 = .81).

Conclusion. The experience of motherhood and the conceptualization of the maternal role in adolescence is related to young mothers' psychosocial cognitive development.

Submitted on August 17, 1994
Accepted on November 1, 1994




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