Advertisement

Archives of Women's Mental Health

, Volume 22, Issue 5, pp 557–567 | Cite as

A systematic review of cultural orientation and perinatal depression in Latina women: are acculturation, Marianismo, and religiosity risks or protective factors?

  • Sandraluz Lara-CinisomoEmail author
  • J. Wood
  • E. M. Fujimoto
Review Article

Abstract

Latinas in the USA and Spanish-speaking countries experience elevated rates of perinatal depression (PND) because of high psychosocial stressors. Latinas are heterogeneous and have varying cultural practices. It is unclear whether specific cultural orientations have differential risks for PND. This systematic review aimed to determine whether degree of acculturation, Marianismo, and religiosity are risks or protective factors for PND in Latina women living in the USA, Latin America, and other countries. The review included PubMed, CINAHL, PsycINFO, PsycARTICLES, Academic Search Ultimate (EBSCO), and Social Services Abstracts, and used Boolean combined keywords. English and Spanish language articles were considered. The review was conducted between July 2017 and February 2018, with no boundaries on publication dates. Ten studies were selected for inclusion. Of those, two studies were conducted in Mexico and most studies conducted in the USA included women of Mexican descent. Degree of acculturation (adoption of mainstream values) was inconsistently directly associated with PND; evidence suggest indirect associations. Marianismo, the traditional female role of virtue, passivity, and priority of others over oneself, was inconsistently correlated with risk for depression in pregnancy, but significantly and indirectly associated with postpartum depression. Two of three studies found religiosity to be protective postpartum. Further research on protective and risk factors of specific cultural orientations, particularly degree of acculturation and Marianismo, for PND in Latinas in the USA and abroad is needed. Attention to specific perinatal periods is necessary given the inconsistent findings.

Keywords

Latina Acculturation Marianismo Religion Depression Perinatal 

Notes

Acknowledgments

The authors wish to thank the University of Illinois at Urbana-Champaign for their support of this study.

Contributors

Lara-Cinisomo conceptualized the study, reviewed the selected studies, and wrote the results, discussion, limitations, and summary. Lara-Cinisomo also outlined and reviewed the remaining sections of the manuscript. Wood conducted the literature search and drafted the introduction. Fujimoto also conducted the literature search and drafted the methods.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants performed by any of the authors.

Informed consent

Informed consent was not necessary as human subjects were not involved in data collection.

References

  1. Abeles R, Ellison C, George L, Idler E, Krause N, Levin J, Williams D (1999) Multidimensional measurement of religiousness/spirituality for use in health research a report of the Fetzer Institute/National Institute of Aging Working Group Kalamazoo. Fetzer Institute, MIGoogle Scholar
  2. Acevedo MC (2000) The role of acculturation in explaining ethnic differences in the prenatal health-risk behaviors, mental health, and parenting beliefs of Mexican American and European American at-risk women. Child Abuse Negl 24:111–127CrossRefGoogle Scholar
  3. Albuja AF, Lara MA, Navarrete L, Nieto L (2017) Social support and postpartum depression revisited: the traditional female role as moderator among Mexican women. Sex Roles 77:209–220CrossRefGoogle Scholar
  4. Alhasanat D, Giurgescu C (2017) Acculturation and postpartum depressive symptoms among Hispanic women in the United States: systematic review. MCN Am J Matern Child Nurs 42:21–28CrossRefGoogle Scholar
  5. American Psychiatric Association (2013) Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Arlington, VA: American Psychiatric PublishingGoogle Scholar
  6. Beck CT (2006) Acculturation: implications for perinatal research. MCN Am J Matern Child Nurs 31:114–120.  https://doi.org/10.1097/00005721-200603000-00011 CrossRefPubMedGoogle Scholar
  7. Beck AT, Steer RA, Brown GK (1996) Beck depression inventory-II San Antonio 78:490–498Google Scholar
  8. Beck CT, Froman RD, Bernal H (2005) Acculturation level and postpartum depression in Hispanic mothers MCN. Am J Matern Child Nurs 30:299–304CrossRefGoogle Scholar
  9. Bernstein IH, Rush AJ, Yonkers K, Carmody TJ, Woo A, McConnell K, Trivedi MH (2008) Symptom features of postpartum depression: are they distinct? Depress Anxiety 25:20–26CrossRefGoogle Scholar
  10. Bhugra D (2005) Cultural identities and cultural congruency: a new model for evaluating mental distress in immigrants. Acta Psychiatr Scand 111:84–93CrossRefGoogle Scholar
  11. Cox JL, Chapman G, Murray D, Jones P (1996) Validation of the Edinburgh Postnatal Depression Scale (EPDS) in non-postnatal women. J Affect Disord 39:185–189.  https://doi.org/10.1016/0165-0327(96)00008-0 CrossRefPubMedGoogle Scholar
  12. D’Anna-Hernandez KL, Aleman B, Flores AM (2015) Acculturative stress negatively impacts maternal depressive symptoms in Mexican-American women during pregnancy. J Affect Disord 176:35–42.  https://doi.org/10.1016/j.jad.2015.01.036 CrossRefPubMedPubMedCentralGoogle Scholar
  13. D’Anna-Hernandez KL, Garcia E, Coussons-Read M, Laudenslager ML, Ross RG (2016) Sleep moderates and mediates the relationship between acculturation and depressive symptoms in pregnant Mexican-American women. Matern Child Health J 20:422–433CrossRefGoogle Scholar
  14. Dalmida S et al (2010) Spirituality, religiousness, psychosocial factors, and maternal-infant outcomes in Latina mothers. South Online J Nurs Res 10:12Google Scholar
  15. First MB, Spitzer RL, Gibbon M, Williams JB (1995) Structured clinical interview for DSM-IV axis I disorders New York: New York State Psychiatric InstituteGoogle Scholar
  16. First MB, Gibbon M, Spitzer RL, Williams JB (1996) User’s guide for the structured clinical interview for DSM-IV axis I disorders—Research version New York: Biometrics Research Department, New York State Psychiatric InstituteGoogle Scholar
  17. Goy E, Kansagara D, Freeman M (2010) USPSTF quality rating criteria for randomized controlled trials (RCTs) and cohort studies criteria. https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0009125/
  18. Gress-Smith JL, Roubinov DS, Tanaka R, Cirnic K, Gonzales N, Enders C, Luecken LJ (2013) Prenatal expectations in Mexican American women: development of a culturally sensitive measure. Arch Womens Ment Health 16:303–314CrossRefGoogle Scholar
  19. Humes KR, Jones NA, Ramirez RR (2011) Overview of race and Hispanic origin: 2010. Retrieved on February 1, 2018 from https://www.census.gov/prod/cen2010/briefs/c2010br-02.pdf
  20. Hungelmann J, Kenkel-Rossi E, Klassen L, Stollenwerk R (1996) Focus on spiritual well-being: harmonious interconnectedness of mind-body-spirit—use of the JAREL spiritual well-being scale: assessment of spiritual well-being is essential to the health of individuals. Geriatr Nurs 17:262–266CrossRefGoogle Scholar
  21. Jesse DE, Swanson MS (2007) Risks and resources associated with antepartum risk for depression among rural southern women. Nurs Res 56:378–386CrossRefGoogle Scholar
  22. Keefe RH, Brownstein-Evans C, Rouland Polmanteer R (2016) “I find peace there”: how faith, church, and spirituality help mothers of colour cope with postpartum depression. Ment Health Relig Cult 19:722–733CrossRefGoogle Scholar
  23. Kim Y, Dee V (2017) Self-care for health in rural Hispanic women at risk for postpartum depression. Matern Child Health J 21:77–84CrossRefGoogle Scholar
  24. Knight GP, Gonzales NA, Saenz DS, Bonds DD, Germán M, Deardorff J, Roosav MW, Updegraff KA (2010) The Mexican American cultural values scale for adolescents and adults. J Early Adolesc 30:444–481CrossRefGoogle Scholar
  25. Koenig HG, Büssing A (2010) The Duke University Religion Index (DUREL): a five-item measure for use in epidemological studies. Religions 1:78–85CrossRefGoogle Scholar
  26. Kuo W-H, Wilson TE, Holman S, Fuentes-Afflick E, O’Sullivan MJ, Minkoff H (2004) Depressive symptoms in the immediate postpartum period among Hispanic women in three U.S. cities. J Immigr Health 6:145–153.  https://doi.org/10.1023/B:JOIH.0000045252.10412.fa CrossRefPubMedGoogle Scholar
  27. Lara MA (1993) Inventario de masculinidad y feminidad (IMAFE) México, DF: El Manual ModernoGoogle Scholar
  28. Lara MA, Navarrete L, Nieto L (2016) Prenatal predictors of postpartum depression and postpartum depressive symptoms in Mexican mothers: a longitudinal study. Arch Womens Ment Health 19:825–834CrossRefGoogle Scholar
  29. Lara-Cinisomo S, Girdler SS, Grewen K, Meltzer-Brody S (2016) A biopsychosocial conceptual framework of postpartum depression risk in immigrant and US-born Latina mothers in the United States. Womens Health Issues 26:336–343CrossRefGoogle Scholar
  30. Le H-N, Lara MA, Perry DF (2008) Recruiting Latino women in the U.S. and women in Mexico in postpartum depression prevention research. Arch Womens Ment Health 11:159–169.  https://doi.org/10.1007/s00737-008-0009-6 CrossRefPubMedGoogle Scholar
  31. Linares AM (2014) Screening for postpartum depression in Chilean women with the postpartum depression screening scale, Spanish version. In: Perinatal depression among Spanish-speaking and Latin American women. Springer, pp 51–63Google Scholar
  32. Lopez MH, Gonzalez-Barrera A, Cuddington D (2013) Diverse origins: the nation’s 14 largest Hispanic-origin groups. Retrieved January 21, 2018 from http://www.pewhispanic.org/files/2013/06/summary_report_final.pdf
  33. Lucero NB, Beckstrand RL, Callister LC, Sanchez Birkhead AC (2012) Prevalence of postpartum depression among Hispanic immigrant women. J Am Acad Nurse Pract 24:726–734.  https://doi.org/10.1111/j.1745-7599.2012.00744.x CrossRefPubMedGoogle Scholar
  34. Mann JR, McKeown RE, Bacon J, Vesselinov R, Bush F (2007) Religiosity, spirituality, and depressive symptoms in pregnant women. Int J Psychiatry Med 37:301–313CrossRefGoogle Scholar
  35. Mann JR, McKeown RE, Bacon J, Vesselinov R, Bush F (2008) Do antenatal religious and spiritual factors impact the risk of postpartum depressive symptoms? J Women’s Health 17:745–755CrossRefGoogle Scholar
  36. Mann JR, Mannan J, Quiñones LA, Palmer AA, Torres M (2010) Religion, spirituality, social support, and perceived stress in pregnant and postpartum Hispanic women. J Obstet Gynecol Neonatal Nurs 39:645–657CrossRefGoogle Scholar
  37. Marin G, Sabogal F, Marin BV, Otero-Sabogal R, Perez-Stable EJ (1987) Development of a short acculturation scale for Hispanics. Hisp J Behav Sci 9:183–205CrossRefGoogle Scholar
  38. Martinez-Schallmoser L, Telleen S, Macmullen NJ (2003) The effect of social support and acculturation on postpartum depression in Mexican American women. J Transcult Nurs 14:329–338CrossRefGoogle Scholar
  39. Moher D, Liberati A, Tetzlaff J, Altman DG, The PRISMA Group (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement PLoS Med 6 doi: https://doi.org/10.1371/journal.pmed.1000097 CrossRefGoogle Scholar
  40. Nuñez A, González P, Talavera GA, Sanchez-Johnsen L, Roesch SC, Davis SM, Arguelles W, Womack VY, Ostrovsky NW, Ojeda L, Penedo FJ, Gallo LC (2016) Machismo, Marianismo, and negative cognitive-emotional factors: findings from the Hispanic community health study/study of Latinos sociocultural ancillary study. J Lat Psychol 4:202–217CrossRefGoogle Scholar
  41. Plante TG, Boccaccini MT (1997) The Santa Clara strength of religious faith questionnaire. Pastor Psychol 45:375–387CrossRefGoogle Scholar
  42. Radloff LS (1977) The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Meas 1:385–401CrossRefGoogle Scholar
  43. Reed P (1986) Spiritual perspective scale unpublished instrument, University of ArizonaGoogle Scholar
  44. Robertson E, Grace S, Wallington T, Stewart DE (2004) Antenatal risk factors for postpartum depression: a synthesis of recent literature. Gen Hosp Psychiatry 26:289–295CrossRefGoogle Scholar
  45. Sam DL, Berry JW (2010) Acculturation: when individuals and groups of different cultural backgrounds meet. Perspect Psychol Sci 5:472–481CrossRefGoogle Scholar
  46. Shellman L, Beckstrand RL, Callister LC, Luthy KE, Freeborn D (2014) Postpartum depression in immigrant Hispanic women: a comparative community sample. J Am Assoc Nurse Pract 26:488–497PubMedGoogle Scholar
  47. Sirulnik L, Lara-Cinisomo S, Wisner KL, Meltzer-Brody S (2014) The culture of treating Latinas with postpartum depression: two case reports. In: Perinatal depression among Spanish-speaking and Latin American women. Springer, pp 111–122Google Scholar
  48. Spitzer RL, Kroenke K, Williams JB, Group PHQPCS (1999) Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. JAMA 282:1737–1744CrossRefGoogle Scholar
  49. Stacciarini J-MR (2008) Focus groups: examining a community-based group intervention for depressed Puerto Rican women. Issues Ment Health Nurs 29:679–700CrossRefGoogle Scholar
  50. Stevens EP (1973) Machismo and Marianismo. Society 10:57–63CrossRefGoogle Scholar
  51. Torres V, Baxter Magolda MB (2004) Reconstructing Latino identity: the influence of cognitive development on the ethnic identity process of Latino students. J Coll Stud Dev 45:333–347CrossRefGoogle Scholar
  52. Underwood LG, Teresi JA (2002) The daily spiritual experience scale: development, theoretical description, reliability, exploratory factor analysis, and preliminary construct validity using health-related data. Ann Behav Med 24:22–33CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Austria, part of Springer Nature 2018

Authors and Affiliations

  • Sandraluz Lara-Cinisomo
    • 1
    Email author
  • J. Wood
    • 2
  • E. M. Fujimoto
    • 3
  1. 1.College of Applied Health Sciences, Department of Kinesiology and Community HealthUniversity of Illinois at Urbana-ChampaignChampaignUSA
  2. 2.Penn State College of MedicineHersheyUSA
  3. 3.Family Resiliency Center, Department of Human Development and Family StudiesUniversity of Illinois at Urbana-ChampaignUrbanaUSA

Personalised recommendations