Skip to main content
Log in

Adolescent pregnancy: An intervention challenge

  • Articles
  • Published:
Child Psychiatry and Human Development Aims and scope Submit manuscript

Abstract

Even in the best of circumstances, pregnancy is a time of emotional upheaval. This is especially true for pregnant adolescents who are also attempting to adjust to pubertal status and to establish an identity independent from their family. Although research has focused on the etiology of teenage pregnancy, relatively few interventions consider the developmental obstacles encountered when treating pregnant teenagers. In particular, adolescents are cognitively unprepared to predict longterm outcomes, a skill essential for confronting the challenges of pregnancy. One new intervention, known as previewing, seeks to overcome this deficit. Previewing encourages expectant teenage mothers to represent future scenarios with the infant as a means of predicting and rehearsing adaptive outcomes.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Hardy JB: Premature sexual activity, pregnancy, and sexually transmitted diseases: The pediatrician's role as a counselor.Pediatric Review 10:69–76, 1988.

    Google Scholar 

  2. Repke JT: Adolescent pregnancy: Can we solve the problem?Mayo Clin Proc 65: 1152–1154, 1990.

    PubMed  Google Scholar 

  3. van Winter JT, Simmons PS: A proposal for obstetric and pediatric management of adolescent pregnancy.Mayo Clin Proc 65:1061–1066, 1990.

    PubMed  Google Scholar 

  4. Johnson F, Lay P, Wilbrandt M: Teenage pregnancy: Issues, interventions, and direction.J Natl Med Assoc 80: 145–152, 1988.

    PubMed  Google Scholar 

  5. Greene AL: Future-time perspective in adolescence: The present of things future revised.Journal of Youth and Adolescence 15: 99–111, 1986.

    Article  Google Scholar 

  6. Nurmi JE:The changing parent-child relationship, self-esteem, and intelligence as determinants of orientation to the future during early adolescence. (Department of Psychology, Research Report No. 10). Helsinki: University of Helsinki, 1989.

    Google Scholar 

  7. Inhelder B, Piaget J:The Growth of Logical Thinking from Childhood to Adolescence. New York: Wiley, 1964.

    Google Scholar 

  8. Gordon DE: Formal Operational Thinking: The role of cognitive-developmental processes in adolescent decision-making about pregnancy and contraception.Am J Orthopsychiatry 60(3); 346–356, 1990.

    PubMed  Google Scholar 

  9. Archer, P:Using the MMPI with adolescents. Hillsdale, NJ: Erlbaum, 1987.

    Google Scholar 

  10. Fielding J, Williams C: Unintended pregnancy among teenagers: Important roles for primary care providers.Ann Intern Med 114(7): 599–600, 1991.

    PubMed  Google Scholar 

  11. Zabin M, Kanter J, Ford K:Sex and pregnancy in adolescence. Beverly Hills, CA: Sage, 1980.

    Google Scholar 

  12. Zelnik M, Kantner JF: Sexual activity, contraceptive use, and pregnancy among metropolitan teenagers, 1971–1979.Fam Plann Perspect 12: 230–237, 1980.

    PubMed  Google Scholar 

  13. Millstein SG: Risk factors for AIDS among adolescents.New Dir Child Dev (No. 50): 3–15, 1990.

    PubMed  Google Scholar 

  14. Shayne VT, Kaplan BJ: AIDS education for adolescents.Youth and Society 20: 180–203, 1988.

    Google Scholar 

  15. Vermund SV, Hein K, Gayle H: AIDS among adolescents in NYC: Case surveillance profiles compared with the rest of the U.S.Am J Dis Child 143: 1220–1225. 1989.

    PubMed  Google Scholar 

  16. Vinovskis MA: Juvenile delinquency, parental criminality, and social handicap.British Journal of Criminology 15: 241–250. 1988.

    Google Scholar 

  17. Center for Population Options: Taxpayers feeling burden of teen pregnancy.American Medical News: 11, 1989, December 1.

    Google Scholar 

  18. Cobliner WG: Pregnancy and the single adolescent girl: The role of cognitive functions.Journal of Youth and Adolescence 3; 17–29, 1974.

    Article  PubMed  Google Scholar 

  19. Barglow P, Weinstein S: Therapeutic abortion during adolescence: Psychiatric observations.Journal of Youth and Adolescence 2: 331–342, 1973.

    Article  PubMed  Google Scholar 

  20. Lee KS, Corpuz M: Teenage pregnancy: Trend and impact on rates of low birth weight and fetal, maternal, and neonatal mortality in the United States,Clinical Perinatology 15: 929–942, 1988.

    Google Scholar 

  21. ed. Fraiberg S:Clinical studies in infant mental health. New York: Basic Books, 1980.

    Google Scholar 

  22. Blos P: Modifications in the traditional psychoanalytic theory of female adolescent development.Adolesc Psychiatry 8: 8–24, 1980.

    PubMed  Google Scholar 

  23. Chessick R: Thirty unresolved psychodynamic questions pertaining to feminine psychology.Am J Psychother 62: 87–95, 1988.

    Google Scholar 

  24. Chehrazi S: Female psychology: A review.J Am Psychoanal Assoc, 1986.

  25. Sherwen L: Fantasies during the third trimester of pregnancy.MCN, Am J Matern Child Nurs 6: 398–401, 1981.

    Google Scholar 

  26. Gabrieson IW, Klerman LV, Currie JB, Tyler NC, Jekel JF: Suicide attempts in a population pregnant as teenagers.Am J Public Health 60: 2289–2301, 1970.

    Google Scholar 

  27. Ballou J:The significance of reconciliative themes in psychology, 1978.

  28. Benedek T: The psychobiology of pregnancy. In:Parenthood: its psychology and psychopathology: 137–151, ed. Anthony EJ, Benedek T, Boston: Little, Brown, 1970.

    Google Scholar 

  29. Pines D: The relevance of early psychological development of pregnancy and abortion.Int J Psychoanal 63: 311–319, 1982.

    PubMed  Google Scholar 

  30. Fisher SM, Scharf KR: Teenage pregnancy: An anthropological, sociological and psychological overview.Adolesc Psychiatry 8: 393–403, 1980.

    PubMed  Google Scholar 

  31. Condon JT, Dunn DJ: Nature and determinants of parent-to-infant attachment in the early postnatal period.J Am Acad Child Adolesc Psychiatry 27: 293–299, 1988.

    PubMed  Google Scholar 

  32. Caplan G:Concept of mental health and consultation. Washington, DC: U.S. Government Printing Office, 1959.

    Google Scholar 

  33. Baumrind D:Why adolescents take chances—And why they don't. First Commemorative Address sponsored by the National Institute of Child Health and Human Development on the occasion of Child Health Day, 1983, October.

  34. Baumrind D: A developmental perspective on adolescent risk taking in contemporary America. In:Adolescent social behavior and health. New Directions for Child Development (No. 37), ed. Irwin CE. San Francisco: Jossey-Bass Social and Behavioral Sciences Series, 1987.

    Google Scholar 

  35. Furby L, Beyth-Marom R: Risk taking in adolescence: A decision-making perspective.Developmental Review 12: 1–44, 1992.

    Article  Google Scholar 

  36. Gilchrist LD, Schinke SP: Adolescent pregnancy and marriage. In:Handbook of adolescent psychology, ed. Van Hasselt VB, Hersen, M. New York: Pergamon Press, 1987.

    Google Scholar 

  37. Ross JA: The measurement of student progress in a decision-making approach to values education.The Alberta Journal of Educational Research 27: 1–15, 1981.

    Google Scholar 

  38. Tester M, Gardner W, Wilfong E.Experimental studies of the development of decision making competence. Presented at the symposium, “Children, Risks and Decisions: Psychological & Legal Implications,” at the meeting of the American Psychological Association, New York, 1987, August.

  39. Lewis CC: How adolescents approach decisions: Changes over grades seven to twelve and policy implications.Child Dev 52: 538–544, 1981.

    Google Scholar 

  40. Kegeles SM, Adler NE, Irwin CE:Adolescents and condoms: Associations of beliefs with intentions to use. Unpublished paper presented at the Annual Convention of the American Psychological Association, Atlanta, GA, 1988, August.

  41. Namerow PB, Lawton AI, Philiber SG: Teenagers' perceived and actual probabilities of pregnancy.Adolescence 22: 475–485, 1987.

    PubMed  Google Scholar 

  42. Trad PV:The preschool child: Assessment, diagnosis, and treatment. New York: Wiley, 1989.

    Google Scholar 

  43. Trad PV:Infant previewing. New York: Springer-Verlag, 1990.

    Google Scholar 

  44. Papousek H, Papousek M: Intuitive parenting: A dialectic counterpart to the infant's integrative competence. In:Handbook of infant development (2nd ed.), ed. Osofsky JD. New York: Wiley, 1987.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Trad, P.V. Adolescent pregnancy: An intervention challenge. Child Psych Hum Dev 24, 99–113 (1993). https://doi.org/10.1007/BF02367263

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02367263

Key words

Navigation