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Becoming dad: a clinical-qualitative study about the search for meaning on fatherhood by adolescent fathers

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Author(s):
Juliana Vasconcellos Freitas Jesus
Total Authors: 1
Document type: Master's Dissertation
Press: Campinas, SP.
Institution: Universidade Estadual de Campinas (UNICAMP). Faculdade de Ciências Médicas
Defense date:
Examining board members:
Egberto Ribeiro Turato; Anderson Pinheiro; Daniela Centenaro Levandowski
Advisor: Egberto Ribeiro Turato; Fernanda Garanhani de Castro Surita
Abstract

Several researches study the adolescent motherhood, but few researches consider the young mother¿s partner. This partner is part of the pregnant adolescent¿s life experience about the pregnancy and the baby, and health interventions should target this partner, especially if he is adolescent. The medical-social relevance of fatherhood in adolescence needs to be discuss to enlarge the comprehension about this phenomenon. Aims: to explore psychological meanings about pregnancy and fatherhood reported by adolescent partners of pregnant adolescents, and to conduce a systematic review about psychological aspects, interpersonal relationships, and social context related to the adolescent fatherhood. Methods: We conducted a Clinical-Qualitative Study among male partners of pregnant adolescents, considered up to 19 years old, accompanying the pregnant on the outpatient clinic. We applied Opened-Questions In-Deep Interviews and we raised sociodemographic data. The purposed sample closed using the information saturation. We treated data using the Clinical-Qualitative Analyse and we used concepts from Health Psychology to discuss them. Before data collection, we did acculturation, aiming insert the researcher on the setting. We also conducted a Systematic Review of the Literature, using narrative synthesis. The participants were adolescent fathers from 10 to 19 years old. We defined psychosocial aspects as negative emotional disorders/symptoms, externalizing behavior problems, self-steam, meanings, emotional experiences, interpersonal relationships, social support, stressful events, and family context. We consulted Medline/Pubmed, Web of Science, Embase, PsychInfo, CINAHL e Lilacs database, using the search strategy (paternity OR fatherhood) AND adolesc*. We considered original studies published from 2012 and 2016, with no language restriction. Results: About the Clinical-Qualitative Study, we raised 4 categories: "Me, father?!": conceptions about the father role; (2) Imaginative relation with the baby and idealizations about the own future; (3) The pregnancy and the new dynamic on the relationship with the pregnant adolescent; and (4) The influence of the social circles on the fatherhood constitution: the original family and the friends. About the Systematic Review, we identified 536 articles, we read 99 full-texts after selection by title and abstract, and we included 15 articles. Three dimensions raised: (1) The Adolescent Father, (2) The relation of the adolescent father with the mother and the child, and (3) The relation of the adolescent father with the original family and the society. We described eight themes related to the father role, mental health, socioeconomical consequences, involvement with criminality, and interpersonal relationships. Conclusions: the complex phenomenon of the adolescent fatherhood involves an inequality net in which these adolescents exposed, such as family and emotional difficulties, behavior problems, among others. There are several emotional experiences, with social, family and personal determinants influencing the adolescent's conceptions about fatherhood. We suggest that new studies increase knowledge, especially in longitudinal follow-up, friendships, and intervention strategies (AU)

FAPESP's process: 16/18326-8 - Psychological meanings attributed to fatherhood by adolescent partners of adolescent pregnants: a clinical-qualitative study
Grantee:Juliana Vasconcellos Freitas de Jesus
Support Opportunities: Scholarships in Brazil - Master