Assessment of the Psychological Challenges and Mental Health Outcomes of Teenage Motherhood in Kiagbodo Community in Burutu Local Government Area, Delta State, Nigeria

Abstract

Adolescent Pregnancy is a Pressing Public Health Concern in Nigeria, particularly in rural communities such as Kiagbodo, Delta State, where teenage mothers face compounded psychosocial and mental health challenges. These include stigma, poverty, family rejection, and intimate partner violence, all of which increase vulnerability to depression, anxiety, low self-esteem, and social isolation. This study aimed to assess the psychosocial challenges and mental health outcomes of teenage mothers in Kiagbodo, with the goal of informing targeted interventions that integrate psychosocial and mental health support into maternal care. A descriptive cross-sectional design was employed, involving 100 adolescent mothers aged 13–19 years, selected through multistage sampling. Data were gathered using a structured interviewer-administered questionnaire, incorporating the Edinburgh Postnatal Depression Scale (EPDS) and the Generalized Anxiety Disorder-7 (GAD-7). Analysis was conducted using SPSS version 25, with descriptive and inferential statistics applied. Results revealed that financial difficulties (85%), stigma/discrimination (78%), and educational disruption (72%) were the most prevalent challenges. Depression was reported in 46% of respondents and anxiety in 39%, with stigma, lack of family support, and intimate partner violence significantly associated with adverse outcomes (p < 0.05). Coping strategies included religious activities (75%), seeking family support (55%), and peer support groups (40%). Respondents recommended improved access to adolescent-friendly healthcare (90%), community sensitization to reduce stigma (85%), and financial support (80%) as key interventions. The study concludes that addressing teenage mothers’ psychosocial and mental health needs requires adolescent-focused, culturally sensitive, and holistic maternal care strategies.