Women's Health Nursing (여성건강간호학회지)

Korean Society of Women Health Nursing (한국여성건강간호학회)
권호 표지
DOI QR코드

DOI QR Code

Factors of Prenatal Depression by Stress-vulnerability and Stress-coping Models

스트레스 취약성 및 스트레스 대처 모델을 적용한 임신 중 우울 관련요인

  • Kim, Younglan (Graduate School, College of Nursing, Seoul National University) ;
  • Chung, Chae Weon (College of Nursing, The Research Institute of Nursing Science, Seoul National University)
  • 김영란 (서울대학교 간호대학 대학원) ;
  • 정재원 (서울대학교 간호대학)
  • Received : 2014.02.03
  • Accepted : 2014.03.16
  • Published : 2014.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study aimed to identify related factors of prenatal depression by stress-vulnerability and stress-coping models for pregnant women. Methods: A cross-sectional survey design with a convenience sampling was used. A total of 107 pregnant women who visited a general hospital in a metropolitan city were recruited from August to October, 2013. A structured questionnaire included the Korean version of Beck Depression Inventory II, and the instruments measuring Self-Esteem, Marital Satisfaction, Pregnancy Stress, Stressful Life Events, and Coping. The data were analyzed using descriptive statistics, t-test, Parson's correlation analysis, and stepwise multiple regression. Results: The mean score of prenatal depression was $11.95{\pm}6.2$, then showing 19.6% with mild depression, 15.0% with moderate depression, and 0.9% with severe depression on BDI II scale. Prenatal depression had positive correlation with pregnancy stress (r=.55, p<.01), stressful life events (r=.26, p<.01) and negative correlation with self- esteem (r=-.38, p<.01), marital satisfaction (r=-.40, p<.01), and coping (r=-.21, p<.05). Factors of pregnancy stress, self-esteem, stressful life events, and planned pregnancy explained 38% of the total variance of prenatal depression. Conclusion: These findings show that health providers need to assess prenatal depression and to control the influencing factors.

Keywords

References

  1. Korea Centers for Disease Control and Prevention. The Fourth Korea National Health and Nutrition 2012 [Internet]. Seoul: Korea Centers for Disease Control and Prevention; 2012 [cited 2014 January 16]. Available from: https://knhanes.cdc.go.kr/knhanes/index.do
  2. Ministry of Health and Welfare. The Epidemiological survey of psychiatric illnesses in Korea 2011 [Internet]. Seoul: Ministry of Health and Welfare; 2011 [cited 2014 January 20]. Available from: http://www.korea.kr/main.do
  3. Choi SK, Ahn SY, Shin JC, Jang DG. A clinical study of depressive symptoms during pregnancy. Korean Journal of Obstetrics and Gynecology. 2009;52(11):1102-1108.
  4. McKee MD, Cunningham M, Jankowski KR, Zayas L. Healthrelated functional status in pregnancy: Relationship to depression and social support in a multi-ethnic population. Obstetrics and Gynecology. 2001;97(6):988-993. https://doi.org/10.1016/S0029-7844(01)01377-1
  5. Kwon MK. Antenatal depression and mother-fetal interaction. Journal of Korean Academy of Child Health Nursing. 2007; 13(4):416-426.
  6. Kim ES, Ryu SY. The relationship between depression and sociopsychological factors in pregnant women. Journal of Korean Society of Maternal Child Health. 2008;12(2):228-241. https://doi.org/10.21896/jksmch.2008.12.2.228
  7. Kwon MK, Bang KS. Relationship of prenatal stress and depression to maternal-fetal attachment and fetal growth. Journal of Korean Academy of Nursing. 2011;41(2):276-283. https://doi.org/10.4040/jkan.2011.41.2.276
  8. Gaynes BN, Gavin N, Meltzer-Brody S, Lohr KN, Swinson T, Gartlehner G, et al. Perinatal depression: Prevalence, screening accuracy, and screening outcomes. Evidence Report/ Technology Assessment. North Carolina: RTI Univercity, 2005 February. Report No.:05-E006-2.
  9. Kitamura T, Yoshida K, Okano T, Kinoshita K, Hayashi M, Toyoda N, et al. Multicentre prospective study of perinatal depression in Japan: Incidence and correlates of antenatal and postnatal depression. Archives of Women's Mental Health. 2006;9(3):121-130. https://doi.org/10.1007/s00737-006-0122-3
  10. Bowen A, Muhajarine N. Antenatal depression. Canadian Nurse. 2006;102(9):26-30.
  11. Brandon AR, Trivedi MH, Hynan LS, Miltenberger PD, Labat DB, Rifkin JB, et al. Prenatal depression in women hospitalized for obstetric risk. The Journal of Clinical Psychiatry. 2008;69(4):635-643. https://doi.org/10.4088/JCP.v69n0417
  12. Kim HW, Jung YY. Influencing factors on antenatal depression. Korean Journal of Women Health Nursing. 2010;16(2): 95-104. https://doi.org/10.4069/kjwhn.2010.16.2.95
  13. Ingram RE, Luxton DD. Vulnerability-stress models. In: Hankin B, AbelaJRZ. Editors. Development of psychopathology: A vulnerability-stress perspective. New York: Sage Publications 2005. p. 32-46.
  14. Brummelte S, Galea LA. Depression during pregnancy and postpartum: Contribution of stress and ovarian hormones. Progress in Neuro-Psychopharmacology and Biological Psychiatry. 2010;34(5):766-776. https://doi.org/10.1016/j.pnpbp.2009.09.006
  15. Rosenburg M. Society and the adolescent self-image. Princeton, NJ: Princeton University Press 1965.
  16. Agoub M, Moussaoui D, Battas O. Prevalence of postpartum depression in a Moroccan sample. Archives of Women's Mental Health. 2005;8(1):37-43. https://doi.org/10.1007/s00737-005-0069-9
  17. Holmes TH, Rahe RH. The social readjustment rating scale. Journal of Psychosomatic Research. 1967;11(2):213-218. https://doi.org/10.1016/0022-3999(67)90010-4
  18. Hong KE, Jeong DU. Construction of Korean 'social readjustment rating scale'-A methodological study-. Journal of Kore an Neuropsychiatric Association. 1982;21(1):123-136.
  19. Lazarus RS, Folkman S. Stress, appraisal and coping. New York: Springer Publishing CompanyVerlag; 1984.
  20. Sung HM, Kim JB, Park YN, Bai DS, Lee SH, Ahn HN. A study on the reliability and the validity of Korean version of the Beck Depression Inventory-II(BDI-II). Journal of the Korean Society of Biological Therapies in Psychiatry. 2008;14(2):201-212.
  21. Jon BJ. Self-esteem: A test of its measurability. Yonsei Nonchong. 1974;11(1):107-130.
  22. Roach AJ, Frazier LP, Bowden SR. The marital satisfaction scale: Development of a measure for intervention research. Journal of Marriage and the Family. 1981;43(3):537-546. https://doi.org/10.2307/351755
  23. Huh YJ. A study on the types of marital relationship and marital satisfaction [master's thesis]. Seoul: Sungshin Women's University; 1996.
  24. Ahn HL. An experimental study of the effects of husband's supportive behavior reinforcement education on stress relief of primigravidas. Journal of Korean Academy of Nursing. 1985;15(1):5-16.
  25. Billings AG, Moos RH. The role of coping responses and social resources in attenuating the stress of life events. Journal of Behavioral Medicine. 1981;4(2):139-157. https://doi.org/10.1007/BF00844267
  26. Kim KS. A Study on the relationship between anxiety and coping in open heart surgery patients. Journal of Korean Public Health Nursing. 1989;3(1):67-73.
  27. Prady SL, Pickett KE, Croudace T, Fairley L, Bloor K, Gilbody S, et al. Psychological distress during pregnancy in a multi- ethnic community: Findings from the born in Bradford cohort study. PloS One. 2013;8(4):1-10.
  28. Kingston D, Heaman M, Fell D, Dzakpasu S, Chalmers B. Factors associated with perceived stress and stressful life events in pregnant women: Findings from the Canadian Maternity Experiences Survey. Maternal and Child Health Journal. 2012;16(1):158-168.
  29. Lee JA, Kim YH. Personality characteristics, social support, and coping strategies in stress-adjustment: Structural model approach. Korean Psychological Association. 2002:549-561.
  30. Park JY. The effects of collage-oriented prenatal art therapy program on the stress of pregnant women. Korean Journal of Arts Therapy. 2011;11(2):1-23.

Cited by

  1. 임부 및 모유수유부와 가임기 여성의 건강행태 비교 vol.20, pp.3, 2014, https://doi.org/10.4069/kjwhn.2014.20.3.185
  2. 자기자비와 태아애착의 관계에서 능동적 정서조절과 부부관계 질의 매개효과 vol.14, pp.3, 2014, https://doi.org/10.14698/jkcce.2018.14.03.021
  3. Neuroprotective Role of N -acetylcysteine against Learning Deficits and Altered Brain Neurotransmitters in Rat Pups Subjected to Prenatal Stress vol.8, pp.7, 2014, https://doi.org/10.3390/brainsci8070120
  4. 임신여성의 산전 우울 및 영향요인 vol.25, pp.1, 2014, https://doi.org/10.4069/kjwhn.2019.25.1.112
  5. Influence of Self-esteem and Spouse Support on Prenatal Depression in Pregnant Women vol.24, pp.4, 2020, https://doi.org/10.21896/jksmch.2020.24.4.212
  6. The Mediating Effect of Marital Intimacy on the Relationship between Spouse-Related Stress and Prenatal Depression in Pregnant Couples: An Actor–Partner Interdependent Model Test vol.18, pp.2, 2014, https://doi.org/10.3390/ijerph18020487
  7. Screening for antenatal depression and its determinants among pregnant women in Qatar: revisiting the biopsychosocial model vol.21, pp.1, 2014, https://doi.org/10.1186/s12884-021-03793-7