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http://dx.doi.org/10.4069/kjwhn.2014.20.1.29

Factors associated with Postpartum Depression and Its Influence on Maternal Identity  

Jung, Yoen Yi (Division of Research and Development, Korea Institute for Healthcare Accreditation)
Kim, Hae Won (College of Nursing, Research Institute of Nursing Science, Seoul National University)
Publication Information
Women's Health Nursing / v.20, no.1, 2014 , pp. 29-37 More about this Journal
Abstract
Purpose: This study aimed to examine the factors associated with postpartum depression and its influence on maternal identity of postpartum women. Methods: Research design was a cross sectional descriptive study with a total of 89 women within the six month postpartum period. Associations of eating habits, overall sleep quality and other factors with postpartum depression utilizing the Korean Beck Depression Inventory (K-BDI) were done. The influence of postpartum depression on maternal identity was analyzed. Variables yielding significant associations (p<.05) were included in an adjusted logistic regression and a stepwise multiple regression. Results: Mean scores of postpartum depression was $9.42{\pm}6.08$ and 31.5% (n=28) for mild depression, 11.2% (n=10) was moderate and 4.5% (n=4) was severe depression on the K-BDI scale. Perceived health status and overall sleep quality were predictors of postpartum depression. Postpartum depression and the husband's love were predictors of maternal identity. Conclusion: Awareness of poor health perception and sleep quality will be helpful to detect for postpartum depression. Strategies to increase maternal identity during the postpartum period would be tailored by level of depression.
Keywords
Depression; Postpartum; Identity;
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Times Cited By KSCI : 11  (Citation Analysis)
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1 Buysse DJ, Reynold III CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Research. 1989;28 (2):193-213.   DOI   ScienceOn
2 Kim HW, Jung YY. Effects of antenatal depression and antenatal characteristics of pregnant women on birth outcomes: A prospective cohort study. Journal of Korean Academy of Nursing. 2012;42(4): 477-485.   DOI   ScienceOn
3 Sung TL. Understandable statistical analysis using SPSS/AMOS: From descriptive statistics to structural equation model. Seoul: Hakjisa; 2007.
4 Field T. Postpartum depression effects on early interactions, parenting, and safety practices: A review. Infant Behavior and Development. 2010;33(1):1-6.   DOI   ScienceOn
5 Leung BM, Kaplan BJ. Perinatal depression: Prevalence, risks, and the nutrition link-a review of the literature. Journal of the American Dietetic Association. 2009;109(9):1566-1575.   DOI   ScienceOn
6 Kim HW, Hwang MS, Hong KJ. Primipara 's maternal identity and self confidence for caring the baby during the immediate postpartum period. Korean Journal of Women Health Nursing. 1998;4(1):84-102.
7 Song JE, Ahn JA. Effect of intervention programs for improving maternal adaptation in Korea: Systematic review. Korean Journal of Women Health Nursing. 2013;19(3):129-141.   DOI   ScienceOn
8 Kim JI. A validation study on the translated Korean version of the Edinbergh postnatal depression scale. Korean Journal of Women Health Nursing. 2006;12(3):204-209.
9 Barr JA. Postpartum depression, delayed maternal adaptation, and mechanical infant caring: A phenomenological hermeneutic study. International Journal of Nursing Studies. 2008;45(3):362-369.   DOI   ScienceOn
10 Logsdon MC, Wisner KL, Pinto-Foltz MD. The impact of postpartum depression on mothering. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 2006;35(5):652-658.   DOI   ScienceOn
11 Kwon MK, Kim HW, Kim NS, Jang JA. Postpartum depression and maternal role confidence, parenting stress, and infant temperament in mothers of young infants. Child Health Nursing Research. 2006;12(3):314-321.
12 Kim JI. Related factors to postpartum care performance in postpartum women. Korean Journal of Women Health Nursing. 2007;13(2):98-104.
13 Kim HW, Jung YY. Influencing factors on antenatal depression. Korean Journal of Women Health Nursing. 2010;16(2): 95-104.   DOI   ScienceOn
14 Faul F, Erdfelder E, Lang AG, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods. 2007;39(2):175-191.   DOI   ScienceOn
15 Lee YH. The relations between attribution style, life events, event attribution, hopeless and depression. [dissertation]. Seoul: Seoul National University; 1993.
16 Kwon MK. Antenatal depression and mother-fetal interaction. Child Health Nursing Research. 2007;13(4):416-426.
17 Kim HW, Hong KJ. Development of a maternal identity scale for pregnant women. Journal of Korean Academy of Nursing. 1996;26(3):531-543.
18 Kim HW. Associations of dietary intake levels with ante-natal depression. Korean Journal of Women Health Nursing. 2011; 17(3):256-264.   DOI   ScienceOn
19 Yeo JH. Postpartum depression and its predictors at six months postpartum. Korean Journal of Women Health Nursing. 2006;12(4):355-362.
20 Lee SO, Yeo JH, Ahn SH, Lee HS, Yang HJ, Han MJ. Postpartum depressive score and related factors pre- and post-delivery. Korean Journal of Women Health Nursing. 2010;16(1): 29-36.   DOI
21 Song JE. Influencing factors of postpartum depression between 4 to 6 weeks after childbirth in the postpartum women. Korean Journal of Women Health Nursing. 2009;15(3):216-223.   DOI
22 Youn JH, Jeong IS. Predictors of postpartum depression: Prospective cohort study. Journal of Korean Academy of Nursing. 2013;43(2):225-235.   DOI   ScienceOn
23 Beck CT. Predictors of postpartum depression. Nursing Research. 2001;50(5):275-285.   DOI   ScienceOn
24 Park YJ, Shin HJ, Ryu HS, Cheon SH, Moon SH. The predictors of postpartum depression. Journal of Korean Academy of Nursing. 2004;34(5):722-728.   DOI
25 Choi SY, Gu HJ, Ryu EJ. Effects of fatigue and postpartum depression on maternal perceived quality of life (MAPP-QOL) in early postpartum mothers. Korean Journal of Women Health Nursing. 2011;17(2):118-125.   DOI   ScienceOn
26 Cho EJ. Subjective sleep quality in depressed and non-depressed mothers during the late postpartum period. Korean Journal of Women Health Nursing. 2009;15(2):108-120.   DOI
27 O'Keane V, Marsh MS. Depression during pregnancy. British Medical Journal. 2007;334(7601):1003-1005.   DOI   ScienceOn
28 Bowen A, Muhajarine N. Prevalence of antenatal depression in women enrolled in an outreach program in Canada. Journal of Obstetric, Gynecologic, & Neonatal Nursing. 2006;35 (4):491-498.   DOI   ScienceOn
29 Leigh B, Milgrom J. Risk factors for antenatal depression, postnatal depression, and parenting stress. BMC Psychiatry. 2008;8(24):1-11.   DOI   ScienceOn
30 Centers for Disease Control and Prevention. Prevalence of selfreported postpartum depressive symptoms-17 states, 2004- 2005. MMWR: Morbidity and Mortality Weekly Report. 2008; 57(14):361-366.