Browse > Article
http://dx.doi.org/10.4069/kjwhn.2019.25.1.112

Pregnant Women's Antenatal Depression and Influencing Factors  

Koh, Minseon (College of Nursing, Chungnam National University)
Ahn, Sukhee (College of Nursing, Chungnam National University)
Kim, Jisoon (Industry-University Cooperation, College of Nursing, Chungnam National University)
Park, Seyeon (College of Nursing, Chungnam National University)
Oh, Jiwon (College of Nursing, Chungnam National University)
Publication Information
Women's Health Nursing / v.25, no.1, 2019 , pp. 112-123 More about this Journal
Abstract
Purpose: The objective of this study was to investigate the prevalence of antenatal depression in pregnant women and its influencing factors. Methods: With a cross-sectional survey design, a total of 396 pregnant women were recruited from a local obstetrics and gynecology clinic. Measurements included antenatal depression, perceived stress, predictors of depression during pregnancy, and demographic and obstetric characteristics. Results: Mean antenatal depression score was 8.20 (standard deviation=4.95) out of 30, falling into its normal range. However, the prevalence of antenatal depression was 35.9% when cut-point of 9/10 was used. The prevalence of antenatal depression among women in the first trimester was 31.4%. It was slightly increased to 34.9% in the second trimester but significantly increased to 40.5% in the third trimester. In multiple logistic regression analysis, experiencing prenatal anxiety (odds ratio [OR], 4.16), having no job (OR, 2.90), lower self-esteem (OR, 1.62), and higher perceived stress (OR, 1.32) were significant factors influencing antenatal depression. Conclusion: Negative feeling such as feeling anxious, lower self-esteem, and higher perceived stress during pregnancy are key factors affecting antenatal depression. Thus, antenatal nursing intervention focusing on pregnant women's feeling upon their job status is necessary to improve their antenatal psychological well-being.
Keywords
Pregnant women; Maternal health; Depression; Anxiety; Nursing;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Youn JH, Jeong IS. Predictors of postpartum depression: prospective cohort study. Journal of Korean Academy of Nursing. 2013;43(2):225-235.   DOI
2 Kim YK, Hur JW, Kim KH, Oh KS, Shin YC. Clinical application of Korean version of Edinburgh Postnatal Depression Scale. Journal of Korean Neuropsychiatric Association. 2008;47(1):36-44.
3 Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. The British Journal of Psychiatry. 1987;150(6):782-786.   DOI
4 Murray D, Cox JL. Screening for depression during pregnancy with the Edinburgh Depression Scale (EDDS). Journal of Reproductive and Infant Psychology. 1990;8(2):99-107.   DOI
5 Ogbo FA, Eastwood J, Hendry A, Jalaludin B, Agho KE, Barnett B, et al. Determinants of antenatal depression and postnatal depression in Australia. BMC Psychiatry. 2018;18(1):49.   DOI
6 Biratu A, Haile D. Prevalence of antenatal depression and associated factors among pregnant women in Addis Ababa, Ethiopia: a cross-sectional study. Reproductive Health. 2015;12:99.   DOI
7 Corbani IE, Rucci P, Iapichino E, Quartieri Bollani M, Cauli G, Ceruti MR, et al. Comparing the prevalence and the risk profile for antenatal depressive symptoms across cultures. International Journal of Social Psychiatry. 2017;63(7):622-631.   DOI
8 Records K, Rice M, Beck CT. Psychometric assessment of the postpartum depression predictors inventory-revised. Journal of Nursing Measurement. 2007;15(3):189-202.   DOI
9 Beck CT, Records K, Rice M. Further development of the postpartum depression predictors inventory-revised. Journal of Obstetric, Gynecologic and Neonatal Nursing. 2006;35(6):735-745.   DOI
10 Cho H, Hyun M. The effects of perceived stress and self compassion on the relationship between self criticism and depression. Korean Journal of Health Psychology. 2011;16(1):49-62.   DOI
11 Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. Journal of Health and Social Behavior. 1983;24(4):385-396.   DOI
12 Underwood L, Waldie K, D'Souza S, Peterson ER, Morton S. A review of longitudinal studies on antenatal and postnatal depression. Archives of Women's Mental Health. 2016;19(5):711-720.   DOI
13 Youn JH, Jeong IS. Predictive validity of the postpartum depression predictors inventory-revised. Asian Nursing Research. 2011;5(4):210-215.   DOI
14 Kim MW, Yang HS, Kim JR. A study on agreements among screening tests and related factors with postpartum depression. Obstetrics & Gynecology Science. 2009;52(11):1133-1143.
15 Ashley JM, Harper BD, Arms-Chavez CJ, LoBello SG. Estimated prevalence of antenatal depression in the US population. Archives of Women's Mental Health. 2016;19(2):395-400.   DOI
16 Husain N, Parveen A, Husain M, Saeed Q, Jafri F, Rahman R, et al. Prevalence and psychosocial correlates of perinatal depression: a cohort study from urban Pakistan. Archives of Women's Mental Health. 2011;14(5):395-403.   DOI
17 Chung JH. Prevalence and risk factor of pregnancy complications. Report No. 2016-ER-6306-01. Cheongju: Korea Centers for Disease Control and Prevention; 2017.
18 Brummelte S, Galea LA. Postpartum depression: etiology, treatment and consequences for maternal care. Hormones and Behavior. 2016;77:153-166.   DOI
19 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):1102-1107.
20 Kim MO, Kim YL. The mediating effect of fatigue on the relationship between pregnancy stress and depression during the third trimester of pregnancy. Journal of East-West Nursing Research. 2018;24(1):81-89.   DOI
21 Highet NJ, Gemmill AW, Milgrom J. Depression in the perinatal period: awareness, attitudes and knowledge in the Australian population. Australian and New Zealand Journal of Psychiatry. 2011;45(3):223-231.   DOI
22 Nonacs R, Cohen LS. Depression during pregnancy: diagnosis and treatment options. The Journal of Clinical Psychiatry. 2002;63 Suppl 7:24-30.
23 Elek SM, Hudson DB, Fleck MO. Couples' experiences with fatigue during the transition to parenthood. Journal of Family Nursing. 2002;8(3):221-240.   DOI
24 Beck CT. Revision of the postpartum depression predictors inventory. Journal of Obstetric, Gynecologic, and Neonatal Nursing 2002;31(4):394-402.   DOI
25 Beck CT. Predictors of postpartum depression: an update. Nursing Research. 2001;50(5):275-285.   DOI
26 Kim HW, Jung YY. Influencing factors on antenatal depression. Korean Journal of Women Health Nursing. 2010;16(2):95-104.   DOI
27 Liu C, Cnattingius S, Bergstrom M, Ostberg V, Hjern A. Prenatal parental depression and preterm birth: a national cohort study. British Journal of Obstetrics and Gynecology. 2016;123(12):1973-1982.   DOI
28 Kim YL, Chung CW. Factors of prenatal depression by stress-vulnerability and stress-coping models. Korean Journal of Women Health Nursing. 2014;20(1):38-47.   DOI
29 Kim YL, Hwang SW. Structural equation modeling on antenatal depression. Journal of Health Informatics and Statistics. 2018;43(4):336-343.   DOI
30 Lepine JP, Briley M. The increasing burden of depression. Neuropsychiatric Disease and Treatment. 2011;7(Suppl 1):3-7.