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http://dx.doi.org/10.4069/kjwhn.2020.03.17

Effects of stress, depression, and spousal and familial support on maternal identity in pregnant women  

Seo, Hye-Jung (Ajou University Medical Center)
Song, Ju-Eun (College of Nursing.Research Institute of Nursing Science, Ajou University)
Lee, Youngjin (College of Nursing.Research Institute of Nursing Science, Ajou University)
Ahn, Jeong-Ah (College of Nursing.Research Institute of Nursing Science, Ajou University)
Publication Information
Women's Health Nursing / v.26, no.1, 2020 , pp. 84-92 More about this Journal
Abstract
Purpose: The objective of this study was to identify the factors influencing maternal identity in pregnant women. Methods: Using a descriptive research design, a cross-sectional survey was conducted. In total, 127 pregnant women were recruited from a tertiary hospital in Korea from January to April 2019. Measurements included maternal identity, stress, depression, spousal and familial support, and demographic and obstetric characteristics. Data were analyzed by descriptive statistics, the independent t-test, one-way ANOVA, Pearson correlation coefficients, and stepwise multiple regression using SPSS version 25.0. Results: The mean score for maternal identity was 131.15 out of 160, and the mean scores for stress, depression, and spousal and familial support were 14.59 (out of 40), 6.82 (out of 30), and 109.04 (out of 132), respectively. Stress (r=-.38, p<.001), depression (r=-.37, p<.001), and spousal and familial support (r=.37, p<.001) were significantly correlated with maternal identity. In multiple regression analysis, stress (β=-0.27, p=.005) and spousal and familial support (β=0.23, p=.014) were found to be significant factors influencing maternal identity in pregnant women (F=14.19, p<.001). Conclusion: It is necessary to develop effective strategies to mitigate stress and to encourage spousal and familial support in pregnant women. Such strategies could further enable pregnant women to enhance their maternal identity.
Keywords
Pregnant women; Depression; Social support; Maternal health;
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Times Cited By KSCI : 5  (Citation Analysis)
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1 Rubin R. Maternal identity and the maternal experience. New York, NY: Springer; 1984.
2 Hopkins J, Clarke D, Cross W. Inside stories: maternal representations of first time mothers from pre-pregnancy to early pregnancy. Women Birth. 2014;27(1):26-30.   DOI
3 Mercer RT. Becoming a mother versus maternal role attainment. J Nurs Scholarsh. 2004;36(3):226-232.   DOI
4 Kwon M. Antenatal depression and mother-fetal interaction. J Korean Acad Child Health Nurs. 2007;13(4):416-426.
5 Krzepota J, Sadowska D. Associations between health behavior habits and quality of life outcomes in pregnant women: a preliminary investigation in Polish sample. Cent Eur J Sport Sci Med. 2015;10(2):45-53.
6 Kim M. Stress, depression, and fetal attachment in pregnant women having infertility treatments. Korean J Women Health Nurs. 2014;20(2):163-172.   DOI
7 Hwang RH. Self-esteem, body image and factors influencing on maternal fetal attachment behavior of pregnant women. J Digit Converg. 2018;16(9):197-206.   DOI
8 Lee SA, Lee SH. Factors influencing maternal-fetal attachment among pregnant women. J Korea Acad-Ind Cooper Soc. 2015;16(3):2020-2028.   DOI
9 Kim HW. Model construction of maternal identity in primigravida. J Korean Acad Nurs. 1998;16(3):510-518.   DOI
10 Kim HW, Hong KJ. Development of a maternal identity scale for pregnant women. J Nurs Acad Soc. 1996;26(3):531-543.   DOI
11 Lee J, Shin C, Ko YH, Lim J, Joe SH, Kim S, et al. The reliability and validity studies of the Korean version of the perceived stress scale. Korean J Psychosom Med. 2012;20(2):127-134.
12 Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry. 1987;150:782-786.   DOI
13 Cohen S. Perceived stress in a probability sample of the United States. In: Spacapan S, Oskamp S, editors. The Claremont Symposium on Applied Social Psychology. Thousand Oaks, CA: Sage Publication; 1988. p. 31-67.
14 Chaaya M, Osman H, Naassan G, Mahfoud Z. Validation of the Arabic version of the Cohen Perceived Stress Scale (PSS-10) among pregnant and postpartum women. BMC Psychiatry. 2010;10:111.   DOI
15 Han K, Kim M, Park JM. The Edinburgh postnatal depression scale, Korean version: reliability and validity. J Korean Soc Biol Ther Psychiatry. 2004;10(2):201-207.
16 Lee SH, Youk GY. Factors affecting antenatal depression of pregnant women. Asia-pac J Multimed Serv Converg Art Humanit Sociol. 2018;8(2):753-762.
17 Li W, Newell-Price J, Jones GL, Ledger WL, Li TC. Relationship between psychological stress and recurrent miscarriage. Reprod Biomed Online. 2012;25(2):180-189.   DOI
18 Curry MA, Campbell RA, Christian M. Validity and reliability testing of the Prenatal Psychosocial Profile. Res Nurs Health. 1994;17(2):127-135.   DOI
19 Kim ES. Factors influencing Taekyo in pregnant women [master's thesis]. Seoul: Yonsei University; 2000. 69 p.
20 Lee SM, Park HJ. Relationship among emotional clarity, maternal identity, and fetal attachment in pregnant women with gestational diabetes mellitus. Korean J Women Health Nurs. 2017;23(2):99-108.   DOI
21 Ozkan H, Polat S. Maternal identity development education on maternity role attainment and my baby perception of primiparas. Asian Nurs Res. 2011;5(2):108-117.   DOI
22 Baghdari N, Sadeghi Sahebzad E, Kheirkhah M, Azmoude E. The effects of pregnancy-adaptation training on maternal-fetal attachment and adaptation in pregnant women with a history of baby loss. Nurs Midwifery Stud. 2016;5(2):e28949.   DOI
23 Jung YY, Kim HW. Factors associated with postpartum depression and its influence on maternal identity. Korean J Women Health Nurs. 2014;20(1):29-37.   DOI
24 Chae HJ, Song JE, Kim S. Predictors of maternal identity of Korean primiparas. J Korean Acad Nurs. 2011;41(6):733-741.   DOI
25 Kim HS. Effects of an integrated self-management program on self-management, glycemic control, and maternal identity in women with gestational diabetes mellitus. J Korea Contents Assoc. 2012;10(4):146.   DOI
26 Yu M, Kim M. The contribution of maternal-fetal attachment: Taegyo, maternal fatigue and social support during pregnancy. Child Health Nurs Res. 2014;20(4):247-254.   DOI
27 Lee IH. The effect of social support intervention on mood and maternal confidence of premature's mothers. J Korean Acad Nurs. 2000;30(5):1111-1120.   DOI
28 Song JE, Ko JM. Influencing factors on maternal role adjustment among the primipara women in the first year after childbirth. J Korean Soc Matern Child Health. 2016;20(3):284-296.   DOI