J Korean Acad Community Health Nurs.  2015 Jun;26(2):108-118. 10.12799/jkachn.2015.26.2.108.

Life Stress, Social Support, and Antepartum Depression among Married Immigrant Women from Southeast Asia

Affiliations
  • 1Graduate School, Department of Nursing, Keimyung University, Daegu, Korea.
  • 2College of Nursing, Keimyung University, Daegu, Korea. yshin@kmu.ac.kr

Abstract

PURPOSE
The purpose of this study was to investigate life stress, social support, and antepartum depression among Southeast Asian immigrant women married to Korean men.
METHODS
Ninety-three subjects were recruited from local women's clinics and multicultural family support centers in D City. The instruments used were the life stress scale, social support scale, and K-EPDS. All the instruments were translated into their corresponding mother languages (Vietnamese, Cambodian, and Philippine) and notarized.
RESULTS
The item mean scores of life stress and social support were 2.65 and 3.17, respectively, on a 5-point Likert scale. The mean score of antepartum depression was 10.16, indicating that they were generally in a depressive state. A positive correlation was observed between life stress and antepartum depression (r=.59, p<.001). Social support was negatively correlated with life stress (r=-.42, p<.001) and antepartum depression (r=-.39, p<.001). The best predictors for antepartum depression were life stress, marital satisfaction, and emotional support, and they explained 43% of the variance.
CONCLUSION
Antepartum depression in Southeast Asian immigrant brides was significantly associated with life stress as well as lack of emotional support. Emotional support may reduce their life stress and antepartum depression.

Keyword

Pregnant women; Immigrants; Life stress; Social support; Depression

MeSH Terms

Asia, Southeastern*
Asian Continental Ancestry Group
Depression*
Emigrants and Immigrants*
Female
Humans
Male
Mothers
Pregnant Women
Stress, Psychological*

Reference

1. Statistics Korea. Statistics on foreign residents by local governments: International marriage immigrants (F) [Internet]. Seoul: Statistics Korea;2013. cited 2014 March 22. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=110&tblId=TX_11025_A010&vw_cd=MT_ZTITLE&list_id=110_11025_005&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=E1#.
2. Kim YK. Current status of multicultural families in a multicultural era and policy implications. Health Welf Policy Forum. 2009; 151:29–52.
3. Kim HR. Maternal health and nutritional status of marriage-based women immigrants in Korea and policy directions. Health Welf Policy Forum. 2009; 155:50–64.
4. Jeong GH, Koh HJ, Kim KS, Kim SH, Kim JH, Park HS, et al. A survey on health management of during pregnancy, childbirth, and the postpartum of immigrant women in a multi-cultural family. Korean J Women Health Nurs. 2009; 15(4):261–269. DOI: 10.4069/kjwhn.2009.15.4.261.
Article
5. Park CS, Bae NR. The study of how to integrate multi-cultural families with the local community. J Philipp Southeast Asian Stud. 2011; 14(3):127–149.
6. Kwon M. Antenatal depression and mother-fetal interaction. J Korean Acad Child Health Nurs. 2007; 13(4):416–426.
7. Kim HW, Jung YY. Effects of antenatal depression and antenatal characteristics of pregnant women on birth outcomes: A prospective cohort study. J Korean Acad Nurs. 2012; 42(4):477–485. DOI: 10.4040/jkan.2012.42.4.477.
Article
8. Bennett HA, Einarson A, Taddio A, Koren G, Einarson TR. Prevalence of depression during pregnancy: Systematic review. Obstet Gynecol. 2004; 103(4):698–709.
Article
9. Miszkurka M, Goulet L, Zunzunegui MV. Contributions of immigration to depressive symptoms among pregnant women in Canada. Can J Public Health. 2010; 101(5):358–364.
Article
10. Miszkurka M, Goulet L, Zunzunegui MV. Antenatal depressive symptoms among Canadian-born and immigrant women in Quebec: Differential exposure and vulnerability to contextual risk factors. Soc Psychiatry Psychiatr Epidemiol. 2012; 47(10):1639–1648. DOI: 10.1007/s00127-011-0469-2.
Article
11. Bang KS. Impact of maternal depression on their children: A literature review. Korean Parent Child Health J. 2008; 11(1):15–24.
12. Hollins K. Consequences of antenatal mental health problems for child health and development. Curr Opin Obstet Gynecol. 2007; 19(6):568–572. DOI: 10.1097/GCO.0b013e3282f1bf28.
Article
13. Beck CT. Predictors of postpartum depression: An update. Nurs Res. 2001; 50(5):275–285.
14. Kwon BS. The effects of Korean ability and self-esteem on acculturative stress of marriage-based immigrant women: Focused on Vietnamese, Filipino, and Chinese women in Daegu. Korean J Soc Welf. 2009; 61(2):5–32.
15. Park EM, Yi KS. Multicultural society and adoption to local society: Case of migrant women. Korean Public Adm Q. 2009; 21(2):407–431.
16. Shin YH. Life stress, distress symptoms, and social supports among Korean immigrants who own small retail businesses [dissertation]. [Baltimore]: University of Maryland;1992. 167.
17. Lee MK. A structural model for depression during pregnancy [dissertation]. [Daejeon]: Eulji University;2014. 92.
18. Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry. 1987; 150(6):782–786. DOI: 10.1192/bjp.150.6.782.
19. Han KW, Kim MJ, Park JM. The Edinburgh postnatal depression scale, Korean version: Reliability and validity. J Korean Soc Biol Ther Psychiatry. 2004; 10(2):201–207.
20. Choi SK, Ahn SY, Shin JC, Jang DG. A clinical study of depressive symptoms during pregnancy. Korean J Obstet Gynecol. 2009; 52(11):1102–1108.
21. Gibson J, McKenzie-McHarg K, Shakespeare J, Price J, Gray R. A systematic review of studies validating the Edinburgh postnatal depression scale in antepartum and postpartum women. Acta Psychiatr Scand. 2009; 119(5):350–364. DOI: 10.1111/j.1600-0447.2009.01363.x.
Article
22. Pérez Ramírez F, García-García I, Peralta-Ramírez MI. The migration process as a stress factor in pregnant immigrant women in Spain. J Transcult Nurs. 2013; 24(4):348–354. DOI: 10.1177/1043659613493328.
Article
23. Ji EJ, Choi JM, Kim KH, Kwon SJ, Park EJ, Rhee MK. The influence of acculturation stress of immigrant women after international marriage on depression: The mediating effect of affective communication. Korean J Health Psychol. 2012; 17(1):243–252.
24. Kweon GY, Park KW. A study on influence factors to the mental health of foreign wives. J Soc Issues. 2007; 14(2):187–219.
25. Ahn JH, Cho JH. Psychosocial and cultural predictors of acculturative stress among marriage immigrant women in the Chungcheongnam-do area of Korea. Korean J Fam Soc Work. 2011; 32:137–176.
26. Kim SO, Lim HS, Jeong GC. Effects of support from spouse and family on the mental health of marriage immigrant women. J Korea Contents Assoc. 2013; 13(11):221–235. DOI: 10.5392/JKCA.2013.13.11.221.
Article
27. Ministry of Gender Equality and Family. The national survey of multicultural families 2012. Research Report. Seoul: Korean Women's Development Institute;2013. 01. No: 11-1383000-000384-12.
28. Roh SY, Kim EY. Factors influencing depression of married immigrant women in rural areas. Korean J Adult Nurs. 2012; 24(4):370–379. DOI: 10.7475/kjan.2012.24.4.370.
Article
29. Ha JY, Kim YJ. Factors influencing depression in married immigrant women in Korea. Korean J Women Health Nurs. 2013; 19(4):254–264. DOI: 10.4069/kjwhn.2013.19.4.254.
Article
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