Korean J Women Health Nurs.  2014 Mar;20(1):38-47. 10.4069/kjwhn.2014.20.1.38.

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

Affiliations
  • 1Graduate School, College of Nursing, Seoul National University, Seoul, Korea.
  • 2College of Nursing, Seoul National University, Seoul, Korea. chungcw@snu.ac.kr
  • 3The Research Institute of Nursing Science, Seoul National University, Seoul, Korea.

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+/-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.

Keyword

Depression; Pregnant women; Prenatal care

MeSH Terms

Cross-Sectional Studies
Depression*
Family Planning Services
Female
Hospitals, General
Humans
Pregnancy
Pregnant Women
Prenatal Care
Surveys and Questionnaires

Figure

  • Figure 1 Research framework of this study based on the stress-vulnerability and stress-coping models.


Cited by  4 articles

Influence of Self-esteem and Spouse Support on Prenatal Depression in Pregnant Women
Eun Joo Lee, Ji Yeong Lee, Su Jin Lee, Se Eun Yu
J Korean Soc Matern Child Health. 2020;24(4):212-220.    doi: 10.21896/jksmch.2020.24.4.212.

Comparison of Health-related Behaviors in Pregnant Women and Breast-feeding Mothers vs Non-pregnant Women
Hyun Sil Joo, Chun-Bae Kim, Eun Woo Nam, Min Young Lee, Myung Bae Park
Korean J Women Health Nurs. 2014;20(3):185-194.    doi: 10.4069/kjwhn.2014.20.3.185.

Pregnant Women's Antenatal Depression and Influencing Factors
Minseon Koh, Sukhee Ahn, Jisoon Kim, Seyeon Park, Jiwon Oh
Korean J Women Health Nurs. 2019;25(1):112-123.    doi: 10.4069/kjwhn.2019.25.1.112.

The effects of music therapy on labor pain, childbirth experience, and self-esteem during epidural labor analgesia in primiparas: a non-randomized experimental study
Seong Yeon An, Eun Ji Park, Yu Ri Moon, Bo Young Lee, Eunbyul Lee, Dong Yeon Kim, Seong Hee Jeong, Jin Kyung Kim
Korean J Women Health Nurs. 2023;29(2):137-145.    doi: 10.4069/kjwhn.2023.06.21.


Reference

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 J Obstet Gynecol. 2009; 52(11):1102–1108.
4. McKee MD, Cunningham M, Jankowski KR, Zayas L. Health-related functional status in pregnancy: Relationship to depression and social support in a multi-ethnic population. Obstet Gynecol. 2001; 97(6):988–993.
Article
5. Kwon M. Antenatal depression and mother-fetal interaction. J Korean Acad Child Health Nurs. 2007; 13(4):416–426.
6. Kim ES, Ryu SY. The relationship between depression and sociopsychological factors in pregnant women. J Korean Soc Matern Child Health. 2008; 12(2):228–241.
7. Kwon MK, Bang KS. Relationship of prenatal stress and depression to maternal-fetal attachment and fetal growth. J Korean Acad Nurs. 2011; 41(2):276–283.
Article
8. Gaynes BN, Gavin N, Meltzer-Brody S, Lohr KN, Swinson T, Gartlehner G, et al. Report No.:05-E006-2. Perinatal depression: Prevalence, screening accuracy, and screening outcomes. Evidence Report/Technology Assessment. North Carolina: RTI Univercity;2005. 02.
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. Arch Womens Ment Health. 2006; 9(3):121–130.
Article
10. Bowen A, Muhajarine N. Antenatal depression. Can 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. J Clin Psychiatry. 2008; 69(4):635–643.
Article
12. Kim HW, Jung YY. Influencing factors on antenatal depression. Korean J Women Health Nurs. 2010; 16(2):95–104.
Article
13. Ingram RE, Luxton DD. Vulnerability-stress models. In : Hankin B, Abela JRZ, 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. Prog Neuropsychopharmacol Biol Psychiatry. 2010; 34(5):766–776.
Article
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. Arch Womens Ment Health. 2005; 8(1):37–43.
Article
17. Holmes TH, Rahe RH. The social readjustment rating scale. J Psychosom Res. 1967; 11(2):213–218.
Article
18. Hong KE, Jeong DU. Construction of Korean 'social readjustment rating scale'-A methodological study-. J Korean Neuropsychiatr Assoc. 1982; 21(1):123–136.
19. Lazarus RS, Folkman S. Stress, appraisal and coping. New York: Springer Publishing Company Verlag;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). J Korean Soc Biol Ther 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. J Marriage Fam. 1981; 43(3):537–546.
Article
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. J Nurs Acad Soc. 1985; 15(1):5–16.
Article
25. Billings AG, Moos RH. The role of coping responses and social resources in attenuating the stress of life events. J Behav Med. 1981; 4(2):139–157.
Article
26. Kim KS. A Study on the relationship between anxiety and coping in open heart surgery patients. J Korea Community Health Nurs Acad Soc. 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):e60693.
Article
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. Matern Child Health J. 2012; 16(1):158–168.
Article
29. Lee JA, Kim YH. Personality characteristics, social support, and coping strategies in stress-adjustment: Structural model approach. Korean Psychological Association;2002. p. 549–561.
30. Park JY. The effects of collage-oriented prenatal art therapy program on the stress of pregnant women. Korean J Arts Ther. 2011; 11(2):1–23.
Full Text Links
  • KJWHN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr