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

• Kim Y
• Chung CW

• KMID: 2308142
• DOI: http://doi.org/10.4069/kjwhn.2014.20.1.38

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

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

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