J Korean Soc Matern Child Health.  2020 Oct;24(4):212-220. 10.21896/jksmch.2020.24.4.212.

Influence of Self-esteem and Spouse Support on Prenatal Depression in Pregnant Women

• Lee EJ
• Lee JY
• Lee SJ
• Yu SE

• KMID: 2508665
• DOI: http://doi.org/10.21896/jksmch.2020.24.4.212

Abstract

Purpose
This study aimed to identify the effect of self-esteem and spouse support on prenatal depression.
Methods
The subjects were 131 pregnant women who visited two women clinics located in Changwon City. Data were collected from September 25 to November 20, 2019, and the self-report questionnaire included spouse support, self-esteem, and prenatal depression. The collected data were analyzed by IBM SPSS Statistics ver. 23.0 using descriptive statistics, independent t-test, one-way analysis of variance, Pearson correlation coefficients, and multiple regression analysis.
Results
Prenatal depression had a significant negative correlation with self-esteem (r=-0.39, p=0.001) and spouse support (r=-0.36, p<0.001). The factors affecting prenatal depression were religion (β=-0.16, p=0.035), monthly family income (β=-0.15, p=0.040), self-esteem (β=-0.25, p=0.002), and spouse support (β=-0.19, p=0.017); these variables explained 28.4% of the variance in prenatal depression.
Conclusion
To prevent depression in pregnant women, professional counseling and support systems such as spouses, religious and social environments should be applied to pregnant women, especially those with low self-esteem. Additionally, more financial support should be provided for low-income pregnant women. Further, there is a need to screen and manage the risk of depression in pregnancy.

Keyword

Pregnancy; Depression; Self-concept; Spouses; Women

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