Factors of Prenatal Depression by Stress-vulnerability and Stress-coping Models.
10.4069/kjwhn.2014.20.1.38
- Author:
Younglan KIM
1
;
Chae Weon CHUNG
Author Information
1. Graduate School, College of Nursing, Seoul National University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Depression;
Pregnant women;
Prenatal care
- MeSH:
Cross-Sectional Studies;
Depression*;
Family Planning Services;
Female;
Hospitals, General;
Humans;
Pregnancy;
Pregnant Women;
Prenatal Care;
Surveys and Questionnaires
- From:Korean Journal of Women Health Nursing
2014;20(1):38-47
- CountryRepublic of Korea
- Language:Korean
-
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.