1.Prevalence and factors influencing postpartum depression and its culture-specific cutoffs for women in Asia: a scoping review
Bora MOON ; Hyun Kyoung KIM ; Ju-Hee NHO ; Hyunkyung CHOI ; ChaeWeon CHUNG ; Sook Jung KANG ; Ju Hee KIM ; Ju-Young LEE ; Sihyun PARK ; Gisoo SHIN ; Ju-Eun SONG ; Min Hee LEE ; Sue KIM
The Ewha Medical Journal 2025;48(1):e15-
The prevalence of postpartum depression (PPD) in Asia is reported to range from 13.53% to 22.31%. However, there remains a gap in the identification of PPD, particularly regarding cultural cutoff points. Therefore, the purpose of this scoping review was to determine the prevalence and associated factors of PPD in Eastern, South-eastern, Western, and Southern Asian countries and analyze the cutoff points of the Edinburgh Postnatal Depression Scale (EPDS) used across these countries. Following Arksey and O'Malley’s five-step scoping review framework, the population was defined as mothers, the concept as the EPDS, and the context as the Asian region. A literature search was conducted using PubMed, Embase, CINAHL, PsycINFO, and Web of Science. The data analysis focused on demographic characteristics, EPDS cutoffs and features, PPD prevalence, and its associated factors. Nineteen studies were selected. Most countries used translated versions of the EPDS with demonstrated reliability and validity. The cutoff scores varied, with most using scores of 10 or higher. The prevalence of PPD ranged from 5.1% to 78.7%. Key associated factors for PPD included cultural factors such as relationships with in-laws and preferences for the newborn’s sex. To improve the accuracy of PPD screening in Asia, the EPDS should be used consistently, and appropriate cutoff criteria must be established. In addition, prevention strategies and programs that reflect the cultural characteristics and social context of Asia need to be developed for the early detection and prevention of PPD.
2.Prevalence and factors influencing postpartum depression and its culture-specific cutoffs for women in Asia: a scoping review
Bora MOON ; Hyun Kyoung KIM ; Ju-Hee NHO ; Hyunkyung CHOI ; ChaeWeon CHUNG ; Sook Jung KANG ; Ju Hee KIM ; Ju-Young LEE ; Sihyun PARK ; Gisoo SHIN ; Ju-Eun SONG ; Min Hee LEE ; Sue KIM
The Ewha Medical Journal 2025;48(1):e15-
The prevalence of postpartum depression (PPD) in Asia is reported to range from 13.53% to 22.31%. However, there remains a gap in the identification of PPD, particularly regarding cultural cutoff points. Therefore, the purpose of this scoping review was to determine the prevalence and associated factors of PPD in Eastern, South-eastern, Western, and Southern Asian countries and analyze the cutoff points of the Edinburgh Postnatal Depression Scale (EPDS) used across these countries. Following Arksey and O'Malley’s five-step scoping review framework, the population was defined as mothers, the concept as the EPDS, and the context as the Asian region. A literature search was conducted using PubMed, Embase, CINAHL, PsycINFO, and Web of Science. The data analysis focused on demographic characteristics, EPDS cutoffs and features, PPD prevalence, and its associated factors. Nineteen studies were selected. Most countries used translated versions of the EPDS with demonstrated reliability and validity. The cutoff scores varied, with most using scores of 10 or higher. The prevalence of PPD ranged from 5.1% to 78.7%. Key associated factors for PPD included cultural factors such as relationships with in-laws and preferences for the newborn’s sex. To improve the accuracy of PPD screening in Asia, the EPDS should be used consistently, and appropriate cutoff criteria must be established. In addition, prevention strategies and programs that reflect the cultural characteristics and social context of Asia need to be developed for the early detection and prevention of PPD.
3.Prevalence and factors influencing postpartum depression and its culture-specific cutoffs for women in Asia: a scoping review
Bora MOON ; Hyun Kyoung KIM ; Ju-Hee NHO ; Hyunkyung CHOI ; ChaeWeon CHUNG ; Sook Jung KANG ; Ju Hee KIM ; Ju-Young LEE ; Sihyun PARK ; Gisoo SHIN ; Ju-Eun SONG ; Min Hee LEE ; Sue KIM
The Ewha Medical Journal 2025;48(1):e15-
The prevalence of postpartum depression (PPD) in Asia is reported to range from 13.53% to 22.31%. However, there remains a gap in the identification of PPD, particularly regarding cultural cutoff points. Therefore, the purpose of this scoping review was to determine the prevalence and associated factors of PPD in Eastern, South-eastern, Western, and Southern Asian countries and analyze the cutoff points of the Edinburgh Postnatal Depression Scale (EPDS) used across these countries. Following Arksey and O'Malley’s five-step scoping review framework, the population was defined as mothers, the concept as the EPDS, and the context as the Asian region. A literature search was conducted using PubMed, Embase, CINAHL, PsycINFO, and Web of Science. The data analysis focused on demographic characteristics, EPDS cutoffs and features, PPD prevalence, and its associated factors. Nineteen studies were selected. Most countries used translated versions of the EPDS with demonstrated reliability and validity. The cutoff scores varied, with most using scores of 10 or higher. The prevalence of PPD ranged from 5.1% to 78.7%. Key associated factors for PPD included cultural factors such as relationships with in-laws and preferences for the newborn’s sex. To improve the accuracy of PPD screening in Asia, the EPDS should be used consistently, and appropriate cutoff criteria must be established. In addition, prevention strategies and programs that reflect the cultural characteristics and social context of Asia need to be developed for the early detection and prevention of PPD.
4.Prevalence and factors influencing postpartum depression and its culture-specific cutoffs for women in Asia: a scoping review
Bora MOON ; Hyun Kyoung KIM ; Ju-Hee NHO ; Hyunkyung CHOI ; ChaeWeon CHUNG ; Sook Jung KANG ; Ju Hee KIM ; Ju-Young LEE ; Sihyun PARK ; Gisoo SHIN ; Ju-Eun SONG ; Min Hee LEE ; Sue KIM
The Ewha Medical Journal 2025;48(1):e15-
The prevalence of postpartum depression (PPD) in Asia is reported to range from 13.53% to 22.31%. However, there remains a gap in the identification of PPD, particularly regarding cultural cutoff points. Therefore, the purpose of this scoping review was to determine the prevalence and associated factors of PPD in Eastern, South-eastern, Western, and Southern Asian countries and analyze the cutoff points of the Edinburgh Postnatal Depression Scale (EPDS) used across these countries. Following Arksey and O'Malley’s five-step scoping review framework, the population was defined as mothers, the concept as the EPDS, and the context as the Asian region. A literature search was conducted using PubMed, Embase, CINAHL, PsycINFO, and Web of Science. The data analysis focused on demographic characteristics, EPDS cutoffs and features, PPD prevalence, and its associated factors. Nineteen studies were selected. Most countries used translated versions of the EPDS with demonstrated reliability and validity. The cutoff scores varied, with most using scores of 10 or higher. The prevalence of PPD ranged from 5.1% to 78.7%. Key associated factors for PPD included cultural factors such as relationships with in-laws and preferences for the newborn’s sex. To improve the accuracy of PPD screening in Asia, the EPDS should be used consistently, and appropriate cutoff criteria must be established. In addition, prevention strategies and programs that reflect the cultural characteristics and social context of Asia need to be developed for the early detection and prevention of PPD.
5.Prevalence and factors influencing postpartum depression and its culture-specific cutoffs for women in Asia: a scoping review
Bora MOON ; Hyun Kyoung KIM ; Ju-Hee NHO ; Hyunkyung CHOI ; ChaeWeon CHUNG ; Sook Jung KANG ; Ju Hee KIM ; Ju-Young LEE ; Sihyun PARK ; Gisoo SHIN ; Ju-Eun SONG ; Min Hee LEE ; Sue KIM
The Ewha Medical Journal 2025;48(1):e15-
The prevalence of postpartum depression (PPD) in Asia is reported to range from 13.53% to 22.31%. However, there remains a gap in the identification of PPD, particularly regarding cultural cutoff points. Therefore, the purpose of this scoping review was to determine the prevalence and associated factors of PPD in Eastern, South-eastern, Western, and Southern Asian countries and analyze the cutoff points of the Edinburgh Postnatal Depression Scale (EPDS) used across these countries. Following Arksey and O'Malley’s five-step scoping review framework, the population was defined as mothers, the concept as the EPDS, and the context as the Asian region. A literature search was conducted using PubMed, Embase, CINAHL, PsycINFO, and Web of Science. The data analysis focused on demographic characteristics, EPDS cutoffs and features, PPD prevalence, and its associated factors. Nineteen studies were selected. Most countries used translated versions of the EPDS with demonstrated reliability and validity. The cutoff scores varied, with most using scores of 10 or higher. The prevalence of PPD ranged from 5.1% to 78.7%. Key associated factors for PPD included cultural factors such as relationships with in-laws and preferences for the newborn’s sex. To improve the accuracy of PPD screening in Asia, the EPDS should be used consistently, and appropriate cutoff criteria must be established. In addition, prevention strategies and programs that reflect the cultural characteristics and social context of Asia need to be developed for the early detection and prevention of PPD.
6.Do individual or organizational factors influence cultural competency of maternal newborn nurses?: a cross-sectional study
Women’s Health Nursing 2024;30(4):318-329
Cultural competency is a very important ability of nurses in women’s hospitals in providing nursing care during pregnancy and childbirth. This study explored how multicultural attitudes, multicultural efficacy, intercultural communicative competency, and hospital support for cultural competency influence the cultural competency of nurses in women’s hospitals. Methods: A cross-sectional correlational study design was used. The study involved 150 nurses from five women’s hospitals located in Gyeongsangbuk-do and Gyeongsangnam-do, South Korea. Participants completed a packet of structured self-report questionnaires, which included the Korean version of the Cultural Competence Scale for Clinical Nurses, the Multicultural Attitude Scale Questionnaire, the Intercultural Communicative Competence Questionnaire, the Transcultural Self-Efficacy Scale, and the Organizational Support among Cultural Competence Assessment Instrument. We analyzed the collected data using descriptive statistics, the t-test, one-way analysis of variance, Pearson correlation coefficients, and hierarchical multiple regression analysis. Results: Among the general characteristics, educational level, religion, and experience with overseas travel were identified as factors influencing cultural competency. In the final model, multicultural attitudes (β=.46, p<.001) and intercultural communicative competency (β=.19, p=.025) emerged as significant individual factors that affected cultural competency. This model accounted for 49.8% of the variance in cultural competency. Conclusion: This study identified multicultural attitudes and intercultural communicative competency as significant individual factors contributing to the cultural competency of nurses in women’s hospitals. Therefore, enhancing these nurses’ multicultural attitudes and intercultural communicative competency is essential for improving their overall cultural competency
7.Do individual or organizational factors influence cultural competency of maternal newborn nurses?: a cross-sectional study
Women’s Health Nursing 2024;30(4):318-329
Cultural competency is a very important ability of nurses in women’s hospitals in providing nursing care during pregnancy and childbirth. This study explored how multicultural attitudes, multicultural efficacy, intercultural communicative competency, and hospital support for cultural competency influence the cultural competency of nurses in women’s hospitals. Methods: A cross-sectional correlational study design was used. The study involved 150 nurses from five women’s hospitals located in Gyeongsangbuk-do and Gyeongsangnam-do, South Korea. Participants completed a packet of structured self-report questionnaires, which included the Korean version of the Cultural Competence Scale for Clinical Nurses, the Multicultural Attitude Scale Questionnaire, the Intercultural Communicative Competence Questionnaire, the Transcultural Self-Efficacy Scale, and the Organizational Support among Cultural Competence Assessment Instrument. We analyzed the collected data using descriptive statistics, the t-test, one-way analysis of variance, Pearson correlation coefficients, and hierarchical multiple regression analysis. Results: Among the general characteristics, educational level, religion, and experience with overseas travel were identified as factors influencing cultural competency. In the final model, multicultural attitudes (β=.46, p<.001) and intercultural communicative competency (β=.19, p=.025) emerged as significant individual factors that affected cultural competency. This model accounted for 49.8% of the variance in cultural competency. Conclusion: This study identified multicultural attitudes and intercultural communicative competency as significant individual factors contributing to the cultural competency of nurses in women’s hospitals. Therefore, enhancing these nurses’ multicultural attitudes and intercultural communicative competency is essential for improving their overall cultural competency
8.Do individual or organizational factors influence cultural competency of maternal newborn nurses?: a cross-sectional study
Women’s Health Nursing 2024;30(4):318-329
Cultural competency is a very important ability of nurses in women’s hospitals in providing nursing care during pregnancy and childbirth. This study explored how multicultural attitudes, multicultural efficacy, intercultural communicative competency, and hospital support for cultural competency influence the cultural competency of nurses in women’s hospitals. Methods: A cross-sectional correlational study design was used. The study involved 150 nurses from five women’s hospitals located in Gyeongsangbuk-do and Gyeongsangnam-do, South Korea. Participants completed a packet of structured self-report questionnaires, which included the Korean version of the Cultural Competence Scale for Clinical Nurses, the Multicultural Attitude Scale Questionnaire, the Intercultural Communicative Competence Questionnaire, the Transcultural Self-Efficacy Scale, and the Organizational Support among Cultural Competence Assessment Instrument. We analyzed the collected data using descriptive statistics, the t-test, one-way analysis of variance, Pearson correlation coefficients, and hierarchical multiple regression analysis. Results: Among the general characteristics, educational level, religion, and experience with overseas travel were identified as factors influencing cultural competency. In the final model, multicultural attitudes (β=.46, p<.001) and intercultural communicative competency (β=.19, p=.025) emerged as significant individual factors that affected cultural competency. This model accounted for 49.8% of the variance in cultural competency. Conclusion: This study identified multicultural attitudes and intercultural communicative competency as significant individual factors contributing to the cultural competency of nurses in women’s hospitals. Therefore, enhancing these nurses’ multicultural attitudes and intercultural communicative competency is essential for improving their overall cultural competency
9.Do individual or organizational factors influence cultural competency of maternal newborn nurses?: a cross-sectional study
Women’s Health Nursing 2024;30(4):318-329
Cultural competency is a very important ability of nurses in women’s hospitals in providing nursing care during pregnancy and childbirth. This study explored how multicultural attitudes, multicultural efficacy, intercultural communicative competency, and hospital support for cultural competency influence the cultural competency of nurses in women’s hospitals. Methods: A cross-sectional correlational study design was used. The study involved 150 nurses from five women’s hospitals located in Gyeongsangbuk-do and Gyeongsangnam-do, South Korea. Participants completed a packet of structured self-report questionnaires, which included the Korean version of the Cultural Competence Scale for Clinical Nurses, the Multicultural Attitude Scale Questionnaire, the Intercultural Communicative Competence Questionnaire, the Transcultural Self-Efficacy Scale, and the Organizational Support among Cultural Competence Assessment Instrument. We analyzed the collected data using descriptive statistics, the t-test, one-way analysis of variance, Pearson correlation coefficients, and hierarchical multiple regression analysis. Results: Among the general characteristics, educational level, religion, and experience with overseas travel were identified as factors influencing cultural competency. In the final model, multicultural attitudes (β=.46, p<.001) and intercultural communicative competency (β=.19, p=.025) emerged as significant individual factors that affected cultural competency. This model accounted for 49.8% of the variance in cultural competency. Conclusion: This study identified multicultural attitudes and intercultural communicative competency as significant individual factors contributing to the cultural competency of nurses in women’s hospitals. Therefore, enhancing these nurses’ multicultural attitudes and intercultural communicative competency is essential for improving their overall cultural competency
10.Do individual or organizational factors influence cultural competency of maternal newborn nurses?: a cross-sectional study
Women’s Health Nursing 2024;30(4):318-329
Cultural competency is a very important ability of nurses in women’s hospitals in providing nursing care during pregnancy and childbirth. This study explored how multicultural attitudes, multicultural efficacy, intercultural communicative competency, and hospital support for cultural competency influence the cultural competency of nurses in women’s hospitals. Methods: A cross-sectional correlational study design was used. The study involved 150 nurses from five women’s hospitals located in Gyeongsangbuk-do and Gyeongsangnam-do, South Korea. Participants completed a packet of structured self-report questionnaires, which included the Korean version of the Cultural Competence Scale for Clinical Nurses, the Multicultural Attitude Scale Questionnaire, the Intercultural Communicative Competence Questionnaire, the Transcultural Self-Efficacy Scale, and the Organizational Support among Cultural Competence Assessment Instrument. We analyzed the collected data using descriptive statistics, the t-test, one-way analysis of variance, Pearson correlation coefficients, and hierarchical multiple regression analysis. Results: Among the general characteristics, educational level, religion, and experience with overseas travel were identified as factors influencing cultural competency. In the final model, multicultural attitudes (β=.46, p<.001) and intercultural communicative competency (β=.19, p=.025) emerged as significant individual factors that affected cultural competency. This model accounted for 49.8% of the variance in cultural competency. Conclusion: This study identified multicultural attitudes and intercultural communicative competency as significant individual factors contributing to the cultural competency of nurses in women’s hospitals. Therefore, enhancing these nurses’ multicultural attitudes and intercultural communicative competency is essential for improving their overall cultural competency

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