Relationship Between Postpartum Depression and Body Image in Postpartum Women

분만 여성의 산후 우울과 신체상의 관계

  • Published : 2002.12.01

Abstract

The purpose of this study was to identify the change and difference and relationship of postpartum depression and physical image. Method: The subjects consisted of 86 postpartum women at one general hospital in Seoul. The data was collected from September to November 2001. The instrument used for this study were SRD (Self-Rating Depression Scale) and Norris' Body Image Scale to evaluate depression and body image. The collected data was analyzed with frequency, mean, t-test, paired t-test, ANOVA and Pearson's correlation coefficient. Result: The result of this study were as follows: 1. The mean score of D2 was significantly higher than D1(p=.003). There was no difference significantly B1 and B2(p=310). 2. There was significant correlation between the two, D1-D2(r=.381, p<.01), B1-B2(r=.364, p<.01), D1-B1(r=.579, p<.01), D2-B2(r= .567, p<.01). (*D1: depression of postpartum 1-3days, D2: depression of postpartum 6-8weeks, B1: body image of postpartum 1-3days, B2: body image of postpartum 6-8weeks) Conclusion: There was very high postpartum depression in postpartum women, but body image was positive. Also, there was correlated to postpartum depression and body image. Thus it is necessary to implement nursing intervention focused on to decrease the postpartum depression and to enhance the body image of the postpartum women.

References

  1. Affonso, Dyanne, D., De, Anindya, K, Horowitz. June Andrews., Mayberry Linda J. (2000). An international study exploring levels of postpartum depressive symptomatology, J of Psychosomatic Research, 49, 207-216
  2. Bai, J. I. (1999). Development of a Home-Based Multimedia Tutoring System for Postpartum Depression Management. 15 Annual Korean Medical Information Fall Conference abstract, 90-91
  3. Cho, Y. S. (1992). The Relationship of Postpartum Mother's Self-Esteem and Depression. J of Korean Acad of Psychiatric Nurs, 1, 97-110
  4. Choi, E. S., Lee, K. E. (1998). Relationships between Body Shape, Body Image and Health Complaints in Women Registered at a Facility for Managing Body Shape. J of Korean Acad of Woman's Health Nurs, 3(2), 169-180
  5. Choi, E. S., Oh, J. A. (2000). A study on the factors related to postpartum depression in postpartum women. J of Korean Acad of Woman's Health Nurs, 6(3), 358-371
  6. Choi, Y. H, Kim, H. S., Park, H. K, Lee, Y. H. (1996). Analysis of factors related to breastfeeding practice of breastfeeding mothers. The Korean Nurse, 35(5), 98-109
  7. Chun, J. Y., Kim, H. J. (1996). A study on body image, spouse support and psychosocial adjustment of patients in mastestomy. J of Korean Acad of Adult Nursing, 8(2), 394-409
  8. Davins, G., Binik, Y. (1982). Perceived self-efficacy outcome expectancies and negative mood states in end stage renal disease, J of Abnormal Psychology, 91, 241-244
  9. Freedman, A. M. et al. (1975). Comprehensive Textbook of Psychiatry(2nd ed). Baltimore: William & Wikins Co
  10. Gjerdingen, D. K, Chaloner, K. M. (1994). The relationship of women's postpartum mental health to employment, childbirth, and social support. J. Fam Pract., May, 38(5), 465-472
  11. Jang, H. S., Kim, S. J., Kim, J. S., Kim, H. K, Choi, E. S. (1996), A study on the postpartum depression experience: Qmethodological approach, J of Korean Acad of Nursing, 26(4), 917-928
  12. Jung, K. H. (1988). A study of relationship between body image and depression in hysterectomy patients. Unpublished master's dissertation. The Ewha Women's University of Korea, Seoul
  13. Kang, N. M (1999). Primiparous Couple's Knowledge, Attitude and Practice regarding breast feeding. J of Korean Acad of Woman's Health Nurs, 5(3), 379-388
  14. Kahn, R. L., & Antonucci, T. (1980). Conveys over the life course : attacchment, roles & social support(eds.), P. B. Balters & O. Brien, Life-span developement & behavior, Boston: Lesington Press, vol. 3.
  15. Kim, O. S. (1998). The Recognition against a Middle-aged fatigue Control Act. Unpublished docteral dissertation, Kyungpook University of Korea, Kyungpook, Daegu
  16. Kolb, L. C. (1997). Modern clinical Psychiatry (8th Ed). Philadelphia: W. E. Saunders Co
  17. Korea Institude of Health (1982). Nationwide family hygiene actual condition investigation in 1982
  18. Korea Nurse Association: Overview on breastfeeding Practice (1996). The korean nurse, 6, 35(2), 25-34
  19. Landy, S., Montgomery J., Walsh, S. (1989), Postpartum depression : a clinical view. Maternal-Child-Nursing Journal, 18(1), 1-29
  20. Lee, E. O. (1981). Chronic & Rehabilitation Nursing. Soo Moon Publishing 113-119p
  21. Lee, K. H. (1992). The Survey on the Korean breastfeeding. J of Life Nurs, 12, 114-116
  22. Lesh, A. J. A. (1978). Postpartum depression. Current practice in obstetric and gynecologic nursing. California : Mosby Co
  23. Norris, C. M. (1970). The professional nurse and body image : Behavior Concepts and nursing intervention Philadelphia : Lipp : ncoH co., 41-42
  24. Park, C. M, Kim, K. C., Lee, J. R, Kim, H. J. (2000). Study on the Actual state of Breast-feeding. J of Korean Acad of Health Education and Promotion, 17(1), 61-80
  25. Park, E. S. (1999). A study on Burden and Depression of the Spouses Taking Care of CVA patients and Their Adaptation Unpublished master's dissertation, Hanyang University of Korea, Seoul
  26. Peto, A. (1972). Body image and depression, Int. J. of Psychoanal., 53, 259-263
  27. Rosenweld, G. L., & Stonehill, M. W. (1972). Early and late postpartum illness. Psychosomatic Medicine, 34(2), 129-137
  28. Rubin, R. (1984). Maternal identity and the Maternal Experience. New York: Springer Pub
  29. Seehan, Franch (1981). Assessing postpartum adjustment, J of obstetic Gynecology Nursing, 19-22
  30. Stowe, Z. N., Casarella, J., & Landry, J. (1995). Sertraline in the treatment of women with postpartum major depression Depression, 3, 49-55
  31. Sung, M. H. (2000) Study on Mother's Knowledge level of Breast feeding and Nursing Activities related to Breast feeding perceived by Mother. J of Korean Acad of Pediatric Nurs., 6(1), 78-88
  32. Zung, W. W. K. (1965), A Self-Rating Depression Scale. Archives of General Psychiatry, 12, Jan, 63-70
  33. Wassner, A. (1982). The impact of mutilating surgery or trauma on body image. International Nursing Review. 29(3), 86-90