DOI QR코드

DOI QR Code

Pregnant Women's Antenatal Depression and Influencing Factors

임신여성의 산전 우울 및 영향요인

  • Koh, Minseon (College of Nursing, Chungnam National University) ;
  • Ahn, Sukhee (College of Nursing, Chungnam National University) ;
  • Kim, Jisoon (Industry-University Cooperation, College of Nursing, Chungnam National University) ;
  • Park, Seyeon (College of Nursing, Chungnam National University) ;
  • Oh, Jiwon (College of Nursing, Chungnam National University)
  • 고민선 (충남대학교 간호대학) ;
  • 안숙희 (충남대학교 간호대학) ;
  • 김지순 (충남대학교 간호대학 산학협력) ;
  • 박세연 (충남대학교 간호대학) ;
  • 오지원 (충남대학교 간호대학)
  • Received : 2019.02.12
  • Accepted : 2019.03.05
  • Published : 2019.03.20

Abstract

Purpose: The objective of this study was to investigate the prevalence of antenatal depression in pregnant women and its influencing factors. Methods: With a cross-sectional survey design, a total of 396 pregnant women were recruited from a local obstetrics and gynecology clinic. Measurements included antenatal depression, perceived stress, predictors of depression during pregnancy, and demographic and obstetric characteristics. Results: Mean antenatal depression score was 8.20 (standard deviation=4.95) out of 30, falling into its normal range. However, the prevalence of antenatal depression was 35.9% when cut-point of 9/10 was used. The prevalence of antenatal depression among women in the first trimester was 31.4%. It was slightly increased to 34.9% in the second trimester but significantly increased to 40.5% in the third trimester. In multiple logistic regression analysis, experiencing prenatal anxiety (odds ratio [OR], 4.16), having no job (OR, 2.90), lower self-esteem (OR, 1.62), and higher perceived stress (OR, 1.32) were significant factors influencing antenatal depression. Conclusion: Negative feeling such as feeling anxious, lower self-esteem, and higher perceived stress during pregnancy are key factors affecting antenatal depression. Thus, antenatal nursing intervention focusing on pregnant women's feeling upon their job status is necessary to improve their antenatal psychological well-being.

Keywords

References

  1. Lepine JP, Briley M. The increasing burden of depression. Neuropsychiatric Disease and Treatment. 2011;7(Suppl 1):3-7.
  2. Liu C, Cnattingius S, Bergstrom M, Ostberg V, Hjern A. Prenatal parental depression and preterm birth: a national cohort study. British Journal of Obstetrics and Gynecology. 2016;123(12):1973-1982. https://doi.org/10.1111/1471-0528.13891
  3. Brummelte S, Galea LA. Postpartum depression: etiology, treatment and consequences for maternal care. Hormones and Behavior. 2016;77:153-166. https://doi.org/10.1016/j.yhbeh.2015.08.008
  4. Choi SK, Ahn SY, Shin JC, Jang DG. A clinical study of depressive symptoms during pregnancy. Korean Journal of Obstetrics and Gynecology. 2009;52(11):1102-1107.
  5. Kim MO, Kim YL. The mediating effect of fatigue on the relationship between pregnancy stress and depression during the third trimester of pregnancy. Journal of East-West Nursing Research. 2018;24(1):81-89. https://doi.org/10.14370/JEWNR.2018.24.1.81
  6. Chung JH. Prevalence and risk factor of pregnancy complications. Report No. 2016-ER-6306-01. Cheongju: Korea Centers for Disease Control and Prevention; 2017.
  7. Highet NJ, Gemmill AW, Milgrom J. Depression in the perinatal period: awareness, attitudes and knowledge in the Australian population. Australian and New Zealand Journal of Psychiatry. 2011;45(3):223-231. https://doi.org/10.3109/00048674.2010.547842
  8. Nonacs R, Cohen LS. Depression during pregnancy: diagnosis and treatment options. The Journal of Clinical Psychiatry. 2002;63 Suppl 7:24-30.
  9. Elek SM, Hudson DB, Fleck MO. Couples' experiences with fatigue during the transition to parenthood. Journal of Family Nursing. 2002;8(3):221-240. https://doi.org/10.1177/107484070200800305
  10. Beck CT. Revision of the postpartum depression predictors inventory. Journal of Obstetric, Gynecologic, and Neonatal Nursing 2002;31(4):394-402. https://doi.org/10.1111/j.1552-6909.2002.tb00061.x
  11. Beck CT. Predictors of postpartum depression: an update. Nursing Research. 2001;50(5):275-285. https://doi.org/10.1097/00006199-200109000-00004
  12. Kim HW, Jung YY. Influencing factors on antenatal depression. Korean Journal of Women Health Nursing. 2010;16(2):95-104. https://doi.org/10.4069/kjwhn.2010.16.2.95
  13. Kim YL, Chung CW. Factors of prenatal depression by stress-vulnerability and stress-coping models. Korean Journal of Women Health Nursing. 2014;20(1):38-47. https://doi.org/10.4069/kjwhn.2014.20.1.38
  14. Kim YL, Hwang SW. Structural equation modeling on antenatal depression. Journal of Health Informatics and Statistics. 2018;43(4):336-343. https://doi.org/10.21032/jhis.2018.43.4.336
  15. Youn JH, Jeong IS. Predictors of postpartum depression: prospective cohort study. Journal of Korean Academy of Nursing. 2013;43(2):225-235. https://doi.org/10.4040/jkan.2013.43.2.225
  16. Kim YK, Hur JW, Kim KH, Oh KS, Shin YC. Clinical application of Korean version of Edinburgh Postnatal Depression Scale. Journal of Korean Neuropsychiatric Association. 2008;47(1):36-44.
  17. Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. The British Journal of Psychiatry. 1987;150(6):782-786. https://doi.org/10.1192/bjp.150.6.782
  18. Murray D, Cox JL. Screening for depression during pregnancy with the Edinburgh Depression Scale (EDDS). Journal of Reproductive and Infant Psychology. 1990;8(2):99-107. https://doi.org/10.1080/02646839008403615
  19. Underwood L, Waldie K, D'Souza S, Peterson ER, Morton S. A review of longitudinal studies on antenatal and postnatal depression. Archives of Women's Mental Health. 2016;19(5):711-720. https://doi.org/10.1007/s00737-016-0629-1
  20. Youn JH, Jeong IS. Predictive validity of the postpartum depression predictors inventory-revised. Asian Nursing Research. 2011;5(4):210-215. https://doi.org/10.1016/j.anr.2011.11.003
  21. Records K, Rice M, Beck CT. Psychometric assessment of the postpartum depression predictors inventory-revised. Journal of Nursing Measurement. 2007;15(3):189-202. https://doi.org/10.1891/106137407783095775
  22. Beck CT, Records K, Rice M. Further development of the postpartum depression predictors inventory-revised. Journal of Obstetric, Gynecologic and Neonatal Nursing. 2006;35(6):735-745. https://doi.org/10.1111/j.1552-6909.2006.00094.x
  23. Cho H, Hyun M. The effects of perceived stress and self compassion on the relationship between self criticism and depression. Korean Journal of Health Psychology. 2011;16(1):49-62. https://doi.org/10.17315/kjhp.2011.16.1.004
  24. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. Journal of Health and Social Behavior. 1983;24(4):385-396. https://doi.org/10.2307/2136404
  25. Kim MW, Yang HS, Kim JR. A study on agreements among screening tests and related factors with postpartum depression. Obstetrics & Gynecology Science. 2009;52(11):1133-1143.
  26. Ashley JM, Harper BD, Arms-Chavez CJ, LoBello SG. Estimated prevalence of antenatal depression in the US population. Archives of Women's Mental Health. 2016;19(2):395-400. https://doi.org/10.1007/s00737-015-0593-1
  27. Husain N, Parveen A, Husain M, Saeed Q, Jafri F, Rahman R, et al. Prevalence and psychosocial correlates of perinatal depression: a cohort study from urban Pakistan. Archives of Women's Mental Health. 2011;14(5):395-403. https://doi.org/10.1007/s00737-011-0233-3
  28. Ogbo FA, Eastwood J, Hendry A, Jalaludin B, Agho KE, Barnett B, et al. Determinants of antenatal depression and postnatal depression in Australia. BMC Psychiatry. 2018;18(1):49. https://doi.org/10.1186/s12888-018-1598-x
  29. Biratu A, Haile D. Prevalence of antenatal depression and associated factors among pregnant women in Addis Ababa, Ethiopia: a cross-sectional study. Reproductive Health. 2015;12:99. https://doi.org/10.1186/s12978-015-0092-x
  30. Corbani IE, Rucci P, Iapichino E, Quartieri Bollani M, Cauli G, Ceruti MR, et al. Comparing the prevalence and the risk profile for antenatal depressive symptoms across cultures. International Journal of Social Psychiatry. 2017;63(7):622-631. https://doi.org/10.1177/0020764017725543

Cited by

  1. Influence of Self-esteem and Spouse Support on Prenatal Depression in Pregnant Women vol.24, pp.4, 2020, https://doi.org/10.21896/jksmch.2020.24.4.212
  2. Effects of Positive Psychology-Based Program for the Depressed Pregnant Women vol.25, pp.2, 2019, https://doi.org/10.21896/jksmch.2021.25.2.109
  3. Edinburgh Postnatal Depression Scale used in South Korea vol.64, pp.10, 2019, https://doi.org/10.5124/jkma.2021.64.10.699
  4. Factors influencing prenatal and postpartum depression in Korea: a prospective cohort study vol.27, pp.4, 2019, https://doi.org/10.4069/kjwhn.2021.11.17