Women's Health Nursing (여성건강간호학회지)

Korean Society of Women Health Nursing (한국여성건강간호학회)
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Effects of stress, depression, and spousal and familial support on maternal identity in pregnant women

임부의 스트레스, 우울 및 배우자와 가족의 지지가 모성 정체성에 미치는 영향

  • Seo, Hye-Jung (Ajou University Medical Center) ;
  • Song, Ju-Eun (College of Nursing.Research Institute of Nursing Science, Ajou University) ;
  • Lee, Youngjin (College of Nursing.Research Institute of Nursing Science, Ajou University) ;
  • Ahn, Jeong-Ah (College of Nursing.Research Institute of Nursing Science, Ajou University)
  • 서혜정 (아주대학교병원) ;
  • 송주은 (아주대학교 간호대학.간호과학연구소) ;
  • 이영진 (아주대학교 간호대학.간호과학연구소) ;
  • 안정아 (아주대학교 간호대학.간호과학연구소)
  • Received : 2020.02.07
  • Accepted : 2020.03.17
  • Published : 2020.03.31
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Abstract

Purpose: The objective of this study was to identify the factors influencing maternal identity in pregnant women. Methods: Using a descriptive research design, a cross-sectional survey was conducted. In total, 127 pregnant women were recruited from a tertiary hospital in Korea from January to April 2019. Measurements included maternal identity, stress, depression, spousal and familial support, and demographic and obstetric characteristics. Data were analyzed by descriptive statistics, the independent t-test, one-way ANOVA, Pearson correlation coefficients, and stepwise multiple regression using SPSS version 25.0. Results: The mean score for maternal identity was 131.15 out of 160, and the mean scores for stress, depression, and spousal and familial support were 14.59 (out of 40), 6.82 (out of 30), and 109.04 (out of 132), respectively. Stress (r=-.38, p<.001), depression (r=-.37, p<.001), and spousal and familial support (r=.37, p<.001) were significantly correlated with maternal identity. In multiple regression analysis, stress (β=-0.27, p=.005) and spousal and familial support (β=0.23, p=.014) were found to be significant factors influencing maternal identity in pregnant women (F=14.19, p<.001). Conclusion: It is necessary to develop effective strategies to mitigate stress and to encourage spousal and familial support in pregnant women. Such strategies could further enable pregnant women to enhance their maternal identity.

Keywords

References

  1. Rubin R. Maternal identity and the maternal experience. New York, NY: Springer; 1984.
  2. Hopkins J, Clarke D, Cross W. Inside stories: maternal representations of first time mothers from pre-pregnancy to early pregnancy. Women Birth. 2014;27(1):26-30. https://doi.org/10.1016/j.wombi.2013.09.002
  3. Mercer RT. Becoming a mother versus maternal role attainment. J Nurs Scholarsh. 2004;36(3):226-232. https://doi.org/10.1111/j.1547-5069.2004.04042.x
  4. Kwon M. Antenatal depression and mother-fetal interaction. J Korean Acad Child Health Nurs. 2007;13(4):416-426.
  5. Krzepota J, Sadowska D. Associations between health behavior habits and quality of life outcomes in pregnant women: a preliminary investigation in Polish sample. Cent Eur J Sport Sci Med. 2015;10(2):45-53.
  6. Kim M. Stress, depression, and fetal attachment in pregnant women having infertility treatments. Korean J Women Health Nurs. 2014;20(2):163-172. https://doi.org/10.4069/kjwhn.2014.20.2.163
  7. Hwang RH. Self-esteem, body image and factors influencing on maternal fetal attachment behavior of pregnant women. J Digit Converg. 2018;16(9):197-206. https://doi.org/10.14400/JDC.2018.16.9.197
  8. Lee SA, Lee SH. Factors influencing maternal-fetal attachment among pregnant women. J Korea Acad-Ind Cooper Soc. 2015;16(3):2020-2028. https://doi.org/10.5762/KAIS.2015.16.3.2020
  9. Kim HW. Model construction of maternal identity in primigravida. J Korean Acad Nurs. 1998;16(3):510-518. https://doi.org/10.4040/jkan.1998.28.2.510
  10. Kim HW, Hong KJ. Development of a maternal identity scale for pregnant women. J Nurs Acad Soc. 1996;26(3):531-543. https://doi.org/10.4040/jnas.1996.26.3.531
  11. Lee J, Shin C, Ko YH, Lim J, Joe SH, Kim S, et al. The reliability and validity studies of the Korean version of the perceived stress scale. Korean J Psychosom Med. 2012;20(2):127-134.
  12. Cohen S. Perceived stress in a probability sample of the United States. In: Spacapan S, Oskamp S, editors. The Claremont Symposium on Applied Social Psychology. Thousand Oaks, CA: Sage Publication; 1988. p. 31-67.
  13. Chaaya M, Osman H, Naassan G, Mahfoud Z. Validation of the Arabic version of the Cohen Perceived Stress Scale (PSS-10) among pregnant and postpartum women. BMC Psychiatry. 2010;10:111. https://doi.org/10.1186/1471-244X-10-111
  14. Han K, Kim M, Park JM. The Edinburgh postnatal depression scale, Korean version: reliability and validity. J Korean Soc Biol Ther Psychiatry. 2004;10(2):201-207.
  15. Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry. 1987;150:782-786. https://doi.org/10.1192/bjp.150.6.782
  16. Lee SH, Youk GY. Factors affecting antenatal depression of pregnant women. Asia-pac J Multimed Serv Converg Art Humanit Sociol. 2018;8(2):753-762.
  17. Curry MA, Campbell RA, Christian M. Validity and reliability testing of the Prenatal Psychosocial Profile. Res Nurs Health. 1994;17(2):127-135. https://doi.org/10.1002/nur.4770170208
  18. Kim ES. Factors influencing Taekyo in pregnant women [master's thesis]. Seoul: Yonsei University; 2000. 69 p.
  19. Lee SM, Park HJ. Relationship among emotional clarity, maternal identity, and fetal attachment in pregnant women with gestational diabetes mellitus. Korean J Women Health Nurs. 2017;23(2):99-108. https://doi.org/10.4069/kjwhn.2017.23.2.99
  20. Li W, Newell-Price J, Jones GL, Ledger WL, Li TC. Relationship between psychological stress and recurrent miscarriage. Reprod Biomed Online. 2012;25(2):180-189. https://doi.org/10.1016/j.rbmo.2012.03.012
  21. Baghdari N, Sadeghi Sahebzad E, Kheirkhah M, Azmoude E. The effects of pregnancy-adaptation training on maternal-fetal attachment and adaptation in pregnant women with a history of baby loss. Nurs Midwifery Stud. 2016;5(2):e28949. https://doi.org/10.17795/nmsjournal28949
  22. Jung YY, Kim HW. Factors associated with postpartum depression and its influence on maternal identity. Korean J Women Health Nurs. 2014;20(1):29-37. https://doi.org/10.4069/kjwhn.2014.20.1.29
  23. Chae HJ, Song JE, Kim S. Predictors of maternal identity of Korean primiparas. J Korean Acad Nurs. 2011;41(6):733-741. https://doi.org/10.4040/jkan.2011.41.6.733
  24. Ozkan H, Polat S. Maternal identity development education on maternity role attainment and my baby perception of primiparas. Asian Nurs Res. 2011;5(2):108-117. https://doi.org/10.1016/S1976-1317(11)60019-4
  25. Kim HS. Effects of an integrated self-management program on self-management, glycemic control, and maternal identity in women with gestational diabetes mellitus. J Korea Contents Assoc. 2012;10(4):146. https://doi.org/10.5392/JKCA.2010.10.12.146
  26. Yu M, Kim M. The contribution of maternal-fetal attachment: Taegyo, maternal fatigue and social support during pregnancy. Child Health Nurs Res. 2014;20(4):247-254. https://doi.org/10.4094/chnr.2014.20.4.247
  27. Song JE, Ko JM. Influencing factors on maternal role adjustment among the primipara women in the first year after childbirth. J Korean Soc Matern Child Health. 2016;20(3):284-296. https://doi.org/10.21896/jksmch.2016.20.3.284
  28. Lee IH. The effect of social support intervention on mood and maternal confidence of premature's mothers. J Korean Acad Nurs. 2000;30(5):1111-1120. https://doi.org/10.4040/jkan.2000.30.5.1111

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  2. Edinburgh Postnatal Depression Scale used in South Korea vol.64, pp.10, 2020, https://doi.org/10.5124/jkma.2021.64.10.699