Purpose: The purpose of this study was to investigate the influencing factors of postpartum depression among parturient women between 4 to 6 weeks after childbirth. Methods: The participants were 146 healthy postpartum women who delivered at three women's health hospitals in Chungnam province in 2008. Data were collected by a self-report questionnaire. Collected data were analyzed by using the SPSS WIN 14.0 program. Results: There was a significant difference in postpartum depression depending on the educational level. Postpartum depression was significantly correlated with childcare stress, social support, infant fussiness, Sanhujori satisfaction, subjective health condition, and sleep satisfaction. Stepwise multiple regression analysis showed that postpartum depression was significantly predicted by childcare stress, Sanhujori satisfaction and subjective health condition. These variables explained 49.0% of the variance of postpartum depression. Conclusion: It is concluded that a nursing intervention for postpartum depression should focus on decreasing childcare stress and improving Sanhujori satisfaction. further studies are required to verily and substantiate the effect of the developed nursing intervention programs.
Ahn, S. (2005). Canonical correlation between Korean traditional
postpartum care performance and postpartum health
status. J Korean Acad Nurs, 35(1), 37-46.
Bates, J., Freeland, C., & Lounsbury, M. (1979). Measurement of
infant difficulties. Child Dev, 50, 794-803
Cheon, J. A. (1990). The effect of postpartum stress and social network
on the postpartum depression. Unpublished master's thesis,
Korea University, Seoul.
Chon, K. K., & Rhee, M. K. (1992). Preliminary development of
Korean version of CES-D. Korean J Clin Psychol, 11(1), 65-76.
Cutrona, C. E. (1984). Social support and stress in the transition
to parenthood. J Abnorm Psychol, 93, 378-390.
Ferrini, A. F., & Ferrini, P. L. (2000). Health in the later years (3rd
ed.). Boston: McGraw-Hill Higher Education.
Honey, K. L., Bennett, P., & Morgan, M. (2003). Predicting postnatal
depression. J Affect Disord, 76, 201-210.
Huang, C. M., Carter, P. A., & Guo, J. L. (2004). A comparison
of sleep and daytime sleepiness in depressed and nondepressed
mothers during the early postpartum period. J
Nurs Res, 12(4), 287-296.
Hung, C. H. (2005). Women's postpartum stress, social support,
and health status. Western J Nurs Res, 27(2), 148-159.
Jang, E. J. (2007). Psychosocial and obstetric factors associated with
postpartum depressive symptoms. Unpublished master's thesis,
Dongguk University, Seoul.
Jung, M. H., & Kim, J. I. (2005). A study on the relationship
among prenatal emotional status, preparation for delivery,
postpartum social support and postpartum blues. Korean J
Women Health Nurs, 11(1), 38-45.
Kim, J. W., Kim, J. H., Eun, D. W., & Kim, H. (2005). Psychosocial
and obstetric predictors of depressive symptomatology at
postpartum 4 weeks. Korean J Obstet Gynecol, 48(4), 901-909.
Kim, J. Y., & Kim, J. G. (2008). Psycho-social predictors model
of postpartum depression. Korean J Health Psychol, 13(1),
Kwon, M., Kim, H., Kim, N., & Jang, J. (2006). Postpartum depression
and maternal role confidence, parenting stress,
and infant temperament in mothers of young infants. J
Korean Acad Child Health Nurs, 12(3), 314-321.
Lee, H. K. (1992). A structural model of maternal role attainment of
primipara in postpartum period. Unpublished doctoral dissertation,
Seoul National University, Seoul.
Lee, Y. H. (1993). Patterns of infant-father attachment in the strange
situation. Unpublished doctoral dissertation. Kyunghee University,
Lee, K. H., & Lee, Y. S. (2004). The women's health nursing. Seoul:
Leung S., Martinson, I., & Arthur, D. (2005). Postpartum depression
and related psychosocial variables in Hong Kong
Chinese women: Finding from a prospective study. Res
Nurs Health, 28, 27-38.
Logsdon, M. G., Wisner, K. L., & Pinto-Foltz, M. D. (2006). The
impact of postpartum depression on mothering. J Obstet
Gynecol Neonatal Nurs, 35(5), 652-658.
McGrath, J. M., Records, K., & Rice, M. (2008). Maternal depression
and infant temperament characteristics. Infant Behav
Dev, 31(1), 71-84.
Milligan, R. A. (1989). Maternal fatigue during the first three
months of the postpartum period. Unpublished doctoral dissertation,
University of Maryland, Baltimore.
Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric theory
(3rd ed.). New york: McGraw-Hill.
Park, Y. H. (1991). Transition to motherhood of primipara in postpartum
period. Unpublished doctoral dissertation, Seoul
National University, Seoul.
Park, Y. J., Shin, H. J., Ryu, H. S., Cheon, S. H., & Moon, S. H.
(2004). The predictors of postpartum depression. J Korean
Acad Nurs, 34(5), 722-728.
Radloff, L. S. (1977). The CES-D scale: A self report depression
scale for research in the general population. Applied Psychological
Measurement, 1, 385-401.
Ryu, J. M. (2008). Postpartum depression and its predictors at 1 to 6
months postpartum in Korea. Unpublished mater's thesis,
Hanyang University, Seoul.
Song, J. E. (2007). Predictors of postpartum fatigue between early
and late postpartum period in parturient women -Divided
by 3/4 weeks of postpartum period-. Korean J Women
Health Nurs, 13(4), 299-309.
Taylor, P. M., Taylor, F. H., Cambell, S. B., Malino, J. A., &
Cannon, M. (1985). Extra early physical contact and aspect
of the early mother-infant relationship. Acta Paediatr Scand
Suppl, 316, 3-14.
Troy, N. W. (1999). A comparison of fatigue and energy levels
at 6 weeks and 14 to 19 weeks postpartum. Clin Nurs Res,
Webb, D. A., Bloch, J. R., Coyne, J. C., Chung, E. K., Bennett, I.
M., & Culhane, J. F. (2008). Postpartum physical symptoms
in new mothers: Their relationship to functional limitations
and emotional well-being. Birth, 35(3), 179-187.
Yeo, J. H. (2006). Postpartum depression and its predictors at
six months postpartum. Korean J Women Health Nurs, 12(4),
Yoo, E. K. (1993). Health promoting behavior for women's
health: An analysis on meanings of Sanhujori, Korean postpartal
care. Korean J Nurs Query, 2(2), 37-65.
Yoo, E. K. (1999). A study on functional status sfter childbirth under
the Sanhujori, Korean J Women Health Nurs, 5(3), 410-419.
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