Journal of The Korean Society of Maternal and Child Health (한국모자보건학회지)

The Korean Society of Maternal and Child Health (한국모자보건학회)
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The Influence of Self-efficacy, Social Support, Postpartum Fatigue and Parenting Stress on Postpartum Depression

자기효능감, 사회적 지지, 피로, 양육스트레스가 산후우울증에 미치는 영향

  • Kim, Kyung Sook (Department of Public Health, Graduate School of Kyungpook National University) ;
  • Kam, Sin (Department of Preventive Medicine, School of Medicine, Kyungpook National University) ;
  • Lee, Won Kee (Department of Preventive Medicine, School of Medicine, Kyungpook National University)
  • 김경숙 (경북대학교 대학원 보건학과) ;
  • 감신 (경북대학교 의학전문대학원 예방의학교실) ;
  • 이원기 (경북대학교 의학전문대학원 예방의학교실)
  • Published : 2012.07.31
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Abstract

Objectives: This study was performed to examine the influence of self-efficacy, social support, postpartum fatigue and parenting stress on postpartum depression in mothers. Methods: The authors conducted a survey using a self-administered questionnaire, conducted during May, 2011. The study subjects were 313 parturient mothers in 1 week after delivery. Results: To investigate the overall relationship between the variables, the authors conducted a path analysis using a linear structural equation model analysis. The equation was statistically appropriate and had a good fitness. The postpartum fatigue, and parenting stress factors, respectively influenced postpartum depression positively (p<0.01). The social support factor influenced postpartum fatigue and depression negatively (p<0.01) The self-efficacy factor influenced parenting stress negatively (p<0.01). The age of mother (${\gamma}$=0.11), mood change during pregnancy (${\gamma}$=-0.12), order of baby ${\gamma}$=0.43) and health status of mother (${\gamma}$=0.14) influenced self-efficacy (p<0.05). The variable affecting social support was cooperation degree of husband (${\gamma}$=0.36, p<0.01). The mood change during pregnancy (${\gamma}$=0.21), nursing type (${\gamma}$=0.11,), and health status of mother (${\gamma}$=-0.26) influenced postpartum fatigue (p<0.05). And the variables affecting parenting stress were mood change during pregnancy (${\gamma}$=0.12, p<0.05) and cooperation degree of husband (${\gamma}$=-0.20, p<0.01). Conclusions: The self-efficacy, social support, fatigue, and parenting stress of parturient mother influenced to the postpartum depression. It would be necessary to develop programs to increase self-efficacy and social support and to decrease the postpartum fatigue and parenting stress.

Keywords

References

  1. Ahn OS. The Influence of Parenting Stress and Social Support on Postpartum Depression among Mothers during Puerperium[dissertation]. Graduate School of Dongguk University, 2004
  2. Ahn OS, Oh WO. Relationship among Postpartum Depression, Parenting Stress and self-esteem in Mothers during Puerperium. Journal of Korean Society of Maternal and Child Health 2006;10(1):58-68
  3. Bandura A. Self-efficacy: Toward a unifying theory of behavioral Change. Psychology Review 1986; 84(2):191-215
  4. Cho MJ, Kim KH. The Diagnostic Validity of CES-D in the Assessment of DSM-III-R Major Depression. Journal Korean Neuropsychiatr Assoc 1993;114:381-399
  5. Choi ES, Oh JA. A Study on the Factors related to Postpartum Depression in Postpartum Women. Korean Journal of Womens Health Nursing 2000;6(3):358-371
  6. Cooper PJ, Murray L. Postnatal depression. British Medical Journal 1998;316:1884-1886 https://doi.org/10.1136/bmj.316.7148.1884
  7. Dennis CE, Janssen PA, Singer J. Identifying women at-risk for postpartum depression in the immediate postpartum period. Acta Psychiatrica Scandinavica 2004;110:338-348 https://doi.org/10.1111/j.1600-0447.2004.00337.x
  8. Gardner DL. Fatigue in postpartum women. Applied Nursing Research 1991;4(2):57-62 https://doi.org/10.1016/S0897-1897(05)80056-4
  9. Glangeaud NM, Boyee P. Postpartum depression: risk factors and treatments - Introduction. Archives of Women's Mental Health 2003;6(2):31-32
  10. Glangeaud NM, Crost M, Kaminski M. Severe postdelivery blues: associated factors. Women's Mental Health 1999;2:37-44 https://doi.org/10.1007/s007370050033
  11. Kim BH, Jeon HW, Jun Y. Relationship Between Postpartum Depression and Body Image in Postpartum Women. Journal of Korean Academy of Nursing 2002;32(6):906-916
  12. Kim HS, Shin YH, Oh KS, Kim TI, Sim MK. Parenting Stress, Maternal Sensitivity to infant Cues and Child Rearing Environment of First-time Mothers. Journal of Korean Academy of Child Health Nursing 2005;11(4):415-426
  13. Kwon JH. A Test of A Vulnerability-stress Model of Postpartum Depression. Korean Journal of Clinical Psychology 1997;16(2):55-66
  14. LaRocco JM, House JS, French JR, Social support, occupational stress of health. J of Health & Social Behavior 1980;21(9)202-218
  15. Lederman RP, Weigarten CG, Lederman. Postpartum self evaluation questionnaire : Measures of Maternal Adaptation. Birth Defects Original Article Series 1981;22(6):201-231
  16. Lee JY. Fatigue, Parenting Stress and Sleep Patterns of Women According to Period of Postpartum [disertation]. Graduate School of Keimyung University, 2006
  17. Lee JS. The Effects of Postpartum Video Education on the Knowledge and Self-efficacy of Postpartum Care in Primiparas [dissertation]. Graduate School of Kosin University, 2003
  18. Milligan RA, Flenniken PM, Pugh LC. Positioning intervention to minimize fatigue in breastfeeding women. Applied Nursing Research 1996;9(2):66-70
  19. Nagata M, Nagai Y, Sobajima H, Ando T, Honjo S. Depression in the Mothere and Maternal Attachment-Results from a Follow-Up Study at 1 Year Postpartum. Psychopathology 2003;36:142-151 https://doi.org/10.1159/000071259
  20. NamKung YO. Between Women's Postpartum Depression and Social Support. Journal of Korean Society of Maternal and Child Health 2007;11(2):149-161
  21. Park CS, Oh JA, Suh SR. A Study of the Housework Hours and Fatigue Levels in Middle-aged Women. Korean Journal of Womens Health Nursing 2000;6(3):398-412
  22. Park HM. A Study on Parental Stress based on The Pareting of Young Children[dissertation]. Graduate School of Ewha Womans University, 1994
  23. Park JW. A Study to Development a Scale of Social Support[dissertation]. Graduate school of Yonsei University, 1985
  24. Park YJ, Shin HJ, Ryu HS, Cheon SH, Moon SH. The Predictors of Postpartum Depression. Journal of Korean Academy of Nursing 2004;34(5):722-728
  25. Park YS. Transition to motherhood of Primipara in Postpartum Period[dissertation]. Graduate School of Seoul National University, 1991
  26. Pugh LC, Milligan RA. A framwork for the study of childbearing fatigue. Advances in Nursing Science 1993;15(4):60-70
  27. Seyfried LS. Marcus SM. Postpartum mood disorders. International Review of Psychiatry 2003;15:231-242 https://doi.org/10.1080/0954026031000136857
  28. Shin HJ, Park YJ, Kang HC. Prediction Model on Mother-infant Attachment during the Early Postpartum Period. Journal of Korean Academy of Nursing 2004;34(3):504-514
  29. Shin HS, Kim SH, Kwon SH. The Effects of Education on Primiparas Postpartum Care. Journal of Korean Academy of Nursing 2000;6(1):34-35
  30. Song JE. A Comparative Study on the Level of Postpartum Women's Fatigue between Rooming-in and Non Rooming-in Groups [dissertation]. Graduate School of Yonsei University, 2001
  31. Troy NW, Dalgas-Pelish P. The natural evolution of postpartum fatigue among a group of primiparous women. Clin Nurs Res 1997;6(2):126-141 https://doi.org/10.1177/105477389700600202
  32. Warner R, Appleby L, Whitton A. Demographic and obstetric risk factors for postnatal psychiatric morbidity. Br J Psychiatry 1996;168:607-611 https://doi.org/10.1192/bjp.168.5.607
  33. Yang MS. Relationship between Postpartum Depression and Parenting Stress of Mother with Infant [dissertation]. Graduate School of Kyung Hee University, 2000
  34. Yang MS. A Study on the Self Confidence and Nursing Need of Maternal Role in Primipara during Postpartum Period [dissertation]. Graduate School of Chosun University, 2002
  35. Yoo EK, Lee MY, KIm JH, Sin CK, Yoo SJ, Ji SK. A Study on the Women's Need during early Postpartum. Korean Journal of Womens Health Nursing 2000;6(3):439-452