Women's Health Nursing (여성건강간호학회지)

Korean Society of Women Health Nursing (한국여성건강간호학회)
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Factors influencing prenatal and postpartum depression in Korea: a prospective cohort study

  • Yoo, Hyeji (College of Nursing, Chungnam National University) ;
  • Ahn, Sukhee (College of Nursing, Chungnam National University) ;
  • Park, Seyeon (College of Nursing, Chungnam National University) ;
  • Kim, Jisoon (Department of Nursing, College of Health and Welfare, Woosong University) ;
  • Oh, Jiwon (College of Nursing, Chungnam National University) ;
  • Koh, Minseon (Department of Nursing, Yeoju Institute of Technology)
  • Received : 2021.08.30
  • Accepted : 2021.11.17
  • Published : 2021.12.31
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Abstract

Purpose: This study explored the prevalence of prenatal and postpartum depression in Korea and its influencing factors from 20 weeks of pregnancy to 12 weeks postpartum. Methods: Using a prospective cohort study design, data on women's depression and its influencing factors were collected at 20, 28, and 36 weeks of pregnancy and at 2, 6, and 12 weeks postpartum. The participants were 219 women and 181 spouses during pregnancy; and 183 mothers and 130 spouses after childbirth. Depressive symptoms were assessed by the Edinburgh Postnatal Depression Scale and influencing factors were measured by the Postpartum Depression Predictors Inventory-Revised, parity, and spousal depression. Results: The prevalence of maternal depression was 10.5% to 21.5% before birth, and it was 22.4% to 32.8% postpartum. The prevalence slightly decreased during the prenatal period but peaked at 2 weeks postpartum. Antenatal depression was influenced by low socioeconomic status, lower self-esteem, having experienced prenatal depression, having experienced prenatal anxiety, a previous history of depression, lower social support, lower marital satisfaction, and higher life stress. The factors influencing postpartum depression were lower self-esteem, having experienced prenatal depression, having experienced prenatal anxiety, lower social support, lower marital satisfaction, and higher life stress, as well as infant temperament and maternal blues. Parity and spousal depression had no impacts. Conclusion: The prevalence and influencing factors of maternal depression changed over time. Nurses need to screen women accordingly during the perinatal period and should provide education or counseling to prevent depression and promote adjustment to parenthood.

Keywords

Acknowledgement

This study was supported by the National Research Foundation (NRF) of Korea (NRF No. 2017R1A2B4002488).

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