Factors associated with Postpartum Depression and Its Influence on Maternal Identity

Yoen Yi Jung; Hae Won Kim

doi:10.4069/kjwhn.2014.20.1.29

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Jung and Kim: Factors associated with Postpartum Depression and Its Influence on Maternal Identity

Original Article

Korean Journal of Women Health Nursing 2014; 20(1): 29-37.

Published online: 31 March 2014

DOI: https://doi.org/10.4069/kjwhn.2014.20.1.29

Factors associated with Postpartum Depression and Its Influence on Maternal Identity

Yoen Yi Jung¹, Hae Won Kim²

¹Division of Research and Development, Korea Institute for Healthcare Accreditation, Seoul, Korea.

²College of Nursing, Research Institute of Nursing Science, Seoul National University, Seoul, Korea.

Corresponding author: Kim, Hae Won. College of Nursing, Seoul National University, 103 Daehak-ro, Jongro-gu, Seoul 110-799, Korea. Tel: +82-2-740-8820, Fax: +82-2-765-4103, haewon@snu.ac.kr

Received 27 November 2013 Revised 3 February 2014 Accepted 11 February 2014

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study aimed to examine the factors associated with postpartum depression and its influence on maternal identity of postpartum women.

Methods

Research design was a cross sectional descriptive study with a total of 89 women within the six month postpartum period. Associations of eating habits, overall sleep quality and other factors with postpartum depression utilizing the Korean Beck Depression Inventory (K-BDI) were done. The influence of postpartum depression on maternal identity was analyzed. Variables yielding significant associations (p<.05) were included in an adjusted logistic regression and a stepwise multiple regression.

Results

Mean scores of postpartum depression was 9.42±6.08 and 31.5% (n=28) for mild depression, 11.2% (n=10) was moderate and 4.5% (n=4) was severe depression on the K-BDI scale. Perceived health status and overall sleep quality were predictors of postpartum depression. Postpartum depression and the husband's love were predictors of maternal identity.

Conclusion

Awareness of poor health perception and sleep quality will be helpful to detect for postpartum depression. Strategies to increase maternal identity during the postpartum period would be tailored by level of depression.

Keywords: Depression, Postpartum, Identity

Figures and Tables

Table 1

Descriptive Statistics of Socio-demographic and Measurement Variables (N=89)

Table 2

Influencing Factors on Postpartum Depression

OR=odd ratio; CI=confidence interval.

Table 3

Relationship between Maternal Identity and Measurement Variables

^†Dummy variables.

Table 4

Stepwise Multiple Regression Results: Influencing Factors on Maternal Identity

Summary Statement

▪ What is already known about this topic?

Postpartum depression has been known to have an association with psychosocial factors and maternal identity, particularly within 6 weeks of postpartum period.

▪ What this paper adds?

Womens' subjective evaluation for health status and overall sleep quality were influencing factors for postpartum depression, with husband's love and postpartum depression being influencing factors on maternal identity.

▪ Implications for practice, education and/or policy

Postpartum depression management could be helpful to enhance maternal identity of women experiencing depression. Womens'subjective evaluation of their health perception of overall sleep quality would be indicators for early detect postpartum depression.

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