Predictive Factors of Postpartum Depression among First Postpartum Women
Article Sidebar
Main Article Content
Abstract
Postpartum depression affects both baby and mother after birth, and involves both physical and mental effects, including maternal role adjustment, and is especially common among first-time mothers. This predictive study aimed to determine predictive factors of postpartum depression among first postpartum women including marital satisfaction, self-esteem, childcare stress, life stress and social support. A total of 164 participants took part in this study. Participants were 4-8 weeks postpartum and visited postpartum clinics or took their babies to well-baby clinics in the hospitals located in Chonburi province. Simple random sampling was used to identify these participants. Data collection was conducted during August to October 2019. A set of questionnaires collected demographic data, Thai Edinburgh Postnatal Depression (EPDS) scale, Thai version of the Dyad Adjustment Scale, Self-Esteem scale, Thai Childcare Stress Inventory, Life events questionnaire, and Postpartum support questionnaires were used for data collection. Descriptive statistics and logistic regression analysis were used to analyze the data. Results showed that 33.33 % of first postpartum women had postpartum depression. The results showed that taking care of the child, life event stresses, and social support, were likely to predict the rate of postpartum depression at 16.50% (Adjust R2 .165, F=7.351, p<.05). The most important predictor was childcare stress (β=.379) followed by life event stress (β=.219) and social support (β=.215). The findings of this study suggest nurses should pay more attention to the assessment and screening of postpartum depression for all first postpartum women. A health education program that involves family members regarding how to overcome stress during the postpartum period should be implemented to prevent postpartum depression for first postpartum women.
Article Details
บทความและรายงานวิจัยในวารสารพยาบาลกระทรวงสาธารณสุข เป็นความคิดเห็นของ ผู้เขียน มิใช่ของคณะผู้จัดทำ และมิใช่ความรับผิดชอบของสมาคมศิษย์เก่าพยาบาลกระทรวงสาธารณสุข ซึ่งสามารถนำไปอ้างอิงได้
References
2. Fahey JO, Shenassa E. Understanding and meeting the needs of women in the postpartum period: The perinatal maternal health promotion model. Journal of Midwifery & Women’s Health2013;58(6):613-21.
3. Shorey S, Chan SW, Chong YS, He HG. Maternal parental self-effcacy in newborn care and social support needs in Singapore: A correlational study. Journal Clinic Nursing 2014;23:2272-82.
4. Blackman JS. Review of diagnostic and statistical manual of mental disorders (5th ed), clinical handbook of psychological disorders: a step-by-Step treatment manual, 5th edition, and essentials of psychiatric diagnosis: Responding to the challenges of DSM-V. Psychoanalytic psychology 2016;33(4):651–63.
5. Prechon K. Postpartum depression: prevention and care. Thai Red Cross Nursing Journal 2016;9(2):24-35. (in Thai).
6. Letourneau N, Stewart M, Dennis CL, Hegadoren K, Duffett-Leger L, Watson B. Effect of home-based peer support on maternal-infant interactions among woman with postpartum depression: a randomized controlled trial. International Journal Mental Health Nursing 2011;20(5):345-57.
7. Hoang OT, Deoisres W, Suppaseemanont W. Factors predicting postpartum depression among women in Hai Phong city, Vietnam. Journal of Boromarajonani College of Nursing, Bangkok 2016;32(1):92-104.
8. Nurbaeti I, Deoisres W, Hengudomsub P. Postpartum depression in Indonesian mother: Its changes and predicting factors. Pacific Rim International Journal of Nursing Research 2018;22(2):93-105.
9. Abdollahi F, Agajani-Delavar M, Zarghami M, Lye M. Postpartum mental health in first-time mothers: a Cohort study, Iran. Journal of Psychiatry and Behavioral Sciences 2016;10(1):e426.doi:10.17795/ijpbs-426.
10. Leahy-Warren P, McCarthy G, Corcoran P. Postnatal depression in first-time mothers: prevalence and relationships between functional and structural social support at 6 and 12 weeks postpartum. Archives of Psychiatric Nursing 2011;25(3):174-84.
11. Nurbaeti I. Deoisres W. Predicting factors of maternal depression during the first three months after delivery among lowincome family in indonesia. Advances in Health Science Research 2017;10:87-90.
12. Chonpoon T, Yeekhean C. Study of postpartum depression. Journal of Phrapokklao Nursing College 2015;26(1):64-74.(in Thai).
13. Nuanchawee W, Kasipon T, Nateetanasombat K. The prevalence of postpartum depression and factors predicting depression in postpartum mothers. HCU Journal 2018;21(42):65-78.(in Thai).
14. Sriarporn P, Suntornlimsiri N, Juntratit K, Deeluea J, Nunchai J, Khiaokham P. Factors related to postpartum depression among first time mothers and fathers. Nursing Journal 2015;42(3):37-50.(in Thai).
15. Sitthiboonma N, Kantaruksa K, Supavittpatana B. Stress, social support and postpartum depression among first-time mother. Nursing Journal 2020;47(2):169-79.(in Thai).
16. Suriyanimitsuk T, Deawisareat W, Wongnam P, Williams PD. A causal model of late postpartum depression and its effects on maternal roles. Journal of Health Science Research 2015;9(1):16-25.(in Thai).
17. Saenbunma K, Deoisres W, Chuehom U. Predictors of postpartum depression among women with emergency cesarean section. The Journal of Faculty of Nursing Burapha University 2018;27(3):23-31.(in Thai).
18. Beck CT. Predictors of postpartum depression: an update. Nursing Research 2001;50(5):275-85.
19. Zaidi F, Nigam A, Anjum R, Agarwalla R. Postpartum depression in women: a risk factor analysis. Journal of Clinical and Diagnostic Research 2017;11(8):13-6.
20. Youngdee K, Roomruangwong C. Depression after childbirth among mothers with obstetric complications in King Chulalongkorn Memorial Hospital. Chulalongkorn Medical Journal 2016;60(5):561-74.(in Thai).
21. Faul F, Erdfelder E, Buchner A, Lang, AG. Statistical power analyses using G*3.1: Test for correlation and regression analysis. Behavioral Research Methods 2009;41(4):1149-1160.
22. Brydges CR. Effect size guidelines, sample size calculations, and statistical power in gerontology. Innovation in Aging 2019;3(4):1-8.
23. Vacharaporn K, Pitanupong J, Samangs N. Development of the Edinburgh Postnatal Depression Scale Thai version. Joumal of Mental Health of Thailand 2003;11(3):165-69.(in Thai).
24. Sumlek S. A causal model of maternal roles mastery among first time mother. [Doctoral dissertation], Bangkok: Mahidol University.1996.(in Thai).
25. Wongvisetsirikul P. Relationships among personal factors, marital relationship, and postpartum anxiety and depression in first-time mothers, [Doctoral dissertation], Bangkok: Mahidol University.1998.(in Thai).
26. Sriseang, P. Self-esteem, stressful life events, social support, and postpartum depression in adolescent mother in Thailand. [Doctoral dissertation]. France: Case Western Reserve University; 2003.(in Thai).
27. Kendall-Tackett, K. A. (2010). Depression in new mothers: causes, consequence, and treatment alternative. New York: Routledge.
28. Negron R., Martin A., Almog, M.,Balbierz, A.,Balbierz, A., & Howell,E. A. (2012). SocialSupport during the Postpartum Period: Mothers’ Views on Needs, Expectations, and Mobilization of Support. Maternal Child Health Journal;17(5):616–23
29. Moontito W, Sriarporn P, Baosoung C. Postpartum depression, social support, and functional status among adolescent mothers. Nursing Journal 2017;44(2):23-33.(in Thai).
30. Kasemsuk K, Boonbunjob U. Health promotion of early adulthood development: Nurses’ important role. Royal Thai Air Force Medical Gazette 2018;64(3):101-7.(in Thai).
31. Watthanabut B, PhraUdomsittinayok, Sankham PP. Good people with gratitude base on Buddhist 2017;5(Special Issue):77-86.(in Thai).