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Korean J Women Health Nurs > Volume 20(1); 2014 > Article
Korean Journal of Women Health Nursing 2014;20(1):38-47.
DOI: https://doi.org/10.4069/kjwhn.2014.20.1.38    Published online March 31, 2014.
Factors of Prenatal Depression by Stress-vulnerability and Stress-coping Models
Younglan Kim, Chae Weon Chung
1Graduate School, College of Nursing, Seoul National University, Seoul, Korea.
2College of Nursing, Seoul National University, Seoul, Korea. chungcw@snu.ac.kr
3The Research Institute of Nursing Science, Seoul National University, Seoul, Korea.
This study aimed to identify related factors of prenatal depression by stress-vulnerability and stress-coping models for pregnant women.
A cross-sectional survey design with a convenience sampling was used. A total of 107 pregnant women who visited a general hospital in a metropolitan city were recruited from August to October, 2013. A structured questionnaire included the Korean version of Beck Depression Inventory II, and the instruments measuring Self-Esteem, Marital Satisfaction, Pregnancy Stress, Stressful Life Events, and Coping. The data were analyzed using descriptive statistics, t-test, Parson's correlation analysis, and stepwise multiple regression.
The mean score of prenatal depression was 11.95+/-6.2, then showing 19.6% with mild depression, 15.0% with moderate depression, and 0.9% with severe depression on BDI II scale. Prenatal depression had positive correlation with pregnancy stress (r=.55, p<.01), stressful life events (r=.26, p<.01) and negative correlation with self-esteem (r=-.38, p<.01), marital satisfaction (r=-.40, p<.01), and coping (r=-.21, p<.05). Factors of pregnancy stress, self-esteem, stressful life events, and planned pregnancy explained 38% of the total variance of prenatal depression.
These findings show that health providers need to assess prenatal depression and to control the influencing factors.
Key Words: Depression; Pregnant women; Prenatal care
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