Change in postpartum depression and its predicting factors over 3 months postpartum in Indonesian mothers

Name: Nurbaeti, Irma

ThaSH: Burapha University. Faculty of Nursing

ThaSH: Postpartum depression

ThaSH: Puerperium

ThaSH: วิทยานิพนธ์ -- ปริญญาเอก

ThaSH: วิทยานิพนธ์ -- ภาษาอังกฤษ

Abstract: Postpartum depression [PPD] is a serious mental health problem after delivery that affect 10-20 % mothers over the world. The purposes of this study were to investigate changes in PPD over three months postpartum and to examine its selected predictors including childcare stress, marital satisfaction, self-esteem, life stress, social support, family income, and baby gender preference on changing PPD over three months postpartum period. A prospective longitudinal study was carried out. A simple random sampling was used to recruit a sample of 283 postpartum mothers from four sites of Publich Health Centers in both Jakarta and Banten Province in Indonesia during January to June 2016. Research instruments included the Dyad adjustment scale, the Rosenberg self-esteem scale, the life events questionnaire, the childcare stress inventory, the postpartum support questionnaire, the Kheirabadi baby gender preference questionnaire and the Edinburg postnatal depression scale. Their internal consistency reliability ranged from .73-.98. A repeated measure one-way ANOVA, a linear regression and a multilevel linear modeling were performed to analyze the data. The prevalence of PPD was found to be 18.37 %, 15.19 %, and 26.15 % at one, two and three months, respectively. The mean scores of PPD increased significantly from one month to three months postpartum (F = 7.265, p < 0.01). The most variance in PPD was childcare stress (ß = 0.277, p < .001), self-esteem (ß = -0.261, p < .001) and marital satisfaction (ß = 0.247, p < .001) with adjusted R 2 = .339, .404, and .401 at one month, two months and three months, respectively. Childcare stress, self-esteem, marital satisfaction, life stress, and acceptance toward baby gender predicted changes in PPD over three months postpartum (R 2 occasional level = .7357; R 2 participant level = .227). These findings emphasize the need for nurses to initiate screening for PPD as early as at one month postpartum and proper intervene in alleviating PPD among postpartum mothers.

Burapha University. Library

Address: CHONBURI

Email: buulibrary@buu.ac.th

Name: Wannee Deoisres

Role: Principal advisor

Name: Pornpat Hengudomsub

Role: Co-advisor

Created: 2017

Modified: 2565-02-22

Issued: 2019-07-11

วิทยานิพนธ์/Thesis

application/pdf

CallNumber: Th 618.76 Nu974C

eng

DegreeName: Doctor of Philosophy

Level: Doctoral Degree

Descipline: Nursing Science

Grantor: Burapha University

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