A causal model of postpartum depression and its effects on parenting roles

Name: Thunyamol Suriyanimitsuk

LCSH: Burapha University.Faculty of Nursing

Abstract: The purposes of this research were to determine the prevalence of postpartum depression during early and late postpartum and to test a hypothesized model describing the influences of the selected predictors (marital satisfaction, childcare stress, life stress, self-esteem and social support) and postpartum depression during the early (2 months) and late (6 months) postpartum stages on parenting roles based on Beck’s postpartum depression theory, Belsky’s model of the determinants of parenting and a wide variety of empirical studies. The participants were postpartum women living in Chon Buri Province (N=435) with 220 of early postpartum women and 215 of late postpartum women. Cluster random sampling was use to recruited the participants. A set of questionnaires was administered to the participants composed of a demographic questionnaire, the Dyad Adjustment Scale, the Childcare Stress Inventory, Rosenberg’s Self-Esteem Scale, the Life Events Questionnaire, the Postpartum Support Questionnaire, the Thai Edinburgh Postnatal Depression Scale and the Short Form Maternal was use to test the proposed model which was tested and modified as a result of the hypothesis testing and statistical analysis. The results revealed the following: 1. The prevalence rates of depression in early and late postpartum women were 12.4% and 9.3%, respectively. 2. The modified early postpartum depression model fitted the data and accounted for 29.3% of the variance in early postpartum depression and 30.3% of the variance in parenting roles. The results revealed that self-esteem had a negative direct effect on early postpartum depression. Social support had a direct positive effect on parenting roles. Early postpartum depression had a direct positive effect on parenting roles. Self-esteem had an indirect positive effect on parenting roles through early postpartum depression. 3. The modified late postpartum depression model fitted the data and accounted for 19% of the variance in late postpartum depression and 9% of the variance in parenting roles. The results revealed that childcare stress had a positive direct effect on late postpartum depression. Self-esteem had a negative direct effect on late postpartum depression. Social support had a positive direct effect on parenting roles. Health care providers should consider the effects of these contributing factors on postpartum depression. Finally, these results would contribute to the development to an intervention aimed at preventing postpartum depression and promoting effective parenting among postpartum women.

Burapha University. Library

Address: CHONBURI

Email: buulibrary@buu.ac.th

Name: Wannee Deoisres

Role: Principal advisor

Name: Pairatana Wongnam

Role: Co-advisor

Name: Phoebe D. Williams

Role: อาจารย์ที่ปรึกษาร่วม

Created: 2014

Modified: 2565-01-26

Issued: 2020-08-03

วิทยานิพนธ์/Thesis

application/pdf

eng

DegreeName: Doctor of Philosophy

Level: Doctoral Degree

Descipline: Nursing Science

Grantor: Burapha University

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