Korean J Perinatol.  2004 Sep;15(3):245-254.

A Study of Predicting Postpartum Depression and the Recovery Factor from Prepartum Depression

Affiliations
  • 1Behavioral Science Research Center, Korea University, Korea.
  • 2Department of Obstetrics and Gynecology, College of Medicine, Soonchunhyang Unversity, Seoul, Korea. kychoi@hosp.sch.ac.kr
  • 3Department of Obstetrics and Gynecology, College of Medicine, Han Yang University, Seoul, Korea.
  • 4Department of Obstetrics and Gynecology, College of Medicine, Korea University, Seoul, Korea.
  • 5Department of Obstetrics and Gynecology, College of Medicine, Hallym University, Seoul, Korea.
  • 6E-Wha Obsterics and Gynecology, Korea.
  • 7Department of Psychology, Korea University, Korea.

Abstract


OBJECTIVE
To discover the risk factor of postpartum depression and whether this is different from the induced factor of prepartum depression and to clarify what is the recovery factor from prepartum depression.
METHODS
In the first test stage, 310 pregnant women were examined and with their postpartum follow-up survey, materials from 85 people in total were retrieved. In order to predict the postpartum depression and find out the recovery factor from prepartum depression, longitudinal study was carried out. For the statistical analysis hierarchical regression analysis and MANOVA were used.
RESULTS
Postpartum depression (Beck Depression Inventory; BDI score of 16 or greater) was prevalent amongst 22.4% of pregnant women and prepartum depression was experienced by 10.5% in pregnant women. There were no significant on psychological variable factor of prepartum and postpartum depression. Only preatum depression redicted 33% for postaprtum depression. In the case of depressed during pregnancy but not depressed after pregnancy, recovery factor is related to increase in self-esteem, husband support and improvement in marital satisfaction. Postpartum depression showed twice higher depression ration than prepartum depression and it was serious in terms of degree of depression.
CONCLUSION
Postpartum depression is related with lack of husband support that is recovery factor from prepartum depression. Also, unstable attachment is vulnerable to depression but even people with unstable attachment can be recovered from depression with better marriage relationship. Even people without unstable attachment if husband support is reduced then it is suggested that can be subject to vulnerability in depression.

Keyword

Postpartum depression; Prepartum depression; Induced factor; Recovery factor

MeSH Terms

Depression*
Depression, Postpartum*
Female
Fibrinogen
Follow-Up Studies
Humans
Longitudinal Studies
Marriage
Postpartum Period*
Pregnancy
Pregnant Women
Risk Factors
Spouses
Fibrinogen
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