Predicting factors of antenatal depression among Thai pregnant women
Keywords:Antenatal depression, Factor predicting, Pregnant women
Pregnancy is the time of physical and psychological changes which is sensitive to stress, and at risk of developing antenatal depression. This predictive correlational study examined whether socioeconomic status, pregnancy intentions, having at least one child, marital satisfaction and perceived of stress could predict depression among Thai pregnant women. This study was based on Beck’s postpartum depression theory and concepts regarding predicting factors have been revealed in literatures. Purposive sampling was used to recruit 162 pregnant women aged above 18 years who attended antenatal care clinics at a hospital in Chiang Mai Province. Data were collected using four self-report instruments which included Personal Information Questionnaire, the Kansas Marital Satisfaction Scale, the Perceive Stress, and the Edinburgh Postnatal Depression Scale. Data were analyzed using descriptive statistics and binary logistic multiple regression. Results revealed that all factors could explain 52.6 % of the total variance in antenatal depression among the samples. The strongest significant factor was perceived stress, followed by socio-economic status included educational levels and personal income. However, family income, pregnancy intentions, having at least one child, and marital satisfaction were not significant predictors of antenatal depression among Thai pregnant women.
วริยา วิชราวัฒน์. (2543). อิทธิพลของวิถีชีวิต บุคลิกภาพก้าวร้าว ความเครียดเรื้อรัง และภาวะติดเชื้อเฮลิโคแบคเตอร์ไพลอไรต่อการเกิดโรคแผลในกระเพาะอาหาร และลำไส้เล็ก. วิทยานิพนธ์ปริญญาพยาบาลศาสตรดุษฏีบัณฑิต มหาวิทยาลัยมหิดล.
Abdollahi, F., Lye, M. S., & Zarghami, M. (2016). Perspective of postpartum depression theories: A narrative literature review. North American Journal of Medical Sciences, 8(6), 232-236.
Abuidhail, J., & Abujilban, S. (2014). Characteristics of Jordanian depressed pregnant women: A comparison study. Journal of psychiatric and mental health nursing, 21(7), 573–579.
Abujilban, S. K., Abuidhail, J., Al-Modallal, H., Hamaideh, S., & Mosemli, O. (2014). Predictors of antenatal depression among Jordanian pregnant women in their third trimester. Health Care for Women International, 35(2), 200-215.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders 5 (DSM-5). Washington, DC: American Psychiatric Association.
Bennett, H. A., Einarson, A., Taddio, A., Koren, G., & Einarson, T. R. (2004). Prevalence of depression during pregnancy: Systematic review. Obstetrics and Gynecology, 103(4), 698-709.
Biaggi, A., Conroy, S., Pawlby, S., & Pariante, C. M. (2016). Identifying the women at risk of antenatal anxiety and depression: A systematic review. Journal of Affective Disorders, 191, 62-77.
Boonnate, N., Tiansawad, S., Chareonsanti, J., & Thungjaroenkul P. (2015). Factors predicting intimate partner violence during pregnancy among Thai pregnant women. Pacific Rim International Journal of Nursing Research, 19(3), 218-231.
Bowen, A., & Muhajarine, N. (2006). Antenatal depression. Canadian Nurse, 102(9), 26-30.
Breedlove, G., & Fryzelka, D. (2011). Depression screening during pregnancy. Journal of Midwifery & Women’s Health, 56(1), 18–25.
Brittain, K., Myer, L., Koen, N., Koopowitz, S., Donald, K. A., Barnett, W., Stein, D. J. (2015). Risk factors for antenatal depression and associations with infant birth outcomes: results from a South African birth cohort study. Paediatric and Perinatal Epidemiology, 29(6), 505-514.
Burns, N., & Grove, S.K. (2009). The Practice of Nursing research: Appraisal, Synthesis, and generation of evidence. 6th ed., St. Louis: Saunders Elsevier.
Chen, J., Cross, W. M., Plummer, V., Lam, L., Sun, M., Qin, C., & Tang, S. (2019). The risk factors of antenatal depression: A cross-sectional survey. Journal of Clinical Nursing, 28(19-20), 3599-3609.
Coll, C., da Silveira, M. F., Bassani, D. G., Netsi, E., Wehrmeister, F. C., Barros, F. C., & Stein, A. (2017). Antenatal depressive symptoms among pregnant women: evidence from a Southern Brazilian population-based cohort study. Journal of Affective Disorders, 209, 140–146.
Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale. The British Journal of Psychiatry: The Journal of Mental Science, 150, 782-786.
Fisher, J., Tran, T., La, B. T., Kriitmaa, K., Rosenthal, D., & Tran, T. (2010). Common perinatal mental disorders in northern Viet Nam: community prevalence and health care use. Bulletin of the World Health Organization, 88(10), 737-745.
Graignic-Philippe, R., Dayan, J., Chokron, S., Jacquet, A. Y., & Tordjman, S. (2014). Effects of prenatal stress on fetal and child development: A critical literature review. Neuroscience and Biobehavioral Reviews, 43, 137-162.
Grote, N. K., Bridge, J. A., Gavin, A. R., Melville, J. L., Iyengar, S., & Katon, W. J. (2010).
A meta-analysis of depression during pregnancy and the risk of preterm birth, low birth weight, and intrauterine growth restriction. Archives of General Psychiatry, 67(10), 1012-1024.
Karaçam, Z., & Ançel, G. (2009). Depression, anxiety and influencing factors in pregnancy: a study in a Turkish population. Midwifery, 25(4), 344-356.
Kasak, R., Serisathien, Y., & Bangpichet, A. (2014). Factors predicting depression in adolescent pregnant woman. Nursing Science Journal of Thailand, 31(2), 38-48.
Lazarus, R. & Folkman, S. (1984). Stress appraisal and coping. New York: Springer Publishing Company.
Leigh, B., & Milgrom, J. (2008). Risk factors for antenatal depression, postnatal depression, and parenting stress. Bio-Medical Centre Psychiatry Journal, 8(24), 1-11.
Levenstein. S., Prantera, C., Varvo, V., Scribano, M. L., Berto, E., Luzi, C., & Andreoli, A. (1993). Development of the perceived stress questionnaire: A new tool for psychomatic research. Journal of Psychosomatic Research, 37(1), 19-32.
Maeve, M. K. (2014). Postpartum depression theory. In M. R. Alligood (Eds.), Nursing theory and their work (pp. 672-687). Philadelphia: Mosby.
Nasreen, H. E., Kabir, Z. N., Forsell, Y., & Edhborg, M. (2011). Prevalence and associated factors of depressive and anxiety symptoms during pregnancy: A population based study in rural Bangladesh. BMC Women's Health, 11(1), 22.
Pereira, P. K., Lovisi, G.M., Lima, L. A., Legay, L. F., de Cintra Santos, J. F., Santos, S. A., Thiengo,
D. L., & Valencia, E. (2011). Depression during pregnancy: review of epidemiological and clinical aspects in developed and developing countries. Retrived October 26, 2020, from http://www.intechopen.com/books/psychiatric.
Pitanupong, J., Liabsuetrakul, T., & Vittayanont, A. (2007). Validation of the Thai Edinburgh Postnatal Depression Scale for screening postpartum depression. Psychiatry Research, 149, 253–259.
Rich-Edwards, J. W., Kleinman, K., Abrams, A., Harlow, B. L., McLaughlin, T. J., Joffe, H., & Gillman, M.W. (2006). Sociodemographic predictors of antenatal and postpartum depressive symptoms among women in a medical group practice. Journal of Epidemiology and Community Health, 60(3), 221-227.
Ritter, C., Hobfoll, S. E., Lavin, J., Cameron, R. P., & Hulsizer, M. R. (2000). Stress, psychosocial resources, & depressive symptomatology during pregnancy in low-income, inner-city women. Health Psychology, 19, 576-585.
Schumm, W. A., Nichols, C. W., Schectman, K. L., & Grigsby, C. C. (1983). Characteristics of responses to the Kansas Marital Satisfaction Scale by a sample of 84 married mothers. Psychological Reports, 53, 567-572.
Sedgh, G., Singh, S., & Hussain, R. (2014). Intended and unintended pregnancies worldwide in 2012 and recent trends. Studies in Family Planning, 45(3), 301-314.
Srinivasan, N., Murthy, S., Singh, A. K., Upadhyay, V., Mohan, S. K., & Joshi, A. (2015). Assessment of burden of depression during pregnancy among pregnant women residing in rural setting of chennai. Journal of Clinical and Diagnostic Research, 9(4), LC08-LC12.
Stein, A., Pearson, R. M., Goodman, S. H., Rapa, E., Rahman, A., McCallum, M., & Pariante, C. M. (2014). Effects of perinatal mental disorders on the fetus and child. The Lancet, 384(9956), 1800-1819.
Surkan, P. J., Strobino, D. M., Mehra, S., Shamim, A. A., Rashid, M., Wu, L. S.F., & Christian, P. (2018). Unintended pregnancy is a risk factor for depressive symptoms among socio-economically disadvantaged women in rural Bangladesh. BMC Pregnancy and Childbirth, 18(1), 490.
World Health Organization. (2012). Depression: A global crisis world mental health day, world federation for mental health. Retrieved October 10, 2020, from http://who.int/ publications/ 2012.
Yanikkerem, E., Ay, S., Mutlu, S., & Goker, A. (2013). Antenatal depression: prevalence and risk factors in a hospital based Turkish sample. Journal of the Pakistan Medical Association, 63(4), 472-477.
Yim, I. S., Glynn, L. M., Schetter, C. D., Hobel, C. J., Chicz-DeMet, A. & Sandman, C. A. (2009). Risk of postpartum depressive symptoms with elevated corticotropin-releasing hormone in human pregnancy. Archives of General Psychiatry, 66(2), 162-169.
How to Cite
Copyright (c) 2020 Nursing Public Health and Education Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.