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KMID : 0892720120160020195
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Journal of the Korean Society of Maternal and Child Health
2012 Volume.16 No. 2 p.195 ~ p.211
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The Influence of Self-efficacy, Social Support, Postpartum Fatigue and Parenting Stress on Postpartum Depression
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Kim Kyung-Sook
Kam Sin
Lee Won-Kee
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Abstract
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Objectives: This study was performed to examine the influence of self-efficacy, social support, postpartum fatigue and parenting stress on postpartum depression in mothers.
Methods: The authors conducted a survey using a self-administered questionnaire, conducted during May, 2011. The study subjects were 313 parturient mothers in 1 week after delivery.
Results: To investigate the overall relationship between the variables, the authors conducted a path analysis using a linear structural equation model analysis. The equation was statistically appropriate and had a good fitness. The postpartum fatigue, and parenting stress factors, respectively influenced postpartum depression positively (p＜0.01). The social support factor influenced postpartum fatigue and depression negatively (p＜0.01) The self-efficacy factor influenced parenting stress negatively (p＜0.01). The age of mother (γ=0.11, mood change during pregnancy (γ=-0.12), order of baby y=0.43) and health status of mother (γ=0.14) influenced self-efficacy (p＜0.05). The variable affecting social support was cooperation degree of husband (γ=0.36, p＜0.01). The mood change during pregnancy (γ=0.21), nursing type (γ=0.11,), and health status of mother (γ=-0.26) influenced postpartum fatigue (p＜0.05). And the variables affecting parenting stress were mood change during pregnancy (γ=0.12, p＜0.05) and cooperation degree of husband (γ=-0.20, p＜0.01).
Conclusions: The self-efficacy, social support, fatigue, and parenting stress of parturient mother influenced to the postpartum depression. It would be necessary to develop programs to increase self-efficacy and social support and to decrease the postpartum fatigue and parenting stress.
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KEYWORD
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postpartum depression, self-efficacy, social support, fatigue, parenting stress
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