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KMID : 1037320180110020053
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Korean Journal of Infant Mental Health
2018 Volume.11 No. 2 p.53 ~ p.73
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A Longitudinal Cohort Study of Postpartum Depression: Mother's Mental Health and Parent-Child Relationship
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Kim Min-Jung
Park Jin-Ah
Sung Oong-Hyun
Hong Se-hoon
Lee Kyung-Sook
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Abstract
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This study examines the relationship between mental health and postnatal depression of mothers at six months after childbirth and the effect of postnatal depression on mother-child relationships at 24 and 48 months after childbirth, which is based on the longitudinal study on mental development of infants and toddlers as part of the Childhood Asthma and Allergic Diseases Cohort Study (COCOA), a long-term follow-up study sponsored by the Korea Centers for Disease Control & Prevention (KCDC). The subjects were 228 mother-child pairs: 145 typical mothers and their children and 83 mothers with postnatal depression and their children based on the cut-off point of the postnatal depression scale administered at six months after childbirth. Depression levels of mothers were measured by the Center for Epidemiologic Studies ?Depression (CES-D), anxiety by the State-Trait Anxiety Inventory (STAI), satisfaction with life by the Satisfaction With Life Scale (SWLS), satisfaction with marriage by the Korean version of the Marital Satisfaction Inventory (K-MSI), parenting stress by the Korean version of Parenting Stress Index (K-PSI), and mother-child relationships by the Korean version of Parenting Relationship Questionnaire-Preschool (K-PRQ-P). The findings are as follows: (1) depression, anxiety, and parenting stress of mothers in the depression group were higher than those of typical mothers at 24 and 48 months after childbirth while their satisfaction with life and marriage was lower than that of their counterparts; (2) postnatal depression of mothers had a negative effect on mother-child relationships at 24 and 48 months after childbirth; and (3) age,
monthly income, and postnatal depression of mothers had a negative effect on relational frustration that mothers felt in relationships with their children at 24 and 48 months after childbirth.
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KEYWORD
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postnatal depression, longitudinal study, mother-child relationship, mental health of mothers
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