1STRESS AND SOCIAL SUPPORT AS CORRELATES OF POSTPARTUM DEPRESSION AMONG NURSING MOTHERS IN MAKURDI LOCAL GOVERNMENT AREA OF BENUE STATE
Keywords:
Stress, Social Support, Postpartum Depression, Nursing MothersAbstract
Postpartum depression continues to become one of the major maternal health challenges across the globe though with a paucity of recent data on its magnitude in Africa. Postpartum depression is characterized by loss of interest in usual events, sleep challenges, feelings of sadness, fatigability, problems of appetite, and difficulty in coping with daily activities. This study therefore investigated Stress and Social support as correlates of postpartum depression among nursing mothers in Makurdi local government area of Benue State. Correlational survey design was used. The researchers used purposive sampling technique to select 195 women across different hospitals and family support program centres in Makurdi local government using sample size determination of creative resource system. Participant’s age ranged from 20 – 40 years of age. The following instruments were used for data collection Stress Scale, Multidimensional Scale of Perceived Social Support and Edinburgh Postpartum Depression Scale. Three hypotheses were tested. Hypotheses one and two wesre tested using Pearson product moment correlation while hypothesis three was tested with Multiple Regression Analysis. The result from the stated hypotheses showed that there was a significant positive relationship between stress and postpartum depression among nursing mothers in Makurdi local government area [r (193) = .226; p<.001]. On the other hand, there was a significant negative relationship between social support and postpartum depression among nursing mothers in Makurdi local government area [r (193) = -.398; p<.001]. Furthermore, the result showed that there was a significant joint prediction of stress and social support on postpartum depression among nursing mothers in Makurdi local government area of Benue State [R = .407 and R2 = .166; F (3, 191) = 12.637; p<.001]. It was therefore recommended that the scientific community particularly psychologists and other health care providers who have daily encounter with postpartum women should note that stress among nursing mother is a risk factor for postpartum depression and therefore should be avoided and social support should be enhanced.References
Adejuwon, G., Adekunle, I., & Ojeniran, M. (2018). Social support and personality traits as predictors of psychological wellbeing of postpartum nursing mothers in Oyo State, Nigeria. International Journal of Caring Sciences 11(2), 704-718, 2018.
Adewuya, A. O., Ola, B. A., Aloba, O. O., Mapayi, B. M., & Oginni, O. O. (2006). Depression amongst Nigerian university students. Prevalence and sociodemographic correlates. Social Psychiatry Psychiatric Epidemiology.; 41(8):674-8. doi: 10.1007/s00127-006-0068-9. Epub 2006 May 5.
Adewuya, A. O., Ola, B. A., Dada, A. O., & Fasoto, O. O. (2006). Validation of the Edinburgh Postnatal Depression Scale as a screening tool for depression in late pregnancy among Nigerian women. Journal of Psychosomatic Obstetricts Gynaecolology; 27(4):267-72. doi: 10.1080/01674820600915478.
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (4th Ed.). Washington, DC: Author.
Atuhaire, C., Brennaman, L., Cumber, S. N., Rukundo, G. Z., & Nambozi, G. (2020). The magnitude of postpartum depression among mothers in Africa: a literature review. Pan Africa Medical Journal. 25; 37:89. doi: 10.11604/pamj.2020.37.89.23572.
Beck, A. T. (2001). Cognitive therapy for depression. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders: A step-by-step treatment manual (pp. 264–308). The Guilford Press.
Bost, K. K., Martha, J., Cox, M. R. B., & Chris P. (2002). “Structural and Supportive Changes in Couples’ Family and Friendship Networks across the Transition to Parenthood.†Journal of Marriage and Family. 64(2):517-531.
Canty-Mitchell, J., & Zimet, G. D. (2000) Psychometric Properties of the Multidimensional Scale of Perceived Social Support in Urban Adolescents. American Journal of Community Psychology, 28, 391-400.
http://dx.doi.org/10.1023/A:1005109522457
Chan, H. Y., Warrick, J. M., Andriola, I., Merry, D., & Bonini, N. M. (2002). Genetic modulation of polyglutamine toxicity by protein conjugation pathways in Drosophila. Hum. Mol. Genet. 11(23): 2895--2904.
Cherry, K. (2020). How Social Support Contributes to Psychological Health. Retrieved from https://www.verywellmind.com/social-support-for-psychological-health-4119970.
Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396. https://doi.org/10.2307/2136404
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, 150, 782–786. https://doi.org/10.1192/bjp.150.6.782
Dahlem, N. W., Zimet, G. D., & Walker, R. R. (1991). The Multidimensional Scale of Perceived Social Support: A confirmation study. Journal of Clinical Psychology, 47(6), 756–761. https://doi.org/10.1002/1097-4679(199111)47:6<756::AID-JCLP2270470605>3.0.CO;2-L
Devita, E. l. S., (2016). The effect of stress and social support among postpartum depression women in Indonesia. GSTF. Journal of Nursing and Health Care (JNHC) Vol.3 No.2.
Farhana K., Munza K., Roshan T., Sher D., & Asima M. (2013). Relationship between Social Support and Postpartum Depression. Annals. Pak. Institute of. Medical. Sciences.; 9(4): 191-194
Ghorbani, N., Krauss, S., Watson, P., & LeBreton, D. (2008). Relationship of perceived stress with depression: Complete mediation by perceived control and anxiety in Iran and the United States. International journal of psychology: Journal international de psychologie. 43. 958-68. 10.1080/00207590701295264.
Glasser, S., Barell, V., Boyko, V., Ziv, A., Lusky, A., Shoham, A., & Hart, S. (2000). Postpartum depression in an Israeli cohort: demographic, psychosocial and medical risk factors. Journal of Psychosomatic Obstetrics Gynaecology, 21 (2):99-108. doi: 10.3109/01674820009075615.
Goker, A., Yanikkerem, E., Demet, M. M., Dikayak, S., Yildirim, Y., & Koyuncu F. M. (2012). Postpartum depression: is mode of delivery a risk factor? ISRN Obstetrics and Gynecology. 2012:616759. doi: 10.5402/2012/616759.
Henderson, C., Evans-Lacko, S., & Thornicroft, G. (2013). Mental illness stigma, help seeking, and public health programs. American Journal Public Health; 103(5):777-80. doi: 10.2105/AJPH.2012.301056
Horenstein, J., & Sheldon, C. (2008). Social Support. In Rick E. Ingram (Eds.), The International Encyclopedia of Depression (pp. 514-517). New York: Springer Publishing Company.
Hung, C-H. (2007). Psychosocial Features at Different Periods After Childbirth. Kaohsiung Journal of Medical Science, 23, 71-79.
Kazmi, S., Khan, M., Dil, S., & Khan, A. (2013). Relationship between Social Support and Postpartum Depression. Annals of Pakistan Institute of Medical Science 9. 191-194.
Maureen G. P., Kartik K. V., Elizabeth W. T., & Caron, Z. (2014). The Relationship Between Parental Stress and Postpartum Depression Among Adolescent Mothers Enrolled in a Randomized Controlled Prevention Trial. Journal of Maternal Child Health; 18(6): 1532–1539.
McLeod, J.D., & Kessler, R.C. (1990). Socioeconomic status differences in vulnerability to undesirable life events. Journal of Health and Social Behavior, 31 2, 162-172.
Mohamed, S. M., Deviga, D., Mohd, S. A., Aqeel, K., & Roslee, A. (2014). Social support during pre-natal and post-natal stage: Influence on maternal depression and mental well-being. Social and Behavioral Sciences 143:417-422.
Mustaffa, M., Deviga, M., Aqeel, K., & Roslee, A. (2014). Social Support during Pre-Natal and Post-Natal Stage: Influence on Maternal Depression and Mental Well-being. Procedia - Social and Behavioral Sciences. 143. 417-422. 10.1016/j.sbspro.2014.07.506.
Nolen-Hoeksema, S. (2000). The role of rumination in depressive disorders and mixed anxiety/depressive symptoms. Journal of Abnormal Psychology, 109(3), 504–511. https://doi.org/10.1037/0021-843X.109.3.504
O’Hara, M. W., & McCabe, J. E. (2013). Postpartum Depression: Current Status and Future Directions. Annual Review of Clinical Psychology, 9, 379-407. http://dx.doi.org/10.1146/annurev-clinpsy-050212-185612.
Oluwole, D., Hammed, A., & Awaebe, J. (2010). Patterns of stress, social support, and mental health among Nigerian women. Retrieved June 10, 2014, from http://www.advancingwomen.com/awl/awl_wordpress/patterns-of-stress-social-supportandmental-health-among-nigerian-women
Robertson, E., Sherry, G., Tamara, W., & Donna, E. S. (2004). “Antenatal Risk Factors for Postpartum Depression: A Synthesis of Recent Literature.†General Hospital Psychiatry. 26:289-295.
Sarah, S., Forozan, S., & Leila, D. (2017). The relationship between model of delivery and postpartum depression. Annals of Tropical Medicine and Public Health. Vol.10 No.4 pp.874-877.
Stewart, D. E., & Vigod, S. (2016) Postpartum Depression. The New England Journal of Medicine, 375, 2177-2186. https://doi.org/10.1056/NEJMcp1607649.
Swendsen, J. D., & Mazure, C. M. (2000). Life stress as a risk factor for postpartum depression: Current research and methodological issues. Clinical Psychology: Science and Practice, 7(1), 17–31. https://doi.org/10.1093/clipsy.7.1.17.
Thoits, P. A. (2011). “Mechanisms Linking Social Ties and Support to Physical and Mental Health.†Journal of Health and Social Behavior. 52(2):145-161.
Uwakwe, R., & Okonkwo, J. (2003). Affective (depressive) morbidity in puerperal Nigerian women: Validation of the Edinburgh Postnatal Depression Scale. Acta Psychiatrica Scandinavica. 107. 251-9. 10.1034/j.1600-0447.2003.02477.x.
Webster, J., Catherine, N., Catherine, V. N., Cridland, L. F., (2011). Quality of Life and Depression Following Childbirth: Impact of Social Support. Midwifery. 27:745-749.
Zelkowitz, P., Saucier, J. F., & Wang, T. (2008). Stability and change in depressive symptoms from pregnancy to two months postpartum in childbearing immigrant women. Arch Women’s Mental Health 11, 1–11. https://doi.org/10.1007/s00737-008-0219-y
Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment, 52(1), 30–41. https://doi.org/10.1207/s15327752jpa5201_2.
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