Archives of Psychiatric Nursing
Volume 30, Issue 3, 2016, Pages 350-355

Depression and Social Support Trajectories During 1 Year Postpartum Among Marriage-Based Immigrant Mothers in Taiwan (Article)

Chen H.-H. , Hwang F.-M. , Lin L.-J. , Han K.-C. , Lin C.-L. , Chien L.-Y.*
  • a Institute of Public Health, School of Medicine, National Yang-Ming University, 155, Sec. 2, Li-Nong St., Taipei, 11221, Taiwan
  • b Department of Education, National Chiayi University, No.300 Syuefu Rd., Chiayi, 60004, Taiwan
  • c Health Promotion Administration, Ministry of Health and Social Welfare, No. 36, Tacheng St., Datong Dist., Taipei, 10341, Taiwan
  • d Taipei City Zhongshan District Health Center, 7 F, 367, Song Chiang Road, Taipei, 10402, Taiwan
  • e Department of Obstetrics and Gynecology, Taipei City Hospital Heping Fuyou Branch, No.12, Fuzhou St., Zhongzheng Dist., Taipei, 10015, Taiwan
  • f Institute of Community Health Care, National Yang-Ming University, 155, Sec. 2, Li-Nong St., Taipei, 11221, Taiwan

Abstract

Objectives: This panel study examined the trajectories of depression and social support during the first year postpartum among marriage-based immigrant mothers in Taiwan, and the effect of social support on depression. Methods: This panel study recruited South-Asia immigrant mothers (mean age: 27 years) to complete structured questionnaire at 1 month, 6 month, and 1 year postpartum. A total of 203 immigrant mothers completed structured questionnaires at 1 and 6 months, and 163 completed the questionnaires at 1 year postpartum. Postpartum depression was measured using the Edinburgh Postpartum Depression Scale. Social support was composed of 3 subscales, emotional, instrumental, and informational support. Hierarchical linear modeling was used to examine the relationships between trajectories and factors associated with depression. Results: Depression and instrumental support followed downward curvilinear trajectories, while emotional and informational support followed upward curvilinear trajectories. Depression was highest at 1 month, decreased sharply until 6 months, and then leveled off between 6 and 12 months. Emotional and instrumental support negatively covaried with postpartum depression over time. When the three-dimensional supports were considered together, only emotional support retained its significance. Conclusions: Our results demonstrated that depression was highest at 1 month, then decreased, and then leveled off during 1 year postpartum, though further study may be needed to confirm the trajectory. The 3 types of social support differed in postpartum trajectory, suggesting the needs to consider them separately in future studies. To decrease postpartum depression among immigrant mothers, strategies should be developed to increase emotional and instrumental support during postpartum period. © 2015 Elsevier Inc.

Author Keywords

[No Keywords available]

Index Keywords

human Asia coping behavior Adaptation, Psychological social support ethnology Taiwan Surveys and Questionnaires Humans migrant psychology Emigrants and Immigrants female questionnaire Mothers adult mother postnatal depression Depression, Postpartum
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84955327396&doi=10.1016%2fj.apnu.2015.12.008&partnerID=40&md5=f854fbce08ca8d379360cd49d6dcbef3
DOI: 10.1016/j.apnu.2015.12.008
ISSN: 08839417
Cited by: 3
Original Language: English