Advances in Nursing & Midwifery

دوره 30 شماره 4 (2021)

Comparing Meaning in Life, Cognitive Emotion Regulation and Body Image Concern among Women with and without Postpartum Depression

Advances in Nursing & Midwifery, دوره 30 شماره 4 (2021), 15 اکتبر 2021 , صفحه 7-14
https://doi.org/10.22037/anm.v30i4.38401

چکیده

Abstract
Introduction: Postpartum depression causes negative changes in mothers’ mood and family cohesion, undermines adjustment of mothers with their children, and prevents children from forming a healthy relationship with their mothers. The purpose of this study was to compare meaning in life, strategies of cognitive emotion regulation and body image concern in women with and without postpartum depression.
Methods: In this causal-comparative research, participants were selected by convenience sampling among women in the postpartum period in Tehran in 2021. Data was gathered using the Edinburgh Postpartum Depression Scale, Meaning in Life Questionnaire, Cognitive Emotion Regulation Questionnaire, and body image concern inventory. Then, 82 women with postpartum depression and 82 without postpartum were analyzed using ANOVA and MANOVA tests in SPSS-21.
Results: There is a meaningful difference between two groups (women with and without postpartum depression) in terms of presence subscale in meaning in life questionnaire, non-adaptive strategies of cognitive emotion regulation scale except for self-blame subscale and adaptive strategies of cognitive emotion regulation except for acceptance sub-scale, and body image concern (p<0.05). In fact, depressed women use more non-adaptive strategies and suffer more from body image concern. However, presence of meaning in life and use of adaptive strategies are less prevalent among these depressed women.
Conclusions: Taken together, the findings shed light on the importance of meaning in life, cognitive emotion regulation and body image concern in postpartum depression and highlight potential targets for developing interventions in order to prevention and treatment of postpartum depression.

کلمات کلیدی:
  • Postpartum Depression
  • Meaning in Life
  • Cognitive Emotion
  • Regulation
  • Body Image Concern

مراجع

REFERENCES

Khodadadi N, Mahmoudi H, Mir HSN. Postpartum depression relationship with some psychosocial effects in mothers. J Ardabil Uni Med Sci. 2008;8(2):142-8.

Centers for Disease C, Prevention. Prevalence of self-reported postpartum depressive symptoms--17 states, 2004-2005. MMWR Morb Mortal Wkly Rep. 2008;57(14):361-6. pmid: 18401329

Segre LS, O'Hara MW, Arndt S, Stuart S. The prevalence of postpartum depression: the relative significance of three social status indices. Soc Psychiatry Psychiatr Epidemiol. 2007;42(4):316-21. doi: 10.1007/s00127-007-0168-1 pmid: 17370048

Williams JB, First M. Diagnostic and statistical manual of mental disorders. Encyclopedia of social work: American psychiatric association; 2013.

Henderson C, Macdonald S. Maye's Midwifery: A Textbook for Midwives: Bailliere Tindall Limited; 2004.

Rubertsson C, Wickberg B, Gustavsson P, Radestad I. Depressive symptoms in early pregnancy, two months and one year postpartum-prevalence and psychosocial risk factors in a national Swedish sample. Arch Womens Ment Health. 2005;8(2):97-104. doi: 10.1007/s00737-005-0078-8 pmid: 15883652

Feldman DB, Snyder CR. Hope and the meaningful life: Theoretical and empirical associations between goal–directed thinking and life meaning. J Soc Clin Psychol. 2005;24(3):401-21.

Mohammad Nia S, Mashhadi A. The effect of meaning of life on the relationship between attitude toward substance abuse and depression. Neurosci J Shefaye Khatam. 2018;6(3):43-51.

Nasiri H, Jokar B. Meaning in life, hope, life satisfaction and mental health in women. J Women Develop Politics. 2008;6(2):157-76.

Frankl VE. Man’s search for meaning: An intro to logotherapy..(Part 2, Logotherapy in a nutshell). New York, NY: Simon and Schuster Inc; 1984.

Gross JJ, Thompson RA. Emotion regulation conceptual: Handbook of emotion regulation. New York:: Guilfors Publication; 2007.

Gross JJ. Antecedent-and response-focused emotion regulation: divergent consequences for experience, expression, and physiology. J of Personal Soc Psychol. 1998;74(1):224.

Gross J, John O. Handbook of regulation emotion. New York: Guilford Press; 2007.

Segal ZV, Kennedy S, Gemar M, Hood K, Pedersen R, Buis T. Cognitive reactivity to sad mood provocation and the prediction of depressive relapse. Arch Gen Psychiatry. 2006;63(7):749-55. doi: 10.1001/archpsyc.63.7.749 pmid: 16818864

Waller MA. Resilience in ecosystemic context: evolution of the concept. Am J Orthopsychiatry. 2001;71(3):290-7. doi: 10.1037/0002-9432.71.3.290 pmid: 11495331

Salehi A. The role of cognitive emotion regulation strategies in the prediction of depression. Knowledge Res Appl Psychol. 2017;16(1):108-17.

Jarrett RB, Minhajuddin A, Borman PD, Dunlap L, Segal ZV, Kidner CL, et al. Cognitive reactivity, dysfunctional attitudes, and depressive relapse and recurrence in cognitive therapy responders. Behav Res Ther. 2012;50(5):280-6. doi: 10.1016/j.brat.2012.01.008 pmid: 22445946

Choi HS, Lee KE, Shin Y. Effects of an emotional regulation program on maladaptive cognitive emotion regulation, stress, anxiety, and postpartum depression among South Korean mothers of premature infants in the neonatal intensive care

unit. Child Health Nurs Res. 2021;27(1):24-33. doi: 10.4094/chnr.2021.27.1.24 pmid: 35004494

Marques R, Monteiro F, Canavarro MC, Fonseca A. The role of emotion regulation difficulties in the relationship between attachment representations and depressive and anxiety symptoms in the postpartum period. J Affect Disord. 2018;238:39-46. doi: 10.1016/j.jad.2018.05.013 pmid: 29859386

Pourkhaleghi N, Askarizadeh G, Fazilat-Pour M. The role of maternal emotional cognitive strategies and newborn gender satisfaction in the postpartum depression in the primiparous women. Preventive Care in Nursing Midwifery Journal. 2017;7(2):15-24.

Park CL, Folkman S. Meaning in the context of stress and coping. Rev Gen Psychol. 1997;1(2):115-44. doi: 10.1037/1089-2680.1.2.115

Sweeney AC, Fingerhut R. Examining relationships between body dissatisfaction, maladaptive perfectionism, and postpartum depression symptoms. J Obstet Gynecol Neonatal Nurs. 2013;42(5):551-61. doi: 10.1111/1552-6909.12236 pmid: 24004109

Sears LA, Rudd NA, Habash D, Buckworth J. Body Image and Behavior in NCAA Division III Female Athletes Involved in Team Sports: 2342: Board# 122: May 30 2: 00 PM-3: 30 PM. Med Sci Sport Exercise. 2008;40(5):S436.

Forman EM, Butryn ML, Hoffman KL, Herbert JD. An open trial of an acceptance-based behavioral intervention for weight loss. Cognitive Behavioral Practice. 2009;16(2):223-35. doi: 10.1016/j.cbpra.2008.09.005

Thompson J. Handbook of eating disorders and obesity: John Wiley & Sons, Inc.; 2004.

Pearson AN, Follette VM, Hayes SC. A pilot study of acceptance and commitment therapy as a workshop intervention for body dissatisfaction and disordered eating attitudes. Cognitive Behavioral Practice. 2012;19(1):181-97. doi: 10.1016/j.cbpra.2011.03.001

Chaiton M, Sabiston C, O'loughlin J, McGrath J, Maximova K, Lambert M. A structural equation model relating adiposity, psychosocial indicators of body image and depressive symptoms among adolescents. Int J Obesity. 2009;33(5):588-96.

Brytek-Matera A. Body image among obese women: consequences and degree of body dissatisfaction, relationship with low self-esteem and coping strategies. Psychiatria Polska. 2010;44(2):267-75.

Hartley E, Fuller-Tyszkiewicz M, Skouteris H, Hill B. A qualitative insight into the relationship between postpartum depression and body image. J Reproduc Infant Psychol. 2021;39(3):288-300.

Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry. 1987;150(6):782-6. doi: 10.1192/bjp.150.6.782 pmid: 3651732

Peindl KS, Wisner KL, Hanusa BH. Identifying depression in the first postpartum year: guidelines for office-based screening and referral. J Affect Disord. 2004;80(1):37-44. doi: 10.1016/S0165-0327(03)00052-1 pmid: 15094256

Behbodi M. The prevalence of postpartum depression and the effective factors of referred women to Beheshti Health center. Tehran: Beheshti University; 2001.

Mazhari S, Nakhaee N. Validation of the Edinburgh Postnatal Depression Scale in an Iranian sample. Arch Womens Ment Health. 2007;10(6):293-7. doi: 10.1007/s00737-007-0204-x pmid: 18058062

Steger MF, Frazier P, Oishi S, Kaler M. The meaning in life questionnaire: assessing the presence of and search for meaning in life. J Counsel Psychol. 2006;53(1):80.

Peymanfar E, Aliakbari Dehkordi M, Mohtashami T. A comparison between the feeling of loneliness and feeling of meaningfulness of the life of the old at the different level of religious attitudes. Ravanshenasi Va Din. 2012;5(4):41-52.

Garnefski N, Baan N, Kraaij V. Psychological distress and cognitive emotion regulation strategies among farmers who fell victim to the foot-and-mouth crisis. Personality Individual Differences. 2005;38(6):1317-27. doi: 10.1016/j.paid.2004.08.014

Garnefski N, Kraaij V, Spinhoven P. Negative life events, cognitive emotion regulation and emotional problems. Personality Individual Differences. 2001;30(8):1311-27. doi: 10.1016/S0191-8869(00)00113-6

Besharat M. Psychometri properties of the Cognitive Emotion Regulation Questionnaire in a sample of Iranian population. Journal of Nursing and Midwifery Quarterly. 2014;24(84):61-70.

Littleton HL, Axsom D, Pury CL. Development of the body image concern inventory. Behav Res Ther. 2005;43(2):229-41. doi: 10.1016/j.brat.2003.12.006 pmid: 15629752

Basaknejad S, Ghafari M. The relationship between fear of physical deformity and psychological disorders in students. Journal of Behavioral Sciences. 2008;1(2):17-8.

Lundgren JD, Anderson DA, Thompson JK. Fear of negative appearance evaluation: development and evaluation of a new construct for risk factor work in the field of eating disorders. Eat Behav. 2004;5(1):75-84. doi: 10.1016/S1471-0153(03)00055-2 pmid: 15000956

Haji Yousefi E, Alivandi Vafa M. Effectiveness of Logo Group Therapy in Depression and the Meaning in Life among Divorced women in Tabriz City. Journal of Modern Psychological Researches. 2017;12(45):19-38.

Volkert J, Harter M, Dehoust MC, Ausin B, Canuto A, Da Ronch C, et al. The role of meaning in life in community-dwelling older adults with depression and relationship to other risk factors. Aging Ment Health. 2019;23(1):100-6. doi: 10.1080/13607863.2017.1396576 pmid: 29115865

Hedayati MM, Khazaei MM. An investigation of the relationship between depression, meaning in life and adult hope. Procedia-Social Behavioral Sciences. 2014;114:598-601.

Krzeczkowski JE, Schmidt LA, Van Lieshout RJ. Changes in infant emotion regulation following maternal cognitive behavioral therapy for postpartum depression. Depress Anxiety. 2021;38(4):412-21. doi: 10.1002/da.23130 pmid: 33464686

Rudolph SG, Flett GL, Hewitt PL. Perfectionism and deficits in cognitive emotion regulation. Journal of Rational-Emotive Cognitive-Behavior Therapy. 2007;25(4):343-57.

Silveira ML, Ertel KA, Dole N, Chasan-Taber L. The role of body image in prenatal and postpartum depression: a critical review of the literature. Arch Womens Ment Health. 2015;18(3):409-21. doi: 10.1007/s00737-015-0525-0 pmid: 25895137

Richardson LP, Garrison MM, Drangsholt M, Mancl L, LeResche L. Associations between depressive symptoms and obesity during puberty. Gen Hosp Psychiatry. 2006;28(4):313-20. doi: 10.1016/j.genhosppsych.2006.03.007 pmid: 16814630

Sheivandi K, Naeimi E, Farshad MR. The Structural Model of Self-Compassion and Psychological Well-Being, Self-Esteem And Body Image Among Female Students of Shiraz University With Mediator. Clin Psyhol Stud. 2016;6(24):115-32.

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