Relationships of Perfectionism Dimensions with Postpartum Depression / 정신간호학회지

PURPOSE: The aim of this study was to explore the relationship between perfectionism dimensions and postpartum depression among parturient women between 2 weeks to 12 months, using the Frost Multidimensional Perfectionism Scale (FMPS). METHODS: Participants were 150 women who had their infants examined for health in two public health centers in a city. The participants completed a self-administered questionnaire, which included the FMPS, Postpartum Depression Predictors Inventory-Revised and the Korean version of the Edinburgh Postpartum Depression Scale (K-EPDS). The data were analyzed using independent t-tests and a multiple linear regression. RESULTS: The prevalence of postpartum depression was 43.3% (K-EPDS≥9.5). Multiple regression analysis showed that postpartum depression was significantly associated with parental criticism (β=.21), concern over mistakes (β=.19), postnatal maternal blues (β=.22), history of depression (β=.20), social support (β=.13), marital relationship/satisfaction (β=.14), prenatal anxiety (β=.17), and self-esteem (β=.15, all p values < .05). These variables explained 57.2% of the variance in postpartum depression. CONCLUSION: Parental criticism and concern over mistakes are personality dimensions that can be exhibited by participants and are therefore associated with the development of postpartum depression in parents of infants. The perfectionism assessment is needed to detect postpartum depression and develop strategies to provide effective and preventive interventions.

Intervention Strategies Based on Information-Motivation-Behavioral Skills Model for Health Behavior Change: A Systematic Review

PURPOSE: This study systematically reviewed research on behavioral interventions based on the information-motivation-behavioral skills (IMB) model to investigate specific intervention strategies that focus on information, motivation, and behavioral skills and to evaluate their effectiveness for people with chronic diseases. METHODS: A systematic review was conducted in accordance with the guidelines of both the National Evidence-based Healthcare Collaborating Agency and Im and Chang. A literature search was conducted using electronic databases. Randomized controlled trials that tested behavioral interventions based on the IMB model for promoting health behaviors among people with chronic diseases were included. Four investigators independently reviewed the studies and assessed the quality of each study. A narrative synthesis was used. RESULTS: A total of 12 studies were included in the review.Nine studies investigated patients with HIV/AIDS. The most frequently used intervention strategies were instructional pamphlets for the information construct, motivational interviewing techniques for the motivation construct, and instruction or role playing for the behavioral skills construct. Ten studies reported significant behavior changes at the first post-intervention assessment. CONCLUSION: This review indicates the potential strength of the IMB model as a theoretical framework to develop behavioral interventions. The specific integration strategies delineated for each construct of the model can be utilized to design model-based interventions.