This study examined the trajectory groups of maternal depressive symptoms of Korean employed women with young children and the association between trajectory group membership and personal, family, social and sociodemographic factors.
Method:
This study used Nagin’s semi-parametric, group-based modeling to analyze 2008 (Wave 1) to 2012 data (Wave 5) from the Panel Study on Korean Children, a nationally representative sample of children.
Results:
Four distinct trajectory groups were identified, namely, a non-depressive symptoms group, increasing subclinical depressive symptoms group, stable moderate depressive symptoms group and severe depressive symptoms group. Results showed that self-esteem, parental stress, child care cooperation of husband, marital satisfaction and social support affected the likelihood of membership in the four depressive symptoms groups.
Conclusion:
Prevention or intervention toward trajectory groups requires integrative approaches that target various factors across multiple contexts.
Abu-BaderS. H.CreweS. E. (2006). Predictors of depression among former welfare recipients: A path diagram. Best Practices in Mental Health: An International Journal, 2(2), 1–22.
2.
BeckC. T. (1996). A meta-analysis of predictors of postpartum depression. Nursing Research, 45, 297–303.
3.
BeckC. T. (2001). Predictors of postpartum depression: An update. Nursing Research, 50, 275–285.
4.
BeeghlyM.OlsonK. L.WeinbergM. K.PierreS. C.DowneyN.TronickE. Z. (2003). Prevalence, stability, and socio-demographic correlates of depressive symptoms in black mothers during the first 18 months postpartum. Maternal and Child Health Journal, 7, 157–168.
5.
BolgerN.DeLongisA.KesslerR. C.WethingtonE. (1990). The microstructure of daily role-related stress in married couples. In EckenrodeJ.CoreS. (Eds.), Stress between work and family. New York, NY: Plenum Press.
6.
CampbellS. B.MatesticP.von StauffenbergC.MohanR.KirchnerT. (2007). Trajectories of maternal depressive symptoms, maternal sensitivity, and children’s functioning at school entry. Developmental Psychology, 43, 1202–1215.
7.
CampbellS. B.Morgan-LopezA. A.CoxM. J.McLoydV. C. (2009). A latent class analysis of maternal depressive symptoms over 12 years and offspring adjustment in adolescence. Journal of Abnormal Psychology, 118, 479–493.
8.
CentsR. A.DiamantopoulouS.HudziakJ. J.JaddoeV. W.HofmanA.VerhulstF. C.. . . TiemeierH. (2013). Trajectories of maternal depressive symptoms predict child problem behaviour: The Generation R study. Psychological Medicine, 431, 13–25.
9.
ClearyP. D.MechanicD. (1983). Sex differences in psychological distress among married people. Journal of Health and Social Behavior, 242, 111–121.
10.
DoyleC.HindP. (1998). Occupational stress, burnout and job status in female academics. Gender Work and Organization, 52(2), 67–82.
11.
FennellM. J. V. (2004). Depression, low self-esteem and mindfullness. Behaviour Research and Therapy, 42, 1053–1067.
12.
GialloR.CooklinA.NicholsonJ. M. (2014). Risk factors associated with trajectories of mothers’ depressive symptoms across the early parenting period: An Australian population-based longitudinal study. Archives of Women’s Mental Health, 17, 115–125.
13.
GialloR.PilkingtonP.McDonaldE.GartlandD.WoolhouseH.BrownS. (2017). Physical, sexual and social health factors associated with the trajectories of maternal depressive symptoms from pregnancy to 4 years postpartum. Social Psychiatry and Psychiatric Epidemiology, 52, 815–828.
14.
GialloR.WoolhouseH.GartlandD.HiscockH.BrownS. (2015). The emotional behavioural functioning of children exposed to maternal depressive symptoms across pregnancy and early childhood: A prospective Australian pregnancy cohort study. European Child & Adolescent Psychiatry, 24, 1233–1244.
15.
GumpB.ReihmanJ.StewartP.LonkyE.DarvillT.GrangerD.MatthewsK. (2009). Trajectories of maternal depressive symptoms over her child’s life span: Relation to adrenocortical, cardiovascular, and emotional functioning in children. Development and Psychopathology, 21, 207–225.
16.
HuhS. Y. (2017). Structural relations among job demands, work to family conflict, and depression: Multi-group analysis between single mothers and non-single mothers. Korean Social Security Studies, 334, 347–370.
17.
JohnsonP. L.FlakeE. M. (2007). Maternal depression and child outcomes. Pediatric Annals, 36, 196–202.
18.
JonesB. L.NaginD. S.RoederK. (2001). A SAS procedure based on mixture models for estimating developmental trajectories. Sociological Methods & Research, 29, 374–393.
19.
KingsburyA. M.HayatbakhshR.MamunA. M.ClavarinoA. M.WilliamsG.NajmanJ. M. (2015). Trajectories and predictors of women’s depression following the birth of an infant to 21 years: A longitudinal study. Maternal and Child Health Journal, 19, 877–888.
20.
KreuterF.MuthénB. (2008). Analyzing criminal trajectory profiles: Bridging multilevel and group-based approaches using growth mixture modeling. Journal of Quantitative Criminology, 24(1), 1–31.
21.
LeeJ. S.ChoiW. S. (2011). A study on path of depression of married working women. Korean Journal of Social Welfare Studies, 424, 389–412.
22.
LundbergU.MårdbergB.FrankenhaeuserM. (1994). The total workload of male and female white collar workers as related to age, occupational level, and number of children. Scandinavian Journal of Psychology, 35, 315–327.
23.
MayberryL. J.HorowitzJ. A.DeclercqE. (2007). Depression symptom prevalence and demographic risk factors among U.S. women during the first 2 years postpartum. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 36, 542–549.
24.
MoraP. A.BennettI. M.EloI. T.MathewL.CoyneJ. C.CulhaneJ. F. (2009). Distinct trajectories of perinatal depressive symptomatology: Evidence from growth mixture modeling. American Journal of Epidemiology, 169, 24–32.
25.
NaginD. S. (1999). Analyzing developmental trajectories: A semi-parametric group-based approach. Psychological Methods, 4, 139–177.
26.
NaginD. S. (2005). Group-based modeling of development. Cambridge, MA: Harvard University Press.
27.
O’HaraM. W.SwainA. M. (1996). Rates and risk of postpartum depression: A meta-analysis. International Review of Psychiatry, 8, 37–54.
28.
ReifmanA.BiematM.LangE. L. (1991). Stress, social support, and health in married professional women with small children. Psychology of Women Quarterly, 15, 431–435.
29.
RobertsonE.GraceS.WallingtonT.StewartE. D. (2004). Antenatal risk factors for postpartum depression: A synthesis of recent literature. General Hospital Psychiatry, 26, 289–295.
30.
Shepherd-BaniganM.BellJ. (2014). Paid leave benefits of working mothers with Children. Maternal and Child Health Journal, 181, 286–295.
31.
SkipsteinA.JansonH.KjeldsenA.NilsenW.MathiesenK. S. (2012). Trajectories of maternal symptoms of depression and anxiety over 13 years: The influence of stress, social support, and maternal temperament. BMC Public Health, 12, 1120.
32.
Van der WaerdenJ.GaléraC.Saurel-CubizollesM. J.Sutter-DallayA. L.MelchiorM. (2015). Predictors of persistent maternal depression trajectories in early childhood: Results from the EDEN mother-child cohort study in France. Psychological Medicine, 45, 1999–2012.
33.
VliegenN.CasalinS.LuytenP. (2014). The course of postpartum depression: A review of longitudinal studies. Harvard Review Psychiatry, 221, 1–22.
34.
WangL.WuT.AndersonJ. L.FlorenceJ. E. (2011). Prevalence and risk factors of maternal depression during the first three years of child rearing. Journal of Women’s Health, 205, 711–718.
35.
YooH.HongS.KimJ.LeeS.TongC.LeeH. (2014). A study on child-rearing support policies in accordance with employed women’s occupation and employment type. Seoul: Korean Women’s Development Institute.
36.
WoolhouseH.GartlandD.MensahF.BrownS. J. (2015). Maternal depression from early pregnancy to 4 years postpartum in a prospective pregnancy cohort study: Implications for primary health care. BJOG: An International Journal of Obstetrics and Gynaecology, 122, 312–321.
37.
WuY. P.SeligJ. P.RobertsM. C.SteeleR. C. (2011). Trajectories of postpartum maternal depressive symptoms and children’s social skills. Journal of Child and Family Studies, 20, 414–423.
