Volume 21, Issue 3 (10-2025)
J Health Syst Res 2025, 21(3): 340-350 |
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Research code: 397593
Ethics code: IR.RESEARCH.REC.1397.404
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Saber F, Zolfaghari F, Heidari Z, Zamani-Alavijeh F, Araban M. Modeling Factors Affecting Postpartum Depression in Women of Shahreza City, Iran, Using the Path Analysis Method. J Health Syst Res 2025; 21 (3) :340-350
URL: http://hsr.mui.ac.ir/article-1-1758-en.html
URL: http://hsr.mui.ac.ir/article-1-1758-en.html
Fatemeh Saber1 
, Fatemeh Zolfaghari2 , Zahra Heidari3 , Fereshteh Zamani-Alavijeh4 , Marzieh Araban5
, Fatemeh Zolfaghari2 , Zahra Heidari3 , Fereshteh Zamani-Alavijeh4 , Marzieh Araban5
1- PhD, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran
2- MSc Student, Student Research Committee AND Department of Community-Based Education, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
3- Associate Professor, Department of Biostatistics and Epidemiology, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
4- Professor, Department of Health Education and Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
5- Professor, Social Determinants of Health Research Center AND Department of Health Education and Promotion, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
2- MSc Student, Student Research Committee AND Department of Community-Based Education, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
3- Associate Professor, Department of Biostatistics and Epidemiology, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
4- Professor, Department of Health Education and Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran
5- Professor, Social Determinants of Health Research Center AND Department of Health Education and Promotion, School of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Abstract: (9 Views)
Background: The postpartum period is a period where the risk of postpartum depression (PPD) generally increases due to the physiological and psychosocial changes that occur. In the extensive review, few studies have examined the combination of factors related to PPD. Therefore, this study was conducted to analyze the pathways of factors associated with PPD among women attending health centers.
Methods: This cross-sectional study was conducted from February to September 2020 on 410 newly postpartum mothers within the 4-week to 2-month postpartum period in Shahreza City, Isfahan Province, Iran. Multistage random sampling was performed among comprehensive health service centers. Data were collected in seven sections, using standard questionnaires, and were analyzed using SPSS software and descriptive statistics, independent t-test, one-way analysis of variance (ANOVA), and Pearson correlation. LISREL software was also used for path analysis.
Findings: According to the results of the present study, the average age of the participants was 29.5 ± 5.5 years and the prevalence of PPD was 13.4%. The results of the path analysis showed that the studied model had a favorable fit. The most direct effect on PPD in a positive direction was related to the variables of perceived stress, hospitalization of the baby in neonatal intensive care unit (NICU), and perceived violence, respectively, and in the negative direction, was associated with perceived social support and breastfeeding self-efficacy. Marital satisfaction had no significant relationship with PPD.
Conclusion: Considering the prevalence of PPD among mothers and its association with psychological factors, identifying susceptible pregnant mothers to PPD and appropriate interventions to reduce the risk factors in this group of mothers or perform therapeutic interventions to control PPD are urgently needed.
Methods: This cross-sectional study was conducted from February to September 2020 on 410 newly postpartum mothers within the 4-week to 2-month postpartum period in Shahreza City, Isfahan Province, Iran. Multistage random sampling was performed among comprehensive health service centers. Data were collected in seven sections, using standard questionnaires, and were analyzed using SPSS software and descriptive statistics, independent t-test, one-way analysis of variance (ANOVA), and Pearson correlation. LISREL software was also used for path analysis.
Findings: According to the results of the present study, the average age of the participants was 29.5 ± 5.5 years and the prevalence of PPD was 13.4%. The results of the path analysis showed that the studied model had a favorable fit. The most direct effect on PPD in a positive direction was related to the variables of perceived stress, hospitalization of the baby in neonatal intensive care unit (NICU), and perceived violence, respectively, and in the negative direction, was associated with perceived social support and breastfeeding self-efficacy. Marital satisfaction had no significant relationship with PPD.
Conclusion: Considering the prevalence of PPD among mothers and its association with psychological factors, identifying susceptible pregnant mothers to PPD and appropriate interventions to reduce the risk factors in this group of mothers or perform therapeutic interventions to control PPD are urgently needed.
Type of Study: Research |
Subject:
education health and promotion
Received: 2024/02/17 | Accepted: 2024/09/22 | Published: 2025/10/7
Received: 2024/02/17 | Accepted: 2024/09/22 | Published: 2025/10/7
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