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A test of the Attachment Model of Prepartum Depression

Abstract

The present study was to investigate the utility of depression model during pregnancy. In order to examine the purpose of this study, a attachment theory of depression was compared with a cognitive-interpersonal theory of depression by using AMOS. The linear mediation model 1 assumed that the unstable attachment style would predict prepartum depression mainly by mediating cognitive variables as well as by mediating interpersonal variables. In contrast the linear mediation model 2 assumed that the negative self and the unstable attachment style independently and the interpersonal variables mediating would predict prepartum depression. Two hundred and thirty-five women(the second trimester in pregnancy) were recruited both through the obstetrics department of a large hospital and private practices. Results of multiple hierarchical regression analysis indicated that 48% of the variance in prepartum depression was accounted by intrapersonal variables(negative self-esteem, attachment style) and interpersonal variables(negative communication, marital dissatisfaction). As a result of the linear mediation model analysis, model 1 fitted better than model 2. In conclusion, the findings of the present study suggest that the attachment theory explained very well cognitive-interpersonal relationship process of prepartum depression.

keywords
attachment, self-esteem, negative communication, marital dissatisfaction, prepartum depression, 애착, 자존감, 부정적 의사소통, 결혼불만족, 임신우울

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