Effects of Postpartum Fatigue and Depressive Cognitions on Life Satisfaction and Quality of Life in Arab Postpartum Women: The Intervening Role of Resourcefulness
Abstract
:1. Introduction
Significance of This Study
2. Methods
2.1. Design and Sample
2.2. Subjects (Inclusion and Exclusion Criteria)
2.3. Recruitment and Data Collection
2.4. Measurements
2.5. Data Analysis
3. Results
3.1. Descriptive Statistics for the Composite Scale
3.2. Correlations among the Variables
4. Discussion
Strengths and Limitations of the Study
5. Conclusions
Author Contributions
Funding
Ethical Approval
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Lefkowitz, D.S.; Baxt, C.; Evans, J.R. Prevalence and Correlates of Posttraumatic Stress and Postpartum Depression in Parents of Infants in the Neonatal Intensive Care Unit (NICU). J. Clin. Psychol. Med Settings 2010, 17, 230–237. [Google Scholar] [CrossRef]
- Al-Muhaish, W.S.; Al-Azman, B.A.; Al-Ghamdi, B.A.; Al-Qahtani, A.H.; Al-Qahtani, N.H. Prevalence of Postpartum Depression and its Correlation with Breastfeeding: A Cross-Sectional Study. Int. J. Med Res. Health Sci. 2018, 7, 28–34. [Google Scholar]
- Alzahrani, A.D. Risk Factors for Postnatal Depression among Primipara Mothers. Span. J. Psychol. 2019, 22, E35. [Google Scholar] [CrossRef] [Green Version]
- Schytt, E.; Lindmark, G.; Waldenstrom, U. Physical symptoms after childbirth: Prevalence and associations with self-rated health. BJOG Int. J. Obstet. Gynaecol. 2005, 112, 210–217. [Google Scholar] [CrossRef]
- Hung, C.-H. Women’s Postpartum Stress, Social Support, and Health Status. West. J. Nurs. Res. 2005, 27, 148–159. [Google Scholar] [CrossRef]
- Sacco, W.P.; Beck, A.T. Cognitive Theory and Therapy. In Handbook of Depression; Beckham, E.E., Leber, W.R., Eds.; Guilford Press: New York, NY, USA, 1995; pp. 329–351. Available online: https://psycnet.apa.org/record/1995-98831-011 (accessed on 1 January 2020).
- Beck, C.T. A Meta-Analysis of Predictors of Postpartum Depression. Nurs. Res. 1996, 45, 297–303. [Google Scholar] [CrossRef] [PubMed]
- O’Hara, M.W.; Swain, A.M. Rates and risk of postpartum depression—A meta-analysis. Int. Rev. Psychiatry 1996, 8, 37–54. [Google Scholar] [CrossRef]
- Beck, C.T. The effects of postpartum depression on maternal-infant interaction: A meta-analysis. Nurs. Res. 1995, 44, 298–304. [Google Scholar] [CrossRef]
- Kurth, E.; Kennedy, H.P.; Spichiger, E.; Hösli, I.; Stutz, E.Z. Crying babies, tired mothers: What do we know? A systematic review. Midwifery 2011, 27, 187–194. [Google Scholar] [CrossRef]
- Troy, N.W.; Dalgas-Pelish, P. The effectiveness of a self-care intervention for the management of postpartum fatigue. Appl. Nurs. Res. 2003, 16, 38–45. [Google Scholar] [CrossRef]
- Doering Runquist, J.J.; Morin, K.; Stetzer, F.C. Severe fatigue and depressive symptoms in lower-income urban postpartum women. West J. Nurs. Res. 2009, 31, 599–612. [Google Scholar] [CrossRef]
- Strine, T.W.; Kroenke, K.; Dhingra, S.; Balluz, L.S.; Gonzalez, O.; Berry, J.T.; Mokdad, A.H. The Associations between Depression, Health-Related Quality of Life, Social Support, Life Satisfaction, and Disability in Community-Dwelling US Adults. J. Nerv. Ment. Dis. 2009, 197, 61–64. [Google Scholar] [CrossRef]
- Gupta, D.; Lis, C.G.; Grutsch, J.F. The Relationship between Cancer-Related Fatigue and Patient Satisfaction with Quality of Life in Cancer. J. Pain Symptom Manag. 2007, 34, 40–47. [Google Scholar] [CrossRef]
- Carey, M.P.; Carey, K.B.; Carnrike, C.L.M.; Meisler, A.W. Learned Resourcefulness, Drinking, and Smoking in Young Adults. J. Psychol. 1990, 124, 391–395. [Google Scholar] [CrossRef]
- Clanton, L.D.; Rude, S.S.; Taylor, C. Learned resourcefulness as a moderator of burnout in a sample of rehabilitation providers. Rehabil. Psychol. 1992, 37, 131. [Google Scholar] [CrossRef]
- Bekhet, A.K.; Zauszniewski, J.A.; Matel-Anderson, D.M. Resourcefulness Training Intervention: Assessing Critical Parameters from Relocated Older Adults’ Perspectives. Issues Ment. Health Nurs. 2012, 33, 430–435. [Google Scholar] [CrossRef]
- Zauszniewski, J.A.; Eggenschwiler, K.; Preechawong, S.; Roberts, B.L.; Morris, D.L. Effects of teaching resourcefulness skills to elders. Aging Ment. Health 2006, 10, 404–412. [Google Scholar] [CrossRef]
- Rosenbaum, M. Role of learned resourcefulness in the self-control of health behavior. In Learned Resourcefulness: On Coping Skills, Selfcontrol, and Adaptive Behavior; Rosenbaum, M., Ed.; Springer: New York, NY, USA, 1990; pp. 3–30. [Google Scholar]
- Robertson, E.; Grace, S.; Wallington, T.; E Stewart, D. Antenatal risk factors for postpartum depression: A synthesis of recent literature. Gen. Hosp. Psychiatry 2004, 26, 289–295. [Google Scholar] [CrossRef] [PubMed]
- Toly, V.B.; Musil, C.M.; Zauszniewski, J.A. Resourcefulness training intervention: A promising approach to improve mental health of mothers with technology-dependent children. Appl. Nurs. Res. 2014, 27, 87–90. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Taylor, J.; Johnson, M. The role of anxiety and other factors in predicting postnatal fatigue: From birth to 6 months. Midwifery 2013, 29, 526–534. [Google Scholar] [CrossRef] [PubMed]
- Neuberger, G.B. Measures of fatigue: The Fatigue Questionnaire, Fatigue Severity Scale, Multidimensional Assessment of Fatigue Scale, and Short Form-36 Vitality (Energy/Fatigue) Subscale of the Short Form Health Survey. Arthritis Rheum. 2003, 49, S175–S183. [Google Scholar] [CrossRef]
- Bahouq, H.; Rostom, S.; Bahiri, R.; Hakkou, J.; Aissaoui, N.; Hajjaj-Hassouni, N. Psychometric evaluation of the Arabic version of the multidimensional assessment of fatigue scale (MAF) for use in patients with ankylosing spondylitis. Rheumatol. Int. 2011, 32, 3969–3976. [Google Scholar] [CrossRef]
- Fairbrother, N.; Hutton, E.K.; Stoll, K.; Hall, W.; Kluka, S. Psychometric evaluation of the Multidimensional Assessment of Fatigue Scale for use with pregnant and postpartum women. Psychol. Assess. 2008, 20, 150–158. [Google Scholar] [CrossRef] [PubMed]
- Belza, B.L.; Henke, C.J.; Yelin, E.H.; Epstein, W.V.; Gilliss, C.L. Correlates of Fatigue in Older Adults with Rheumatoid Arthritis. Nurs. Res. 1993, 42, 93–99. [Google Scholar] [CrossRef] [PubMed]
- Bekhet, A.K.; Zauszniewski, J.A. Psychometric Assessment of the Depressive Cognition Scale among Caregivers of Persons with Autism Spectrum Disorder. Arch. Psychiatr. Nurs. 2013, 27, 96–100. [Google Scholar] [CrossRef]
- Zauszniewski, J.A.; Bekhet, A.K. Screening Measure for Early Detection of Depressive Symptoms. West. J. Nurs. Res. 2012, 34, 230–244. [Google Scholar] [CrossRef]
- Bekhet, A.K.; Zauszniewski, J.A. Psychometric Properties of the Arabic Version of the Depressive Cognition Scale in First-Year Adolescent Egyptian Nursing Students. J. Nurs. Meas. 2010, 18, 143–152. [Google Scholar] [CrossRef] [Green Version]
- Bekhet, A.K.; ElGuenidi, M.; Zauszniewski, J.A. The Effects of Positive Cognitions on the Relationship between Alienation and Resourcefulness in Nursing Students in Egypt. Issues Ment. Heal. Nurs. 2011, 32, 35–41. [Google Scholar] [CrossRef]
- Covinsky, K.E.; Wu, A.W.; Landefeld, C.; Connors, A.F.; Phillips, R.S.; Tsevat, J.; Dawson, N.V.; Lynn, J.; Fortinsky, R.H. Health status versus quality of life in older patients: Does the distinction matter? Am. J. Med. 1999, 106, 435–440. [Google Scholar] [CrossRef]
- Ibrahim, S.A.; Burant, C.J.; Siminoff, L.; Stoller, E.; Kwoh, C. Self-assessed global quality of life. J. Clin. Epidemiol. 2002, 55, 512–517. [Google Scholar] [CrossRef]
- Pavot, W.; Diener, E.; Colvin, C.R.; Sandvik, E. Further Validation of the Satisfaction with Life Scale: Evidence for the Cross-Method Convergence of Well-Being Measures. J. Pers. Assess. 1991, 57, 149–161. [Google Scholar] [CrossRef]
- Abdallah, T. The Satisfaction with Life Scale (SWLS): Psychometric Properties in an Arabic-speaking Sample. Int. J. Adolesc. Youth 1998, 7, 113–119. [Google Scholar] [CrossRef]
- Osterlind, S.; Tabachnick, B.; Fidell, L. SPSS for Windows Workbook to Accompany: Using Multivariate Statistics, 4th ed.; Tabachnick and Fidell: Boston, MA, USA, 2001; pp. 70–80. [Google Scholar]
- Zauszniewski, J.A.; Lekhak, N.; Yolpant, W.; Morris, D.L. Need for Resourcefulness Training for Women Caregivers of Elders with Dementia. Issues Ment. Health Nurs. 2015, 36, 1007–1012. [Google Scholar] [CrossRef] [Green Version]
- Zauszniewski, J.A.; Bekhet, A.K.; Lai, C.-Y.; McDonald, P.E.; Musil, C.M. Effects of teaching resourcefulness and acceptance on affect, behavior, and cognition of chronically ill elders. Issues Ment. Health Nurs. 2007, 28, 575–592. [Google Scholar] [CrossRef]
- Zauszniewski, J.A.; Bekhet, A.K.; Suresky, M.J. Relationships among Perceived Burden, Depressive Cognitions, Resourcefulness, and Quality of Life in Female Relatives of Seriously Mentally Ill Adults. Issues Ment. Health Nurs. 2009, 30, 142–150. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Wells, K.B.; Stewart, A.; Hays, R.D.; Burnam, M.A.; Rogers, W.; Daniels, M.; Berry, S.; Greenfield, S.; Ware, J. The Functioning and Well-being of Depressed Patients. JAMA 1989, 262, 914–919. [Google Scholar] [CrossRef] [PubMed]
- Underhill, A.T.; LoBello, S.G.; Stroud, T.P.; Terry, K.S.; DeVivo, M.J.; Fine, P.R. Depression and life satisfaction in patients with traumatic brain injury: A longitudinal study. Brain Inj. 2003, 17, 973–982. [Google Scholar] [CrossRef] [PubMed]
- Beck, C.T. Postpartum Depression: A Metasynthesis. Qual. Health Res. 2002, 12, 453–472. [Google Scholar] [CrossRef] [PubMed]
- Sadat, Z.; Kalahroudi, M.A.; Atrian, M.K.; Karimian, Z.; Sooki, Z. The Impact of Postpartum Depression on Quality of Life in Women after Child’s Birth. Iran. Red Crescent Med. J. 2014, 16, e14995. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Boyce, P.M.; Johnstone, S.J.; Hickey, A.R.; Morris-Yates, A.D.; Harris, M.G.; Strachan, T. Functioning and well-being at 24 weeks postpartum of women with postnatal depression. Arch. Women’s Ment. Health 2000, 3, 91–97. [Google Scholar] [CrossRef]
- Choi, S.-Y.; Gu, H.-J.; Ryu, E.-J. Effects of Fatigue and Postpartum Depression on Maternal Perceived Quality of Life (MAPP-QOL) in Early Postpartum Mothers. Korean J. Women Health Nurs. 2011, 17. [Google Scholar] [CrossRef] [Green Version]
- Hill, P.D.; Aldag, J.C.; Hekel, B.; Riner, G.; Bloomfield, P. Maternal Postpartum Quality of Life Questionnaire. J. Nurs. Meas. 2006, 14, 205–220. [Google Scholar] [CrossRef]
- Fortier-Brochu, É.; Beaulieu-Bonneau, S.; Ivers, H.; Morin, C.M. Relations between sleep, fatigue, and health-related quality of life in individuals with insomnia. J. Psychosom. Res. 2010, 69, 475–483. [Google Scholar] [CrossRef] [Green Version]
- Michielsen, H.J.; Drent, M.; Peros-Golubicic, T.; De Vries, J. Fatigue Is Associated with Quality of Life in Sarcoidosis Patients. Chest 2006, 130, 989–994. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Huang, C.-Y.; Guo, S.; Hung, C.-M.; Shih, S.-L.; Lee, L.-C.; Hung, G.-C.; Huang, S.-M. Learned Resourcefulness, Quality of Life, and Depressive Symptoms for Patients with Breast Cancer. Oncol. Nurs. Forum 2010, 37, e280–e287. [Google Scholar] [CrossRef] [PubMed]
- Zauszniewski, J.A. Teaching resourcefulness skills to older adults. J. Gerontol. Nurs. 1997, 23, 14–20. [Google Scholar] [CrossRef]
- Zauszniewski, J.A. Self-Help and Help-Seeking Behavior Patterns in Healthy Elders. J. Holist. Nurs. 1996, 14, 223–236. [Google Scholar] [CrossRef] [PubMed]
Demographics | Percent % | |||
---|---|---|---|---|
Age | 18–25 years | 20.3 | ||
26–30 years | 41.5 | |||
31–35 years | 26 | |||
36–40 years | 9.8 | |||
More than 40 years | 2.4 | |||
Employment Status | Full time employee | 35.8 | ||
Part time employee | 5.7 | |||
Working from home | 2.4 | |||
Unemployed | 56.1 | |||
Education | Elementary school | 0.8 | ||
Middle school | 0 | |||
High school | 7.3 | |||
2 years of college or technical school | 5.7 | |||
Bachelor degree | 58.5 | |||
Master degree | 22 | |||
Doctorate degree | 5.7 | |||
Presence of Social support | Yes | 78 | ||
No | 22 | |||
Minimum | Maximum | Mean | SD | |
Number of pregnancies | 1 | 10 | 2.73 | 1.7 |
Number of children | 1 | 7 | 2.3 | 1.4 |
Variable | M | SD | Skewness | Kurtosis | Min | Max |
---|---|---|---|---|---|---|
Depressive cognitions (DC) | 5.69 | 4.72 | 1.62 | 3.45 | 0 | 26 |
Postpartum fatigue (PPF) | 28.5 | 9.62 | −0.496 | 0.144 | 2 | 47 |
Resourcefulness (RS) | 93.2 | 15.88 | −0.36 | 0.283 | 43 | 129 |
Satisfaction with life (SWL) | 25.1 | 6.37 | −0.697 | −0.232 | 7 | 35 |
Quality of life (QOL) | 3.46 | 1.16 | −0.30 | −0.95 | 1 | 5 |
Correlations | Results | Comments |
---|---|---|
PPF→ RS | β = 0.059, p = 0.52 | Not Significant |
DC→ RS | β = (−0.37), p < 0.0001 | Medium Negative Correlation |
PPF→ QOL | β = −0.097, p = 0.29 | Not Significant |
PPF→SWL | β =(−0.24), p = 0.007 | Low Negative Correlation |
DC→QOL | β = (−0.48), p < 0.001 | Medium Negative Correlation |
DC→SWL | β = (−0.43), p < 0.001 | Medium Negative Correlation |
RS→QOL | β = 0.27, p = 0.001 | Low Positive Correlation |
RS→ SWL | β = 0.21, p = 0.017 | Low Positive Correlation |
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Badr, H.A.; Zauszniewski, J.A.; Quinn Griffin, M.; Burant, C.J.; Przeworski, A.; Almutairi, W.M.; Alsharif, F.H. Effects of Postpartum Fatigue and Depressive Cognitions on Life Satisfaction and Quality of Life in Arab Postpartum Women: The Intervening Role of Resourcefulness. Nurs. Rep. 2021, 11, 84-94. https://doi.org/10.3390/nursrep11010009
Badr HA, Zauszniewski JA, Quinn Griffin M, Burant CJ, Przeworski A, Almutairi WM, Alsharif FH. Effects of Postpartum Fatigue and Depressive Cognitions on Life Satisfaction and Quality of Life in Arab Postpartum Women: The Intervening Role of Resourcefulness. Nursing Reports. 2021; 11(1):84-94. https://doi.org/10.3390/nursrep11010009
Chicago/Turabian StyleBadr, Hanan A., Jaclene A. Zauszniewski, Mary Quinn Griffin, Christopher J. Burant, Amy Przeworski, Wedad M. Almutairi, and Fatmah H. Alsharif. 2021. "Effects of Postpartum Fatigue and Depressive Cognitions on Life Satisfaction and Quality of Life in Arab Postpartum Women: The Intervening Role of Resourcefulness" Nursing Reports 11, no. 1: 84-94. https://doi.org/10.3390/nursrep11010009