title: The interrelationships among acculturation, social support, and postpartum depression symptoms among marriage-based immigrant women in Taiwan: a cohort study.
abstract: This cohort study assessed the structural relationships among social support, acculturation, and postpartum depressive symptoms experienced by marriage-based immigrant mothers in Taiwan. Data were collected at 1 and 6 months postpartum from 203 immigrant mothers married to Taiwanese men in Taipei, Taiwan. The structural equation modeling results showed that social support and postpartum depression were directly and negatively related. Higher social support and lower depression at 1 month postpartum were related to a positive social attitude (i.e., accepting attitude toward mainstream society). Social attitude was a moderator of the relationship between depression at 1 month and social support at 6 months postpartum, where a positive social attitude decreased the negative effect of depression at 1 month on social support at 6 months. Social support in the early postpartum period not only directly decreased postpartum depression, but also indirectly decreased postpartum depression through improving social attitude.
authors.affiliation: Institute of Public Health, National Yang-Ming University, Taipei, Taiwan.
authors.forename: Hung-Hui
authors.initials: HH
authors.lastname: Chen
authors.forename: Fang-Ming
authors.initials: FM
authors.lastname: Hwang
authors.forename: Chen-Jei
authors.initials: CJ
authors.lastname: Tai
authors.forename: Li-Yin
authors.initials: LY
authors.lastname: Chien
mesh_terms: D000069:Acculturation; D000328:Adult; D001290:Attitude; D002681:China / Q000208:ethnology; D015331:Cohort Studies; D019052:Depression, Postpartum / Q000453:epidemiology* / Q000523:psychology; D054242:Emigrants and Immigrants / Q000523:psychology* / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008393:Marriage / Q000523:psychology* / Q000706:statistics & numerical data; D012917:Social Adjustment; D012944:Social Support; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D013624:Taiwan / Q000453:epidemiology; D014744:Vietnam / Q000208:ethnology; D055815:Young Adult