RNSurveyWomen's health nursing (Seoul, Korea)2025

The mediating effects of convergence of femininity-maternity and marital intimacy in the relationship between postpartum depression and quality of life in postpartum mothers: a cross-sectional study.

Ye Jin Hong, Hae Ok Kim

PMID 40210300

WHAT IT FOUND

In postpartum mothers, higher depression scores were associated with lower quality of life.

Maintaining a feminine identity while adapting to motherhood partly accounted for this association. Marital intimacy was linked to quality of life but did not add to that explanation.

Key findings

01Quality of life was negatively correlated with postpartum depression and positively correlated with convergence of femininity-maternity and marital intimacy.

02Convergence of femininity-maternity partially mediated the relationship between postpartum depression and quality of life, accounting for 56.0% of the total effect, whereas marital intimacy did not.

03Participants reported somewhat low quality of life and mean postpartum depression scores above the screening cutoff.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study measured mothers at one time, so it cannot prove that depression, femininity-maternity convergence, or marital intimacy causes changes in quality of life. The mediation model is statistical and does not test a nursing programme or intervention. Participants were recruited by convenience sampling from hospitals in one mid-sized city and an online community, so results may not apply to all postpartum mothers. Only mothers with healthy newborns and no major pregnancy or postpartum complications were included, so it says little about higher-risk mothers. All information came from self-report questionnaires, and the femininity-maternity and marital intimacy scales had limited prior research for postpartum mothers.

Declared interests

The authors declared no conflict of interest and reported no funding.

The easy way to misread this

Do not read the 56.0% mediated effect as proof that a programme will improve quality of life. The study measured mothers at one time and did not test an intervention, so it cannot show that changing femininity and maternity convergence causes better quality of life.

Read it on PubMed →