Factors influencing prenatal and postpartum depression in Korea: a prospective cohort study
2
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Purpose: This study explored the prevalence of prenatal and postpartum depression and its influencing factors from 20 weeks of pregnancy to 12 weeks postpartum. Methods: Using a prospective cohort study design, data on women’s depression and its influencing factors were collected at 20, 28, and 36 weeks of pregnancy and at 2, 6, and 12 weeks postpartum. The subjects were 219 prenatal pregnant women and 181 spouses during pregnancy and 183 postpartum mothers and 130 spouses after childbirth. Depressive symptoms were assessed by the Edinburgh Postnatal Depression Scale and influencing factors were measured by the Postpartum Depression Predictors Inventory-Revised, parity, and spousal depression. Results: The prevalence of maternal depression was 10.5% to 21.5% before birth, and it was 22.4% to 32.8% postpartum. The prevalence slightly decreased during the prenatal period but peaked at 2 weeks postpartum. Antenatal depression was influenced by low socioeconomic status, lower self-esteem, having experienced prenatal depression, having experienced prenatal anxiety, a previous history of depression, lower social support, lower marital satisfaction, and higher life stress. The factors influencing postpartum depression were lower self-esteem, having experienced prenatal depression, having experienced prenatal anxiety, lower social support, lower marital satisfaction, and higher life stress, as well as infant temperament and maternal blues. Parity and spousal depression had no impacts. Conclusion: The prevalence and influencing factors of maternal depression changed over time. Nurses need to screen women accordingly during the perinatal period and should provide education or counseling to prevent depression and promote adjustment to parenthood.
Abstract
Purpose: This study explored the prevalence of prenatal and postpartum depression and its influencing factors from 20 weeks of pregnancy to 12 weeks postpartum. Methods: Using a prospective cohort study design, data on women’s depression and its influencing factors were collected at 20, 28, and 36 weeks of pregnancy and at 2, 6, and 12 weeks postpartum. The subjects were 219 prenatal pregnant women and 181 spouses during pregnancy and 183 postpartum mothers and 130 spouses after childbirth. Depressive symptoms were assessed by the Edinburgh Postnatal Depression Scale and influencing factors were measured by the Postpartum Depression Predictors Inventory-Revised, parity, and spousal depression. Results: The prevalence of maternal depression was 10.5% to 21.5% before birth, and it was 22.4% to 32.8% postpartum. The prevalence slightly decreased during the prenatal period but peaked at 2 weeks postpartum. Antenatal depression was influenced by low socioeconomic status, lower self-esteem, having experienced prenatal depression, having experienced prenatal anxiety, a previous history of depression, lower social support, lower marital satisfaction, and higher life stress. The factors influencing postpartum depression were lower self-esteem, having experienced prenatal depression, having experienced prenatal anxiety, lower social support, lower marital satisfaction, and higher life stress, as well as infant temperament and maternal blues. Parity and spousal depression had no impacts. Conclusion: The prevalence and influencing factors of maternal depression changed over time. Nurses need to screen women accordingly during the perinatal period and should provide education or counseling to prevent depression and promote adjustment to parenthood.
참고문헌 (32)
- Riikka Korja, "The courses of maternal and paternal depressive and anxiety symptoms during the prenatal period in the FinnBrain Birth Cohort study", PLOS ONE, 13(12), pp.e0207856~ (2018), Public Library of Science (PLoS)[DOI]
- Tânia Brandão, "Anxiety, depression, dyadic adjustment, and attachment to the fetus in pregnancy: Actor–partner interdependence mediation analysis.", Journal of Family Psychology, 33(3), pp.294~303 (2019), American Psychological Association (APA)[DOI]
- 한지현, "유아의 기질, 어머니의 산후우울, 우울 및 양육스트레스가 유아의 외현화 문제행동에 미치는 영향", 아동학회지, 37(6), pp.69~82 (2016), 한국아동학회
- James F. Paulson, "The course and interrelationship of maternal and paternal perinatal depression", Archives of Women's Mental Health, 19(4), pp.655~663 (2016), Springer Science and Business Media LLC[DOI]
- CHERYL TATANO BECK, "Teetering on the edge: a substantive theory of postpartum depression", Nursing Research, 42(1), pp.42???48~ (1993), Ovid Technologies (Wolters Kluwer Health)[DOI]
- Cheryl Tatano Beck, "Further Development of the Postpartum Depression Predictors Inventory‐Revised", Journal of Obstetric, Gynecologic & Neonatal Nursing, 35(6), pp.735~745 (2006), Elsevier BV[DOI]
- Stephanie Alves, "Predictive validity of the Postpartum Depression Predictors Inventory-Revised (PDPI-R): A longitudinal study with Portuguese women", Midwifery, 69, pp.113~120 (2019), Elsevier BV[DOI]
- 윤지향, "산후우울증 관련요인: 전향적 코호트 연구", Journal of Korean Academy of Nursing, 43(2), pp.225~235 (2013), 한국간호과학회
- 이은주, "산후우울 예측모형 개발: 산전우울의 매개효과 검증을 중심으로", Journal of Korean Academy of Nursing, 45(2), pp.211~220 (2015), 한국간호과학회
- 이유지, "신경증 성향이 산후 우울에 미치는 영향: 감사와 양육스트레스의 이중 매개효과", 스트레스 硏究, 27(2), pp.191~198 (2019), 대한스트레스학회[DOI]
- Keshia M. Reid, "Social support, stress, and maternal postpartum depression: A comparison of supportive relationships", Social Science Research, 54, pp.246~262 (2015), Elsevier BV[DOI]
- Cindy H. Liu, "Racial and Ethnic Differences in Prenatal Life Stress and Postpartum Depression Symptoms", Archives of Psychiatric Nursing, 30(1), pp.7~12 (2016), Elsevier BV[DOI]
- 이채연, "산모의 모유수유 적응과 수면의 질이 산후우울에 미치는 영향", 한국모자보건학회지, 23(3), pp.162~174 (2019), 한국모자보건학회[DOI]
- Lee DJ, "The effects of fatigue, postpartum family support on postpartum depression in postpartum women", Korean Parent Child Health J, 21(1), pp.39~49 (2018)
- Prevalence and risk factor of pregnancy complications, "Chung JH", Korea Centers for Disease Control and Prevention, ~, pp.Report No. 2016-ER-6306-01 (2017)
- 고민선, "임신여성의 산전 우울 및 영향요인", 여성건강간호학회지, 25(1), pp.112~123 (2019), 한국여성건강간호학회[DOI]
- 이성희, "임부의 산전우울 예측요인", 예술인문사회 융합 멀티미디어 논문지, 8(2), pp.753~762 (2018), 사단법인 인문사회과학기술융합학회[DOI]
- Prevalence and risk factors of pregnancy complications, "Ryu HM", Cheil General Hospital & Women’s Healthcare Center, ~, pp.Report No. 11-1352173-000082-01 (2014)
- Report on the results of the postpartum care survey, "Ministry of Health and Welfare", Ministry of Health and Welfare, ~ (2018)
- 김용구, "한국판 Edinburgh Postnatal Depression Scale의 임상적 적용", 신경정신의학, 47(1), pp.36~44 (2008), 대한신경정신의학회
- 박정환, "Prevalence of and Risk Factors for Depressive Symptoms in Korean Women throughout Pregnancy and in Postpartum Period", Asian Nursing Research, 9(3), pp.219~225 (2015), 한국간호과학회
- Kim JS, "The effect of parenting stress and depression and fa-tigue on quality of life in early postpartum mothers", J Converg Inf Technol, 8(6), pp.1~7 (2018)[DOI]
- Hyeji Yoo, "Depression and stress in Korean parents: A cohort study", Applied Nursing Research, 62, pp.151519~ (2021), Elsevier BV[DOI]
- Kim YK, "Validation study of the Korean version of Edinburgh Postnatal Depression Scale(K-EPDS)", J Korea Soc Depression Bipolar Disorders, 3(1), pp.42~49 (2005)
- J. L. Cox, "Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale", British Journal of Psychiatry, 150(6), pp.782~786 (1987), Royal College of Psychiatrists[DOI]
- Linda B Lydsdottir, "The psychometric properties of the Icelandic version of the Edinburgh Postnatal Depression Scale (EPDS) when used prenatal", Midwifery, 69, pp.45~51 (2019), Elsevier BV[DOI]
- Stephen Matthey, "Validation of the Edinburgh Postnatal Depression Scale for men, and comparison of item endorsement with their partners", Journal of Affective Disorders, 64(2-3), pp.175~184 (2001), Elsevier BV[DOI]
- Kathie Records, "Psychometric Assessment of the Postpartum Depression Predictors Inventory–Revised", Journal of Nursing Measurement, 15(3), pp.189~202 (2007), Springer Publishing Company[DOI]
- 윤지향, "Predictive Validity of the Postpartum Depression Predictors Inventory-Revised", Asian Nursing Research, 5(4), pp.210~215 (2011), 한국간호과학회
- Olli Kiviruusu, "Trajectories of mothers’ and fathers’ depressive symptoms from pregnancy to 24 months postpartum", Journal of Affective Disorders, 260, pp.629~637 (2020), Elsevier BV[DOI]
- 고민선, "Development and application of a couple-centered antenatal education program in Korea", 여성건강간호학회지, 27(2), pp.141~152 (2021), 한국여성건강간호학회[DOI]
- Robyn Brunton, "Psychometric evaluation of the pregnancy-related anxiety scale: Acceptance of pregnancy, avoidance, and worry about self subscales", Journal of Affective Disorders, 278, pp.341~349 (2021), Elsevier BV[DOI]