본문 바로가기
KERD
논문KCI 등재

불임 치료 임부의 스트레스, 우울 및 태아애착

Stress, Depression, and Fetal Attachment in Pregnant Women having Infertility Treatments

2

조회

0

다운로드

22

인용

0

참고문헌

키워드

주제분류간호학

초록

Purpose: The purpose of this study was to determine the stress, depression, and fetal attachment of pregnant womenwho underwent infertility treatment, and to identify factors associated with fetal attachment. Methods: As a correlationsurvey design, data were collected from 136 pregnant women who underwent infertility treatment. Data were analyzedusing x2 -test, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. Results:Stress, depression, and fetal attachment averaged 3.01±0.60 (range of scale 1~5), 10.02±6.51 (out of a possible63), and 3.64±0.55 (range of scale 1~5), respectively. Level of fetal attachment was higher when mother’s age wasless than 35, having other children, and having prenatal education experience. Lower score of depression and client’sage less than 35 were significant factors affecting fetal attachment. Conclusion: Infertility is a life-affecting traumafor the individual, and personal and social changes due to infertility cause physical and psychological difficulties evenafter a successful pregnancy with infertility treatment. Therefore, prenatal management programs need to be developedgiving consideration to the emotional and physical changes in order to promote physical and psychologicalstability in the women pregnant following infertility treatment.

Abstract

Purpose: The purpose of this study was to determine the stress, depression, and fetal attachment of pregnant womenwho underwent infertility treatment, and to identify factors associated with fetal attachment. Methods: As a correlationsurvey design, data were collected from 136 pregnant women who underwent infertility treatment. Data were analyzedusing x2 -test, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. Results:Stress, depression, and fetal attachment averaged 3.01±0.60 (range of scale 1~5), 10.02±6.51 (out of a possible63), and 3.64±0.55 (range of scale 1~5), respectively. Level of fetal attachment was higher when mother’s age wasless than 35, having other children, and having prenatal education experience. Lower score of depression and client’sage less than 35 were significant factors affecting fetal attachment. Conclusion: Infertility is a life-affecting traumafor the individual, and personal and social changes due to infertility cause physical and psychological difficulties evenafter a successful pregnancy with infertility treatment. Therefore, prenatal management programs need to be developedgiving consideration to the emotional and physical changes in order to promote physical and psychologicalstability in the women pregnant following infertility treatment.

참고문헌 (30)

  1. 황나미, "난임 여성의 우울에 영향을 미치는 요인 분석", 보건사회연구, 33(3), pp.161~187 (2013), 한국보건사회연구원
  2. 김용진, "불임 시술의 전환이 정액 상태에 미치는 영향", Clinical and Experimental Reproductive Medicine, 34(3), pp.159~166 (2007), 대한생식의학회
  3. "Assisted reproductive technology in Australia and New Zealand 2009" (2009)[URL]
  4. McMahon CA, "‘Don’t count your chickens’: A comparative study of the experience of pregnancy after IVF conception", Journal of Reproductive and Infant Psychology, 17(4), pp.345~356 (1999)
  5. Chang EY, "Women's experiences of pregnancy after infertility", 석사, pp.1998
  6. Hjelmstedt A, "Patterns of emotional responses to pregnancy, experience of pregnancy and attitudes to parenthood among IVF couples: A longitudinal study", Journal of Psychosomatic Obstetrics & Gynaecology, 24(3), pp.153~162 (2003)
  7. Bennett SM, "The scope and impact of perinatal loss: Current status and future directions", Professional Psychology : Research and Practice, 36(2), pp.180~187 (2005)
  8. 최세경, "임신 중 우울증상에 대한 임상연구", Obstetrics & Gynecology Science, 52(11), pp.1102~1108 (2009), 대한산부인과학회
  9. Dayan J, "Prenatal depression, prenatal anxiety, and spontaneous preterm birth: A prospective cohort study among women with early and regular care", Psychosomatic Medicine, 68(6), pp.938~946 (2006)
  10. O'Keane V, "Depression during pregnancy", British Medical Journal, 334(7601), pp.1003~1005 (2007)
  11. Covington SN, "Infertility counselling: A comprehensive handbook for clinicians", pp.425~447 (1999), The Parthenon Publishing Group
  12. Kang CY, "The pregnant woman-fetus interaction and attachment development", Journal of Child Studies, 10, pp.131~147 (2004)
  13. Schore AN, "Effects of a secure attachment relationship on right brain development, affect regulation, and infant mental health", Infant Mental Health Journal, 22(1-2), pp.7~66 (2001)
  14. Walker LO, "Psychosocial and demographic factors related to health behaviors in the 1st trimester", Journal of Obstetric, Gynecologic, and Neonatal Nursing, 28(6), pp.606~614 (1999)
  15. Yarcheski A, "A meta-analytic study of predictors of maternal-fetal attachment", International Journal of Nursing Studies, 46(5), pp.708~715 (2009)
  16. Davies MJ, "Reproductive technologies and the risk of birth defects", The New England Journal of Medicine, 366(19), pp.1803~1813 (2012)
  17. Hargreave M, "Fertility treatment and childhood cancer risk: A systematic meta-analysis", Fertility & Sterility, 100(1), pp.150~161 (2013)
  18. Ahn HL, "An experimental study of the effects of husband's supportive behavior reinforcement education on stress relief of primigravidas", Journal of Korean Academy of Nursing, 15(1), pp.5~16 (1985)
  19. Lee YH, "A study of the reliability and the validity of the BDI, SDS and MMPI-D Scales", Korean Journal of Clinical Psychology, 10(1), pp.98~113 (1991)
  20. Cranley MS, "Development of a tool for the measurement of maternal attachment during pregnancy", Nursing Research, 30(5), pp.281~284 (1981)
  21. 오진아, "자연임부와 불임치료임부의 임신수용과 임신유지행위 비교", 한국모자보건학회지, 12(2), pp.155~165 (2008), 한국모자보건학회
  22. Harris DL, "The experience of spontaneous pregnancy loss for infertile women who have conceived through assisted reproduction technology", Human Reproduction, 25(3), pp.714~720 (2010)
  23. Ulrich D, "Couples becoming parents: Something special after IVF?", Journal of Psychosomatic Obstetrics & Gynaecology, 25(2), pp.99~113 (2004)
  24. Latendresse G, "The interaction between chronic stress and pregnancy: Preterm birth from a biobehavioral perspective", Journal of Midwifery & Women's Health, 54(1), pp.8~17 (2009)
  25. 권미경, "임신 중 스트레스, 우울과 모-태아 애착 및 태아체중의 상관관계", Journal of Korean Academy of Nursing, 41(2), pp.276~283 (2011), 한국간호과학회
  26. 조현주, "임신 중 우울에 대한 애착 모델", 한국심리학회지 임상, 21(4), pp.727~744 (2002), 한국임상심리학회
  27. Pascoe JM, "Correlates of multigravida women’s binge drinking during pregnancy. A longitudinal study", Archives of Pediatric and Adolescent Medicine, 149(12), pp.1325~1329 (1995)
  28. Cannella BL, "Maternal-fetal attachment: An integrative review", Journal of Advanced Nursing, 50(1), pp.60~68 (2005)
  29. Fisher JR, "Antenatal mood and fetal attachment after assisted conception", Fertility and Sterility, 89(5), pp.1103~1112 (2008)
  30. Bar-Hava I, "Standard in vitro fertilization or intracytoplasimic sperm injection in advanced female age-what may be expected?", Gynecological Endocrinology, 13(2), pp.93~97 (1999)

관련 논문AI추천

이 간행물의 다른 논문 (6건)