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스트레스 취약성 및 스트레스 대처 모델을 적용한 임신 중 우울 관련요인

Factors of Prenatal Depression by Stress-vulnerability and Stress-coping Models

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주제분류간호학

초록

Purpose: This study aimed to identify related factors of prenatal depression by stress-vulnerability and stress-copingmodels for pregnant women. Methods: A cross-sectional survey design with a convenience sampling was used. Atotal of 107 pregnant women who visited a general hospital in a metropolitan city were recruited from August toOctober, 2013. A structured questionnaire included the Korean version of Beck Depression Inventory II, and the instrumentsmeasuring Self-Esteem, Marital Satisfaction, Pregnancy Stress, Stressful Life Events, and Coping. Thedata were analyzed using descriptive statistics, t-test, Parson’s correlation analysis, and stepwise multipleregression. Results: The mean score of prenatal depression was 11.95±6.2, then showing 19.6% with mild depression,15.0% with moderate depression, and 0.9% with severe depression on BDI II scale. Prenatal depression hadpositive correlation with pregnancy stress (r=.55, p<.01), stressful life events (r=.26, p<.01) and negative correlationwith self- esteem (r=-.38, p<.01), marital satisfaction (r=-.40, p<.01), and coping (r=-.21, p<.05). Factors ofpregnancy stress, self-esteem, stressful life events, and planned pregnancy explained 38% of the total variance ofprenatal depression. Conclusion: These findings show that health providers need to assess prenatal depression and

Abstract

Purpose: This study aimed to identify related factors of prenatal depression by stress-vulnerability and stress-copingmodels for pregnant women. Methods: A cross-sectional survey design with a convenience sampling was used. Atotal of 107 pregnant women who visited a general hospital in a metropolitan city were recruited from August toOctober, 2013. A structured questionnaire included the Korean version of Beck Depression Inventory II, and the instrumentsmeasuring Self-Esteem, Marital Satisfaction, Pregnancy Stress, Stressful Life Events, and Coping. Thedata were analyzed using descriptive statistics, t-test, Parson’s correlation analysis, and stepwise multipleregression. Results: The mean score of prenatal depression was 11.95±6.2, then showing 19.6% with mild depression,15.0% with moderate depression, and 0.9% with severe depression on BDI II scale. Prenatal depression hadpositive correlation with pregnancy stress (r=.55, p<.01), stressful life events (r=.26, p<.01) and negative correlationwith self- esteem (r=-.38, p<.01), marital satisfaction (r=-.40, p<.01), and coping (r=-.21, p<.05). Factors ofpregnancy stress, self-esteem, stressful life events, and planned pregnancy explained 38% of the total variance ofprenatal depression. Conclusion: These findings show that health providers need to assess prenatal depression and

참고문헌 (30)

  1. "The Fourth Korea National Health and Nutrition" (2012)[URL]
  2. "The Epidemiological survey of psychiatric illnesses in Korea" (2011)[URL]
  3. 최세경, "임신 중 우울증상에 대한 임상연구", Obstetrics & Gynecology Science, 52(11), pp.1102~1108 (2009), 대한산부인과학회
  4. McKee MD, "Healthrelated functional status in pregnancy: Relationship to depression and social support in a multi-ethnic population", Obstetrics and Gynecology, 97(6), pp.988~993 (2001)
  5. 권미경, "임신 중 우울과 모-태아상호작용", Child Health Nursing Research, 13(4), pp.416~426 (2007), 한국아동간호학회
  6. 김은숙, "임신 중 우울수준과 사회 심리적 요인과의 관련성", 한국모자보건학회지, 12(2), pp.228~241 (2008), 한국모자보건학회
  7. 권미경, "임신 중 스트레스, 우울과 모-태아 애착 및 태아체중의 상관관계", Journal of Korean Academy of Nursing, 41(2), pp.276~283 (2011), 한국간호과학회
  8. Perinatal depression: Prevalence, screening accuracy, and screening outcomes, "Gaynes BN", RTI Univercity, ~, pp.Report No.:05-E006-2 (2005)
  9. Kitamura T, "Multicentre prospective study of perinatal depression in Japan: Incidence and correlates of antenatal and postnatal depression", Archives of Women's Mental Health, 9(3), pp.121~130 (2006)
  10. Bowen A, "Antenatal depression", Canadian Nurse, 102(9), pp.26~30 (2006)
  11. Brandon AR, "Prenatal depression in women hospitalized for obstetric risk", The Journal of Clinical Psychiatry, 69(4), pp.635~643 (2008)
  12. 김혜원, "산전우울의 영향요인", 여성건강간호학회지, 16(2), pp.95~104 (2010), 여성건강간호학회
  13. Ingram RE, "Development of psychopathology:A vulnerability-stress perspective", pp.32~46 (2005), Sage Publications
  14. Brummelte S, "Depression during pregnancy and postpartum: Contribution of stress and ovarian hormones", Progress in Neuro-Psychopharmacology and Biological Psychiatry, 34(5), pp.766~776 (2010)
  15. Rosenburg M, "Society and the adolescent self-image" (1965), Princeton University Press
  16. Agoub M, "Prevalence of postpartum depression in a Moroccan sample", Archives of Women's Mental Health, 8(1), pp.37~43 (2005)
  17. Holmes TH, "The social readjustment rating scale", Journal of Psychosomatic Research, 11(2), pp.213~218 (1967)
  18. Hong KE, "Construction of Korean 'social readjustment rating scale'-A methodological study-", Journal of Korean Neuropsychiatric Association, 21(1), pp.123~136 (1982)
  19. Lazarus RS, "Stress, appraisal and coping" (1984), Springer Publishing CompanyVerlag
  20. 성형모, "한국어판 백 우울 설문지 2판의 신뢰도 및 타당도 연구", 생물치료정신의학, 14(2), pp.201~212 (2008), 대한생물치료정신의학회
  21. Jon BJ, "Self-esteem: A test of its measurability", Yonsei Nonchong, 11(1), pp.107~130 (1974)
  22. Roach AJ, "The marital satisfaction scale:Development of a measure for intervention research", Journal of Marriage and the Family, 43(3), pp.537~546 (1981)
  23. Huh YJ, "A study on the types of marital relationship and marital satisfaction", 석사, pp.1996
  24. 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)
  25. Billings AG, "The role of coping responses and social resources in attenuating the stress of life events", Journal of Behavioral Medicine, 4(2), pp.139~157 (1981)
  26. Kim KS, "A Study on the relationship between anxiety and coping in open heart surgery patients", Journal of Korean Public Health Nursing, 3(1), pp.67~73 (1989)
  27. Prady SL, "Psychological distress during pregnancy in a multi-ethnic community: Findings from the born in Bradford cohort study", PloS One, 8(4), pp.1~10 (2013)
  28. Kingston D, "Factors associated with perceived stress and stressful life events in pregnant women: Findings from the Canadian Maternity Experiences Survey", Maternal and Child Health Journal, 16(1), pp.158~168 (2012)
  29. Personality characteristics, social support, and coping strategies in stress-adjustment: Structural model approach, "Lee JA", Korean Psychological Association, 549~561 (2002)
  30. Park JY, "The effects of collage-oriented prenatal art therapy program on the stress of pregnant women", Korean Journal of Arts Therapy, 11(2), pp.1~23 (2011)

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