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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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)
- "The Fourth Korea National Health and Nutrition" (2012)[URL]
- "The Epidemiological survey of psychiatric illnesses in Korea" (2011)[URL]
- 최세경, "임신 중 우울증상에 대한 임상연구", Obstetrics & Gynecology Science, 52(11), pp.1102~1108 (2009), 대한산부인과학회
- 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)
- 권미경, "임신 중 우울과 모-태아상호작용", Child Health Nursing Research, 13(4), pp.416~426 (2007), 한국아동간호학회
- 김은숙, "임신 중 우울수준과 사회 심리적 요인과의 관련성", 한국모자보건학회지, 12(2), pp.228~241 (2008), 한국모자보건학회
- 권미경, "임신 중 스트레스, 우울과 모-태아 애착 및 태아체중의 상관관계", Journal of Korean Academy of Nursing, 41(2), pp.276~283 (2011), 한국간호과학회
- Perinatal depression: Prevalence, screening accuracy, and screening outcomes, "Gaynes BN", RTI Univercity, ~, pp.Report No.:05-E006-2 (2005)
- 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)
- Bowen A, "Antenatal depression", Canadian Nurse, 102(9), pp.26~30 (2006)
- Brandon AR, "Prenatal depression in women hospitalized for obstetric risk", The Journal of Clinical Psychiatry, 69(4), pp.635~643 (2008)
- 김혜원, "산전우울의 영향요인", 여성건강간호학회지, 16(2), pp.95~104 (2010), 여성건강간호학회
- Ingram RE, "Development of psychopathology:A vulnerability-stress perspective", pp.32~46 (2005), Sage Publications
- 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)
- Rosenburg M, "Society and the adolescent self-image" (1965), Princeton University Press
- Agoub M, "Prevalence of postpartum depression in a Moroccan sample", Archives of Women's Mental Health, 8(1), pp.37~43 (2005)
- Holmes TH, "The social readjustment rating scale", Journal of Psychosomatic Research, 11(2), pp.213~218 (1967)
- Hong KE, "Construction of Korean 'social readjustment rating scale'-A methodological study-", Journal of Korean Neuropsychiatric Association, 21(1), pp.123~136 (1982)
- Lazarus RS, "Stress, appraisal and coping" (1984), Springer Publishing CompanyVerlag
- 성형모, "한국어판 백 우울 설문지 2판의 신뢰도 및 타당도 연구", 생물치료정신의학, 14(2), pp.201~212 (2008), 대한생물치료정신의학회
- Jon BJ, "Self-esteem: A test of its measurability", Yonsei Nonchong, 11(1), pp.107~130 (1974)
- 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)
- Huh YJ, "A study on the types of marital relationship and marital satisfaction", 석사, pp.1996
- 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)
- 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)
- 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)
- 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)
- 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)
- Personality characteristics, social support, and coping strategies in stress-adjustment: Structural model approach, "Lee JA", Korean Psychological Association, 549~561 (2002)
- 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)
