본문 바로가기
KERD
논문KCI 등재

산전 우울 임부를 위한 긍정심리기반 프로그램의 효과

Effects of Positive Psychology-Based Program for the Depressed Pregnant Women

2

조회

0

다운로드

0

인용

0

참고문헌

키워드

초록

Purpose: This study examined the effects of a positive psychology-based program for depressed pregnant women. Methods: Of the 221 pregnant women who were screened, 24 were recruited from 4 local women’s clinic in Daegu city, South Korea. Subjects were at 6–29 weeks of gestation and scored 9–13 points on the Korean version of the Edinburgh Postnatal Depression Scale. Subjects were assigned to experimental (n= 12) and control (n=12) groups. The program consisted of ten 120-minute sessions conducted twice a week. Data were collected during the period between December 21, 2017 and April 12, 2018 and analyzed using IBM SPSS/WIN (ver. 21.0). Homogeneity of the experimental and control groups was evaluated by chi-square test and t-test. Hypotheses were tested by repeated measure analysis of variance. Results: The results revealed that in terms of stress coping styles, the active coping style (group*time= 15.23, p<0.001) increased, while the passive coping style decreased (group*time=15.27, p<0.001). Perceived spouse support (group*time=19.45, p<0.001), self-esteem (group*time=17.39, p<0.001), perinatal depression (group*time=78.77, p<0.001), and flourish (group*time=57.56, p<0.001) have significantly improved in the experimental group compared with the control group. Conclusion: These findings indicate that positive psychology-based program can be useful for pregnant women already suffering from depression to prevent perinatal depression.

Abstract

Purpose: This study examined the effects of a positive psychology-based program for depressed pregnant women. Methods: Of the 221 pregnant women who were screened, 24 were recruited from 4 local women’s clinic in Daegu city, South Korea. Subjects were at 6–29 weeks of gestation and scored 9–13 points on the Korean version of the Edinburgh Postnatal Depression Scale. Subjects were assigned to experimental (n= 12) and control (n=12) groups. The program consisted of ten 120-minute sessions conducted twice a week. Data were collected during the period between December 21, 2017 and April 12, 2018 and analyzed using IBM SPSS/WIN (ver. 21.0). Homogeneity of the experimental and control groups was evaluated by chi-square test and t-test. Hypotheses were tested by repeated measure analysis of variance. Results: The results revealed that in terms of stress coping styles, the active coping style (group*time= 15.23, p<0.001) increased, while the passive coping style decreased (group*time=15.27, p<0.001). Perceived spouse support (group*time=19.45, p<0.001), self-esteem (group*time=17.39, p<0.001), perinatal depression (group*time=78.77, p<0.001), and flourish (group*time=57.56, p<0.001) have significantly improved in the experimental group compared with the control group. Conclusion: These findings indicate that positive psychology-based program can be useful for pregnant women already suffering from depression to prevent perinatal depression.

참고문헌 (36)

  1. Accortt EE, "Prenatal depression and adverse birth outcomes : an updated systematic review", Matern Child Health J, 19, pp.1306~1337 (2015)
  2. Allan C, "What is perinatal wellbeing? a concept analysis and review of the literature", J Reprod Infant Psychol, 31, pp.381~398 (2013)
  3. Amirkhan JH, "A factor analytically derived measure of coping : the Coping Strategy Indicator", J Pers Soc Psychol, 59, pp.1066~1074 (1990)
  4. Bitew T, "Antenatal depressive symptoms and perinatal complications : a prospective study in rural Ethiopia", BMC Psychiatry, 17, pp.301~ (2017)
  5. Butler J, "The PERMA-Profiler : a brief multidimensional measure of flourishing", Int J Wellbeing, 6, pp.1~48 (2016)
  6. Cho HJ, "Original reports : a study of predicting postpartum depression and the recovery factor from prepartum depression", Perinatology, 15, pp.245~254 (2004)
  7. 조현주, "임신 중 우울에 대한 애착 모델", Korean Journal of Clinical Psychology, 21(4), pp.727~744 (2002), 한국임상심리학회
  8. Cox JL, "Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale", Br J Psychiatry, 150, pp.782~786 (1987)
  9. Faisal-Cury A, "Coping style and depressive symptomatology during pregnancy in a private setting sample", Span J Psychol, 15, pp.295~305 (2012)
  10. Field T, "Prenatal depression risk factors, developmental effects and interventions: a review", J Pregnancy Child Health, 4, pp.301~ (2017)
  11. Fredrickson BL, "The role of positive emotions in positive psychology : the broaden and build theory of positive emotions", Am Psychol, 56, pp.218~226 (2001)
  12. Gloria CT, "Relationships among positive emotions, coping, resilience and mental health", Stress Health, 32, pp.145~156 (2014)
  13. Gourounti K, "Coping strategies as psychological risk factor for antenatal anxiety, worries, and depression among Greek women", Arch Womens Ment Health, 16, pp.353~361 (2013)
  14. 한귀원, "한국어판 에딘버러 산후우울 척도 : 신뢰도와 타당도", 생물치료정신의학, 10(2), pp.201~206 (2004), 대한생물치료정신의학회
  15. House JS, "Work stress and social support" (1981), Addison Wesley Publishing Company
  16. 황해익, "유아교사의 자아존중감과 행복플로리시의 관계에서 향유신념의 조절효과", 생태유아교육연구, 13(4), pp.153~177 (2014), 한국생태유아교육학회
  17. Jeon BJ, "Self-esteem : a test of its measurability", Yonsei Nonchong, 11, pp.107~299 (1974)
  18. 조은미, "임부의 행복에 대한 개념분석", 여성건강간호학회지, 22(3), pp.128~138 (2016), 한국여성건강간호학회[DOI]
  19. 강현미, "영아교사의 행복플로리시 역량 증진 프로그램적용 및 효과", 유아교육학논집, 20(5), pp.147~175 (2016), 한국영유아교원교육학회
  20. 김은화, "긍정심리학을 기반으로 한 집단미술치료가 장애아동 어머니의 대처 방식과 사회적 지지 및 심리적 안녕감에 미치는 효과", 예술심리치료연구, 10(4), pp.31~52 (2014), 한국예술심리치료학회
  21. Kim YL, "Development of the Korean pregnancy stress scale", Jpn J Nurs Sci, 15, pp.113~124 (2018)
  22. 고용선, "긍정심리 프로그램이 주요우울장애 환자의 우울, 자존감 및 희망에 미치는 영향", 정신간호학회지, 24(4), pp.246~256 (2015), 한국정신간호학회
  23. 고민선, "임신여성의 산전 우울 및 영향요인", 여성건강간호학회지, 25(1), pp.112~123 (2019), 한국여성건강간호학회[DOI]
  24. Lee CH, "Relations of perceived stress, cognitive set, and coping behaviors to depression: a focus on freshmen´s stress experiences", Korean J Couns Psychother, 1, pp.25~45 (1988)
  25. 이규리, "임부의 행복에 영향을 미치는 요인: 생태체계 이론 적용", 지역사회간호학회지, 30(1), pp.11~24 (2019), 한국지역사회간호학회
  26. 이진주, "수용적 긍정심리치료가 우울한 대학생의 우울 증상 및 행복에 미치는 효과: 경험 회피와 정서비율의 매개효과", Korean Journal of Clinical Psychology, 34(2), pp.477~503 (2015), 한국임상심리학회[DOI]
  27. 이지민, "배우자의 정서적 지지가 결혼만족도에 미치는 영향: 자아존중감와 부부의사소통의 매개효과", 가족과 문화, 27(4), pp.112~136 (2015), 한국가족학회[DOI]
  28. 임승주, "긍정심리향상 프로그램이 노인의 우울과 죽음불안에 미치는 효과", 지역사회간호학회지, 26(3), pp.238~247 (2015), 한국지역사회간호학회[DOI]
  29. Mercer RT, "Becoming a mother versus maternal role attainment", J Nurs Scholarsh, 36, pp.226~232 (2004)
  30. 표지연, "대학생이 지각한 심리적 성장환경 및 스트레스 대처방식이행복감에 미치는 영향", 한국심리학회지: 임상심리 연구와 실제, 4(1), pp.49~67 (2018), 한국임상심리학회[DOI]
  31. Rosenberg M, "Society and the adolescent self-image" (1965), Princeton University Press
  32. Seligman MEP, "Flourish: a visionary new understanding of happiness and well-being" (2011), Free
  33. Seligman MEP, "Positive psychotherapy", Am Psychol, 61, pp.774~788 (2006)
  34. 서영숙, "간호대학생을 위한 긍정심리 증진 프로그램 개발 및 효과성 연구", 한국산학기술학회논문지, 21(7), pp.90~99 (2020), 한국산학기술학회[DOI]
  35. 신혜진, "스트레스 대처 전략 검사(Coping Strategy Indicator)의 타당화 연구", 한국심리학회지: 상담 및 심리치료, 14(4), pp.919~935 (2002), 한국상담심리학회
  36. Tsai AC, "Reliability and validity of instruments for assessing perinatal depression in African settings : systematic review and meta-analysis", PloS One, 8, pp.e82521~ (2013)

관련 논문AI추천

이 간행물의 다른 논문 (6건)