임신 여성의 자아존중감과 배우자 지지가 산전 우울에 미치는 영향
Influence of Self-esteem and Spouse Support on Prenatal Depression in Pregnant Women
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Purpose: This study aimed to identify the effect of self-esteem and spouse support on prenatal depression. Methods: The subjects were 131 pregnant women who visited two women clinics located in Changwon City. Data were collected from September 25 to November 20, 2019, and the self-report questionnaire included spouse support, self-esteem, and prenatal depression. The collected data were analyzed by IBM SPSS Statistics ver. 23.0 using descriptive statistics, independent t-test, one-way analysis of variance, Pearson correlation coefficients, and multiple regression analysis. Results: Prenatal depression had a significant negative correlation with self-esteem (r=-0.39, p=0.001) and spouse support (r=-0.36, p<0.001). The factors affecting prenatal depression were religion (β=-0.16, p=0.035), monthly family income (β=-0.15, p=0.040), self-esteem (β=-0.25, p=0.002), and spouse support (β=-0.19, p=0.017); these variables explained 28.4% of the variance in prenatal depression. Conclusion: To prevent depression in pregnant women, professional counseling and support systems such as spouses, religious and social environments should be applied to pregnant women, especially those with low self-esteem. Additionally, more financial support should be provided for low-income pregnant women. Further, there is a need to screen and manage the risk of depression in pregnancy.
Abstract
Purpose: This study aimed to identify the effect of self-esteem and spouse support on prenatal depression. Methods: The subjects were 131 pregnant women who visited two women clinics located in Changwon City. Data were collected from September 25 to November 20, 2019, and the self-report questionnaire included spouse support, self-esteem, and prenatal depression. The collected data were analyzed by IBM SPSS Statistics ver. 23.0 using descriptive statistics, independent t-test, one-way analysis of variance, Pearson correlation coefficients, and multiple regression analysis. Results: Prenatal depression had a significant negative correlation with self-esteem (r=-0.39, p=0.001) and spouse support (r=-0.36, p<0.001). The factors affecting prenatal depression were religion (β=-0.16, p=0.035), monthly family income (β=-0.15, p=0.040), self-esteem (β=-0.25, p=0.002), and spouse support (β=-0.19, p=0.017); these variables explained 28.4% of the variance in prenatal depression. Conclusion: To prevent depression in pregnant women, professional counseling and support systems such as spouses, religious and social environments should be applied to pregnant women, especially those with low self-esteem. Additionally, more financial support should be provided for low-income pregnant women. Further, there is a need to screen and manage the risk of depression in pregnancy.
참고문헌 (33)
- Ahn HL, "An experimental study of the effects of husband's supportive behavior reinforcement education on stress relief of primigravidas", J Korean Acad Nurs, 15, pp.5~16 (1985)
- American Psychiatric Association, "Practice guideline for the treatment of patients with major depressive disorder(revision)", Am J Psychiatry, 157, pp.1~45 (2000)
- 박미하, "기독교인의 종교성향이 우울에 미치는 영향 연구: 자존감의 매개효과", 신앙과 학문, 19(1), pp.77~96 (2014), 기독교학문연구회[DOI]
- Bennett HA, "Prevalence of depression during pregnancy : systematic review", Obstet Gynecol, 103, pp.698~709 (2004)
- Cho HJ, "Original reports : a study of predicting postpartum depression and the recovery factor from prepartum depression", Perinatology, 15, pp.245~254 (2004)
- 조현주, "임신 중 우울에 대한 애착 모델", Korean Journal of Clinical Psychology, 21(4), pp.727~744 (2002), 한국임상심리학회
- 최미례, "스트레스와 우울의 관계에 대한 자아존중감의 중재효과와 매개효과", Korean Journal of Clinical Psychology, 22(2), pp.363~383 (2003), 한국임상심리학회
- Cox JL, "Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale", Br J Psychiatry, 150, pp.782~786 (1987)
- 어유경, "노인의 우울 대처 전략에 관한 질적 연구: 서울시 거주 도시 노인의 우울 대처 경험을 중심으로", 한국노년학, 37(3), pp.583~600 (2017), 한국노년학회
- 한귀원, "한국어판 에딘버러 산후우울 척도 : 신뢰도와 타당도", 생물치료정신의학, 10(2), pp.201~206 (2004), 대한생물치료정신의학회
- Hong JK, "A study on the role of religion for happiness", J Happiness Affl Stud, 1, pp.31~45 (2012)
- 황란희, "임부의 자아존중감, 신체상 및 태아애착행위에 미치는 영향요인", 디지털융복합연구, 16(9), pp.197~206 (2018), 한국디지털정책학회[DOI]
- Jeon BJ, "Self-esteem : a test of its measurability", Yonsei Nonchong, 11, pp.107~299 (1974)
- 김은숙, "임신 중 우울수준과 사회 심리적 요인과의 관련성", 한국모자보건학회지, 12(2), pp.228~241 (2008), 한국모자보건학회[DOI]
- 김혜원, "산전우울의 영향요인", 여성건강간호학회지, 16(2), pp.95~104 (2010), 한국여성건강간호학회
- 김미옥, "임신 후기 임부의 임신스트레스와 우울의 관계에서 피로의 매개효과", 동서간호학연구지, 24(1), pp.81~89 (2018), 동서간호학연구소[DOI]
- Kim YL, "Development of the Korean pregnancy stress scale", Jpn J Nurs Sci, 15, pp.113~124 (2018)
- 김영란, "스트레스 취약성 및 스트레스 대처 모델을 적용한 임신 중 우울 관련요인", 여성건강간호학회지, 20(1), pp.38~47 (2014), 한국여성건강간호학회
- 고민선, "임신여성의 산전 우울 및 영향요인", 여성건강간호학회지, 25(1), pp.112~123 (2019), 한국여성건강간호학회[DOI]
- "National health information portal. Postpartum depression" (2016)[URL]
- Kotz J, "The EPDS and Australian Indigenous women : a systematic review of the literature", Women Birth, S1871-5192(19), pp.30257~30254 (2020)
- Krzepota J, "Associations between health behavior habits and quality of life outcomes inpregnant women : a preliminary investigation in Polish sample", Cent Eur J Sport Sci Med, 3, pp.45~53 (2015)
- 이은주, "임신 여성의 산전우울 실태 및 영향요인", 한국산학기술학회논문지, 14(8), pp.3897~3906 (2013), 한국산학기술학회[DOI]
- 이명은, "임신 중 우울에 영향을 미치는 심리사회적 요인", 정신간호학회지, 20(3), pp.252~260 (2011), 한국정신간호학회
- "I-sarang. Comprehensive pregnancy and infant care website. High risk pregnancy" (2020)[URL]
- Rosenberg M, "Society and the adolescent self-image" (1965), Princeton University Press
- Sawyer A, "Women's experiences of pregnancy, childbirth, and the postnatal period in the Gambia: a qualitative study", Br J Health Psychol, 16, pp.528~541 (2011)
- 서혜정, "임부의 스트레스, 우울 및 배우자와 가족의 지지가 모성 정체성에 미치는 영향", 여성건강간호학회지, 26(1), pp.84~92 (2020), 한국여성건강간호학회[DOI]
- 성미혜, "임부의 결혼만족도와 배우자 지지가 태교실천에 미치는 영향", 여성건강간호학회지, 17(1), pp.31~38 (2011), 한국여성건강간호학회
- Szpunar MJ, "A systematic review of cortisol, thyroid-stimulating hormone, and prolactin in peripartum women with major depression", Arch Womens Ment Health, 21, pp.149~161 (2018)
- 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)
- "Mental health: gender and women's mental health" (2020)[URL]
- 윤순정, "약물복용 임부의 우울에 영향을 미치는 요인", 한국모자보건학회지, 18(2), pp.273~285 (2014), 한국모자보건학회[DOI]