본문 바로가기
KERD
논문KCI 등재

고위험 임산부의 기질 및 성격과 모-태아 애착의 관계에서 우울, 불안의 매개효과

The Mediating Effects of the Depression, Anxiety on the Relationship Between Temperament and Character and Maternal-Fetal Attachment in High-Risk Pregnant Women

정성원|정인성|제호영
대한생물치료정신의학회 (Korean Society Of Biological Therapies In Psychiatry)|2019.06|생물치료정신의학 (Journal of the Korean Society of Biological Therapies in Psychiatry)|제25권 제2호|pp. 127-137|DOI 10.22802/jksbtp.2019.25.2.127

2

조회

0

다운로드

3

인용

0

참고문헌

키워드

고위험 임산부·기질 및 성격·우울·불안· 애착·매개효과.
주제분류정신과학

초록

Objectives：The objectives of this study were to investigate the correlations of the temperament and character, depression, anxiety, and maternal-fetal attachment and the mediating effects of the depression, anxiety on the relationship between temperament and character and maternal-fetal attachment. Methods：A hundred and eleven high-risk pregnant women were recruited in this study. All subjects were administered a sociodemographic and obstetric questionnaire, Temperament and Character Inventory, Beck Depression Inventory-II, State Trait Anxiety Inventory-State, and Maternal-Fetal Attachment Scale. Results：The results of this study were as follows. Higher scores on the reward dependence, persistence, cooperativeness, and self-transcendence scale were associated with higher scores on maternal-fetal attachment scale. Higher scores on the harm avoidance scale and lower scores on the self-directedness scale were associated with higher depression scores. Higher scores on the harm avoidance scale and lower scores on the persistence, self-directedness, and cooperativeness scale were associated with higher anxiety scores. Higher anxiety scores were associated with higher scores on maternal-fetal attachment scale. The anxiety was found to have a partial mediating effect on the relationship between persistence and the maternal-fetal attachment. It was also found to have a partial mediating effect on the relationship between cooperativeness and the maternal-fetal attachment. Conclusion：In this study, we found that the anxiety has partial mediating effect on the relationship between temperament and character and maternal-fetal attachment. Based on these findings, it is suggested that examining temperament and character and screening vulnerable pregnant women can help to prevent negative results for high-risk pregnant women.

Abstract

Objectives：The objectives of this study were to investigate the correlations of the temperament and character, depression, anxiety, and maternal-fetal attachment and the mediating effects of the depression, anxiety on the relationship between temperament and character and maternal-fetal attachment. Methods：A hundred and eleven high-risk pregnant women were recruited in this study. All subjects were administered a sociodemographic and obstetric questionnaire, Temperament and Character Inventory, Beck Depression Inventory-II, State Trait Anxiety Inventory-State, and Maternal-Fetal Attachment Scale. Results：The results of this study were as follows. Higher scores on the reward dependence, persistence, cooperativeness, and self-transcendence scale were associated with higher scores on maternal-fetal attachment scale. Higher scores on the harm avoidance scale and lower scores on the self-directedness scale were associated with higher depression scores. Higher scores on the harm avoidance scale and lower scores on the persistence, self-directedness, and cooperativeness scale were associated with higher anxiety scores. Higher anxiety scores were associated with higher scores on maternal-fetal attachment scale. The anxiety was found to have a partial mediating effect on the relationship between persistence and the maternal-fetal attachment. It was also found to have a partial mediating effect on the relationship between cooperativeness and the maternal-fetal attachment. Conclusion：In this study, we found that the anxiety has partial mediating effect on the relationship between temperament and character and maternal-fetal attachment. Based on these findings, it is suggested that examining temperament and character and screening vulnerable pregnant women can help to prevent negative results for high-risk pregnant women.

참고문헌 (60)

  1. 김암, "조기진통의 치료", Obstetrics & Gynecology Science, 50(1), pp.5~15 (2007), 대한산부인과학회
  2. 김동섭, "산모 연령 증가가 영아사망에 미치는 영향:2010-2015년 출산결과를 중심으로", pp.2019
  3. 허혁, "35세 이상 고령산모의 임신과 출산에 대한 임상적 연구", Obstetrics & Gynecology Science, 47(3), pp.458~463 (2004), 대한산부인과학회
  4. "Domestic statistics" (2018)[URL]
  5. 한석주, "고위험 산모 신생아 통합치료센터 설립에 있어서 고려할 소아외과적 측면", Perinatology, 25(2), pp.68~74 (2014), 대한주산의학회
  6. Oliveira DdC, "Women with high-risk pregnancy : experiences and perceptions of needs and care", Esc Anna Nery, 19, pp.93~101 (2015)
  7. 이주연, "모바일 기반 고위험 산모 대상 모유수유 융합교육프로그램 개발", 한국융합학회논문지, 9(6), pp.357~364 (2018), 한국융합학회[DOI]
  8. 주성홍, "고위험 산모 응급이송시스템 구축 필요성 및 향후 계획", 한국모자보건학회지, 22(1), pp.1~6 (2018), 한국모자보건학회[DOI]
  9. 고대하, "지역건강 격차조사를 위한 지역사회건강조사의 활용 -전라북도 군산시 사례-", 농촌의학.지역보건, 44(4), pp.185~194 (2019), 한국농촌의학.지역보건학회
  10. Schofield Z, "Pre-existing mental health disorders and pregnancy. Obstetrics", Gynaecology & Reproductive Medicine, 29, pp.74~79 (2019)
  11. "High-risk pregnancy classification" (2016)[URL]
  12. Clauson MI, "Uncertainty and stress in women hospitalized with high-risk pregnancy", Clin Nurs Res, 5, pp.309~325 (1996)
  13. Gupton A, "Bed rest from the perspective of the high-risk pregnant woman", J Obstet Gynecol Neonatal Nurs, 26, pp.423~430 (1997)
  14. Heaman M, "Perceptions of bed rest by women with high-risk pregnancies : A comparison between home and hospital", Birth, 25, pp.252~258 (1998)
  15. Thiagayson P, "Depression and anxiety in Singaporean high-risk pregnancies-prevalence and screening", Gen Hosp Psychiatry, 35, pp.112~116 (2013)
  16. Byatt N, "Depression and anxiety among high-risk obstetric inpatients", Gen Hosp Psychiatry, 36, pp.644~649 (2014)
  17. McDonald RL, "Relationship of emotional adjustment during pregnancy to obstetric complications", Am J Obstet Gynecol, 86, pp.341~348 (1963)
  18. 안영미, "일반아모와 추후관리를 받은 저출생체중아모의 모성자존감, 산후우울, 가족기능의 비교", Journal of Korean Academy of Nursing, 33(5), pp.580~590 (2003), 한국간호과학회
  19. 안영미, "일반아모와 추후관리를 받은 저출생중아모의 모성자존감, 산후우울, 가족기능의 비교", 대한간호학회지, 35, pp.652~658 (2006)
  20. 김경원, "여성의 고위험 임신에 대한 경험", 여성건강간호학회지, 4, pp.121~133 (1998)
  21. 안숙희, "임신한 부부의 태아 애착에 관한 연구", 모자간호학회지, 3, pp.49~63 (1993)
  22. 김재희, "고위험 임부의 임신경험과 태아애착", 박사, 간호학, pp.2008
  23. 강수경, "임산부의 스트레스 및 기질과 태아애착의 관계", 한국생활과학회지, 21(2), pp.213~224 (2012), 한국생활과학회[DOI]
  24. 손희진, "조기진통 임부의 조기진통스트레스, 태아애착과 모성역할자신감의 관계", 한국모자보건학회지, 18(1), pp.86~96 (2014), 한국모자보건학회[DOI]
  25. Fletcher JC, "Maternal bonding in early fetal ultrasound examinations", N Engl J Med, 308, pp.392~393 (1983)
  26. Fuller JR, "Early patterns of maternal attachment", Health Care Women Int, 11, pp.433~446 (1990)
  27. Bloom KC, "The development of attachment behaviors in pregnant adolescents", Nurs Res, 44, pp.284~289 (1995)
  28. Müller ME, "Prenatal and postnatal attachment : A modest correlation", J Obstet Gynecol Neonatal Nurs, 25, pp.161~166 (1996)
  29. 정미라, "임산부의 기질이 태아애착에 미치는 영향 : 스트레스 대처방식의 매개효과를 중심으로", 한국보육학회지, 15(2), pp.195~214 (2015), 한국보육학회
  30. 정상협, "고위험 임산부의 기질과 성격이 임산부의 우울, 불안, 모-태아 애착에 미치는 영향", 대한불안의학회지, 14(2), pp.106~111 (2018), 대한불안의학회[DOI]
  31. Peirson AR, "The relationship between personality and mood : comparison of the BDI and the TCI", Pers Individ Dif, 30, pp.391~399 (2001)
  32. Jylhä P, "Temperament, character and symptoms of anxiety and depression in the general population", Eur Psychiatry, 21, pp.389~395 (2006)
  33. Matsudaira T, "Personality traits as risk factors of depression and anxiety among Japanese students", J Clin Psychol, 62, pp.97~109 (2006)
  34. 이숙희, "기질 및 성격검사-성인용(TCI-RS)의 구인타당도: 대학생들의 우울과 불안을 중심으로", Korean Journal of Clinical Psychology, 28(2), pp.533~548 (2009), 한국임상심리학회[DOI]
  35. Minatani M, "Temperament, character, and depressive symptoms during pregnancy: A Study of a Japanese population", Depress Res Treat, pp.140169~ (2013)
  36. 임유경, "기질 및 성격, 스트레스 대처방식과 우울증의 관계: 정신과 내원 우울장애 환자들을 대상으로", Korean Journal of Clinical Psychology, 32(2), pp.331~350 (2013), 한국임상심리학회[DOI]
  37. Cloninger CR, "A psychobiological model of temperament and character", Arch Gen Psychiatry, 15, pp.975~990 (1993)
  38. 민병배, "기질 및 성격검사 매뉴얼" (2007), 마음사랑
  39. Beck AT, "An inventory for measuring depression", Arch Gen Psychiatry, 4, pp.561~571 (1961)
  40. Beck AT, "Manual for the beck depression inventory-II" (1996), Psychological Corporation
  41. 성형모, "한국어판 백 우울 설문지 2판의 신뢰도 및 타당도 연구", 생물치료정신의학, 14(2), pp.201~212 (2008), 대한생물치료정신의학회
  42. Spielberger CD, "State-trait anxiety inventory manual" (1970), Mind Garden, Inc
  43. 김정택, "STAI의 한국표준화에 관한 연구", 최신의학, 21, pp.69~75 (1978)
  44. Cranley MS, "Development of a tool for the measurement of maternal attachment during pregnancy", Nurs Res, 30, pp.281~284 (1981)
  45. 김기영, "태교 관점 임부교실이 모아 애착에 미치는 효과", 석사, 간호학, pp.2000
  46. IBM Corp, "IBM SPSS Statistics for Windows, Version 21.0" (2012), IBM Corp
  47. Baron RM, "The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations", J Pers Soc Psychol, 51, pp.1173~1182 (1986)
  48. MacKinnon DP, "Mediation analysis", Annu Rev Psychol, 58, pp.593~614 (2007)
  49. Hayes AF, "The relative trustworthiness of inferential tests of the indirect effect in statistical mediation analysis: does method really matter?", Psychol Sci, 24, pp.1918~1927 (2013)
  50. Preacher KJ, "SPSS and SAS procedures for estimating indirect effects in simple mediation models", Behav Res Methods Instrum Comput, 36, pp.717~731 (2004)
  51. Terry DJ, "The effects of social support on adjustment to stress : The mediating role of coping", Pers Relatsh, 2, pp.97~124 (1995)
  52. Women’s subjective appraisal of pregnancy risk and the effects of uncertainty, perceived control, coping and emotions on maternal attachment, "Gray BA.", Case Western Reserve University, ~ (2001)
  53. 문덕희, "만삭 임부와 조기진통 임부의 피로, 불안 및 스트레스 비교", 석사, 간호학, pp.2006
  54. Kuo S., "The contribution of the preterm labor stress and family resiliency factors to pregnancy adjustment and adaptation in the preterm labor family", Department of Philosophy, pp.2000
  55. 최경은, "고위험군과 정상군 임부배우자의 결혼만족도, 태아애착과 부성정체성 비교", pp.2016
  56. Jiang N, "Correlations between trait anxiety, personality and fatigue:study based on the Temperament and Character Inventory", J Psychosom Res, 55, pp.493~500 (2003)
  57. Roos A, "Predictors of distress and anxiety during pregnancy", Afr J Psychiatry, 16, pp.118~122 (2013)
  58. Gaffney KF, "Maternal-fetal attachment in relation to self-concept and anxiety", Matern Child Nurs J, 15, pp.91~101 (1986)
  59. Hart R, "Mood state and psychological adjustment to pregnancy", Arch Womens Ment Health, 9, pp.329~337 (2006)
  60. 정인숙, "일부 임신부들의 불안과 관련요인", 한국모자보건학회지, 6(1), pp.137~148 (2002), 한국모자보건학회

관련 논문AI추천

고위험 임산부의 기질과 성격이 임산부의 우울, 불안, 모-태아 애착에 미치는 영향김민경, 김정범, 김희철, 배진곤, 정상협, 정성원대한불안의학회 · 대한불안의학회지2018 · 제14권 제2호고위험 임부와 정상 임부의 불안, 우울 및 모-태아 애착 비교 연구고시연, 배진곤, 정성원대한생물치료정신의학회 · 생물치료정신의학2019 · 제25권 제2호임산부의 외향성과 신경증, 부부친밀감과 스트레스, 태아애착 간의 구조적 관계강수경, 정미라, 최지현한국여성심리학회 · 한국심리학회지:여성2016 · 제21권 제1호임부의 불안, 우울, 산전스트레스와 모-태아애착 및 감사성향의 관계위휘, 박소연한국모자보건학회 · 한국모자보건학회지2012 · 제16권 제2호임신기 예비 부․모의 원가족 모애착과 태아애착의 관계에서 부부관계 질과 우울의 매개효과송한나, 안정신인지발달중재학회 · 인지발달중재학회지2022 · 제13권 제3호Does family support mediate the effect of anxiety and depression on maternal-fetal attachment in high-risk pregnant women admitted to the maternal-fetal intensive care unit?성미혜, 윤세희한국여성건강간호학회 · Women's Health Nursing2021 · 제27권 제2호

이 간행물의 다른 논문 (6건)

마음챙김 기반 치료의 기전 및 신경생물학적 근거김혜금pp. 85-94치매 환자 부양자의 주요우울장애 유병률조진호, 김병수, 장성만pp. 95-100의학전문대학원 신입생의 성별에 따른 스트레스 대처방식의 비교김정란, 김현진, 지익성, 이선우pp. 101-108여성 피부과 외래 환자의 정신건강상태가 삶의 질에 미치는 영향이영, 지익성, 최광연, 안소현pp. 109-116고위험 임부와 정상 임부의 불안, 우울 및 모-태아 애착 비교 연구정성원, 고시연, 배진곤pp. 117-126
원문 보기