고위험 임산부의 기질과 성격이 임산부의 우울, 불안, 모-태아 애착에 미치는 영향
Effects of the Temperament and Character on Depression, Anxiety, and Maternal-Fetal Attachment in High-Risk Pregnant Women
1
조회
0
다운로드
5
인용
0
참고문헌
키워드
초록
Objective : High-risk pregnant women are exposed to the physical and emotional crisis associate with the condition of high-risk pregnancy, making these women emotionally unstable, exhibiting such conditions as depression and anxiety. The aim of this study was to examine what effects the temperament and character of high-risk pregnant women had on their depression, anxiety, and maternal-fetal attachment. Methods : A hundred and five high-risk pregnant women were recruited in the maternity ward of the Keimyung University medical center. 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 : First, higher scores on the harm-avoidance scale and lower scores on the self-directedness scale were associated with higher depression scores. Second, higher scores on the harm-avoidance and rewarddependence scale were associated with higher anxiety scores. Lastly, higher scores on the cooperativeness scale were associated with higher maternal-fetal attachment scores. Conclusion : Temperament and character in high-risk pregnant women were associated with the degree of depression, anxiety, maternal-fetal attachment. Based on these findings, it is suggested that examining temperament and character in advance and screening for vulnerability in pregnant women can help to prevent emotional problems for high-risk pregnant women. (Anxiety and Mood 2018;14(2):106-111)
Abstract
Objective : High-risk pregnant women are exposed to the physical and emotional crisis associate with the condition of high-risk pregnancy, making these women emotionally unstable, exhibiting such conditions as depression and anxiety. The aim of this study was to examine what effects the temperament and character of high-risk pregnant women had on their depression, anxiety, and maternal-fetal attachment. Methods : A hundred and five high-risk pregnant women were recruited in the maternity ward of the Keimyung University medical center. 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 : First, higher scores on the harm-avoidance scale and lower scores on the self-directedness scale were associated with higher depression scores. Second, higher scores on the harm-avoidance and rewarddependence scale were associated with higher anxiety scores. Lastly, higher scores on the cooperativeness scale were associated with higher maternal-fetal attachment scores. Conclusion : Temperament and character in high-risk pregnant women were associated with the degree of depression, anxiety, maternal-fetal attachment. Based on these findings, it is suggested that examining temperament and character in advance and screening for vulnerability in pregnant women can help to prevent emotional problems for high-risk pregnant women. (Anxiety and Mood 2018;14(2):106-111)
참고문헌 (36)
- 김암, "조기진통의 치료", Obstetrics & Gynecology Science, 50(1), pp.5~15 (2007), 대한산부인과학회
- "High-risk pregnancy classification" (2016)[URL]
- A basic study on the support of pregnancy and childbirth, "Kim SH", National Health Insurance Policy Research Institute, ~ (2015)
- A study on efficient management of high risk pregnant women in korea, "Park MI", Ministry of health&welfare, ~ (2005)
- Koss J, "Influence of Perinatal Depression on Labor-Associated Fear and Emotional Attachment to the Child in High-Risk Pregnancies and the First Days After Delivery", Medical Science Monitor: International Medical Journal of Experimental and Clinical Research, 22, pp.1028~1037 (2016)
- Kingston D, "An Integrated Web-Based Mental Health Intervention of Assessment-Referral-Care to Reduce Stress, Anxiety, and Depression in Hospitalized Pregnant Women With Medically High-Risk Pregnancies:A Feasibility Study Protocol of Hospital-Based Implementation", JMIR Research Protocols, 4, pp.e9~ (2015)
- Kim SO, "Postpartum depression and maternal identity of the high risk women", pp.2009
- 손희진, "조기진통 임부의 조기진통스트레스, 태아애착과 모성역할자신감의 관계", 한국모자보건학회지, 18(1), pp.86~96 (2014), 한국모자보건학회[DOI]
- Gupton A, "Complicated and uncomplicated pregnancies: women’s perception of risk", J Obstet Gynecol Neonatal Nurs, 30, pp.192~201 (2001)
- Kim JH, "Experience and fetal attachment in women with high-risk pregnancy", pp.2008
- Cranley MS, "Development of a tool for the measurement of maternal attachment during pregnancy", Nurs Res, 30, pp.281~284 (1981)
- Lindgren K, "Relationships among maternal-fetal attachment, prenatal depression, and health practices in pregnancy", Res Nurs Health, 24, pp.203~217 (2001)
- Muller ME, "Prenatal and postnatal attachment: a modest correlation", J Obstet Gynecol Neonatal Nurs, 25, pp.161~166 (1996)
- Schore AN, "Effects of a secure attachment relationship on right brain development, affect regulation, and infant mental health", Infant Mental Health Journal, 22, pp.7~66 (2001)
- 정미라, "임산부의 기질이 태아애착에 미치는 영향 : 스트레스 대처방식의 매개효과를 중심으로", 한국보육학회지, 15(2), pp.195~214 (2015), 한국보육학회
- Cloninger C, "A psychobiological model of temperament and character", Arch Gen Psychiatry, 50, pp.975~990 (1993)
- Kwon JH, "A test of a vulnerability-stress model of prepartum depression", Korean Journal of Clinical Psychology, 15, pp.33~43 (1996)
- 김근향, "우울장애 환자군의 기질 및 성격적 특성", 한국심리학회지: 건강, 21(1), pp.287~297 (2016), 한국건강심리학회[DOI]
- Min BB, "Temperament and character inventory family manual" (2007), Maumsarang
- Beck AT, "An inventory for measuring depression", Arch Gen Psychiatry, 4, pp.561~571 (1961)
- Beck AT, "Beck Depression Inventory Manual" (1996), Psychological Corporation
- 성형모, "한국어판 백 우울 설문지 2판의 신뢰도 및 타당도 연구", 생물치료정신의학, 14(2), pp.201~212 (2008), 대한생물치료정신의학회
- Spielberger CD, "Manual for the State-Trait Anxiety Inventory" (1983), Consulting Psychologists Press
- Kim JT, "The relationship between state-trait anxiety inventory and social performance", pp.1978
- Kim KY, "Effects on maternal-infant attachment by the taegyo perspective prenatal class", pp.2000
- Jylha P, "Temperament, character and symptoms of anxiety and depression in the general population", Eur Psychiatry, 21, pp.389~395 (2006)
- Peirson AR, "The relationship between personality and mood: comparison of the BDI and the TCI", Personality and Individual Differences, 30, pp.391~399 (2001)
- Minatani M, "Temperament, character, and depressive symptoms during pregnancy: a study of a japanese population", Depress Res Treat, pp.140169~ (2013)
- 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]
- Cho EN, "The effect of temperament and character on the depressive symptom in adolescent", The Korean Psychological Association, 1, pp.345~345 (2011)
- Choi KE, "Comparison of maternal satisfaction, fetal attachment, and fatherhood between high-risk and non high-risk group among the pregnant women’s spouses", pp.2016
- 류경희, "임부의 조기진통 경험에 대한 현상학적 연구", 여성건강간호학회지, 15(2), pp.140~149 (2009), 한국여성건강간호학회
- Jiang N, "Correlations between trait anxiety, personality and fatigue", J Psychosom Res, 55, pp.493~500 (2003)
- Matsudaira T, "Personality traits as risk factors of depression and anxiety among japanese students", J Clin Psychol, 62, pp.97~109 (2006)
- Roos A, "Predictors of distress and anxiety during pregnancy", Afr J Psychiatry (Johannesbg), 16, pp.118~122 (2013)
- 송성환, "대학생에서 기질 및 성격 특성에 따른 사회적 지지", 신경정신의학, 52(3), pp.157~162 (2013), 대한신경정신의학회