스트레스 취약성 및 스트레스 대처 모델을 적용한임신 중 우울 관련요인 = Factors of Prenatal Depression by Stress-vulnerability and Stress-coping Models

다국어 초록 (Multilingual Abstract)

Purpose: This study aimed to identify related factors of prenatal depression by stress-vulnerability and stress-coping models for pregnant women. Methods: A cross-sectional survey design with a convenience sampling was used. A total of 107 pregnant women who visited a general hospital in a metropolitan city were recruited from August to October, 2013. A structured questionnaire included the Korean version of Beck Depression Inventory II, and the in-struments measuring Self-Esteem, Marital Satisfaction, Pregnancy Stress, Stressful Life Events, and Coping. The data were analyzed using descriptive statistics, t-test, Parson`s correlation analysis, and stepwise multiple regression. 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 had positive correlation with pregnancy stress (r=.55, p<.01), stressful life events (r=.26, p<.01) and negative correla-tion with self- esteem (r=-.38, p<.01), marital satisfaction (r=-.40, p<.01), and coping (r=-.21, p<.05). Factors of pregnancy stress, self-esteem, stressful life events, and planned pregnancy explained 38% of the total variance of prenatal depression. Conclusion: These findings show that health providers need to assess prenatal depression and to cintrol the influencing factots.

참고문헌 (Reference)

1 성형모, "한국어판 백 우울 설문지 2판의 신뢰도 및 타당도 연구" 대한생물치료정신의학회 14 (14): 201-212, 2008

2 최세경, "임신 중 우울증상에 대한 임상연구" 대한산부인과학회 52 (52): 1102-1108, 2009

3 김은숙, "임신 중 우울수준과 사회 심리적 요인과의 관련성" 한국모자보건학회 12 (12): 228-241, 2008

4 권미경, "임신 중 우울과 모-태아상호작용" 한국아동간호학회 13 (13): 416-426, 2007

5 권미경, "임신 중 스트레스, 우울과 모-태아 애착 및 태아체중의 상관관계" 한국간호과학회 41 (41): 276-283, 2011

6 김혜원, "산전우울의 영향요인" 여성건강간호학회 16 (16): 95-104, 2010

7 Holmes TH, "The social readjustment rating scale" 11 (11): 213-218, 1967

8 Billings AG, "The role of coping responses and social resources in attenuating the stress of life events" 4 (4): 139-157, 1981

9 Roach AJ, "The marital satisfaction scale:Development of a measure for intervention research" 43 (43): 537-546, 1981

10 Park JY, "The effects of collage-oriented prenatal art therapy program on the stress of pregnant women" 11 (11): 1-23, 2011

11 Korea Centers for Disease Control and Prevention, "The Fourth Korea National Health and Nutrition" Korea Centers for Disease Control and Prevention

12 Ministry of Health and Welfare, "The Epidemiological survey of psychiatric illnesses in Korea" Ministry of Health and Welfare

13 Lazarus RS, "Stress, appraisal and coping" Springer Publishing CompanyVerlag 1984

14 Rosenburg M, "Society and the adolescent self-image" Princeton University Press 1965

15 Jon BJ, "Self-esteem: A test of its measurability" 11 (11): 107-130, 1974

16 Prady SL, "Psychological distress during pregnancy in a multi-ethnic community: Findings from the born in Bradford cohort study" 8 (8): 1-10, 2013

17 Agoub M, "Prevalence of postpartum depression in a Moroccan sample" 8 (8): 37-43, 2005

18 Brandon AR, "Prenatal depression in women hospitalized for obstetric risk" 69 (69): 635-643, 2008

19 Lee JA, "Personality characteristics, social support, and coping strategies in stress-adjustment: Structural model approach" Korean Psychological Association 549-561, 2002

20 Gaynes BN, "Perinatal depression: Prevalence, screening accuracy, and screening outcomes" RTI Univercity 2005

21 Kitamura T, "Multicentre prospective study of perinatal depression in Japan: Incidence and correlates of antenatal and postnatal depression" 9 (9): 121-130, 2006

22 McKee MD, "Healthrelated functional status in pregnancy: Relationship to depression and social support in a multi-ethnic population" 97 (97): 988-993, 2001

23 Kingston D, "Factors associated with perceived stress and stressful life events in pregnant women: Findings from the Canadian Maternity Experiences Survey" 16 (16): 158-168, 2012

24 Ingram RE, "Development of psychopathology:A vulnerability-stress perspective" Sage Publications 32-46, 2005

25 Brummelte S, "Depression during pregnancy and postpartum: Contribution of stress and ovarian hormones" 34 (34): 766-776, 2010

26 Hong KE, "Construction of Korean 'social readjustment rating scale'-A methodological study-" 21 (21): 123-136, 1982

27 Bowen A, "Antenatal depression" 102 (102): 26-30, 2006

28 Ahn HL, "An experimental study of the effects of husband's supportive behavior reinforcement education on stress relief of primigravidas" 15 (15): 5-16, 1985

29 Huh YJ, "A study on the types of marital relationship and marital satisfaction" Sungshin Women's University 1996

30 Kim KS, "A Study on the relationship between anxiety and coping in open heart surgery patients" 3 (3): 67-73, 1989