• Title, Summary, Keyword: 산후우울

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The Relationship between Maternal Post-natal Depression and Children's Communication Competence (어머니의 산후 우울감과 만 2세 영아의 의사소통능력 간의 관계)

  • Park, Chan Hwa;Lee, Yun Seon
    • Korean Journal of Childcare and Education
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    • v.11 no.5
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    • pp.113-134
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    • 2015
  • The purpose of this study was to investigate the influence of maternal post-natal depression on children's communication competence, maternal self-efficacy and parenting style. The data on 1,438 pairs of children and their mothers were provided by The Korean Children Panel Study (KCPS). Mothers were assessed by K6(Kessler et al., 2002), The Pearlin Self Efficacy Scale(Pearlin et al., 1981), and The Parental Style Questionnaire(Bornstein, et al., 1996). Children's communication competence was assessed by K-ASQ. The collected data were analyzed with t-test and path analysis. The major results of this study were as follows : (1) Post-natal maternal depression was not directly associated with the children's communication competence. (2) Post-natal maternal depression indirectly influenced the children's communication competence via maternal self-efficacy and the parenting style. The results of this study suggest that post-natal depression within 1 year will not have an effect on the children's communication competence directly, but will indirectly influence it through maternal self-efficacy and the parenting style when the children are 2 years old.

Depression during Pregnancy and the Postpartum (임신 및 산후 우울증)

  • Kim, Youl-Ri
    • Korean Journal of Psychosomatic Medicine
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    • v.15 no.1
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    • pp.22-28
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    • 2007
  • The pregnancy and postpartum period appear to be a time of heightened vulnerability for the development of major depression in some women. Postpartum depression affects 10% of women within a few weeks immediately postpartum. Postpartum depression is associated with disturbances in the mother-infant relationship, which in turn have an adverse impact on the course of child cognitive and emotional development. Depression during pregnancy is also common, although it has been relatively neglected. Psychopathological symptoms during pregnancy have physiological consequences for the fetus. Understanding the aetiology of perinatal depression requires integrating of multiple psychosocial and biological risk factors. The treatment of depressed pregnant women requires skilled decision making by psychiatrists. Risk-benefit analysis is appropriate method for intervention fur depression in pregnancy. Effective treatments for depression in pregnancy include psychotherapy, antidepressant medication and electroconvulsive therapy. In treatment of postpartum depression, the biological, psychological, and social interventions are included. Prescribing antidepressants(such as fluoxetine), estrogen in severe and chronic cases, and counselling can be effective for improving maternal mood and aspects of infant outcome. Ongoing research is directed to further elucidating neurohormonal and psychosocial contributions to depression during pregnancy or postpartum. Screening for risk factors and symptoms for depression need to be incorporated into antenatal and pediatric clinics.

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The Effect of Parenting Stress and Depression and Fatigue on Quality of life in Early Postpartum Mothers (산욕기 산모의 양육스트레스, 산후우울, 피로가 삶의 질에 미치는 영향)

  • Kim, Jeong-Suk
    • Journal of Convergence for Information Technology
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    • v.8 no.6
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    • pp.1-7
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    • 2018
  • The study was investigate the effect of quality of life of mothers in the postpartum period. This study was a descriptive research study of 113 women who lived in D metropolitan area within 6-8 weeks after birth, Data were analyzed using SPSS 21.0 program ANOVA, t-test, Pearson's correlation analysis and multiple random analysis. Data collection was from August 2018 to September 2018. The results were as follows. The most influential factors on quality of life were parenting stress(${\beta}=-.646$, p =.000), fatigue(${\beta}=-.329$, p =.009). It is necessary to develop a nursing intervention program related to physical and mental health because maternal quality of life leads to lower quality of life when feeling emotional mood change such as emptiness and depression.

Evaluation of Family Adaptability and Cohesion as Risk Factor of Postpartum Depression : Preliminary Study (산후우울증에서 위험인자로서의 가족응집성-적응력 평가 : 예비적 연구)

  • Kim, Bo-Rah;Suh, Shin-Young;Chang, Sung-Woon;Lee, Sang-Hyuk;Choi, Tae-Kyou;Kim, Yong-Woo;Cho, Sung-Joon;Yook, Keun-Young;Ryu, Mi;Kim, Myo-Jung;Kim, Keun-Hyang;Yook, Ki-Hwan
    • Korean Journal of Psychosomatic Medicine
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    • v.17 no.1
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    • pp.15-22
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    • 2009
  • Objectives : Prevalence of postpartum depressive disorders reaches approximately 10-15% of childbearing women. This preliminary study was intended to explore the relationships between postpartum depressive disorders and family adaptability and cohesion. Methods : Childbearing women(n=24) were assessed for risk factors for postpartum depression before and after childbirth prospectively. At gestational age between 36th and 40th week, the questionnaire about various factors before childbirth, Edinburgh postnatal depression scale(EPDS), Family adaptability-cohesion evaluation scale (FACES), and Beck anxiety inventory(BAI) were assessed. After childbirth, for the diagnosis of postpartum depressive disorders, a structured diagnostic interview according to MINI International Neuropsychiatric Interview was performed, furthermore, the questionnaire about various factors after childbirth, EPDS, and BAI were assessed at 4-6 weeks postpartum. Results : Among various factors and scales, family adaptability and cohesion, mood symptom and change during pregnancy were associated with postpartum depressive disorder in comparison with non-postpartum depressive disorder subjects. In addition, low family adaptability and cohesion and mood change during pregnancy were significantly associated factors with postpartum depressive disorder using logistic regression analysis. Conclusion : The results suggest the postpartum depressive disorder could be related with prenatal low family adaptability and cohesion. This preliminary study, however, includes only a few subjects, so that further large-sized study will be needed to replicate our results.

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The Effects of Fatigue, Postpartum Family Support on Postpartum Depression in Postpartum Women (산욕기 산모의 피로, 산후 가족지지가 산후우울에 미치는 영향)

  • Lee, Da-Jin;Park, Jung-Suk
    • Korean Parent-Child Health Journal
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    • v.21 no.1
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    • pp.39-49
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    • 2018
  • Purpose: This study was to investigate the effects of fatigue, postpartum family support on postpartum depression in postpartum women. Methods: Data were collected through structured questionnaires. The participants of this study were 123 postpartum women in B metropolitan city. The data were analyzed with the SPSS/Win 18.0 program, using descriptive statistics, in independent t-test, and stepwise multiple regression. Results: The subjects' degree of fatigue and postpartum depression had strong positive correlation (r=.623, p<.001). The subjects' degree of postpartum family support and postpartum depression had moderate negative correlation (r=-415, p<.001). Factors that affect postpartum depression were fatigue (${\beta}=.492$, p<.001), postpartum family support (${\beta}=-.234$, p=.001), pre-conception job (${\beta}=.222$, p=.001), Pregnancy depression (${\beta}=.177$, p=.007), Parity (${\beta}=.167$, p=.009). The explanation power was 55.0%. Conclusion: The study results indicate that it is necessary to various programs that can reduce postpartum mothers' fatigue and improve postpartum family support, in order to reduce the postpartum depression.

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The Effects of Auricular Acupressure on Depression and Fatigue among Early Postpartum Mothers (이압요법을 활용한 간호중재 프로그램이 초기 산욕기 산모의 산후우울과 산후피로에 미치는 효과)

  • Kim, So Hwan;Sung, Kyung Mi
    • Journal of East-West Nursing Research
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    • v.25 no.2
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    • pp.91-102
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    • 2019
  • Purpose: The purpose of this study was to examine the effects of auricular acupressure on postpartum depression and fatigue among early postpartum mothers. Methods: A non-equivalent control group pretest-posttest design was used. Forty early postpartum mothers were recruited from two postpartum care centers and randomly assigned to experimental group (n=20) and control group (n=20). The experimental group received the nursing intervention of auricular acupressure. Results: There were significant differences in postpartum depression and fatigue between the two groups. The participants in the experimental group showed significantly decreased scores of postpartum depression (z=-2.51, p=.012) and fatigue (t=5.36, p<.001). Conclusion: The nursing intervention programs using the auricular acupressure is effective in reducing depression and fatigue of early postpartum mothers. The findings will be useful for the health promotion among early postpartum mothers.

Influencing Factors of Postpartum Depression between 4 to 6 Weeks after Childbirth in the Postpartum Women (산욕후기 산모의 산후우울 영향요인)

  • Song, Ju-Eun
    • Korean Journal of Women Health Nursing
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    • v.15 no.3
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    • pp.216-223
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    • 2009
  • Purpose: The purpose of this study was to investigate the influencing factors of postpartum depression among parturient women between 4 to 6 weeks after childbirth. Methods: The participants were 146 healthy postpartum women who delivered at three women's health hospitals in Chungnam province in 2008. Data were collected by a self-report questionnaire. Collected data were analyzed by using the SPSS WIN 14.0 program. Results: There was a significant difference in postpartum depression depending on the educational level. Postpartum depression was significantly correlated with childcare stress, social support, infant fussiness, Sanhujori satisfaction, subjective health condition, and sleep satisfaction. Stepwise multiple regression analysis showed that postpartum depression was significantly predicted by childcare stress, Sanhujori satisfaction and subjective health condition. These variables explained 49.0% of the variance of postpartum depression. Conclusion: It is concluded that a nursing intervention for postpartum depression should focus on decreasing childcare stress and improving Sanhujori satisfaction. further studies are required to verily and substantiate the effect of the developed nursing intervention programs.

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Development of a Prediction Model for Postpartum Depression: Based on the Mediation Effect of Antepartum Depression (산후우울 예측모형 개발: 산전우울의 매개효과 검증을 중심으로)

  • Lee, Eun Joo;Park, Jeong Sook
    • Journal of Korean Academy of Nursing
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    • v.45 no.2
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    • pp.211-220
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    • 2015
  • Purpose: This study was done to develop a prediction model for postpartum depression by verifying the mediation effect of antepartum depression. A hypothesized model was developed based on literature reviews and predictors of postpartum depression by Beck. Methods: Data were collected from 186 pregnant women who had a gestation period of more than 32 weeks and were patients at a maternity hospital, two obstetrics and gynecology specialized hospitals, or the outpatient clinic of K medical center. Data were analysed with descriptive statistics, correlation and exploratory factor analysis using the SPSS/WIN 18.0 and AMOS 18.0 programs. Results: The final modified model had good fit indices. Parenting stress, antepartum depression and postpartum family support had statistically significant effects on postpartum depression, and defined 74.7% of total explained variance of postpartum depression. Antepartum depression had significant mediation effects on postpartum depression from stress in pregnancy and self-esteem. Conclusion: The results of this study suggest that it is important to develop nursing interventions including strategies to reduce parenting stress and improve postpartum family support in order to prevent postpartum depression. Especially, it is necessary to detect and treat antepartum depression early to prevent postpartum depression as antepartum depression can affect postpartum depression by mediating antepartum factors.

Sleep Quality, Fatigue, and Postpartum Depression of Mother at Six Months after Delivery (산후 6개월 이내 산모의 수면의 질, 산후 피로도 및 산후 우울)

  • Kim, Mi-Eun;Hur, Myung-Haeng
    • Korean Journal of Women Health Nursing
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    • v.20 no.4
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    • pp.266-276
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    • 2014
  • Purpose: This study was correlation study to identify the factors influencing sleep quality, fatigue, and postnatal depression in mothers who have given birth during the past 6 months. Methods: The study was conducted using a survey with questionnaires to 329 mothers who visited E University Medical Center, or three local clinics located in D city, between August and October 2013. Collected data were analyzed using the SPSS/WIN 20.0 program. Results: Out of 329 subjects, 18.2% showed that they had mild postnatal depression whereas 24.3% had severe postnatal depression. Accordingly, 42.5% reported having postnatal depression. Postnatal depression had a significant correlation with sleep hours after childbirth (r=-.16, p=.003), spousal support (r=-.28, p<.001), sleep quality (r=-.35, p<.001), physical fatigue (r=.66, p<.001), psychological fatigue (r=.69, p<.001), and neurosensory fatigue (r=.56, p< .001). Factors influencing postnatal depression include psychological fatigue, sleep quality, number of child births, and neurosensory fatigue, and these accounted for 53% of postnatal depression. Conclusion: Results indicate that factors influencing postnatal depression involve psychological fatigue, sleep quality, number of child births, and neurosensory fatigue. Therefore for nursing intervention for postpartum mothers, it is necessary to assess the level of depression, fatigue, and sleep quality, and to provide interventions to relieve depression.