• 제목/요약/키워드: 산전우울

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Status of Antepartum Depression and Its Influencing Factors in Pregnant Women (임신 여성의 산전우울 실태 및 영향요인)

  • Lee, Eun-Joo;Park, Jeong-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.8
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    • pp.3897-3906
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    • 2013
  • The purpose of this study was to identify the rate and influencing factors on antepartum depression in pregnant women. A self-administered questionnaire-based study was performed in 160 pregnant women who visited outpatient clinics or attended special lectures of the general hospital in D metropolitan city. All participants were interviewed using the Korean version of Edinburgh Postnatal Depression Scale(EPDS). The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and stepwise multiple regression. On the results, the mean score of antepartum depression was $7.80{\pm}4.86$ scores(0-30 scores). The percentage of all participants for EPDS scale were 56.3% with normal level, 20.6% with a boundary line and 23.1% with serious level. Influencing factors on antepartum depression were accounted for 36.7% of the total variance which consisted of perceived health status, pregnancy stress and self esteem. The results indicate that these variables should be considered in preventing depression of pregnant women.

Effect of Cognitive Behavioral Therapy (CBT) for Perinatal Depression: A Systematic Review and Meta-Analysis (산전우울 임부를 위한 인지행동치료 프로그램의 효과: 체계적 문헌고찰 및 메타분석)

  • Shin, Hyeon-Hee;Shin, Yeong-Hee;Kim, Ga-Eun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.11
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    • pp.271-284
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    • 2016
  • This study was carried out to evaluate the efficacy of CBT for perinatal depression through systematic literature review and meta-analysis. The following databases were used to search the literature: CINAHL, PubMed, EMBASE, Koreamed, Library of Korean Congress, KISS, and Korean Academic Publication Database. Keywords included 'perinatal depression,' 'pregnant women,' and 'cognitive behavioral therapy,' and the evaluated articles were published up to May 2016. Using the R program, the effect size of perinatal depression and anxiety were calculated by random-effects model. The heterogeneity of the effect size was analyzed by data moderator analysis using the meta-ANOVA. Furthermore, the funnel plot, Egger's regression test, fail-safe N, trim-and-fill test, and publication bias analysis were conducted and used to verify the results. Out of the 180 selected articles, 16 clinical trial studies were meta-analyzed. Each articles were evaluated for the risk of bias by the checklist of SIGN; the overall risk of bias was low. The effect size of CBT for perinatal depression was Hedges' g=-0.55 (95% CI: -0.76~-0.33), which was a moderate level, while for anxiety reduction, Hedges' g=-0.20 (95% CI: -0.48~-0.08) and it was not statistically significant. Heterogeneity or risk of publication bias were low. This meta-analytic study found that CBT is moderately effective in reducing perinatal depression in pregnant women.

Prenatal Health Management Knowledge, Practices, and Depression in Vietnam Women of Childbearing Age (Living in Vietnam vs. Living in Korea) (베트남 가임기 여성의 산전건강관리 지식과 실천행위 및 우울 (베트남거주 vs 한국거주))

  • Ahn, Hyunmi
    • Journal of agricultural medicine and community health
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    • v.48 no.2
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    • pp.118-131
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    • 2023
  • Objectives: This study aimed to provide essential data for the development of a prenatal healthcare intervention program tailored to Vietnamese migrant women. This study assessed the knowledge and the practice of prenatal health management, and the levels of depression among Vietnamese women of childbearing age residing in Korea and Vietnam. Methods: Using a descriptive research design, a structured questionnaire was administered to Vietnamese women of childbearing age, with 113 participants residing in Korea and 196 participants residing in Vietnam. Data was collected from Februay to April 2021. Data was analyzed using t-test and chi-square test. Result: The analysis of knowledge regarding prenatal health management revealed significant differences between married women in both locations, with higher knowledge scores. Regarding prenatal health management practices, no significant differences were found based on marital status or place of residence. Particularly in the item "Will receive regular prenatal check-ups at the hospital." married Vietnamese women in Vietnam had lower scores than unmarried women, and rural women had lower scores than urban women. The lowest score was observed among Korean-residing women in the item "Will seek pregnancy and childbirth information." Regarding depression, married women in Vietnam and women living in rural areas demonstrated significantly higher depression scores. Conclusion: When designing perinatal management interventions for Vietnamese immigrant women, special attention should be given to those originating from rural areas in Vietnam. It is recommended to incorporate the importance of perinatal healthcare and factors related to mental well-being into the intervention program.

Effects of Sense of Self-Control and Depression on Pregnant Women's State-Anxiety (임부의 자아통제감과 우울이 불안에 미치는 영향)

  • Hwang, Ran Hee
    • Journal of Digital Convergence
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    • v.18 no.3
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    • pp.207-215
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    • 2020
  • This purpose of this study was to investigate sense of self-control, depression and factors influencing on state-anxiety in pregnant women and to identify factors influencing state-anxiety. Data were collected 160 pregnant women. Data were analyzed using ANOVA, t-test, Scheffe's test, Pearson's correlation coefficient, Stepwise Regression Analysis. There was statistically significant difference in sense of self-control on variable such as income. There were statistically significant difference in depression on variables such as occupation, living together with family-in-laws, planned pregnancy. There were statistically significant difference in state-anxiety on variables such as age, history of childbirth. State-anxiety was positively correlated with depression. State-anxiety was negatively correlated with sense of self-control. Depression was negatively correlated with sense of self-control. Factor influencing State-anxiety were sense of self-control, depression and history of childbirth, which explained 51.4%. Therefore, prenatal management programs need to be developed giving consideration to the emotional change in order to promote psychological stability in the pregnant women.

Life Stress, Social Support, and Antepartum Depression among Married Immigrant Women from Southeast Asia (동남아시아 결혼이주여성 임부의 생활 스트레스, 사회적 지지 및 산전우울과의 관계)

  • Shin, Hyeon Hee;Shin, Yeong Hee
    • Research in Community and Public Health Nursing
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    • v.26 no.2
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    • pp.108-118
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    • 2015
  • Purpose: The purpose of this study was to investigate life stress, social support, and antepartum depression among Southeast Asian immigrant women married to Korean men. Methods: Ninety-three subjects were recruited from local women's clinics and multicultural family support centers in D City. The instruments used were the life stress scale, social support scale, and K-EPDS. All the instruments were translated into their corresponding mother languages (Vietnamese, Cambodian, and Philippine) and notarized. Results: The item mean scores of life stress and social support were 2.65 and 3.17, respectively, on a 5-point Likert scale. The mean score of antepartum depression was 10.16, indicating that they were generally in a depressive state. A positive correlation was observed between life stress and antepartum depression (r=.59, p<.001). Social support was negatively correlated with life stress (r=-.42, p<.001) and antepartum depression (r=-.39, p<.001). The best predictors for antepartum depression were life stress, marital satisfaction, and emotional support, and they explained 43% of the variance. Conclusion: Antepartum depression in Southeast Asian immigrant brides was significantly associated with life stress as well as lack of emotional support. Emotional support may reduce their life stress and antepartum depression.

Status and Influencing factors of health behavior in pregnant women in Yanbian area (연변지역 임부의 건강행위 이행실태 및 영향요인)

  • Zhang, Hai-Lian;Li, Chun-Yu;Kim, Hyun-Li
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.11
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    • pp.7863-7869
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    • 2015
  • Purpose: To Examine the status of health behavior and identify the influencing factors of health behavior among pregnant women. Method: The participants were 1011 pregnant women who visited outpatient hospital of in Yanbian, China. Participants were interviewed using Chinese version of Edinburgh Postnatal Depression Scale(EPDS), Perceived Social Supports(PSSS), general self-efficacy, and characteristics. Descriptive statistics, t-test, ANOVA, pearson correlation coefficient, binary logistic regression were used for data analysis with SPSS 19.0. Results: The mean score of health behavior was $28.93{\pm}6.59$ scores(0~45 scores). Antepartum depression(OR=0.94[0.90-0.98]), perceived social supports(OR=1.07[1.05-1.09]), self-efficacy(OR=1.36[1.04-1.79]) were predictor of health behavior among pregnant women, on the contrary to this the characteristics of pregnant women were not statistically significant. Conclusion: The implement of the health behavior among pregnant women was not ideal. It's necessary to develop a health behavior intervention focus on antepartum depression, social support, and self-efficacy for pregnant women.

Convergence effect of spouse's support on postpartum depression and self-efficacy in primipara (배우자지지가 초산모의 산후우울과 자기효능감에 미치는 융합적 효과)

  • Yang, Ji-Woon;Jung, In-Sook
    • Journal of the Korea Convergence Society
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    • v.9 no.1
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    • pp.171-180
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    • 2018
  • This study is to find the convergence effect of a spouse's support on postpartum depression and self-efficacy in primipara. The subjects were 37 primipara who gave birth to normal full term babies and their spouses. Each spouse supported their mother and baby from the period of postpartum 1st to 6th week after finishing three sessions of postpartum mother and baby care using teaching material. The data was collected in the 1st and 6th week postpartum and analyzed using SPSS 20.0. The prevalence of postpartum depression in the 1st and 6th week were 24.3% and 0% each. The spouses' support lowered mothers' postpartum depression and increased self-efficacy(p<.001). And, the factors affecting to mothers' postpartum depression were additional personnel for postpartum management, income and antepartum depression, and to their self-efficacy was hospital treatment during pregnancy(p<.05). The results could be used in developing intervention programs on lowering primiparas' postpartum depression and increasing their self-efficacy after further studies with wider range of subjects and setting control group.

Effects of Antenatal Depression and Antenatal Characteristics of Pregnant Women on Birth Outcomes: A Prospective Cohort Study (산전우울과 임부의 산전특성이 출산 결과에 미치는 영향: 전향적 코호트 연구)

  • Kim, Hae-Won;Jung, Yeon-Yi
    • Journal of Korean Academy of Nursing
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    • v.42 no.4
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    • pp.477-485
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    • 2012
  • Purpose: This study was done to evaluate the effects of antenatal depression on birth outcomes. Methods: The participants were 255 pregnant women who were followed in a prospective study. Of these, 197 cases were examined included birth weight, Apgar scores at 5 minute, premature contraction, complication of labor, delivery types and laboratory data. Descriptive statistics, ANOVA, Chi square test of linear by linear association, Kruskal Wallis test, Relative Risk, univariate and adjusted multiple logistic regression were used for data analysis with SPSS/Win. Results: Level of antenatal depression was associated with low birth weight ($x^2$=7.69, p=.010). High risk pregnancy was a predictor of low birth weight (OR=6.98 [1.21-40.30]) and baby's weight (OR=2.12, [1.05-4.28]). Prepregnancy body mass index (BMI) was a predictor of complications in labor (OR=3.59, [1.03-12.48]). But there were no significant effects of antenatal depression on other birth outcomes. Conclusion: The results of this study indicate that women with antenatal depression, high risk pregnancy, prepregnancy $BMI{\geq}23kg/M^2$ should be monitored and managed to ensure favorable birth outcomes.

Influencing Factors on Antenatal Depression (산전우울의 영향요인)

  • Kim, Hae-Won;Jung, Yeon-Yi
    • Women's Health Nursing
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    • v.16 no.2
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    • pp.95-104
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    • 2010
  • Purpose: This study examined the influencing factors on antenatal depression among pregnant women. Methods: This was a cross sectional descriptive study with 255 pregnant women who visited a general hospital in a metropolitan city for their regularly scheduled check-up. Measurement tools employed were the Korean version of Beck Depression Inventory (BDI), the food habits, and the Pittsburg Sleep Quality Index (PSQI). Socio-demographic variables and the status of high risk pregnancy were identified. Influencing factors on antenatal depression were identified using a stepwise multiple regression analysis. Results: The mean score of antenatal depression was $7.2{\pm}5.0$; 18.4% with mild depression, 5.9% had moderate depression, with 0.8% identified with severe depression on BDI scale. Influencing factors on antenatal depression accounted for 47.8% of the total variance which consisted of quality of sleep, marital satisfaction, food habits, gestation periods, sexual satisfaction, high risk pregnancy, and age. Conclusion: Findings show that antenatal depression should be monitored on a regular basis during early pregnancy and in high risk pregnancy if possible, and quality of sleep and food habits should be incorporated in the management of antenatal depression.