• 한방비만학회지
• /
• 제1권1호
• /
• pp.63-75
• /
• 2001

Objectives : Many women associate one or more of their pregnancies with the development of adult obesity. This study was designed to determine influencing factors on postpartum weight retention and whether the breast-feeding was available to weight loss in puerperium. Methods : Articles from the literature on 'postpartum weight retention' were examined. Results : These articles show that different factors were related with postpartum weight retention. This study suggests that moderate weight gain during pregnancy is important to prevent postpartum maternal obesity. Especially weight gain from 20 weeks to 36 weeks of pregnancy is important. Falling in depression and anxiety during postpartum period should be avoided and social support is also needed. Delivery at the financially secure status is also recommended. Sufficient physical activity and exercise are needed to prevent from postpartum weight retention. Weight loss with dieting and exercise during lactation don't have a bad influence on the growth of infants.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• 제22권4호
• /
• pp.219-227
• /
• 2011

Objectives : This study examined maternal object relations, child's and mother's perception on rearing attitude, and children's self-esteem in children with attention-deficit hyperactivity disorder (ADHD) and their mothers. Methods : 64 children with ADHD and their mothers were included in the study group. In the control group, there were 85 children and their mothers. Mothers completed the following tests : Bell object relation inventory (BORI), maternal behavior research instrument (MBRI), Beck Depression Inventory (BDI), and Korean ADHD Rating Scale (K-ARS). Children completed Children's Report of Parental Behavior Inventory (CRPBI) and Rosenberg self-esteem scale. Results : Mothers of ADHD children displayed more rejecting and controlling parenting style than mothers in the control group. ADHD children showed lower self-esteem and perceived their parents as not affectionate, but rejecting and controlling. Mothers with ADHD children who belonged to object relations pathological group showed more rejecting rearing attitude and their children believed that they were more controlling, compared with children and mothers in other conditions. Among factors in mother's object relations, insecure attachment and ego-centricity impacted the rearing attitude. In turn, affective rearing attitude mainly influenced children's self-esteem. Conclusion : This study suggests that the approach focused on mother's object relations may help with the treatment of children with ADHD.

• 스트레스연구
• /
• 제25권2호
• /
• pp.145-154
• /
• 2017

임부들의 심리적 안정과 태아와의 건강한 관계는 주산기 적응에 중요한 것으로 알려져 있다. 본 연구에서는 정신건강과 대인관계 개선에 효과적인 것으로 알려져 있는 자비명상을 임부용으로 개발하기 위하여 탐색적 예비연구를 진행하였다. 효과성과 개선점을 파악하기 위해 4주 자비명상 프로그램 참가자(n=8)들의 스트레스, 우울, 태아애착, 마음챙김 및 자기자비를 기저선과 사후에 측정하였으며, 포커스 그룹 인터뷰를 바탕으로 현상학적 분석을 실시하였다. 결과는 자비명상이 임부의 심리적 안정과 태아와의 관계에 긍정적인 영향을 줄 가능성이 나타났으며, 회기구성 및 가정수련 보강방안 등의 보완점들을 발견할 수 있었다. 본 연구가 임부용 자비명상 개발을 위한 이해의 폭을 넓히고, 추후 연구들을 촉진할 것이라 기대한다.

• 여성건강간호학회지
• /
• 제29권4호
• /
• pp.302-316
• /
• 2023

Purpose: This study aimed to develop and validate a structural model for the quality of life (QoL) among high-risk pregnant women, based on Roy's adaptation model. Methods: This cross-sectional study collected data from 333 first-time mothers diagnosed with a high-risk pregnancy in two obstetrics and gynecology clinics in Cheonan, Korea, or participating in an online community, between October 20, 2021 and February 20, 2022. Structured questionnaires measured QoL, contextual stimuli (uncertainty), coping (adaptive or maladaptive), and adaptation mode (fatigue, state anxiety, antenatal depression, maternal identity, and marital adjustment). Results: The mean age of the respondents was 35.29±3.72 years, ranging from 26 to 45 years. The most common high-risk pregnancy diagnosis was gestational diabetes (26.1%). followed by preterm labor (21.6%). QoL was higher than average (18.63±3.80). Above-moderate mean scores were obtained for all domains (psychological/baby, 19.03; socioeconomic, 19.00; relational/spouse-partner, 20.99; relational/family-friends, 19.18; and health and functioning, 16.18). The final model explained 51% of variance in QoL in high-risk pregnant women, with acceptable overall model fit. Adaptation mode (β=-.81, p=.034) and maladaptive coping (β=.46 p=.043) directly affected QoL, and uncertainty (β=-. 21, p=.004), adaptive coping (β=.36 p=.026), and maladaptive coping (β=-.56 p=.023) indirectly affected QoL. Conclusion: It is essential to develop nursing interventions aimed at enhancing appropriate coping strategies to improve QoL in high-risk pregnant women. By reinforcing adaptive coping strategies and mitigating maladaptive coping, these interventions can contribute to better maternal and fetal outcomes and improve the overall well-being of high-risk pregnant women.

• Clinical and Experimental Pediatrics
• /
• 제49권5호
• /
• pp.523-528
• /
• 2006

목 적 : 선천성심질환 청소년의 우울정도와 극복력의 상관관계를 파악하고 우울과 관련된 변수를 확인하고자 하였다. 방 법 : 선천성심질환으로 수술을 받고 2개 대학병원 및 심장전문병원에 등록되어 추적관찰 중인 만 13-18세 청소년 231명을 대상으로 하였다. 연구 도구는 만성질환아를 대상으로 개발한 극복력 도구와 Beck의 우울척도를 8-18세에 맞게 변형시킨 Kovasc의 CDI를 사용하였다. 결 과 : 선천성심질환 청소년의 우울정도는 0-54점 가능 점수에서 평균 16.74점이었고, 극복력은 70-160점 가능 점수에서 115.84점이었다. 극복력에 따른 우울정도는 극복력과 우울은 유의한 역상관관계(r=-0.59, P<0.01)를 나타났다. 또한, 극복력의 하부 개념인 개인내적요인(r=-0.69, P<0.01), 대처양상(r=-0.39, P<0.05), 대인관계(r=-0.59, P<0.01)도 우울정도와 통계적으로 유의한 역상관관계를 보였다. 다중회귀분석 결과 선천성심질환 청소년의 우울과 관련된 유의한 변수는 부모의 양육태도(${\beta}=-0.48$, P<0.01) 및 극복력(${\beta}=-0.62$, P<0.01)으로 나타났다. 결 론 : 선천성심질환 청소년에서 청소년 자신의 극복력이 높을수록 부모가 긍정적인 양육태도를 가질수록 우울정도가 낮음을 알 수 있었다. 따라서 환자 자신의 극복력을 파악하고 증진할 수 시킬 수 있는 심층 연구와 선천성심질환 청소년과 같이 만성질환을 가진 자녀의 부모에게 양육태도의 중요성을 가질 수 있도록 돕는 중재개발이 필요하다.

• 한국지역사회생활과학회지
• /
• 제17권3호
• /
• pp.109-121
• /
• 2006

This study examines the relationship between mother's stress and cortisol level during late pregnancy and how it changes into postpartum periods. Thirty one families were recruited from Daejeon and Incheon in South Korea. The major findings were as follows: (1) The level of mothers' cortisol followed the typical diurnal pattern of decline throughout the day. Further longitudinal analysis revealed that the level of Korean mothers' cortisol steadily lowered from the 8th prenatal month to the 6th postnatal month. (2) During pregnancy, mothers reported to experience changes in physical activities, daily routines, eating habits, types or amount of social activities and sleeping habits. Among these they were stressed the most by changes in physical activities and social activities. (3) The results of postpartum depression tests conducted at two months after giving birth showed mothers at this time were mostly stressed from difficulty sleeping and unnecessary self criticism. (4) The level of psycho social stress in mothers at six months after giving birth was mainly on social roles and the questions about self reliance marked the highest points. (5) Overall, there was a tendency for the level of maternal stress to decrease definitely from before and after the delivery and even though the level of stress was steadily decreasing up to 6th postpartum month it was not as sharp as those of before and after the birth of the babies. The level of cortisol analysis also showed the same obvious tendency.

• 여성건강간호학회지
• /
• 제27권2호
• /
• pp.141-152
• /
• 2021

Purpose: This study was conducted to develop a couple-centered antenatal education program and to test the program's feasibility. Methods: With a preliminary-experimental study design, 33 pregnant couples who were expecting their first child participated in this study. The program consisted of four sessions (1 hour/session/week) of education and counseling. Data were collected before and after the intervention from September 2018 to April 2019 at a women's hospital in Daejeon, Korea, with demographic data forms, the Edinburgh Postnatal Depression Scale, Perceived Stress Scale, Maternal-Fetal Attachment Scale, Korean Newborn Care Confidence Scale, Wijma Delivery Expectancy/Experience Questionnaire, and Dyadic Adjustment Scale-10. Results: The pregnant women and their husbands were on average 32.30±3.10 and 33.21±6.25 years old, respectively. The mean marriage duration was 2.34±1.63 years, the gestational age was 31.30±2.66 weeks, and 78.8% of the couples had a planned pregnancy. After the program, both the pregnant women and their husbands showed significant improvements in attachment to the fetus and confidence in providing infant care. Prenatal depression, prenatal stress, and fear of childbirth in pregnant women significantly decreased after completing the program. However, the dyadic adjustment score did not change significantly either in the pregnant women or their husbands. Conclusion: A couple-centered antenatal education program seems to be effective for couples adjusting to parenthood, but further studies should explore ways to have a positive impact on couples' relationships.

• 대한약리학회지
• /
• 제23권2호
• /
• pp.143-149
• /
• 1987

본 실험에서는 가토에서 배반포가 자궁내막에 착상할 때, 모체의 면역기능의 변화를 알아보고, 착상시 관여하는 호르몬과 모체의 면역기능과의 연관성을 관찰하여 다음과 같은 결과를 얻었다. 1. 임신 7일째 가토의 말초혈관 림프구에 concanavalin A를 처리하면, 임신하지 않은 가토의 림프구보다 훨씬 낮은 자극지수를 나타냄으로써 면역억제 현상이 나타나는 것을 관찰할 수 있었다. 2. 임신 7일 때의 혈청 progesterone농도인 11.56 ng/ml을 임신하지 않는 가토의 말초혈관 림프구에 처리하면, 억제현상을 나타내지 않았으나, Progesterone의 농도가 1000 ng/ml 이상에서는 농도에 비례하여 림프구의 활성도가 감소되었다. 3. 4.5 ng/ml${\sim}$4,500 ng/ml의 $PGF_{2{\alpha}}$는 concanavalin A처리시 림프구의 활성도에 별다른 영향을 끼치지 않았으나, PGE는 4.5 ng/ml${\sim}$4,500 ng/ml에서 농도에 비례하여 림프구의 활성도를 유의하게 감소시켰다. 그러나 임신 제 8일째의 말초혈관 림프구에 prostaglandin 합성 억제제인 indomethacin 0.1 또는 $1\;{\mu}g/ml$을 처리하면 억제되었던 림프구 활성도가 각각28%, 23% 증가되었다. 이상의 결과로 보아 토끼의 착상기간중 모체의 면역기능이 저하되며 PGE가 착상기간중 면역기능을 저하시키는 요소중 하나인 것으로 생각된다.

• 생명과학회지
• /
• 제29권9호
• /
• pp.1002-1009
• /
• 2019

생애 초기 유해 경험은 우울증의 위험성을 높이며, 성인기 스트레스의 민감성에 영향을 미칠 수 있다. 출생 후 모성 분리(MS)로 인한 성인기 스트레스(장기간 예측 불가능한 스트레스; CUS)의 취약성에 p11 유전자의 후성유전기전이 영향을 미치는 지를 확인하였다. 출생 직후부터 21일 동안 하루 3시간 동안 새끼 생쥐를 어미 생쥐로부터 분리시켜 새끼 생쥐가 성체가 되었을 때 CUS를 3주 동안 매일 적용하였다. Real time PCR기법으로 해마의 p11 발현 양을 측정하였고, 염색질 면역 침전 분석법으로 p11 promoter의 히스톤 H3 아세틸화 및 메틸화 양을 측정하였다. 강제수영검사에서 우울 유사 행동을 측정하였다. MS군 및 CUS군은 p11 mRNA 발현 양을 유의하게 감소시켰으며, MS+CUS군은 CUS군에 비해 p11 발현 양을 유의하게 증가시켰다. 또한 MS+CUS군은 CUS군에 비해 H3 아세틸화를 감소시켰다. 이러한 감소는 HDAC5 mRNA 발현 증가와 일치하였다. MS+CUS군은 CUS군에 비해 H3K4 메틸화를 감소시켰으며, H3K27 메틸화를 증가시켰다. 강제수영검사에서 p11 발현이 가장 많이 감소된 MS+CUS군이 대조군에 비해 더 긴 부동 시간을 나타내었다. 출생 후 모성 분리를 경험하고 성체 기간에 스트레스를 함께 받은 생쥐는 성체기간에만 스트레스를 받은 생쥐보다 훨씬 더 큰 후성유전 변화를 보여주었다. 생애 초기 유해 경험은 해마에서 p11 유전자의 히스톤 변형을 통해 성체 스트레스 효과를 더 악화시키는 것으로 생각된다.

• 부모자녀건강학회지
• /
• 제21권1호
• /
• pp.20-27
• /
• 2018

Purpose: The purpose of this study was to review the literature on paternity leave and family health over the last 10 years. Methods: Nine studies that met the criteria were selected from sixty-four studies. General characteristics, study design, and major findings about paternity leave were analyzed using an established analysis framework. Results: From the integrative review, paternity leave was found to affect the health of fathers, mothers, and children, as well as family health and gender equality. The father's paternity leave resulted in an increase in mothers' breast feeding rate, a decrease in maternal depression, a reduction in parenting stress, a reduction in all-cause mortality of men, feelings of instinctive paternal love, increased parenting, skills, and positive parent-child relationships. It was interpreted that paternity leave had a positive effect on the mental and physical health of individual members of the family. Conclusion: This study provides the basic data on the health effects of father's parental leave on the family system in a holistic view. In addition, this study proposes the direction of paternity leave and family health research and policy needs.