A Clinical Study on the Postpartum Depression

산후우울증에 대한 임상적 연구

  • Kim Lak-Hyung (Department of Neuropsychiatry, Colege of Oriental Medicine, Woosuk University) ;
  • Kim Su-Yeon (Department of Neuropsychiatry, Colege of Oriental Medicine, Woosuk University) ;
  • Kwon Bo-Hyung (Department of Neuropsychiatry, Colege of Oriental Medicine, Woosuk University)
  • 김락형 (우석대학교 한의과대학 신경정신과학교실) ;
  • 김수연 (우석대학교 한의과대학 신경정신과학교실) ;
  • 권보형 (우석대학교 한의과대학 신경정신과학교실)
  • Published : 2000.12.01

Abstract

Objectives: Postpartum depression(PPD) is a kind of serious problem which influences on the postpartum woman, her family and infant. It has been known to be caused by many factors and some depression scales have been used to assess the degree of PPD. Edinburgh Postpartum Depression Scale(EPDS) recently began to be used for screening for PPD.Methods: The subjects were 46 women who admitted for postpartum treatment in Oriental Hospital of Woosuk University from May 2000 to December 2000. In this study, we used EPDS and Beck Depression Inventory(BDI) to assess the degree of PPD, and we researched the related factors of PPD. Results: 13 women(28.3%) in the high risk group by EPDS and 7 women(15.2%) in depression - severe depression group by BDI were diagnosed as PPD among the 46 women. There was significant correlation between Epds score and BDI score. The mean score of EPDS was higher in normal delivery group than caesarean delivery group, higher in primiparae group than multiparae group, and higher in the group who delivered female infants than male infants. But there were not significant differences. And there was not significant correlation between EPDS score and age.Conclusions: These results suggest that PPD is quite frequent at postpartum period and it is necessary to treat for PPD. It is important for clinicians to pay attention to the related factors of PPD as well as to recognize and treat PPD.

Keywords

References

  1. 신경정신과학 대한신경정신의학회
  2. 신경정신의학 v.21 no.4 산후정신장애에 대한 임상적 고찰 이병관
  3. 대한산부인과학회지 v.42 no.7 산후우울증에 대한 임상적 연구 황진영(외)
  4. ICD-10 정신 및 행태장애 이부영(譯)
  5. 최신정신의학 민성길
  6. Diagnostic and statistic manual of mental disorders(4th ed.) American Psychiatric Association
  7. 한방부인과학 송병기
  8. 대한한방부인과학회지 v.13 no.1 산후우울증에 관한 문헌적 고찰 이태균;이지향
  9. 정신신체의학 v.7 no.1 산후우울증의 심리사회적 위험요인 박시성(외)
  10. 대한한방부인가학회지 v.13 no.1 산후관리에 대한 문헌적 고찰 이용호(외)
  11. Br. J. Psychiatry v.154 The use o Rating Scales to Identify Post-natal Depression Brian Harris;Philip Huckle;Roger Thomas;Sandra Johns;Hedi Fung
  12. Br. J. Psychiatry v.150 Detection of Postnatal Depression -Development of 10-item Edinburgh Postnatal Depression Scale Cox, J.L.;Hoden, J.M.;Sagovsky, R.
  13. 정신병리학 v.4 no.1 한국판 Beck 우울척도의 표준화 연구 Ⅰ: 신뢰도 및 요인 분석 이민규(외)
  14. 對譯 동의보감 허준
  15. 신경정신의학 v.25 no.3 산전 및 산후의 정서변화 연구 홍종문(외)
  16. 신경정신의학 v.29 no.2 출산전후의 우울과 불안의 비교 이성인(외)
  17. Journal of Clinical Psychology v.44 no.3 Screening for Postpartum Depression : A Metholodological Note Valerie E.Whiffen
  18. 신경정신의학 v.25 Beck Depression Inventory의 한국판 표준화 연구- 정상집단을 중심으로(1) 한홍무(외)
  19. 여성건강간호학회지 v.5 no.3 산후 여성의 기능 상태에 관한 연구 유은광
  20. 정신병리학 v.2 no.1 임신말기 정동상태와 신경증적 경향성간의 관련성 김선아(외)
  21. 신경정신의학 v.30 출산전후 여성들간의 스트레스 지각 및 정신병리의 비교 고경봉(외)