Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지
DOI QR코드

DOI QR Code

Relationship of Prenatal Stress and Depression to Maternal-Fetal Attachment and Fetal Growth

임신 중 스트레스, 우울과 모-태아 애착 및 태아체중의 상관관계

  • Kwon, Mi-Kyung (Department of Nursing, Kwandong University) ;
  • Bang, Kyung-Sook (College of Nursing.The Research Institute of Nursing Science, Seoul National University)
  • 권미경 (관동대학교 간호학과) ;
  • 방경숙 (서울대학교 간호대학.간호과학연구소)
  • Received : 2010.11.26
  • Accepted : 2011.04.15
  • Published : 2011.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: Prenatal depression is associated with potential negative consequences for the mother and infant. The purpose of this study was to examine pregnant women's stress, and depression and their impact on maternal-fetal attachment and fetal growth. Methods: Data were collected by means of a questionnaire and fetal sonogram from a convenience sample of 166 pregnant women. Results: Women who have a low educational level, poor health and are dissatisfied with their marriage showed low maternal-fetal attachment. Prenatal depression had significant correlations with length of pregnancy and level of stress. Even though correlation between maternal stress and fetal weight (r=-.15, p=.099) and correlation between maternal depression and maternal-fetal attachment (r=-.13, p=.095) were not statistically significant, the impact of the prenatal psychological state of mothers can not be ignored as it relates to fetal health. Conclusion: Maternal-fetal attachment and fetal growth can be affected by maternal emotional state, including stress or depression. These findings suggest that primary care nurses in hospitals and public health centers should provide prenatal depression screening and nursing intervention programs for management and prevention of prenatal stress and depression.

Keywords

References

  1. Ahn, H. R. (1984). Experimental study of the effects of husband's supportive behavior reinforcement education on stress relief of primigravidas. Unpublished doctoral dissertation, Yonsei University, Seoul.
  2. Boukydis, C. F., Treadwell, M. C., Delandy-Black, V., Boyes, K., King, M., Robinson, T., et al. (2006). Women's responses to ultrasound examinations during routine screens in an obstetric clinic. Journal of Ultrasound Medicine, 25, 721-728.
  3. Bowen, A., & Muhajarine, N. (2006). Antenatal depression. Canadian Nurse, 102(9), 27-30.
  4. Cranley, M. S. (1981). Development of a tool for the measurement of maternal attachment during pregnancy. Nursing Research, 30, 281-284.
  5. Deave, T., Heron, J., Evans, J., & Emond, A. (2008). The impact of maternal depression in pregnancy on early child development. BJOG: An International Journal of Obstetrics and Gynecology, 115, 1043-1051. https://doi.org/10.1111/j.1471-0528.2008.01752.x
  6. Diego, M. A., Field, T., Hermandez-Rief, M., Schanberg, S., Kuhn, C., & Gonzalez-Quintero, V. H. (2009). Prenatal depression restricts fetal growth. Early Human Development, 85, 65-70. https://doi.org/10.1016/j.earlhumdev.2008.07.002
  7. Diego, M. A., Jones, N. A., Field, T., & Hermandez-Rief, M. (2006). Maternal psychological distress, prenatal cortisol, and fetal weight. Psychosomatic Medicine, 68, 747-753. https://doi.org/10.1097/01.psy.0000238212.21598.7b
  8. Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39, 175-191. https://doi.org/10.3758/BF03193146
  9. Field, T. (2011). Prenatal depression effects on early development: A review. Infant Behavior & Development, 34, 1-14. https://doi.org/10.1016/j.infbeh.2010.09.008
  10. Field, T., Diego, M., Dieter, J., Hernandez-Reif, M., Schanberg, S., Kuhn, C., et al. (2004). Prenatal depression effects on the fetus and the newborn. Infant Behavior and Development, 27, 216-229. https://doi.org/10.1016/j.infbeh.2003.09.010
  11. Figueiredo, B., & Costa, R. (2009). Mother's stress, mood and emotional involvement with the infant: 3 months before and 3 months after childbirth. Archives of Womens Mental Health, 12, 143-153. https://doi.org/10.1007/s00737-009-0059-4
  12. Ji, J. G. (Ed.). (2006). Medical dictionary (1st ed.). Seoul: Academya.
  13. Jung, M. H., & Kim, J. I. (2005). A study on the relationship among prenatal emotional status, preparation for delivery, postpartum social support and postpartum blues. Korean Journal of Women Health Nursing, 11, 38-45.
  14. Kim, H. W., & Jung, Y. Y. (2010). Influencing factors on antenatal depression. Korean Journal of Women Health Nursing, 16, 95-104. https://doi.org/10.4069/kjwhn.2010.16.2.95
  15. Kim, K. Y. (2000). Effects on maternal-infant attachment by the taegyo perspective prenatal class. Unpublished master's thesis, Yonsei University, Seoul.
  16. Kim, Y. A. (2007). Relationship between maternal stress during pregnancy and neonatal stress response. Unpublished master's thesis, Seoul National University, Seoul.
  17. Kwon, J. H. (1996). A test of a vulnerability-stress model of prepartum depression. Korean Journal of Clinical Psychology, 15, 33-43.
  18. Kwon, M. K. (2007). Antenatal depression and mother-fetal interaction. Journal of Korean Academy of Child Health Nursing, 13, 416-426.
  19. Lee, Y. H., & Song, J. Y. (1991). A study of the reliability and the validity of the BDI, SDS and MMPI-D Scales. Korean Journal of Clinical Psychology, 10, 98-113.
  20. Leigh, B., & Milgrom, J. (2008). Risk factors for antenatal depression, postnatal depression, and parenting stress. BMC Psychiatry, 8(24), 1-11.
  21. Mercer, R. T., & Walker, L. O. (2006). A review of nursing interventions to foster becoming a mother. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 35, 568-582. https://doi.org/10.1111/j.1552-6909.2006.00080.x
  22. Nakamura, Y. (2010). Nursing intervention to enhance acceptance of pregnancy in first time mothers: Focusing on the comfortable experiences of pregnant women. Japan Journal of Nursing Science, 7, 29-36. https://doi.org/10.1111/j.1742-7924.2010.00134.x
  23. Nelson, L. J., & Fazio, A. F. (1995). Emotional content of talk to the fetus and healthy coping behaviors during pregnancy. Infant Mental Health Journal, 16, 179-191. https://doi.org/10.1002/1097-0355(199523)16:3<179::AID-IMHJ2280160304>3.0.CO;2-Y
  24. O'Connor, T. G., Caprariello, P., Blackmore, E. R., Gregory, A. M., Glover, V., Fleming, P., et al. (2007). Prenatal mood disturbance predicts sleep problems in infancy and toddlerhood. Early Human Development, 83, 451-458. https://doi.org/10.1016/j.earlhumdev.2006.08.006
  25. Park, M. K., & Lee, Y. S. (1999). The relationship among stressful life events, maternal-fetal attachment behaviors and childbirth variables during pregnancy. Journal of the Korean Society of Maternal and Child Health, 3(1), 47-61.
  26. Pascoe, J. M., & French, J. (1993). Third-trimester maternal psychosocial factors and infants' home stimulation: a prospective study. Archives in Family Medicine, 2, 624-627. https://doi.org/10.1001/archfami.2.6.624
  27. Rahman, A., Bunn, J., Lovel, H., & Creed, F. (2007). Association between antenatal depression and low birth weight in a developing country. Acta Psychiatrica Scandinavica, 115, 481-486. https://doi.org/10.1111/j.1600-0447.2006.00950.x
  28. Rahman, A., Iqbal, Z., Bunn, J., Lovel, H., & Harrington, R. (2004). Impact of maternal depression on infant nutritional status and illness: a cohort study. Archives of General Psychiatry, 61, 946-952. https://doi.org/10.1001/archpsyc.61.9.946
  29. Schore, A. N. (2001). Effects of a secure attachment relationship on right brain development, affect regulation, and infant mental health. Infant Mental Health Journal, 22, 7-66. https://doi.org/10.1002/1097-0355(200101/04)22:1<7::AID-IMHJ2>3.0.CO;2-N
  30. Yarcheski, A., Mahon, N. E., Yarcheski, T. J., Hanks, M. M., & Cannella, B. L. (2009). A meta-analytic study of predictors of maternal-fetal attachment. International Journal of Nursing Studies, 46, 708-715. https://doi.org/10.1016/j.ijnurstu.2008.10.013

Cited by

  1. 임산부의 스트레스 및 기질과 태아애착의 관계 vol.21, pp.2, 2011, https://doi.org/10.5934/kjhe.2012.21.2.213
  2. 선천성 심장병 태아를 임신한 임부의 모-태아 애착 및 관련 요인 vol.18, pp.3, 2011, https://doi.org/10.4094/jkachn.2012.18.3.150
  3. 임신기 부부의 태아 관련 스트레스에 영향을 미치는 변인 vol.21, pp.6, 2011, https://doi.org/10.5934/kjhe.2012.21.6.1017
  4. 임신한 간호사의 피로, 스트레스 및 소진에 관한 연구 vol.22, pp.3, 2011, https://doi.org/10.5807/kjohn.2013.22.3.208
  5. 조기진통 임부의 태아애착행위와 상태불안에 관한 연구 vol.19, pp.3, 2013, https://doi.org/10.4069/kjwhn.2013.19.3.142
  6. 스트레스 취약성 및 스트레스 대처 모델을 적용한 임신 중 우울 관련요인 vol.20, pp.1, 2011, https://doi.org/10.4069/kjwhn.2014.20.1.38
  7. 불임 치료 임부의 스트레스, 우울 및 태아애착 vol.20, pp.2, 2011, https://doi.org/10.4069/kjwhn.2014.20.2.163
  8. 임신후기 여성의 피로, 수면장애 및 임신 스트레스 vol.20, pp.3, 2011, https://doi.org/10.4069/kjwhn.2014.20.3.195
  9. 임부의 스트레스 정도와 응급제왕절개분만시 상태불안과 주관적 불안에 관한 연구 vol.18, pp.3, 2014, https://doi.org/10.14408/kjems.2014.18.3.077
  10. 임부의 스트레스 정도와 응급제왕절개분만시 상태불안과 주관적 불안에 관한 연구 vol.18, pp.3, 2014, https://doi.org/10.14408/kjems.2014.18.3.077
  11. 임부의 태아애착행위에 영향을 미치는 요인 vol.16, pp.3, 2011, https://doi.org/10.5762/kais.2015.16.3.2020
  12. 임신 후반기 부부의 자아분화와 심리적 불편감이 태아애착에 미치는 영향 vol.33, pp.2, 2011, https://doi.org/10.7466/jkhma.2015.33.2.89
  13. Prevalence of and Risk Factors for Depressive Symptoms in Korean Women throughout Pregnancy and in Postpartum Period vol.9, pp.3, 2011, https://doi.org/10.1016/j.anr.2015.03.004
  14. Apego materno-fetal, ansiedade e depressão em gestantes com gravidez normal e de risco: estudo comparativo vol.32, pp.4, 2011, https://doi.org/10.1590/0103-166x2015000400010
  15. The Effects of Pregnancy-Adaptation Training on Maternal-Fetal Attachment and Adaptation in Pregnant Women With a History of Baby Loss vol.5, pp.2, 2016, https://doi.org/10.17795/nmsjournal28949
  16. 영유아를 돌보는 양육자의 방임 및 학대에 영향을 미치는 심리 사회적 요인 탐색 vol.27, pp.1, 2016, https://doi.org/10.12799/jkachn.2016.27.1.81
  17. ANXIETY AND ITS RELATIONSHIP WITH MATERNAL FETAL ATTACHMENT IN PREGNANT WOMEN IN SOUTHEAST OF IRAN vol.7, pp.3, 2011, https://doi.org/10.26634/jnur.7.3.13788
  18. An Examination of the Possibility of Loving-Kindness and Compassion Meditation for Pregnant Women: A Preliminary Study vol.25, pp.2, 2011, https://doi.org/10.17547/kjsr.2017.25.2.145
  19. 임신성 당뇨병 임부의 정서명확성과 모성정체성 및 태아애착과의 관계 vol.23, pp.2, 2011, https://doi.org/10.4069/kjwhn.2017.23.2.99
  20. The Mediating Effect of Perceived Stress in the Relationships among Mindfulness, Self-compassion, and Maternal-fetal Attachment vol.25, pp.4, 2011, https://doi.org/10.17547/kjsr.2017.25.4.286
  21. 체험중심 산전 프로그램이 초임부의 스트레스, 상태불안, 분만자신감 및 태아애착에 미치는 효과 vol.24, pp.2, 2018, https://doi.org/10.4069/kjwhn.2018.24.2.126
  22. Maternal restraint stress during pregnancy negatively affects behaviors and antioxidant capacity of offspring rats (Rattusnorvegicus) vol.96, pp.8, 2018, https://doi.org/10.1139/cjz-2017-0264
  23. Prenatal and Postnatal Attachment Among Turkish Mothers Diagnosed with a Mental Health Disorder vol.39, pp.9, 2018, https://doi.org/10.1080/01612840.2018.1455773
  24. 임부의 자아존중감, 신체상 및 태아애착행위에 미치는 영향요인 vol.16, pp.9, 2011, https://doi.org/10.14400/jdc.2018.16.9.197
  25. Overall health and drinking behavior among pregnant and breastfeeding women in Korea vol.41, pp.None, 2011, https://doi.org/10.4178/epih.e2019036
  26. 시설에 거주하는 미혼모에게 적용된 우울 및 불안 감소를 위한 중재의 통합적 문헌고찰 vol.16, pp.1, 2011, https://doi.org/10.16952/pns.2019.16.1.45
  27. Do the Emotions of Middle-Income Mothers Affect Fetal Development More Than Those of High-Income Mothers?-The Association between Maternal Emotion and Fetal Development vol.16, pp.11, 2011, https://doi.org/10.3390/ijerph16112065
  28. 유산을 경험한 임부의 불안, 사회적 지지 및 태교 실천이 태아 애착에 미치는 영향 vol.25, pp.2, 2019, https://doi.org/10.4069/kjwhn.2019.25.2.182
  29. 일 지역 임부의 태교인식, 태교실천 및 모-태아애착 간의 상관관계 vol.25, pp.4, 2011, https://doi.org/10.4094/chnr.2019.25.4.398
  30. 고위험 임부를 위한 지지적 프로그램이 불확실성, 불안, 태아 애착에 미치는 효과 vol.26, pp.2, 2011, https://doi.org/10.4069/kjwhn.2020.06.17
  31. A Correlational Study Between Attachment Behaviors and Spiritual Health with Stress in Pregnant Women Referred to Healthcare Centers in Qazvin, Iran, in 2015 vol.14, pp.4, 2011, https://doi.org/10.5812/ijpbs.83884
  32. Analysis of Drinking Related to Health Behaviors during Pregnancy: Focus on Community Health Survey Data vol.24, pp.4, 2020, https://doi.org/10.21896/jksmch.2020.24.4.204
  33. Relation between Mother’s Taekyo , Prenatal and Postpartum Depression, and Infant’s Temperament and Colic: A Longitudinal Prospective Approach vol.17, pp.20, 2011, https://doi.org/10.3390/ijerph17207691
  34. 임신 여성과 가임기 여성의 심박변이도(HRV) 비교 vol.15, pp.4, 2011, https://doi.org/10.7742/jksr.2021.15.4.499