The Journal of Korean Obstetrics and Gynecology (대한한방부인과학회지)

The Society of Korean Medicine Obstetrics and Gynecology (대한한방부인과학회)
권호 표지
DOI QR코드

DOI QR Code

Changes of Depression and Fatigue Level According to Sasang Constitution in Early Postpartum Women

초기산욕기 산모의 사상체질에 따른 우울과 피로수준의 변화

  • Lee, Ah-Young (Dept. of Korean Obstetrics & Gynecology, College of Korean Medicine, Woo-Suk University) ;
  • Park, Ga-Young (Dept. of Korean Obstetrics & Gynecology, College of Korean Medicine, Woo-Suk University) ;
  • Lee, Eun-Hee (Dept. of Korean Obstetrics & Gynecology, College of Korean Medicine, Woo-Suk University)
  • 이아영 (우석대학교 한의과대학 부인과학교실) ;
  • 박가영 (우석대학교 한의과대학 부인과학교실) ;
  • 이은희 (우석대학교 한의과대학 부인과학교실)
  • Received : 2013.04.22
  • Accepted : 2013.05.09
  • Published : 2013.05.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: The purpose of this study was to identify the tendency toward depression and fatigue in early postpartum women and to determine the relationship between the symptoms of these conditions, according to the women's Sasang constitutions. Methods: In this study, 73 healthy postpartum women were analyzed according to Sasang constitution: 33 Taeeumin, 22 Soyangin, and 18 Soeumin. Symptoms of depression and fatigue were assessed using the Edinburgh Postnatal Depression Scale-K(EPDS-K) and the Fatigue Continuum Form(FCF), respectively, on the fourth(time 1), seventh(time 2), and fifteenth(time 3) days postpartum. Sasang constitutional types were determined by a medical specialist, using results from the Two Step Questionnaire for Sasang Constitution Diagnosis(TS-QSCD). Results: 1. The overall depressive symptoms and fatigue scores decreased significantly over time in early postpartum women. 2. The mean scores for the EPDS and FCF were higher in the Soeumin group than in other groups. The scores for EPDS and FCF dropped sharply in comparison to a former level in the Soyangin group. And the mean EPDS score was lower in the Soyangin group than in other groups. The EPDS and FCF scores in the Taeeumin group changed slightly over time. However, these results were not statistically significant according to Sasang constitution. 3. The relationship between postpartum depression and fatigue showed a significant positive correlation. Conclusions: These results suggest that, in early postpartum women, depressive symptoms and fatigue differ according to Sasang constitution.

Keywords

References

  1. 대한산부인과학회. 산과학. 제4판. 서울:군자출판사. 2007:923-927.
  2. Gardner DL. Fatigue in Postpartum Women. Applied Nursing Research. 1991;4(2):57-62. https://doi.org/10.1016/S0897-1897(05)80056-4
  3. Fawcett J, York R. Spouses' physical and psychological symptoms during pregnancy and the postpartum. Nursing Research. 1986;4(2):57-62.
  4. 이영숙 등. 여성건강간호학 I. 서울: 현문사. 2001:561.
  5. Parks PL, et al. What happens when fatigue lingers for 18 months after delivery? Journal of Obstetric Gynecologic and Neonatal Nursing. 1999;28(1):87-93. https://doi.org/10.1111/j.1552-6909.1999.tb01969.x
  6. Lee JY. Fatigue, parenting stress and sleep patterns of women according to period of postpartum. Keimyung University master' thesis collection. 2006:34-38.
  7. Bozoky I, Corwin EJ. Fatigue as a predictor of postpartum depression. Journal of Obstetric Gynecologic and Neonatal Nursing. 2002;31:436-443. https://doi.org/10.1111/j.1552-6909.2002.tb00066.x
  8. Corwin EJ, et al. The impact of fatigue on the development of postpartum depression. Journal of Obstetric Gynecologic and Neonatal Nursing. 2005;34(5):577-586. https://doi.org/10.1177/0884217505279997
  9. Doering Runquist JJ, Morin K, Stetzer FC. Severe fatigue and depressive symptoms in lower-income urban postpartum women. Western Journal of Nursing Research. 2009;31(5):599-612. https://doi.org/10.1177/0193945909333890
  10. Rychnovsky JD. Postpartum fatigue in the active-duty military woman. Journal of Obstetric Gynecologic and Neonatal Nursing. 2007;36(1):38-46. https://doi.org/10.1111/j.1552-6909.2006.00112.x
  11. Song JE, et al. Empirical test of an explanatory theory of postpartum fatigue in Korea. Journal of Advanced Nursing. 2010;66(12):2627-2639. https://doi.org/10.1111/j.1365-2648.2010.05380.x
  12. Dorheim S, et al. Sleep and depression in postpartum women: A population -based study. Sleep. 2009;32(7):847-855. https://doi.org/10.1093/sleep/32.7.847
  13. Kuo SY, et al. Trajectories of Depressive Symptoms and Fatigue Among Postpartum Women. Journal of Obstetric Gynecologic and Neonatal Nursing. 2012;41:216-226. https://doi.org/10.1111/j.1552-6909.2011.01331.x
  14. 최소영, 구혜자, 류은정. 초기산욕기 산모의 피로와 산후우울이 지각된 삶의 질에 미치는 영향. 여성건강간호학회지. 2011;17(2):118-125.
  15. 송일병, 이문재. 사상의학의 사단칠정론에 대한 고찰. 대한한의학회지. 1980;16(1):42-45.
  16. 설유경, 김종원. 사상의학에 나타난 성정의 개념과 뇌와의 상관성에 관한 고찰. 사상체질의학회지. 2000;12(2) :17-33.
  17. 김종우, 김지혁, 황의완. 알콜리즘환자의 인격특성에 관한 예비 연구. 사상체질의학회지. 1991;3(1):67-77.
  18. 고병희. 사상체질별 성격요인분석에 관한 연구. 대한한의학회지. 1993;14(1) :64-76.
  19. 김종원 등. 사상체질검사(QSCC)와 다면적인성검사(MMPI)의 비교분석을 통한 사상체질감별과 사상체질별 인격특성에 관한 고찰. 대한한의학회지. 1994;15(1):66-74.
  20. 박희관, 이종화. 사상체질과 최면 반응성에 관한 연구. 사상체질의학회지. 1997;9(2):175-186.
  21. 박희관, 이종화. 이제마의 사상체질과 융의 심리학적 유형간의 연관성에 관한 연구. 사상체질의학회지. 1998; 10(2):41-50.
  22. 김인태, 고병희, 송일병. 융의 마음의 구조, 유형론과 이제마의 지인론, 사상인과의 비교 고찰. 사상체질의학회지. 1996;8(2):95-116.
  23. 서웅 등. Beck 우울척도, 상태-특성 불안척도를 이용한 사상인의 심리특 성에 대한 연구. 사상체질의학회지. 2000;12(1):136-143.
  24. 傅山. 傅靑主女科. 서울:대성의학사. 1992:153.
  25. 李梴. 編注醫學入門. 서울:대성의학사. 1990:64-68.
  26. 김지양, 김정규. 산후우울감을 예측 하는 심리적 요인 연구: 사회적지지, 자아존중감, 스트레스를 중심으로. 한국심리학회지. 2008;13(1):111-140.
  27. 이은희, 김태희. EPDS와 HRV 측정을 통한 산후초기우울과 심박변이도의 상관성 연구. 대한한방부인과학회지. 2007;20(1):186-198.
  28. Leung SSK. Postpartum depression: Perceived social support and stress among Hong Kong Chinese women. Hong Kong Polytechnic University, Ph D thesis. 2001:477.
  29. 김증임. 한국판 에딘버러 산후우울 측정도구의 타당성 연구. 여성건강간호학회지. 2006;12(3):204-209.
  30. 송주은. 모자동실군과 모자별실군 질식분만 산모의 피로도 비교. 연세대학교 석사학위 논문. 2001:62.
  31. Pugh LC, et al. Clinical approaches in the assessment of child bearing fatigue. Jounal of Obstetric Gynecologic and Neonatal Nursing. 1999;29(1) :74-80.
  32. 황진영 등. 산후 우울증에 관한 임상적 연구. 대한산부인과학회지. 1999; 2(7):1508-1512.
  33. Milligan RA. Maternal fatigue during the first three months of the postpartum period. Thesis(Ph. D.) University of Maryland. 1989.
  34. Drake ML, Verhulst D. Physical and psychological symptoms experienced by Canadian women and their husbands during pregnancy and the postpartum. Journal of Advanced Nursing. 1988; 13:436-440. https://doi.org/10.1111/j.1365-2648.1988.tb02846.x
  35. 고병희 등. 사상의학. 서울:집문당. 1997 :59-88.
  36. 홍순용, 이을호. 사상의학원론. 서울: 행림출판. 1992:5-144.
  37. 박효인, 이건인. 사상체질 분류검사와 성격 특성검사의 비교분석을 통한 사상체질별 성격특성에 관한 연구. 사상체질의학회지. 2000;12(2):104-122.
  38. 채한 등. 사상 유형학의 성격심리학적 고찰. 대한한의학회지. 2004;25(2) :151-164.

Cited by

  1. Systematic review of type-specific pathophysiological symptoms of Sasang typology vol.5, pp.2, 2016, https://doi.org/10.1016/j.imr.2015.11.002
  2. 스코핑 고찰 방법을 통한 산욕기 산모 건강관리에 대한 연구동향 분석 vol.41, pp.3, 2013, https://doi.org/10.13048/jkm.20024