• 한국콘텐츠학회논문지
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• 제21권8호
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• pp.580-592
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• 2021

본 연구는 영유아 자녀를 둔 여성을 대상으로 양육 스트레스 및 우울증에 영향을 미치는 관련 요인을 파악하고, 미용 프로그램이 양육 스트레스 및 우울증에 미치는 효과를 검증하고자 수행되었다. 부산에 거주하는 산후 36개월 이하의 영유아 자녀를 둔 여성 450명을 2018년 5월 1일부터 20일까지 임의 표집하여 자기기입식 설문조사를 시행한 후 402명을 최종 분석하였다. 또한 미용 프로그램이 양육 스트레스 및 우울증에 미치는 효과를 실증적으로 검증하고자 2018년 6월 1일부터 29일까지 17명을 대상으로 단일군 사전사후 실험연구방법의 미용치료프로그램을 진행하였으며, 그 결과는 다음과 같다. 다중회귀분석결과, 외모관리행동을 많이 할수록 양육 스트레스 및 우울증은 낮아지는 경향을 보였으며, 미용프로그램 참여 전에 비해 미용 프로그램 참여 후 양육 스트레스와 우울증은 유의미하게 감소하는 것으로 나타났다. 따라서 미용 프로그램은 여성의 정신건강과 자존감을 향상시키는 효과적인 방법 중 하나임을 확인하였다.

• 정신신체의학
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• 제5권1호
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• pp.118-122
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• 1997

저자들은 13년전 심한 산후 출혈 후에 서서히 진행된 성선, 갑상선, 부신피질호르몬결핍증상과 함께 피해망상, 환청과 이에 따른 행동, 심한 불면증, 정신운동의 지체, 사회적 철퇴 등의 증상을 보인 51세 여자환자의 증례를 경험하였다. 환자는 일견 심한 정신병적 우울증의 양상을 보여 정신과에 입원하였으나 자세한 병력 청취 및 임상양상의 관찰로 내과적 질환에 의한 정신증의 가능성이 고려되었고, 호르몬 검사상 범뇌하수체기능 부전소견과 저혈당증 및 저나트륨혈증 등을 나타내 Sheehan시 증후군의 진단이 가능하였다. 갑상선과 부신피질호르몬의 투여 기타 보존적인 치료에 의해 정신과적증상을 포함한 제반 임상증상이 1주이내에 호전되었다. 저자들은 본 증례의 보고를 통해 정신과 환자에 대한 임상적 접근에서 간과되기 쉬운 내재된 내과적 문제의 감별의 중요성을 다시 한 번 강조하고자 한다.

• 아동학회지
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• 제32권3호
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• pp.203-220
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• 2011

The study is aimed at examining the interaction between mothers with high postpartum depression tendencies and their 6 to 8 month old infants. Thirty pairs of infants and mothers with high depression tendencies and another 30 pairs of infants and mothers with low depression scores on the EPDS and K-PSI were selected as the final research subjects from a total of 185 mother-child pairs. They visited a laboratory and agreed to a video-recording which focussed on their infant-mother interaction for approximately 30 minutes. In conclusion, the group of mothers with high depression tendencies showed less positive, and more intrusive interactions and their infants displayed less responsive, less positive expressions than the group of mothers with low depression tendencies. This study is meaningful in that it represents a rare attempt at a qualitative analysis research into the interactions between mothers with postpartum depression and their infants.

• 대한간호학회지
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• 제43권2호
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• pp.225-235
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• 2013

Purpose: This prospective cohort study was done to investigate recall bias to antepartum variables measured at postpartum periods and predictors of postpartum depression. Methods: Participants were 215 women who answered a self-administered questionnaire which included demographics, Postpartum Depression Predictors Inventory-Revised and Korean version of Edinburgh Postpartum Depression Scale at antepartum 36-40 weeks and postpartum 2 weeks and 6 weeks. Data were analyzed using kappa, and hierarchical multiple logistic regression. Results: Agreement between antepartum variables at both antepartum and two postpartum periods was relatively high (${\kappa}$=.55- .95). Postpartum depression rates were 36.3% and 36.7% at two follow-up points. In hierarchical multiple logistic regression analysis, prenatal depression (OR=4.32, 95% CI: 1.41-13.19; OR=5.19, 95% CI: 1.41-19.08), social support (OR=1.40, 95% CI: 1.18-1.66; OR=1.27, 95% CI: 1.06-1.53) and maternity blues (OR=4.75, 95% CI: 1.89-11.98; OR=4.22, 95% CI: 1.60-11.12) were commonly associated with postpartum depression at two follow-up points. Child care stress (OR=1.85, 95% CI: 1.01-3.37) was only associated with postpartum depression at 2 weeks postpartum and pregnancy intendedness (OR=1.57, 95% CI: 1.09-2.27) was only associated with postpartum depression at 6 weeks postpartum. Conclusions: The results indicate a need to apply nursing interventions such as prenatal education and counseling with families from antenatal period.

• 생물정신의학
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• 제13권1호
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• pp.19-25
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• 2006

Background : Some reports have suggested that decreased nitric oxide metabolites($NO_x$) and activity of nitric oxide synthase could be related to the pathophysiology of depression. We evaluated plasma levels of $NO_x$ in pregnant women with and without postpartum depression at prenatal and postnatal period. Methods : The plasma concentrations of $NO_x$ were measured in 104 pregnant women in the third trimester and at 6 weeks postpartum and in 64 normal controls. The severity of depression and anxiety was measured with the Edinburgh Postnatal Depression Scale(EPDS), Beck Depression Inventory(BDI), and Beck Anxiety Scale(BAI). Results : Plasma $NO_x$ levels at 6 weeks postpartum were significantly lower in cases of postpartum major depression(EDPS scores${\geq}$13 points) than in cases without depression(EDPS scores${\leq}$9 points). Plasma $NO_x$ levels had significantly negative correlation with EPDS scores at 6 weeks postpartum. Conclusion : We demonstrate that decreased plasma $NO_x$ is associated with postpartum depression. Further studies are required to determine whether individual serum concentration of plasma $NO_x$ alone could predict maternal depression.

• 혜화의학회지
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• 제16권1호
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• pp.9-16
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• 2007

Postpartum depression 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 postpartum depression. Edinburgh postnatal depression scale(EPDS) is simple and efficient method. Because of the difficulty of diagnosis and valuation on the postpartum depression, there has been a few case report on oriental medical treatment. I report one postpartum depression case which was valuated by EPDS and had objective evidence. In this case herbal treatment and acupuncture was efficacious on the postpartum depression. I think, though six month has passed from parturition, there need to be treated after parturition weakness and deficiency point of view.

• Clinical and Experimental Pediatrics
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• 제48권5호
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• pp.469-475
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• 2005

Mother-infant interaction is a crucial component of an infant's cognitive, emotional and behavioral development. Most people are preoccupied with fetal education, the physical conditions of the postpartum mother and baby, and emphasizing an early start in the child's education. However, the effects of a mother's postnatal emotional state on the development of the infant are often overlooked. Postpartum depression is a significant health problem affecting 10-20 percent of new mothers. Recent research findings indicate that the suffering caused by postpartum depression is not limited to these mothers alone; their babies and close family members are vulnerable to short-term and long-term effects as well. This review summarizes the findings of recent research works, in the light of publications within the last seven years.

• 대한한방부인과학회지
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• 제22권2호
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• pp.163-171
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• 2009

Purpose: The purpose of this study is to report the effect of oriental treatments to postpartum depression. Methods: We treated 41 years old woman and 38 years old woman who had the postpartum depression. In the beginning of treatment, they had anxiety, depression, insomnia, fatigue. They were treated by oriental treatments such as herb medicine, acupuncture, moxa therapy. And then We compared postpartum depression before treatment with one after treatment by Edinburgh postnatal depression scale(EPDS). Results: After the oriental treatments, the clinical symptoms were improved and EPDS was reduced (one reduces from 18 to 10, the other reduces from 17 to 8). Conclusion: Oriental treatments are effective on postpartum depression. After this, further approach and study on postpartum depression might be needed.

• 여성건강간호학회지
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• 제6권3호
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• pp.358-371
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• 2000

The purpose of this study was to provide the basic, data for developing a program for effective prevention for Postpartum Depression (PPD) by investigating the level of PPD in postpartum 2 weeks women. The subjects were 384 women who visited obstetrical clinics for postnatal care. The data were collected from June 29. 1999 to April. 2000, using a 46-item questionnaire related to PPD, and analyzed by SAS program for t-test, ANOVA, Scheffe test, stepwise multiple regressions. The results were as follows : 1. The level of PPD according to general characteristics Women had mild PPD (Min score; 46.0, Max score; 124.0). The PPD levels were significantly differences according to religion and marital satisfaction (p<0.05). 2. The level of PPD according to obstetrical characteristics 1) Characteristics related to pregnancy The PPD levels were significantly differences according to mood change, confidence of body weight recovery, depression related to appearance change, husband's help to housework, and husband's emotional support (p<0.05). 2) Stressful events during pregnancy The PPD levels were significantly differences according to financial problem, conflict between partners, conflict between family, and husband's job change (p<0.05). 3) Characteristics related to delivery and post natal period The PPD levels were significantly differences according to baby's health state, parenting confidence, and difficulties related to postpartum care (p<0.05). 3. The variables to predict postpartum depression in postpartum women are depression related to appearance change (10.4%), parenting confidence (8.8%), husband's help to housework (2.7%), confidence of body weight recovery (2.4%), husband's job change (1.9%), baby's health state (1.9%), difficulties related to postpartum care (1.6%), mood change (1.2%), conflict between partners (0.6%), marital satisfaction (0.5%), financial problem (0.4%). The sum total of all the above variables can account for 32.4% of postpartum depression. 4. The level of PPD according to PPD factors. Women had the highest degree of PPD in biophysiological phenomena-disturbance of physical functioning factor. The factors of relationship to baby-negative feeling and cognitive phenomena-self concept disturbance were showed the lowest degree of PPD. As a result of the above findings, a systemic and individualized program is strongly recommended for PPD prevention, diagnosis, and care for PPD in postpartum women. In near future, this study should be expanded to investigate the coping skills according to the PPD levels in postpartum women.

• 동의신경정신과학회지
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• 제21권3호
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• pp.151-161
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• 2010

Objectives : Postpartum depression is a kind of serious problem which influences on the parturients, her family. In this case we tried psychotherapy to postpartum depression patient. Methods : We treated the patient with Oriental psychotherapy. And then we compared postpartum depression before treatment with on after treatment by Korean version of Edinburgh Postnatal Depression Scale(K-EPDS). Results : After treatments, the clinical symptoms were improved and K-EPDS was reduced 16 to 6. Conclusions : Oriental psychotherapy is effective on postpartum depression.