• 대한한방부인과학회지
• /
• 제20권1호
• /
• pp.186-198
• /
• 2007

Purpose : Postnatal depression is a major public health problem. The aim of this study is to investigate the relation between Edinburgh postnatal depression scale and Heart rate variability in the Early Postpartum. Methods : The subjects were 33 women who admitted for postpartum treatment in Hospital of Woosuk University from 13th October to 8th December 2006. 33 women filled out an EPDS, general questionnaire and then they took the test of Heart rate variability at 3th day after normal spontaneous vaginal delivery. We studied the results to investigate the relation between EPDS and HRV. Results: 1. Mean age of risk group of depression is larger than non-risk group. 2. SDNN, RMSSD and SDSS of non-risk group of depression significantly increased compared with that of risk group. 3. Ln(TP), Ln(HF) of non-risk group of depression significantly increased compared with that of risk group. Conclusion : The results suggest that there were significant differences on HRV between risk group and non-risk group of early postpartum depression examined by EPDS.

• 혜화의학회지
• /
• 제16권1호
• /
• pp.9-16
• /
• 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.

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

• 대한한방부인과학회지
• /
• 제21권1호
• /
• pp.206-215
• /
• 2008

Purpose: After abortion, many women could have psychologic problems and physical symptoms. But in Korea, the symptoms and psychologic problems and after abortion had rarely been researched. Methods: The subjects were 29 women who visited Kangnam Korean hospital for postabortion management from May 2007 to December 2007. From questionnaire, we researched the variable symptoms after abortion and depression as Edinburgh Postnatal Depression Scale. Results: The 79% of patients took a rest only less than 1 week after abortion. As the rest time was shorter, the number of symptoms was higher. The frequent symptoms were related to the dysfunction of autonomic nerve system and the circulating system. The patients after abortion had high Edinburgh Postnatal Depression Scale scores, the mean score was $13.33{\pm}7.11$. The high EPDS scores and the number of symptoms was related with methods of abortion and age. Conclusions: Postabortal symptoms are related with physical symptoms and depression. So psychological evaluation would be needed. And for prevention of postabortal symptoms, the adequate rest time would be demanded after abortion.

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

• 생물정신의학
• /
• 제13권1호
• /
• pp.19-25
• /
• 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.

• 대한한방부인과학회지
• /
• 제19권2호
• /
• pp.282-294
• /
• 2006

Purpose : The purpose of this study is to report the effect of oriental treatments to postpartum depression Methods : We treated the patient who had postpartum depression and visited Joong-hwa oriental hospital. The patient in this case, 36-years-old female, was admitted for 15days(161th/May/2005-30th/May/2005) due to postpartum depression which was measured by EPDS(Edinburgh Postnatal Depression Scale) and BDI(Beck's depression Inventory). The symptoms of patient are insomnia, anxiety, palpitation, chest discomfort and depression. This patient was treated with Hominis Placenta Herbal acupuncture at CV4(Kwanwon, Guanyuan), CV6(Kihae, Qihai), B23(Shinsu, shenshu), GVl5(Amun, Yamen), herb medication, acupuncture, auricular acupuncture, moxa treatment, and so forth. Results : As a result, symptoms are remarkably alleviated. Conclusions : Hominis Placenta Herbal acupuncture is expected to have an effect on postpartum depression. After this, further approach and study on postpartum depression might be needed.

• 한국산학기술학회논문지
• /
• 제14권8호
• /
• pp.3897-3906
• /
• 2013

본 연구의 목적은 임신 여성을 대상으로 산전우울의 발생 정도와 이와 관련된 영향요인을 파악하기 위함이다. D광역시 소재 종합병원 및 산부인과 병원 외래를 방문하거나 원내 특강을 받는 160명의 임부를 연구대상으로 하였으며, 우울을 측정하기 위한 도구로 한국형 EPDS(Edinburgh Postnatal Depression Scale)를 사용하였다. 자료분석은 서술적 통계, t-test, ANOVA, Pearson's correlation coefficients와 stepwise multiple regression을 사용하였다. 연구결과, 임신 여성의 우울점수는 평균 $7.80{\pm}4.86$점(0-30점)이었으며, 대상자의 56.3%가 정상(0-8점), 23.1%가 경계선(9-12점), 20.6%는 심각한 수준(13점 이상)인 것으로 나타났다. 임신 여성의 산전우울 영향요인으로는 주관적 건강상태, 임부스트레스, 자아존중감 순이었으며, 이 변수들은 산전우울을 36.7% 설명하는 것으로 나타났다. 따라서 산전우울을 예방하기 위해 이러한 변수들이 충분히 고려되어야 할 것으로 생각된다.

• 아동학회지
• /
• 제37권6호
• /
• pp.69-82
• /
• 2016

Objective: The main purpose of this study was to investigate the effects of preschooler temperament and maternal postnatal depression, depression, and parenting stress on preschooler externalizing problem behavior. Methods: The participants consisted of 98 preschoolers (ages 4-5 years) and their mothers. The subjects completed the following questionnaires: Emotionality, Activity, and Sociability (EAS), Edinburgh Postnatal Depression Scale (EPDS), Center of Epidemiological Studies Depression Scale (CES-D), Parenting Stress Scale, Korean Child Behavior Checklist for Ages 1.5-5 (K-CBCL 1.5-5), and Social Competence and Behavior Evaluation Inventory Short Form (SCBE-30). The data were analyzed by t/F tests, Pearson's correlation analysis, and multiple regression analysis. Results and Conclusion: First, preschooler emotionality temperament had positive correlations with attention problems and aggression. Second, maternal depression and parenting stress had a positive correlation with preschooler externalizing problem behaviors. Third, maternal parenting stress had an effect on preschooler attention problems. Forth, preschooler emotional temperament and maternal parenting stress had an effect on preschooler aggression.

• 대한간호학회지
• /
• 제33권5호
• /
• pp.580-590
• /
• 2003

Purpose: The study investigates the degree of maternal self-esteem, postpartal depression, and family function in mothers of normal and of low birth-weight infants. Method: A retrospective cohort design was applied to compare the variables of interest between a group of 73 mothers with normal birth weight infants and a group of 45 mothers with low birth-weight infants, using the maternal self-report inventory(MSRV), Edinburgh Postnatal Depression Scale(EPDS) and Family APGAR(FAPGAR). Result: The total mean score was 82.57 for MSRV, 8.45 for EPDS, and 6.83 for FAPGAR with no differences between two groups. A positive correlation was found between MSRV and FAPGAR, while a negative correlations between MSRV and EPDS, and FAPGAR and EPDS. Regardless of the direction of the relationship, the degrees of the correlations were stronger in low birth-weight mothers group than in normal group. Conclusion: No differences in MSRV, EPDS and FAPGAR between the normal and the low birth-weight group considered as beneficial effects of the follow-up management which low birth-weight group was engaged in. This suggested the early intervention(follow-up) for the family with risk factor(low birth-weight) could reduce negative outcomes such as the impaired maternal self-esteem and family function, and the occurrence of postpartal depression, retrospectively.