• Women's Health Nursing
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• v.20 no.1
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• pp.29-37
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• 2014

Purpose: This study aimed to examine the factors associated with postpartum depression and its influence on maternal identity of postpartum women. Methods: Research design was a cross sectional descriptive study with a total of 89 women within the six month postpartum period. Associations of eating habits, overall sleep quality and other factors with postpartum depression utilizing the Korean Beck Depression Inventory (K-BDI) were done. The influence of postpartum depression on maternal identity was analyzed. Variables yielding significant associations (p<.05) were included in an adjusted logistic regression and a stepwise multiple regression. Results: Mean scores of postpartum depression was $9.42{\pm}6.08$ and 31.5% (n=28) for mild depression, 11.2% (n=10) was moderate and 4.5% (n=4) was severe depression on the K-BDI scale. Perceived health status and overall sleep quality were predictors of postpartum depression. Postpartum depression and the husband's love were predictors of maternal identity. Conclusion: Awareness of poor health perception and sleep quality will be helpful to detect for postpartum depression. Strategies to increase maternal identity during the postpartum period would be tailored by level of depression.

• Korean Journal of Child Studies
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• v.34 no.5
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• pp.61-77
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• 2013

This study examined the influence of cognitive-emotional regulation, emotional self-disclosure and maternal psychological control on adolescent depression. The participants in this study consisted of 280 middle school students and 287 high school students in Gyung Gi Province, Korea. The results of this study were as follows. First, the high school students exhibited higher scores on depression than middle school students while there were no meaningful differences in maternal psychological control, cognitive-emotional regulation and emotional self-disclosure. Second, both middle and high school students' depression levels were positively associated with maternal psychological control and maladaptive cognitive-emotional regulation. Both middle and high school students' depression was negatively associated with emotional self-disclosure. Third, maladaptive cognitive-emotional regulation and maternal psychological control had a significant effect on both middle and high school students' depression levels, while emotional self-disclosure had a significant effect on high school students' depression only. In both age groups there was an interactive effect of maladaptive cognitive-emotional regulation and maternal psychological control on depression.

• Korean Parent-Child Health Journal
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• v.11 no.1
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• pp.15-24
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• 2008

Maternal depression is known to have important negative effects on mother, child and mother-child relationship. To review current research evidence of association between maternal depression and their children's health and development, relevant studies were identified using Medline and Kiss(Korean studies Information Service System). The majority of research has reported that children of mother with depression are at risk for impaired physical functioning, growth and developmental delays, and behavioral problems compared to general population. From these studies, it is suggested that these kinds of studies are necessary in this country to examine the relation between maternal depression and children's health and development. Recommendations are included for future research and screening programs for maternal depression.

• Korean Journal of Child Studies
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• v.25 no.4
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• pp.191-200
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• 2004

The purpose of this research is to delineate the effect of maternal variables of the children's depression. Such variables as the mother's age, her education level and maternal parenting stress have been chosen for the analysis. The sample subject were 659 pairs of fifth/sixth grade of elementary school and first/second grade of middle school and their mothers. The data were analyzed frequency, percentage, factor analysis, Cronbach's alpha, ANOVA, Pearson's correlation, and stepwise multiple regression analysis. The major findings of the research are as follows : First, the children's depression is significantly related to mother's education level but the children's depression is not significantly related to mother's age. Second, parenting stress related to temperament, relationship and learning expectation is significantly related to children's depression. Third, the result of step multiple regression analysis on the effects of the maternal variables to the children's depression indicates that maternal parenting stress related to temperament, relationship and mother education level are the significant contributing factor. All in all, the maternal variables account for 7% of the children's depression score.

• Journal of the Korean Home Economics Association
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• v.49 no.1
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• pp.67-78
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• 2011

The purposes of this study were to explore the differences in maternal parenting behaviors, parents' conflict, social support, and social competence according to boys' and girls' depression level. The participants of this study were 150 children of 4 to 6 grades and their teachers from one elementary school in Seoul. The data were analyzed using descriptive statistics and t-test. The result were as follows: Firstly, depressive boys perceived less maternal warmth and more parents' conflict than non-depression group. And boys of depression group had less task orientation than non-depression group. Secondly, depressive girls perceived less maternal warmth, supervision, and parents' support, and more parents' conflict than non-depression group. And girls of depression group were rated having less peer social skills, frustration tolerance than non-depression group by teachers.

• Korean Journal of Child Studies
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• v.35 no.6
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• pp.153-170
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• 2014

The purpose of this study was to examine the moderating effects of mother-adolescent communication time on the relationship between maternal meta-emotion philosophy, adolescent psychological adjustment and depression. The participants for this study comprised 181 first and second grade high school students and their mothers, residing in Seoul. The results of the analyses indicated that, (a) maternal disapproving is negatively correlated to adolescents' positive world views, and that maternal laissez-faire is also negatively correlated to adolescents' emotional responsiveness. However, a positive correlation is revealed between maternal emotion-coaching and adolescents' positive self-esteem. (b) It is evident that adolescents' emotional responsiveness is influenced by maternal laissez-faire, and that adolescents' positive self-esteem is influenced by emotion-coaching. It also indicated that mother-adolescent communication time is influenced by dismissing as well as laissez-faire meta-emotion philosophy. (c) It revealed that mother-adolescent communication time, in part, has a meaningful moderating effect on the relationship between meta-emotion philosophy and adolescent depression. Therefore, the present study indicates that even if maternal disapproving, laissez-faire, or dismissing is practiced, adolescent depression levels decrease as mother-adolescent time lengthens.

• The Journal of Korean Medicine
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• v.40 no.2
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• pp.106-118
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• 2019

Objectives: The aim of this study is to survey on the effect of Korean medicine health promotion program for maternal health. Methods: We conducted Korean medicine health promotion program for maternal health to pregnant women who agreed to participate in this program among 10 public health center. Before and after program, we surveyed the Knowledge Score of Maternal Health Care, Practice of Health Behavior, (Traditional) Child Care Recognition, Depression, Child Caring Confidence and analyzed DID(Difference In Difference). Results: The Knowledge Score of Maternal Health Care of intervention group was improved about 1 point. The improvement of (Traditional) Child Care Recognition was significant. Depression score of intervention group was improved high significantly. The Child Caring Confidence of intervention group was improved about 1.3 point. Conclusion: As a result of analyzing the effect of Korean medicine health promotion program for maternal health, it is confirmed that this program can have an impact on improving Knowledge Score of Maternal Health Care, (Traditional) Child Care Recognition, Depression, Child Caring Confidence. It will be necessary to continue and develop this program widely.

• Journal of Korean Medicine Rehabilitation
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• v.29 no.2
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• pp.91-99
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• 2019

Objectives The loss of maternal care during early postnatal period may increase development of mood-related disorders, such as depression, anxiety, and personality disorders. In this study, the effect of acupuncture on depression in relation with cell proliferation in the hippocampal gyrus dentatus was investigated using maternal-separated rat pups. Methods On the postnatal 14th day, rat pups from six dams were grouped into following groups: maternal care group, maternal separation group, maternal separation and non-acupoint-acupunctured group, maternal separation and Zusanli-acupunctured group, and maternal separation and fluoxetine-treated group. Acupuncture was performed from postnatal 28th day to postnatal 37th day. The rat pups that belong in the maternal separation and fluoxetine-treated group were injected subcutaneously with 5 mg/kg fluoxetine hydrochloride once a day for the same period of time. To evaluate activity of the rat pups, open field test was performed. Immunohistochemistry for serotonin (5-hydroxytryptamine, 5-HT) and tryptophan hydroxylase (TPH) in the dorsal raphe and for 5-bromo-2'-deoxyuridine (BrdU) in the hippocampal gyrus dentatus was conducted. Results The present results reveal that the activity was decreased by maternal separation. In contrast, acupuncture at Zusanli overcame maternal separation-induced hypoactivity. Maternal separation suppressed TPH expression and 5-HT synthesis in the dorsal raphe and decreased cell proliferation in the hippocampal gyrus dentatus of rat pups. In contrast, acupuncture at Zusanli alleviated maternal separation-induced decrease of 5-HT synthesisand TPH expression. Conclusions The present results demonstrate that acupuncture at Zusanli ameliorated depressive state through increasing cell proliferation and enhancing 5-HT synthesis.

• Journal of Korean Academy of Nursing
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• v.34 no.8
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• pp.1468-1476
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• 2004

Purpose: A quasi-experimental study was performed to investigate the effects of a home visiting discharge education program on the maternal self-esteem, attachment, postpartum depression and family function in 35 mothers of neonatal intensive care unit (NICU) infants. Methods: Twenty-three mothers in the intervention group received the home visiting discharge education while 12 mothers in the control group received the routine, hospital discharge education. Baseline data was collected in both groups one day after delivery. The intervention group received the home visiting discharge education while the control group did the routine hospital-based discharge education. The questionnaire including the data on maternal self-esteem, attachment, postpartum depression and family function were collected within 1 week after the discharge by mail. Results: The scores of maternal self-esteem, and attachment were significantly increased, and the postpartum depression and the family function score were decreased after the home visiting discharge education in intervention group. There were no changes in these variables before and after the routine hospital-based discharge education in control group. Conclusion: These results support the beneficial effects of home visiting discharge education on the maternal role adaptation and family function of the mothers of NICU infants.

• Journal of Korean Academy of Nursing
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• v.41 no.4
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• pp.444-450
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• 2011

Purpose: Mothers' postpartum depression is a worldwide health concern that produces compromising effects on their infants. This study was conducted to compare the infants' temperament and health problems according to the presence of maternal postpartum depression. Methods: Data were collected from May to October in 2009. The sample was 137 mothers at one month postpartum. The Edinburgh Postpartum Depression Scale (EPDS) was used to assess depressive symptoms. Results: At one month postpartum, 22.6% of mothers were classified as having postpartum depression. Infants of depressed mothers were more frequently classified as difficult temperament infants. They showed lower scores on the amenability, rhythmicity and persistency and higher scores on activity in temperament. Also, infants of depressed mothers reported more infant health problems at one months. Maternal depression showed significant negative correlations with family functioning, social support and marital satisfaction. Conclusion: Study findings show that postpartum maternal depression is associated with infants' temperament and health, and thus screening and early interventions for postpartum depression would promote the health of both the mother and infant.