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산후우울증 관련요인: 전향적 코호트 연구

Predictors of Postpartum Depression: Prospective Cohort Study

Abstract

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.

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이 논문을 인용한 문헌 (4)

  1. Lee, Eun-Joo ; Park, Jeong-Sook 2013. "Status of Antepartum Depression and Its Influencing Factors in Pregnant Women" 한국산학기술학회논문지 = Journal of the Korea Academia-Industrial cooperation Society, 14(8): 3897~3906 
  2. Jung, Yoen Yi ; Kim, Hae Won 2014. "Factors associated with Postpartum Depression and Its Influence on Maternal Identity" KJWHN : Korean journal of women health nursing, 20(1): 29~37 
  3. Lee, Jae-Young ; Ju, Hyeon-Ok 2014. "Predictors of Early Postpartum Depression in Mothers of Preterm Infants in Neonatal Intensive Care Units" Child health nursing research : CHNR, 20(2): 87~95 
  4. Cho, Young-Yi ; Park, Young-Hea ; Jang, Jung-suk ; Lee, Jong-Eun 2015. "Effects of a Maternal Care Program on Self-Efficacy and Postpartum Depression in Mothers with Preterm Babies" 가정간호학회지, 22(2): 187~195 

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