ABSTRACT

Objectives: This study was performed to find out the depression level of pregnant women and its relationship with sociopsychological factors. Methods: This study surveyed 1,008 pregnant women who were over 20 weeks pregnant and received antenatal care in 4 public health centers in Gwangju Metropolitan City. For data collection, self-administered questionnaire which was composed of general characteristics, health related characteristics, family related characteristics, pregnancy related characteristics and socio-psychological characteristics such as preparation for delivery, self esteem, satisfaction with marriage, social support, and Beck Depression Inventory (BDI) was used. The statistical methods such as t-test, ANOVA, Pearson's correlation analysis and stepwise multiple regression analysis was used. Results: The mean score of BDI was 9.52±9.31, and 17.4% of pregnant women showed scores above the cut-off point of 15/16 recommended. As a result of stepwise multiple regression analysis, socio-psychological factors such as self esteem, satisfaction with marriage and social support were related to depression during pregnancy. In other words, lower levels of self-esteem, satisfaction with marriage and social support had a significant relationship with high scores of depression. And other related factors with depression score were inhabit with husband, family living together, subjective health status, drinking status, and experience of nausea. Conclusions: The factors related with depression during pregnancy were the sociopsychological characteristics such as self esteem, satisfaction with marriage and social support besides physical characteristics of pregnant women. And the antenatal management programs considering above characteristics for pregnant women need to be developed in the future.

KEYWORD

depression, pregnant women, psychosocial factors

REFERENCES(63)open

  1. [jounal] 권정혜 / 1996 / 임신 중 우울에 대한 스트레스-취약성 모델 검증 / 한국심리학회지 15 : 33 ~ 43

  2. [thesis] 김경원 / 1998 / 여성의 고위험 임신에 대한 경험

  3. [jounal] 김태임 / 1997 / 이민 산모가 인지한 배우자지지 행위가 산후우울에 미치는 영향 / 대전대학교 한의학연구소 논문집 5 : 485 ~ 496

  4. [thesis] 나용진 / 1993 / 산후우울증에 관한 임상적 연구

  5. [jounal] 박성숙 / 1975 / 농촌 부녀자의 가족관-한국 농촌의 사회정신 의학적 연구 / 신경정신의학회지 14 : 389 ~ 404

  6. [jounal] 박영주 / 2004 / 산후우울 예측요인 / 대한간호학회지 34 (5) : 729 ~ 738

  7. [thesis] 배정이 / 1996 / 산후우울의 이론적 모형 구축에 관한 연구

  8. [jounal] 안황란 / 1983 / 일 지역 임산부의 스트레스 요인과 상황 및 간호중재에 대한 기초 연구 / 대한간호학회지 13 : 75 ~ 84

  9. [thesis] 유영주 / 1986 / 결혼만족도 척도의 타당화 연구: Roach, Frazier, Bowden의 Marital Satisfaction Scale

  10. [thesis] 윤근순 / 1984 / 산욕부의 우울 정도에 관한 조사연구

  11. [thesis] 이금희 / 1998 / 산전교육이 초산모의 지식, 불안, 분만통증과 자가 협조 정도에 미치는 영향

  12. [jounal] 이성인 / 1990 / 출산전후의 우울과 불안의 비교 / 신경정신의학 29 : 320 ~ 333

  13. [jounal] 이영호 / 1991 / MMPI-D 척도의 신뢰도 및 타당도에 대한 연구 / 심리학회지 10 : 98 ~ 113

  14. [jounal] 이은숙 / 1995 / 산욕기 초산모가 지각한 사회적 지지도와 어머니 역할적응과의 관계 연구 / 여성건강간호학회지 1 : 23 ~ 34

  15. [jounal] 이은찬 / 1997 / 정상 초기 임신에서 갑상선 기능과 입덧의 심한 정도와의 상관관계에 관한 연구 / 순천향 의대논문집 3 : 241 ~ 248

  16. [thesis] 장세진 / 1992 / 사회적 지지도가 스트레스에 미치는 영향

  17. [jounal] 전병제 / 1974 / 자아개념 측정 가능성에 관한 연구 / 연세대학교 논문집 11 : 107 ~ 129

  18. [thesis] 전지아 / 1990 / 산후스트레스와 사회적 관계망이 산후우울에 미치는 영향

  19. [jounal] 김증임 / 2005 / 산욕기 산모의 임신시 정서상태, 분만준비도, 산후 사회적 지지도 및 산후 우울감과의 관계연구 / 여성건강간호학회지 11 (1) : 38 ~ 45

  20. [jounal] 조영숙 / 1994 / 분만에 대한 산모 배우자의 반응과 지지에 대한 조사연구 / 학술간호 6 : 86 ~ 97

  21. [jounal] 조현주 / 2002 / 임신 중 우울에 대한 애착 모델 / 한국심리학회지 임상 21 (4) : 727 ~ 744

  22. [jounal] 최의순 / 2000 / 산욕기 산모의 산후우울증에 영향을 미치는 요인 / 여성건강간호학회지 6 : 358 ~ 371

  23. [thesis] 태영숙 / 1986 / 암 환자가 지각한 사회적 지지와 우울과의 관계

  24. [jounal] 홍종문 / 1986 / 산전 및 산후의 정서변화연구 / 신경정신의학 25 : 431 ~ 439

  25. [jounal] Beck CT / 2001 / Predictors of postpartum depression / Nurs Re 50 : 275 ~ 285

  26. [jounal] Bennett HA / 2004 / Prevalence of depression during pregnacy: Systemic review / Obstet Gynecol 103 : 698 ~ 709

  27. [jounal] Boyce P / 1991 / Parents, partners or personality? Risk factors for postnatal depression / J Affect Disord 21 : 245 ~ 255

  28. [jounal] Brown GW / 1990 / Self-esteem and depression 4: Effect on course and recovery / Soc Psychiatry Psychiatr Epidemiol 25 : 244 ~ 249

  29. [jounal] Butler AC / 1994 / A comparison of self esteem ability and low trait self-esteem as vulnerability factors for depression / J Pers Soc Psychol 66 : 166 ~ 177

  30. [jounal] Chee CY / 2005 / Confinement and other psychosocial factors in perinatal depression: A transcultural study in Singapore / J Affect Disord 89 : 157 ~ 166

  31. [jounal] Cronenwett LR / 1981 / Stress, social support and the transition to fatherhood / Nurs Res 30 (4) : 93 ~ 99

  32. [book] Culp LN / 1993 / Marital discord, dysphoria, and thoughts of divorce: examining the moderating role of divorce: Examining the moderating role of self-esteem. paper presented to The 27th annual convention of the association for advancement of behavior therapy / Ga

  33. [jounal] Cutrona CE / 1986 / Social support, infant temperament, and parenting self-efficacy. A mediational model of postpartum depression / Child Dev 57 : 1507 ~ 1508

  34. [jounal] Dimitrovsky L / 1987 / Depression during and following pregnancy: quality of family relationships / J Psychol 12 (3) : 213 ~ 218

  35. [jounal] Field T / 2006 / Risk factors and stress variables that differentiate depressed from nondepressed pregnant women / Infant Behav Dev 29 : 169 ~ 174

  36. [jounal] Gotlib IH / 1989 / Prevalence rates and demographic characteristics associated with depression in pregnancy and the postpartum / J Consult Clin Psychol 57 : 269 ~ 274

  37. [book] Gaynes BN / 2005 / Perinatal depression: prevalence, screening accuracy, and screening outcomes. Evidence Report/Technology Assessment No. 119. AHRQ Publication No. 05- E006-2 / Rockville, MD: Agency for Healthcare Research and Quality

  38. [jounal] Giurgescu C / 2006 / Impact of uncertainty, social support, and prenatal coping on the psychological well-being of high-risk pregnant women / Nurs Res 55 (5) : 356 ~ 365

  39. [jounal] Holocomb W / 1996 / Screening for depression in pregnancy: Characteristics of the Beck Depression Inventory / Obstet Gynecol 88 : 1021 ~ 1025

  40. [jounal] Jesse DE / 2005 / Are you often sad and depressed?" Testing the performance of brief depression screening measures with the Beck Depression Inventory-II in a prenatal care setting / MCN Am J Matern Child Nurs 30 : 40 ~ 45

  41. [jounal] Koniak-Griffin D / 1988 / The relationship between social support, self-esteem, and maternal-fetal attachment in adolescents / Res Nurs Health 11 : 269 ~ 278

  42. [jounal] Kumar R / 1984 / A prospective study of emotional disorders in childbearing women / Br J Psychiatry 144 : 35 ~ 47

  43. [book] Lederman RP / 1984 / Psychological adaptation in pregnant / Prentice Hall

  44. [jounal] Levitt MJ / 1986 / Social network relationships as sources of maternal support and well-being / Dev Psychol 22 (3) : 310 ~ 316

  45. [jounal] Lindell SG / 1988 / Education for childbirth : A time for change / J Obstet Gynecol Neonatal Nurs 17 : 108 ~ 112

  46. [jounal] Little BC / 1982 / Psychophysiological antenatal predictors of postnatal depressed mood / J Psychosom Res 26 : 419 ~ 428

  47. [jounal] McKee MD / 2001 / Health related functional status in pregnancy: Relationships to depression and social support in a multiethnic population / Obstet Gynecol 97 : 988 ~ 993

  48. [jounal] Mercer RT / 1986 / Theoretical models for studying the effect of antepartum stress on the family / Nurs Res 35 (6) : 336 ~ 345

  49. [jounal] Merikangas KR / 1984 / Divorce and assortative mating among depressed patients / Am J Psychiatry 141 : 74 ~ 76

  50. [jounal] Mueller DP / 1980 / Social Networks : A promising director for research on the social environment to psychiatric disorder / Soc Sci Med 14A : 147 ~ 161

  51. [jounal] Murray L / 1992 / The impact of postnatal depression on infant development / J Child Psychol 33 (3) : 543 ~ 561

  52. [jounal] O'Hara MW / 1984 / Prospective study of postpartum depression: Prevalence, course, and predictive factors / J Abnorm Psychol 93 : 158 ~ 171

  53. [jounal] O'Leary KD / 1990 / Marital therapy : a viable treatment for depression and marital discord / Am J Psychiatry 147 : 183 ~ 186

  54. [jounal] O'Leary KD / 1994 / A closer look at the link between marital discord and depressive symptomatology / J Soc Clin Psychol 13 : 33 ~ 41

  55. [jounal] Paykel ES / 1980 / Life events and social support in puerperal depression / Br J Psychiatry 136 : 339 ~ 346

  56. [jounal] Pajulo M / 2001 / Antenatal depression, substance dependency and social support / J Affect Disord 65 : 9 ~ 17

  57. [book] Rosenberg M / 1965 / Society and the adolescent self- image. Princeton / Princeton University Press

  58. [jounal] Samsioe AJ / 1987 / Nausea and vomiting in pregnancy / Obstet Gynecol 41 : 422 ~ 427

  59. [jounal] Simkin P / 1992 / Just another day in a woman's life? Part Ⅱ: nature and consistency of woman's long-term memories of their first birth experience / Birth 19 : 64 ~ 81

  60. [book] Walker LO / 1992 / The paradigm of stress, coping and social support, parent-infant Nursing Science / FA Davis Company

  61. [jounal] Watson JP / 1984 / Psychiatric disorder in pregnancy and the forst postnatal year / Br J Psychiatry 144 : 453 ~ 462

  62. [jounal] Yali AM / 2002 / Stress-resistance resources and coping in pregnancy / Anxiety Stress and Coping 15 : 289 ~ 309

  63. [jounal] Zayas LH / 2002 / Depression and negative life events among pregnant African-American and Hispanic women / Women's Health Issues 12 (1) : 16 ~ 22