산후 우울증의 선별도구간 일치도 및 관련요인 연구

다국어 초록 (Multilingual Abstract)

The objectives of this study are to assess agreements among screening tests, to estimate prevalence, and to identify related factors with postpartum depression in Korea.
For Three hundred and twenty eight women at 7 days postpartum (192 vaginal deliveries, 136 Cesarean deliveries) from 2 maternity clinics, from June, 2007 to June, 2008, self-administered questionnaires were given including three kinds of screening tests for postpartum depression, ie, EPDS (Edinburgh Postnatal Depression Scale), QIDS-SR16 (Quick Inventory of Depressive Symptomatology - Self Response 16) and BDI(Beck Depressive Inventory) and questionnaires for their demographic and psycho-social information. Obstetric information were collected from medical records. Of them five were excluded from incomplete information, and 323 women were analysed.
A simultaneous positive results in both EPDS and BDI were defined as postpartum depression, in which considered as a gold standard, and used to estimate the prevalence of postpartum depression in this study. The prevalence of postpartum depression was 19.8%(64/323). The Kappa indices of BDI, EPDS, and QIDS-SR16 with the gold standard in this study were 0.711, 0.803, and 0.395, respectively.
In the logistic regression analysis, gestational age at delivery of <37 weeks (adjusted odds ratio of 2.9 with 95% confidence interval 1.1-7.7) compared to gestational age at delivery of ≥37 weeks, formulated feeding (adjusted odds ratio of 3.8 with 95% confidence interval 1.1-12.6) compared to breast feeding, marital dissatisfaction (adjusted odds ratio of 4.3 with 95% confidence interval 1.6-11.7) compared to marital satisfaction, professional husband's occupation (adjusted odds ratio of 4.4 with 95% confidence interval 1.5-12.6) compared to non-professional husband's occupation, and antenatal anxiety/depression symptoms (adjusted odds ratio of 4.4 with 95% confidence interval. 2.0-9.9) compared to no such symptoms were significantly related to postpartum depression.
To establish the findings in this study, further prospective community-based studies are warranted.

목차 (Table of Contents)

• Ⅰ.서론 1
• Ⅱ.연구대상 및 방법 5
• Ⅲ. 결 과 10
• Ⅳ. 고 찰 13
• Ⅴ. 요 약 23
• 참고문헌 34
• 부 록 41