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김장래 ( Kim Jang-Rae ) - National Medical Center Korea Counseling Center for Fertility and Depression
추경진 ( Chu Kyung-Jin ) - National Medical Center Korea Counseling Center for Fertility and Depression
전승주 ( Chon Seung-Joo ) - Gachon University Gil Hospital Incheon Regional Counselling Center for Fertility and Depression
조서은 ( Cho Seo-Eun ) - Gachon University Gil Hospital Incheon Regional Counselling Center for Fertility and Depression
이택후 ( Lee Taek-Hoo ) - Kyungpook National University Hospital Daegu Regional Counselling Center for Fertility and Depression
이승재 ( Lee Seung-Jae ) - Kyungpook National University Hospital Daegu Regional Counselling Center for Fertility and Depression
태철민 ( Tae Chul-Min ) - Hyundai Women′s & Children’s Hospital Jeonnam Regional Counselling Center for Fertility and Depression
임준영 ( Lim Jun-Young ) - Korea Population, Health and Welfare Association Gyeonggi Branch Gyeonggi-do Regional Counselling Center for Fertility and Depression
양정보 ( Yang Jung-Bo ) - Andong Medical Center Gyeongsangbuk-do Regional Counselling Center for Fertility and Depression
최안나 ( Choi An-Na ) - National Medical Center Korea Counseling Center for Fertility and Depression
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Abstract
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Purpose: This study examined the current status of counseling services provided by the Korea Counseling Center for Fertility and Depression, analyzing the characteristics of peripartum women and baby-rearing mothers and establishing guidelines for providing psychological support, and suggesting measures for improving the system.
Methods: Data on 3,660 peripartum women & their spouses and baby-rearing mothers counseled through the service over the last 4 years were collected and a demographic analysis was conducted. By analyzing the clinical information of 216 peripartum women and 219 baby-rearing mothers who have registered with the Center and received routine counseling services, factors affecting depression were identified.
Finally, a paired sample t-test was conducted to verify the effect of counseling services.
Results: An overall 20.4% of pregnant women & their spouses were screened for high risk for depression, of whom 27.3% received registered counseling services; further, 26.2% of baby-rearing parents were at high-risk group for depression, of whom 25% received registered counseling services. Results of a logistic regression analysis suggested that, for peripartum women, level of education and conflicts with partner and family were the crucial factors predicting moderate or severe depression. For baby-rearing mothers, obstetric history of spontaneous abortion was the crucial predicting factor.
Conclusion: For the early detection and prevention of peripartum depression, screening tests that start from early pregnancy should be routinely administered. Further, continuous management?covering the periods before and after childbirth?should be provided by establishing organic ties between domestic projects.
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KeyWords
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Peripartum depression, Counseling system, Risk factors, Screening test, Postpartum depression, Pregnancy
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원문 및 링크아웃 정보
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등재저널 정보
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