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논문 기본 정보

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저자정보
Shim So Hyun (Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea.) Lee Su Young (Department of Psychiatry, Myongji Hospital, Hanyang University College of Medicine, Goyang, Korea.) Jung Inkyung (Division of Biostatistics, Department of Biomedical Systems Informatics, Yonsei University College of Medicine, Seoul, Korea.) Heo Seok-Jae (Division of Biostatistics, Department of Biomedical Systems Informatics, Yonsei University College of Medicine, Seoul, Korea.) Han You Jung (Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea.) Kwak Dong Wook (Department of Obstetrics and Gynecology, Ajou University School of Medicine, Suwon, Korea.) Kim Min Hyoung (Department of Obstetrics and Gynecology, Gangseo MizMedi Hospital, Seoul, Korea.) Park Hee Jin (Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea.) Chung Jin Hoon (Department of Obstetrics and Gynecology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.) Lim Ji Hyae (Smart MEC Healthcare R) Kim Moon Young (Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea.) Cha Dong Hyun (Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea.) Shim Sung Shin (Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea.) Cho Hee Young (Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea.) Ryu Hyun Mee (Smart MEC Healthcare R)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.39 No.3
발행연도
2024.1
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1 - 14 (14page)
DOI
10.3346/jkms.2024.39.e31

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초록· 키워드

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Background: Postpartum depression (PPD) can negatively affect infant well-being and child development. Although the frequency and risk factors of PPD symptoms might vary depending on the country and culture, there is limited research on these risk factors among Korean women. This study aimed to elucidate the potential risk factors of PPD throughout pregnancy to help improve PPD screening and prevention in Korean women. Methods: The pregnant women at 12 gestational weeks (GW) were enrolled from two obstetric specialized hospitals from March 2013 to November 2017. A questionnaire survey was administered at 12 GW, 24 GW, 36 GW, and 4 weeks postpartum. Depressive symptoms were assessed using the Edinburgh Postnatal Depression Scale, and PPD was defined as a score of ≥ 10. Results: PPD was prevalent in 16.3% (410/2,512) of the participants. Depressive feeling at 12 GW and postpartum factors of stress, relationship with children, depressive feeling, fear, sadness, and neonatal intensive care unit admission of baby were significantly associated with a higher risk of PPD. Meanwhile, high postpartum quality of life and marital satisfaction at postpartum period were significantly associated with a lower risk of PPD. We developed a model for predicting PPD using factors as mentioned above and it had an area under the curve of 0.871. Conclusion: Depressive feeling at 12 GW and postpartum stress, fear, sadness, relationship with children, low quality of life, and low marital satisfaction increased the risk of PPD. A risk model that comprises significant factors can effectively predict PPD and can be helpful for its prevention and appropriate treatment.
#Edinburgh Postnatal Depression Scale #Postpartum Depression #Pregnancy

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