산모의 성인애착유형과 산후우울증 및 양육스트레스의 연관성The Correlation between Maternal Adult Attachment Style and Postpartum Depression and Parenting Stress
- Authors
- 박성용; 김선미; 기백석; 한덕현; 나철; 김광준; 박민영; 이나미
- Issue Date
- Aug-2015
- Publisher
- 대한신경정신의학회
- Keywords
- 성인애착유형; 산후우울증; 양육스트레스; Maternal adult attachment style; Postpartum depression; Parenting stress
- Citation
- 신경정신의학, v.54, no.4, pp 515 - 522
- Pages
- 8
- Journal Title
- 신경정신의학
- Volume
- 54
- Number
- 4
- Start Page
- 515
- End Page
- 522
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/10420
- DOI
- 10.4306/jknpa.2015.54.4.515
- ISSN
- 1015-4817
- Abstract
- Objectives ZZWe aimed to determine whether the adult attachment styles of pregnant women could predict development of postpartum depression. MethodsZZKorean version of Revised Adult Attachment Scale, State Trait Anxiety Inventory-State/Trait (STAI-S/T), and Center for Epidemiologic Studies-Depression Scale (CES-D) were administered at baseline. Edinburgh Postnatal Depression Scale (EPDS), Parenthood Stress Questionnaire (PSQ), STAI-S, and CES-D were assessed at week 2 and 6 postpartum. Participants were categorized into the secure-mom (SM ; n=48) or insecure-mom (IM ; n=9) group. ResultsZZWhile STAI-S scores in SM showed a continuous decrease during the entire observation period, STAI-S scores in IM decreased during the first two weeks but increased during the next four weeks. While SM showed decreased CES-D scores from week 2 to 6, IM showed increased CES-D scores from week 2 to 6. Although SM showed decreased EPDS scores from week 2 to 6, IM showed increased EPDS scores from week 2 to 6. In SM, the change in EDPS score from week 2 to week 6 showed positive correlation with PSQ-ability and PSQ-social subscale scores.
ConclusionZZAssessing the maternal adult attachment style before giving birth appears to be helpful for screening the high-risk group who are vulnerable to development of postpartum depression.
Objectives: We aimed to determine whether the adult attachment styles of pregnant women could predict development of postpartum depression. Methods: Korean version of Revised Adult Attachment Scale, State Trait Anxiety Inventory-State/Trait (STAI-S/T), and Center for Epidemiologic Studies-Depression Scale (CES-D) were administered at baseline. Edinburgh Postnatal Depression Scale (EPDS), Parenthood Stress Questionnaire (PSQ), STAI-S, and CES-D were assessed at week 2 and 6 postpartum. Participants were categorized into the secure-mom (SM ; n=48) or insecure-mom (IM ; n=9) group. Results: While STAI-S scores in SM showed a continuous decrease during the entire observation period, STAI-S scores in IM decreased during the first two weeks but increased during the next four weeks. While SM showed decreased CES-D scores from week 2 to 6, IM showed increased CES-D scores from week 2 to 6. Although SM showed decreased EPDS scores from week 2 to 6, IM showed increased EPDS scores from week 2 to 6. In SM, the change in EDPS score from week 2 to week 6 showed positive correlation with PSQ-ability and PSQ-social subscale scores.
Conclusion: Assessing the maternal adult attachment style before giving birth appears to be helpful for screening the high-risk group who are vulnerable to development of postpartum depression.
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