난임·우울증상담센터 대상자 특성에 근거한 서비스 체계 고찰 및 개선방안 – 임산부 및 양육모 중심으로Review and Future Perspectives of the Korea Counseling Center for Fertility and Depression Based on User Characteristics: Focusing on Those During Pregnancy and Early After Delivery
- Other Titles
- Review and Future Perspectives of the Korea Counseling Center for Fertility and Depression Based on User Characteristics: Focusing on Those During Pregnancy and Early After Delivery
- Authors
- 김장래; 추경진; 전승주; 조서은; 이택후; 이승재; 태철민; 임준영; 양정보; 최안나
- Issue Date
- Jul-2022
- Publisher
- 한국모자보건학회
- Keywords
- Peripartum depression; Counseling system; Risk factors; Screening test; Postpartum depression; Pregnancy
- Citation
- 한국모자보건학회지, v.26, no.3, pp.146 - 163
- Journal Title
- 한국모자보건학회지
- Volume
- 26
- Number
- 3
- Start Page
- 146
- End Page
- 163
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/85707
- ISSN
- 1226-4652
- Abstract
- 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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