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  • 한국과학기술정보연구원(KISTI) 서울분원 대회의실(별관 3층)
  • 2024년 07월 03일(수) 13:30
 

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산후우울 성향 모 배우자의 심리사회적 특성에 관한 질적 연구

A Qualitative Study on Psychosocial Characteristics of Husbands Having Wives with Postpartum Depression (at Six to Eight Months after Childbirth)

초록

산후우울은 개인과 가정에 심리적 건강 차원을 넘어서 심각한 사회문제의 원인이 될 수 있지만 사회적인 관심 및 치료적 개입의 필요성이 인지되지 않아 방치되기도 한다. 본 연구는 산후우울을 배우자를 통해 심리적으로 지지하고 어떻게 지원해줄 것인가에 관한 프로그램을 개발하기 위해 출산 후 약 6-8개월이 지난 산후우울 성향 모 배우자의 심리사회적 경험을 질적 면접 방법으로 조사하고 일반군과 비교하여 그 특성을 살펴보고자 하였다. 연구대상은 연구를 위해 종합병원 5곳의 산부인과에서 진행 중인 아토피 천식 질환 원인 규명 코호트(COCOA: Childhood Asthrma and Allergic Diseases Cohort Study)에 참여중인 대상으로 실험군은 EPDS 13점 이상 모(평균 16.5점 표준편차 2.7)의 부 8명, 일반군은 4점 이하 모(평균 1.8점 표준편차 0.8)의 부 6명을 대상으로 진행하였다. 질적 면접 자료 분석 결과를 토대로 주제, 영역, 의미범주 중심의 통합적 분석을 실시했다. 결과는 첫째, 남편의 성장 배경은 아내의 스트레스에 민감히 반응하는 여지가 되고 있었다. 둘째, 산후우울 성향 모의 배우자는 비계획적인 임신과 출산으로 경제적 측면이나 아빠로의 역할에 더 부담을 느끼는 경향을 보였으나, 아이의 건강을 걱정하고 잘 양육하고 싶고, 함께 하는 시간을 늘리고 싶어 했다. 하지만 회사에 비중을 둘 수밖에 없는 현실을 지적하였고, 아내를 돕고 함께 양육한다면 아내의 산후우울이 개선될 것이라 생각했다. 또한 양육코칭, 교육 및 부부상담을 원했는데 이는 산후우울을 개선하기 위해 전문가의 도움을 원한다는 것을 알 수 있었다.

keywords
산후우울, 배우자, 남성 산후우울, 질적연구, postpartum depression, husbands, paternal postpartum depression, Qualitative research

Abstract

Postpartum depression can be a cause of serious social problems, beyond the psychological health of an individual or a family. However, it is often neglected because there is not enough social interest on the issue and people are not aware of the need for therapeutic intervention for the symptom. The objective of this study was to develop a program regarding how to psychologically support a spouse suffering from postpartum depression through husbands. This study evaluated the psychosocial experience of mothers, who were between six and eight months after childbirth and had a postpartum depression tendency, by using a qualitative method and identified the characteristics of them by comparing them with the control group. The subjects of this study were participants in Childhood Asthma and Allergic Diseases Cohort Study (COCOA), an on-going study in the Obstetrics and Gynecology of five general hospitals. The treatment group was composed of eight husbands, whose wives had EPDS over 13 points (mean=16.5 and SD=2.7), and the control group had six husbands, whose wives had 4 points and less (mean=1.8 and SD=0.8). Based on the analysis results of qualitative interview data, an integrated analysis was conducted with focusing on the theme, domain, and semantic category. First, the results of this study showed that the growth background of husbands was a factor determining how a husband responded to the stress of a wife sensitively. Secondly, the husbands of mothers with postpartum depression tendency tended to feel burdened more to support the family financially and be a good father because of the ill-prepared pregnancy and childbirth. However, they worried about the health of their children and wanted to nurture them well. Moreover, they wanted to spend more time together. They pointed out the reality that they had to emphasize their jobs and they believed that their wives’ postpartum depression would be improved if they helped their wives and reared children together. Additionally, they wanted to receive parenting coaching, education, and couples counseling, which indicated that they were looking for professional help to improve the postpartum depression.

keywords
산후우울, 배우자, 남성 산후우울, 질적연구, postpartum depression, husbands, paternal postpartum depression, Qualitative research

참고문헌

1.

건강보험심사평가원 (2017). HIRA 빅데이터 브리프. 산후우울증 진료 현황.

2.

권정혜, 채규만 (2002). 결혼만족도 검사. 소울:학지사.

3.

김분한, 전혜원, 정연 (2002). 분만 여성의 산후 우울과 신체상의 관계. 대한간호학회지: 32(6), 906-916.

4.

김정택, 신동균 (1978). STAI의 표준화에 관한연구. 최신의학, 21, 70-72.

5.

박성용 (2015). 산모의 성인애착 유형과 산후우울증 및 양육스트레스의 연관성. 중앙대학교 석사학위논문.

6.

배지영 (2013). 어머니의 산후우울과 BIS/BAS 성향에 따른 영아와의 발화 및 상호작용. 한신대학교 석사학위논문.

7.

보건복지부 (2017). 2016년 정신질환실태조사. 삼성서울병원.

8.

보건복지부 (2015). 산후우울증 관리체계 구축방안 연구. 대한정신건강재단.

9.

안점우, 김정연, 김동일 (2002). 산후우울과 불안과의 상관관계에 대한 연구. 대한한방부인과학회지: 제15권 1호, 89-98.

10.

연합뉴스 (2017. 11. 23.). 산후우울증에.. 갓난아기 살해한 30대 친모 구속.

11.

오의숙 (2008). 출산 후 산모의 우울정서에 대란조기 부모교육의 효과. 한양대학교 박사학위논문

12.

윤미순, 이경숙 (2015). 아버지 우울 성향에따른 영아와의 상호작용 특성: 6-8개월 대상으로. 영유아아동정신건강연구: Vol.8No. 2, 1-20.

13.

윤지향 (2011). 산후 우울증 관련요인: 전향적코호트 연구. 부산대학교 박사학위논문.

14.

윤지향, 정인숙 (2016). 산후 우울증 관련요인-전향적 코호트 연구. 한국간호과학회: 43(2). 225-235.

15.

이진희 (2015). 페미니스트 관계적 관점에서본 ‘좋은’ 어머니 되기와 산후우울증. 페미니즘연구: 15(2), 107-158.

16.

이제영, 이경숙, 정유경, 신의진 (2011). 산후우울 성향 어머니와 6-8개월 영아의 상호작용 분석. 아동학회지: Vol.32 No.3, 203-220.

17.

Andresen, E. M., Malmgren, J. A., Carter, W. B., & Patrick, D. L. (1994). Screening for depression in well older adults: evaluation of a short form of the CES-D(Center for Epidemiologic Studies Depression Scale). American Journal of Preventive Medicine, 10(2), 77-84.

18.

American psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders:DSM-5. American Psychiatric Publishing.

19.

Ballard, C., & Davies, R. (1996). Postnatal depression in fathers. International Review of Psychiatry, 8(1), 65-71.

20.

Bartholomew, K., & Horowiz, L. M. (1991). Attachment styles among young adults: Atest of four category model. Journal of Personality and Social Psychology, 61, 147-178.

21.

Barrera A. Z., Wickham R. E., & MunoZo R. F. (2015). Online prevention of postpartum pression for Spanish and English speaking pregnant women: A pilot randomized controlled trial, Internet Interu, 1;2(3).

22.

Biebel, K., & Alikhan, S. (2016). Paternal Postpartum Depression.

23.

Blum, L. D. (2003). Postpartum depression. New England Journal of Medicine, 348, 1294.

24.

Brand, S. R., & Brennan, P. A. (2009). Impact of antenatal and postpartum maternal mental illness: how are the children?. Clin Obstet Gynecol, 52(3).

25.

Brocking, I. (2004). Diagnosis and management of postpartum disorders; a review. Word Psychiatry. 36: 89-95.

26.

Cameron, E. E., Sedov, I. D., & Tomfohr-Madsen L. M. (2016). Prevalence of paternal depression in pregnancy and postpartum: an updated meta-analysis. Journal of affective disorders, 206, 189-203.

27.

Cox, J. L., Holden, J., & Sagovsky, R. (1987). Detection of postnatal depression:Development of 10-item Edinburgh Postnatal Depression Scale. The British Journal of Psychiatry, 150, 782-6.

28.

Deater-Deckard, K. (1998). Parenting stress and child adjustment: Some old hypotheses and new Questions. Clinical Psychology: Science and Practice, 5, 314-332.

29.

Deborah, D. C., Phylis, Z., Kaberi, D., Maida, S., Ilka, L., Rani, C., & Kelly, H. (2015). Dads Get Sad Too: Depressive Symptoms and Associated Factors in Expectant First-Time Fathers. American Journal of Men's Health, 1-9.

30.

Dudley, M., Roy, K. N., & Bernard, D. (2001). Psychological correlates of depression in fathers and mothers in the first postnatal year. Journal of Reproductive and Infant Psychology, 19(3), 187-202.

31.

Eaton, N. R., Keyes, K. M., Krueger, R. F., Balsis, S., Skodol, A. E., Markon, K. E., & Hasin, D. S. (2012). An invariant dimensional liability model of gender differences in mental disorer prevalence: evidence from a national sample. Journal of abnormal psychology, 121(1), 282.

32.

Gale, S., & Harlow, B. L. (2003). Postpartum mood disorders: A review of clinical and epidemiological factors. J Psychosom Obstet Gynaecol, 24(4), 257-66.

33.

Girard, M. E., Lacharite, C., Dubeau, D., & Devault, A. (2013). Psychosocial factors associated with paternal postnatal depression. Journal of affective disorders, 150(1), 44-49.

34.

Gjerdingen, D., McGovern, P., Attanasio, L., Johnson, P. J., & Kozhimannil, K. B. (2014). Maternal depressive symptoms, employment, and social support. The Journal of the American Board of Family Medicine, 27(1), 87-96.

35.

Goodman, J. H. (2004). Paternal postpartum depression, its relationship to maternal postpartum depression, and implications for family health. Journal of advanced nursing. 45(1), 26-35.

36.

Hendrick, V., Altshuler L., Strouse T., & Grosser, S. (2000). Postpartpartum and nonpostpartum depression: differences in presentation and response to pharmacologic treatment. Depress Anxiety 11(2), 66-72.

37.

Hung, C. (2001). The effects of postpartum stress and social support on postpartum women's health status. Journal of advanced nursing 36(5), 676-684.

38.

Kim, P., & Swain, J. E. (2007). Sad dads. Psychiatry(February), 36-47.

39.

Krueger, R. A., & Casey, M. A. (2009). Focus Groups: A Practical Guide for Applied Research(4th Ed). Thousand Oaks, CA: Sage Publication.

40.

Lancaster, C. A., Gold, K. J., Flynn, H. A., Yoo, H., Marcus, S. M., & Davis, M. M. (2010). Risk factors for depressive symptoms during pregnancy: a systematic review. Am J Obstet Gynecol. jam;202(1), 5-14.

41.

Leerkes, E. M., & Burney, R. V. (2007). The development of parenting efficacy among new mothers and fathers. Infany, 12(1), 45-67.

42.

Logsdon, M. C., & Myers, J. A. (2010). Comparative performanceof two depression screening instruments in adolescent mothers J. Womens Health. 19(6), 1123-1128.

43.

Oladosu, T. (2012). Paternal postnatal depression.

44.

Noorland, Y., Bergink, V., & van den Berg, M. P. (2008). Perceived and observed mother-child interaction at time of hospitalization and release in postpartum depression and psychosis. Arch Womens Ment Helth, 11(1).

45.

Patel, V., DeSouza, N., & Rodrigues, M. (2003). Postnatal depression and infant growth and development in low income countries: a cohort study from Goa, India. Archives of Disease in Childhood, 88, 34-37.

46.

Pearson, R. M., Evans, J., Kounali, D., Lewis, G., Heron, J., Ramchandani, P. G., & Stein, A. (2013). Maternal depression during pregnancy and the postnatal period: risks and possible mechanisms for offspring depression at age 18years. JAMA psychiatry, 70(12), 1312-1319.

47.

Philpott, L., & Corcoran, P. (2014) Paternal pdstnatal Depression(PPDN): Prevalence and Associated Factors. MPH Theie. University College Cork, Cork.

48.

Ramchandani, P. G., Stein, A., O'connor, T. G., Heron, J., Murray, L., & Evans, J. (2008). Depression in men in the postnatal period and later child psychopathology; a population cohort study. Journal of the american Academy of Child & Adolescent Psychiatry, 47(4), 390-398.

49.

Sarah, J. D., Suzanne, D., & Angela O. Malone. (2006). Men's Voices: Postnatal Depression From the Perspective of Male Partners. Qualitative Health Research, First Published February 1.

50.

Schumacher, M., Zubaran, C., & White, G. (2008). Bring birth-related paternal depression to the fore. Women and birth, 21(2), 65-70.

51.

Seyfried, L. S., & Marcus, S. M. (2003). Postpartum mood disorders. Int Rev Psychiatry 2003(15), 231-242.

52.

Smith, M., & Jaffe, J. (2014) Depression in women: Causes, symptoms, treatment, and self-help. Santa Monica, CA: Helpguide: cited 2014 March 3.

53.

Snyder, D. K. (1979). Marital satisfaction inventory. Los Angeles, CA: Western Psychological Services.

54.

Spielberger, C. D., Gorsuch, R. L., & Lushene. R. E. 1970). Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press.

55.

Spinelli M. G. (2004). Maternal Infanticide Associated With Mental Illness: Prevention and the Promise of Saved Lives.

56.

Soliday, E., McCluskey-Fawcett, K., & O'brien, M. (1999). Postpartm affect and depressive symptoms in mothers and fathers. American Journal of Orthopsychiatry, 69(1). 30.

57.

Suto, M., Mizutani, F., Kakee, N., Misago, C., & Takehara, K. (2016). Prevalence and Factors Associated With Postpartum Depression in Fathers: A Regional, Longitudinal Study in Japan. Research in nursing & health, 39(4). 253-262.

58.

Wang, T., Xu, Y., Li, Z., & Chen, L. (2016). Prevalence of paternal postpartum depression in China and its assocociation with maternal postpartum depression: A Meta-analysis. Zhong nan da xue xue bao. Yi xue. Journal of Central South University. Medical sciences, 41(10). 1082.

59.

Wee, K. Y., Skouteris, H., Pier., Richardson, B., & Milgrom, J. (2011). Correlates of ante-and postnatal depression in fathers: A systematic review, 30(2). 167-180.

60.

Wilson, S., & Durbin, C. E. (2010). Effects of paternal depression on fathers' parenting behaviors: A meta-analytic review, Clinical psychology review, 30(2). 167-180.

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