KMID : 0607520090170010015
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Korean Journal of Psychosomatic Medicine 2009 Volume.17 No. 1 p.15 ~ p.22
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Evaluation of Family Adaptability and Cohesion as Risk Factor of Postpartum Depression : Preliminary Study
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Kim Bo-Rah
Suh Shin-Young Chang Sung-Woon Lee Sang-Hyuk Choi Tai-Kiu Kim Yong-Woo Cho Sung-Joon Yook Keun-Young Ryu Mi Kim Myo-Jung Kim Keun-Hyang Yook Ki-Hwan
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Abstract
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Objectives : Prevalence of postpartum depressive disorders reaches approximately 10-15% of childbearing women. This preliminary study was intended to explore the relationships between postpartum depressive disorders and family adaptability and cohesion.
Methods : Childbearing women(n=24) were assessed for risk factors for postpartum depression before and after childbirth prospectively. At gestational age between 36th and 40th week, the questionnaire about various factors before childbirth, Edinburgh postnatal depression scale(EPDS), Family adaptability-cohesion evaluation scale (FACES), and Beck anxiety inventory(BAI) were assessed. After childbirth, for the diagnosis of postpartum depressive disorders, a structured diagnostic interview according to MINI International Neuropsychiatric Interview was performed, furthermore, the questionnaire about various factors after childbirth, EPDS, and BAI were assessed at 4-6 weeks postpartum.
Results : Among various factors and scales, family adaptability and cohesion, mood symptom and change during pregnancy were associated with postpartum depressive disorder in comparison with non-postpartum depressive disorder subjects. In addition, low family adaptability and cohesion and mood change during pregnancy were significantly associated factors with postpartum depressive disorder using logistic regression analysis.
Conclusion : The results suggest the postpartum depressive disorder could be related with prenatal low family adaptability and cohesion. This preliminary study, however, includes only a few subjects, so that further large-sized study will be needed to replicate our results.
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KEYWORD
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Postpartum Depression, Family Adaptability, Family Cohesion, Mood Change, Pregnancy
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