목적: 본 연구는 임신 중 발생하는 우울증의 빈도 및 이에 영향을 줄 수 있는 요인들을 분석하고자 하였다. 연구 방법: 2008년 3월 1일부터 2008년 5월 31일까지 강남성모병원에서 산전진찰을 받은 여성 중 우울증 연구에 동의한 205명의 산모를 대상으로 인구-사회학적 정보 및 임신과 관련된 설문지와 산후우울증 평가 척도 (EPDS)를 작성하도록 하였다. 통계분석은 SPSS 12.0을 이용하여 chi-square test 및 Fisher’s extract test를 통해 산출하였고, P값이 0.05 미만인 경우에 통계적으로 유의하다고 하였다. 결과: 205명의 산모의 EPDS 점수는 평균 7.3±4.2이었으며, 26.4%인 54명은 10 이상으로 우울상태에 해당되었다. 임신의 각 분기별 비교에서 우울증 발생 빈도는 차이를 보이지 않았다 (25.7% vs. 29.0% vs. 25.0%, P=0.844).또한 인구-사회학적 요소 중 우울증 발생에 의미있게 영향을 주는 요인은 발견되지 않았다. 임신과 관련된 요소 중에서는, 임신을 계획하지 않았던 경우에 우울증 발생율이 통계학적으로 유의하게 높았으며 (34.6% vs. 21.0%, P=0.036),이전 임신 시 사산이나 태아의 선천성 기형 등 문제가 있었던 경우도 우울증 발생과 연관이 있는 것으로 나타났다 (56.3% vs. 23.8%, P=0.014). 결론: 본 연구는 임신 중 우울증상에 대한 첫 임상 분석이라는 데 큰 의의가 있으며, 이를 바탕으로 우울증에 대한 보다 적극적인 관리를 해야 할 것이다.

Objective: To examine the incidence of the depressive symptoms during pregnancy and the socio-demographic and obstetric factors associated with depression. Methods: Two hundred five women who had received antenatal care at Kangnam St. Mary’s Hospital from March 2008 to May 2008 completed the questionnaire related to socio-demographic characteristics and Edinburgh Postnatal Depression Scale (EPDS). Statistics were performed using chi-square test and Fisher’s extract test (SPSS 12.0). Results were considered statistically significant for P-values<0.05. Results: Of 205 pregnant women, the mean score of EPDS was 7.3±4.2.54 of 205 women (26.5%) scored more than 10 point which is the cutoff value to define depressive symptoms. The incidences of depressive symptoms were not significantly different by the trimester (25.7% vs. 29.0% vs. 25.0%, P<0.844). There were no significant socio-geographic factors associated with depressive symptoms. In cases of unexpected pregnancies, the incidence of depressive symptoms was significantly high (34.6% vs. 21.0%, P=0.036), and the women who have problems of previous pregnancies scored significantly higher EPDS (56.3% vs. 23.8%, P=0.014). Conclusion: This study was the first report about the depression symptoms during pregnancy. Based on this study, we have to focus on and manage depression symptoms related to pregnancy.

Objective: To examine the incidence of the depressive symptoms during pregnancy and the socio-demographic and obstetric factors associated with depression. Methods: Two hundred five women who had received antenatal care at Kangnam St. Mary’s Hospital from March 2008 to May 2008 completed the questionnaire related to socio-demographic characteristics and Edinburgh Postnatal Depression Scale (EPDS). Statistics were performed using chi-square test and Fisher’s extract test (SPSS 12.0). Results were considered statistically significant for P-values<0.05. Results: Of 205 pregnant women, the mean score of EPDS was 7.3±4.2.54 of 205 women (26.5%) scored more than 10 point which is the cutoff value to define depressive symptoms. The incidences of depressive symptoms were not significantly different by the trimester (25.7% vs. 29.0% vs. 25.0%, P<0.844). There were no significant socio-geographic factors associated with depressive symptoms. In cases of unexpected pregnancies, the incidence of depressive symptoms was significantly high (34.6% vs. 21.0%, P=0.036), and the women who have problems of previous pregnancies scored significantly higher EPDS (56.3% vs. 23.8%, P=0.014). Conclusion: This study was the first report about the depression symptoms during pregnancy. Based on this study, we have to focus on and manage depression symptoms related to pregnancy.

Pregnancy, Depression, Perinatal depression