胎児異常の告知から産後36ヵ月までの母親の不安と抑うつの縦断的研究 : 健常児をもつ母親との比較から  [in Japanese] Study of anxiety and depression in mothers informed of fetal abnormality, from time of being informed until 36 months after birth-A comparison with mothers of healthy children  [in Japanese]

Author(s)

Abstract

出生前診断により胎児異常の告知を受けた母親の告知から産後36ヵ月までの不安および抑うつを理解する目的で,胎児異常の告知を受け,児を出産した母親10名を対象に, STAIおよびSDSを用いて縦断的に調査した。対照群として,健常児をもつ母親50名についても産後6〜36ヵ月まで同内容を縦断的に調査した。告知を受けた母親の不安や抑うつは,告知時が最も強く,産後12〜18ヵ月が最も弱かった。健常児をもつ母親と産後を比較すると,告知を受けた母親のほうがすべての時期において,不安や抑うつは弱かったが,変動は大きかった。上の子どもの有無別で比較すると,告知を受けた母親は,上に子どもがいない人のほうがすべての時期において,不安や抑うつが強かった。それとは対照的に,健常児をもつ母親は,上に子どもがいる人のほうがすべての時期において,不安や抑うつは強かった。告知を受けた母親の産後の不安や抑うつは,健常児をもつ母親とは差異が認められ,とくに,上の子どもの有無が影響していることが明らかになった。

The purpose of the present study was to evaluate anxiety and depression in mothers who had been informed of fetal abnormality, based on surveys conducted over the period from the time they were informed of the abnormality until 36 months after birth. The subjects were 10 mothers who had been informed of fetal abnormality, and 50 mothers of healthy children. A longitudinal study design was adopted using the State-Trait Anxiety Index (STAI) and Self-rating Depression Scale (SDS). A similar longitudinal survey with the STAI and SDS was conducted on mothers of healthy children during the period from 6 to 36 months after birth. Among the mothers who had been informed of a fetal abnormality, the state anxiety and trait anxiety scores on the STAI, and the SDS score, were all highest after being informed and lowest from 12 to 18 months after birth. A comparison of the postpartum scores of mothers who had been informed of fetal abnormality and mothers of healthy children showed that in all periods each of the scores was lower in mothers who had been informed of an abnormality. Comparisons were also made between mothers who had other children and those who did not. Among mothers who had been informed of fetal abnormalities, those without other children had higher scores on each of the scales during all periods. However, among mothers of healthy children, those who had other children scored higher on each of the scales.

Journal

  • Japanese journal of maternal health.

    Japanese journal of maternal health. 48(1), 29-37, 2007-04-01

    Japan Society of Maternal Health

References:  16

Cited by:  2

Codes

  • NII Article ID (NAID)
    110006274312
  • NII NACSIS-CAT ID (NCID)
    AN0022863X
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    03881512
  • NDL Article ID
    8787283
  • NDL Source Classification
    ZS38(科学技術--医学--産婦人科学) // ZE5(社会・労働--社会問題・社会保障)
  • NDL Call No.
    Z19-1016
  • Data Source
    CJP  CJPref  NDL  NII-ELS 
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