育児期にある母親のストレス反応における生理的評価指標,及び心理・社会的評価指標との関連についての文献検討  [in Japanese] A review of the literature on physiological indicators and their relationship to psychological and social indicators for assessing stress responses of infant-rearing mothers  [in Japanese]

Access this Article

Search this Article

Author(s)

Abstract

本研究の目的は,先行研究を資料とし,育児期にある母親のストレス反応の生理的評価指標による評価方法,及び心理・社会的評価指標との関連について整理,検討することである.研究方法として,2000〜2010年(9月末)における「医学中央雑誌web版Ver.4」,「Pub Med」を用いて,第1段階では「育児:infant-rearing」「母親:maternal」「産後:postpartum」,第2段階では「不安:anxiety」「抑うつ:depression」,第3段階では「自律神経:autonomic」「ホルモン:hormone」「免疫:immunity」「酸化ストレスマーカー:oxidative stress marker」によるキーワード検索を行った.分析対象は,国内文献8件,海外文献18件の計26件である.対象文献を,対象者,調査時期,評価指標の種類,生理的評価指標と心理・社会的評価指標との関連について分析した.その結果,生理的評価指標としてはコルチゾールが最も多く,検体は血液,唾液,尿であった.また,コルチゾールは,心理的にネガティブな反応と正の関連を示す報告が多かったが,一部異なる結果を示すものや,直接的な関連がないとする報告もあった.さらに,ドーパミン,甲状腺ホルモン,卵巣ホルモン,及びS-IgAに関しても各々の報告により異なる結果を示していた.以上により,育児期にある母親のストレス反応に関する研究では,より適切な評価指標を用いて,生理・心理・社会的観点から多面的に検討する必要があると示唆された.

The purpose of this study is to organize and review the relationship among the evaluation methods of physiological evaluation indicators, psychological evaluation indicators and social evaluation indicators of the stress reaction of mothers during the time of infant rearing using previous studies as data. Regarding the research method, a keywords search was conducted in three stages. The words at the first stage were, "Infant-Rearing", "Maternal" and "Postpartum", at the second stage were, "Anxiety" and "Depression" and at the third stage were, "Autonomic", "Hormone", "Immunity" and "Oxidative stress marker" using "Japana Centra Revuo Medicina Web version 4" and "Pub Med" for the years 2000 to 2010 (through the end of September). The subjects of analysis were a total of twenty six pieces of literature consisting of eight domestic articles and eighteen foreign articles. We analyzed the subject literature in relation to "subject person", "time of study", "kind of evaluation indicators", and "physiological evaluation indicators", "psychological evaluation indicators" and "social evaluation indicators". As a result, cortisol was the most common physiological evaluation indicator and the most common specimens were blood, salvia and urine. Also, although there were common reports indicating cortisol is positively associated with a psychological negative response, there were results with a slightly different indication and a report showing a non-direct relationship. Moreover, each report indicated a different result in regard to dopamine, thyroid hormone, ovarian hormone and S-IgA. As stated above, it is suggested that it is necessary to perform a cross-discipline study from physiological・psychological・social viewpoints using the most appropriate evaluation indicators for studying maternal stress reaction during the time of infant rearing.

Journal

  • Journal of Japanese Society of Psychosomatic Obstetrics and Gynecology

    Journal of Japanese Society of Psychosomatic Obstetrics and Gynecology 16(1), 79-88, 2011

    Japanese Soiety of Psychosomatic Obstetrics and Gynecology

Codes

  • NII Article ID (NAID)
    110008686396
  • Text Lang
    JPN
  • ISSN
    1345-2894
  • Data Source
    NII-ELS  J-STAGE 
Page Top