계절적 기분 변동이 산후우울증에 미치는 영향

Abstract

Objectives : We compared the social demography and clinical characteristics between postpartum depressed women group and normal mentally healthy women group. Also we would like to find the factors related to the seasonality for pertinent prevention. Method : By conducting a psychiatric interview with subjects in the base of DSM-IV, We categorized 50 postpartum depressed women group and 67 normal healthy women group. And we applied the Seasonal Pattern Assessment Quesionnaire and Korean version Edinburgh Postpartum Depression Scale. Result : 1) There was significant difference between 2 groups on the result in seasonal mood change, seasonal appetite change, seasonal energy change, global seasonality score, and seasonal affective disorder. 2) From the logistic regression analysis, global seasonality score was significant risk factor for the postpartum depression. From the multiple linear regression analysis, seasonal mood change and appetite change were independent positive predictors of postpartum depression. Conclusions : We identified that the high global seasonality score was risk factor of postpartum depression and that seasonal mood and appetite change were independent positive predictors of postpartum depression. So, we must consider these factors in caring the women with postpartum depression.