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저위험 산모의 산전 심리사회적 요인과 산후 외 상 후 스트레스 장애 발생과의 관계: 종단적 연구.

Purpose: This study aimed to identify prenatal psychosocial factors influencing the development of postpartum post-traumatic stress disorder (PTSD) in both short-term (4-6 weeks postpartum) and long-term (4-6 and 14-18 weeks postpartum) assessments using the wheel model. Methods: This study employed...

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Published in:Journal of Korean Academy of Nursing Vol. 55; no. 3; pp. 353 - 364
Main Authors: 여정희, 박소연
Format: research tables/charts Journal Article
Published: Korean Society of Nursing Science Aug2025
Online Access:View this record in EBSCOhost
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        20053673
        ATS7
      jtl: Journal of Korean Academy of Nursing
      issn: 20053673
      maglogo: N
    pubinfo:
      dt: Aug2025
      vid: 55
      iid: 3
      pid: 42744
      pub: Korean Society of Nursing Science
      place: , <Blank>
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        187576272
        187576272
        187576272
        10.4040/jkan.25027
        187576272
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      ppct: 11
      formats:
        fmt:
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            type: P
      tig:
        atl: 저위험 산모의 산전 심리사회적 요인과 산후 외 상 후 스트레스 장애 발생과의 관계: 종단적 연구.
      aug:
        au:
          여정희
          박소연
        affil: 동아대학교 간호대학 간호학과
      sug:
        subj:
          Stress Disorders, Post-Traumatic Prevention and Control
          Postnatal Period
          Prenatal Care
          Depression, Postpartum Psychosocial Factors
          Stress Disorders, Post-Traumatic Risk Factors
          Risk Assessment
          Women's Health Psychosocial Factors
          Human
          Funding Source
          Female
          Pregnancy
          Prospective Studies
          Labor
          Pregnancy Trimester, Third
          Anxiety
          Hardiness
          Depression
          Hospitals, Special
          Support, Social
          South Korea
          Questionnaires
          Descriptive Statistics
          Logistic Regression
          T-Tests
          Chi Square Test
          Stress Disorders, Post-Traumatic Epidemiology
          Prevalence
          Odds Ratio
          Confidence Intervals
          Educational Status
          Female
      ab: Purpose: This study aimed to identify prenatal psychosocial factors influencing the development of postpartum post-traumatic stress disorder (PTSD) in both short-term (4-6 weeks postpartum) and long-term (4-6 and 14-18 weeks postpartum) assessments using the wheel model. Methods: This study employed a longitudinal design with 359 women in their third trimester who received care at two maternity hospitals in Busan. Surveys were used to measure depression, anxiety, resilience, and pregnancy-related PTSD during the third trimester (n=318). Postpartum PTSD was assessed at 4-6 weeks (n=198) and at 14-18 weeks postpartum (n=156). Data were analyzed using the t-test, chi-square test, and logistic regression. Results: The prevalence of short-term postpartum PTSD was 32.7%, and that of long-term PTSD was 19.9%. The risk of short-term PTSD increased with higher pregnancy-related PTSD symptoms (odds ratio [OR], 1.04; 95% confidence interval [CI], 1.02-1.07), higher prenatal resilience (OR, 1.09; 95% CI, 1.00-1.18), and lower social support (OR, 0.93; 95% CI, 0.87-0.99). Similarly, the risk of long-term PTSD increased with higher pregnancy-related PTSD (OR, 1.09; 95% CI, 1.04-1.13), higher prenatal resilience (OR, 1.19; 95% CI, 1.06-1.34), and low educational attainment (OR, 6.75; 95% CI, 1.03-44.30). Conclusion: The high prevalence of short- and long-term postpartum PTSD highlights the need for systematic screening and interventions for prenatal factors, including pregnancy-related PTSD, social support, resilience, and education level. Therefore, it is necessary to alleviate pregnancy-related PTSD and strengthen social support during prenatal care to prevent postpartum PTSD. Furthermore, women with high resilience should also be targeted in these interventions, because they can also develop post-partum PTSD.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: Korean
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