Japanese

Title	妊娠中の心身の理解と産後のメンタルヘルスとの関連
Subtitle	研究報告
Authors	有本梨花
Authors (kana)
Organization	関西国際大学保健医療学部
Journal	母性衛生
Volume	66
Number	1
Page	249-256
Year/Month	2025 / 4
Article	報告
Publisher	日本母性衛生学会
Abstract	「抄録」 妊娠中の母親が認識する自身の心身の理解と産後のメンタルヘルスとの関連を明らかにすることを目的に調査を行った. 調査対象は精神疾患合併がない初産婦で, 妊娠中期から産後まで縦断研究をおこなった. 妊娠19週から27週の妊婦に調査票を配布し, 産後まで回答が得られた59名を分析対象とした. 母親が認識する自身の心身の理解は妊娠中期4項目, 妊娠後期6項目, 産後2項目作成した. メンタルヘルスはEPDSと新版STAIで評価した. 妊娠中期・後期・産後の心身の理解はEPDSと関連はなかったが, 産後のSTAIと妊娠中期・後期・産後の心身の理解は相関がみられた. 有意な関連がみられた基本属性と各時期の心身の理解度を独立変数として, 重回帰分析を行った. その結果, STAI-Tは分娩時の異常(p=0.019), 産後の心身の理解(p=0.012)が影響しており, STAI-Sは産後の心身の理解(p=0.024)が影響していた. このことから, 妊娠中から医療者は予測される産後の身体的心理的変化について妊婦に伝えていくことが産後のメンタルヘルスを良好にするために必要であることが考えられた.
Practice	公衆衛生学
Keywords	心身の理解, メンタルヘルス, 産後, EPDS, STAI, understanding of physical and mental health, postpartum

English

Title	Relationship between understanding physical and mental health during pregnancy and postpartum mental health
Subtitle	Research Reports
Authors	Rika Arimoto
Authors (kana)
Organization	Kansai University of International Studies
Journal	Japanese Journal of Maternal Health
Volume	66
Number	1
Page	249-256
Year/Month	2025 / 4
Article	Report
Publisher	Japan Society of Maternal Health
Abstract	[Abstract] Purpose: This study aims to clarify the relationship between the understanding of physical and mental health during pregnancy and postpartum mental health. Methods: We recruited 130 pregnant women between 19 and 27 weeks of gestation from four facilities (one hospital, n=77; one clinic, n=45; and two maternity homes, n=15). Surveys were conducted longitudinally in the second and third trimesters and before the one-month checkup. Only 59 women responded at all time points. Mental health was evaluated using the Edinburgh Postpartum Depression Scale (EPDS) and State-Trait Anxiety Inventory-Form JYZ (STAI). Results: No association was identified between EPDS and understanding of physical and mental health. Results of multiple regression analysis showed that the understanding of physical and mental conditions in the postpartum period affect postpartum STAI. Women who perceived that they had received explanations about their physical and mental state after childbirth were associated with understanding regarding their physical and mental conditions. Explanation regarding mental changes during pregnancy by medical staff is important for pregnant women to understand their "mental health." Conclusion: Understanding physical and mental health during pregnancy is associated with postpartum mental health. Explaining the emotional changes during pregnancy may result in better postpartum mental health.
Practice	Public Health
Keywords	understanding of physical and mental health, postpartum, EPDS, STAI

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