@article{oai:saku.repo.nii.ac.jp:00000087, author = {金城, 壽子 and Kinjo, Hisako and 弓削, 美鈴 and Yuge, Misuzu and 川﨑, 佳代子 and Kawasaki, Kayoko and 竹尾, 惠子 and Takeo, Keiko and キシ, ケイコ イマイ and Kishi, Keiko Imai and Lertsakornsiri, Maleewan and Lertsakornsiri, Maleewan and Boonyanurak, Puangrat and Boonyanurak, Puangrat and 高橋, 智恵 and Takahashi, Chie and 丸山(藤井), 陽子 and Maruyama(Fujii), Yoko}, issue = {1}, journal = {佐久大学看護研究雑誌, Saku University Journal of Nursing}, month = {Mar}, note = {The purpose of this study is to investigate and compare depression and related factors among pregnant and postpartum women in Japan(pregnant=320, postpartum=289)and Thailand(pregnant=160, postpartum=160). To evaluate depression, the Center for Epidemiologic Studies Depression scale(CES-D)was employed. For related factors, the following evaluation methods were used. For stress: Perceived Stress Questionnaire(PSQ); Self-esteem: Rosenburg Self-esteem Scale(RS-E); and for Social support: Multidimensional Scale of Perceived Social Support(MSPSS). A screening cut-off score for depression was established at 16 and over of CES-D. The mean age of Japanese subjects was 30.6±5.1(pregnant=30.7±5.0, postpartum=30.4±5.1)and 24.9±6.4 in Thai subjects(pregnant=24.9±6.7, postpartum=24.9±5.9). The mean score of CES-D(depression)was signifi cantly lower in Japanese subjects than in Thai subjects, showing a score of 12.6±7.7 for pregnant, 12.8±7.8 for postpartum in Japan and 17.9±8.5 for pregnant, 20.7±8.6 for postpartum in Thai. Using the cut-off point of CES-D scores≧16, the screening rate of depression became 31.2% for pregnant and 33.2% for postpartum Japanese subjects; 56.9% for pregnant and 75.0% for postpartum Thai subjects. The screening rate of depression proved signifi cantly higher in Thai subjects than their Japanese counterparts. Depression(CES-D)is closely related to self-esteem, social support, and stress. In conclusion, when a high level of social support is made available to mothers, stress is decreased and self-esteems increased. As a result of those relations, it can be forecasted that depression will be decreased.  日本とタイの妊婦(日本320 人、タイ160 人)、褥婦(日本289 人、タイ160 人)について、うつ状況とその関連要因を検討した。対象者の年齢は日本の場合、妊婦30.7 歳±5.0、褥婦30.4 歳±5.1、タイの場合、妊婦24.9 歳±6.7、褥婦24.9 歳±5.9であった。 うつ状況の測定にはCES-Dを用いた。関連要因として、ストレス(PSQ)、自尊感情(RS-E)、ソーシャル・サポート(MSPSS)について、各尺度を用いて検討した。  CES-D(うつ)の平均得点は、日本妊婦12.6±7.7 点、日本褥婦12.8±7.8 点、タイ妊婦17.9±8.5 点、タイ褥婦20.7±8.6 点となり、タイの方が妊婦、褥婦とも有意に高くなった。カットオフポイント16 点以上をもってうつ状態スクリーニングをすると、日本妊婦31.2%、日本褥婦33.2%、タイ妊婦58.8%、タイ褥婦75%がスクリーニングされた。日本もタイも、妊婦・褥婦とも、CES-D(うつ)とPSQ(ストレス)、RS-E(自尊感情)、MSPSS(ソーシャル・サポート)との間には有意の相関が見られた。ストレスが高く、サポートがあまり得られず、自尊感情が低いと、うつ状況に陥りやすいように思われる。}, pages = {5--19}, title = {日本とタイにおける妊娠期・産褥期女性のうつ状況と関連要因の比較検討}, volume = {5}, year = {2013}, yomi = {キンジョウ, ヒサコ and ユゲ, ミスズ and カワサキ, カヨコ and タケオ, ケイコ and キシ, ケイコ イマイ and Lertsakornsiri, Maleewan and Boonyanurak, Puangrat and タカハシ, チエ and マルヤマ(フジイ), ヨウコ} }