Journal of Korean geriatric psychiatry (노인정신의학)

Korean Association for Geriatric Psychiatry (대한노인정신의학회)
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Effect of Community-Based 'Goal-Achieving Program' in Patient with Late-Life Depression : Preliminary Study

노인성 우울증 환자에서 지역사회 기반 '목표달성 프로그램'의 효용성 : 예비 연구

  • Kang, Gyu Ha (Department of Psychiatry, Ajou University School of Medicine) ;
  • Chang, Ki Jung (Ajou Good Hospital) ;
  • Lim, Hyun Kook (Department of Psychiatry, St. Vincent Hospital, The Catholic University of Korea College of Medicine) ;
  • Han, Jin joo (Office of Biostatistics, Ajou University School of Medicine) ;
  • Lee, Eun Hee (Department of Psychiatry, Ajou University School of Medicine) ;
  • Roh, Hyun Woong (Department of Psychiatry, Ajou University School of Medicine) ;
  • Noh, Jai Sung (Department of Psychiatry, Ajou University School of Medicine) ;
  • Chung, Young Ki (Department of Psychiatry, Ajou University School of Medicine) ;
  • Lim, Ki Young (Department of Psychiatry, Ajou University School of Medicine) ;
  • Hong, Chang Hyung (Department of Psychiatry, Ajou University School of Medicine) ;
  • Son, Sang Joon (Department of Psychiatry, Ajou University School of Medicine)
  • 강규하 (아주대학교 의과대학 정신건강의학교실) ;
  • 장기중 (아주편한병원) ;
  • 임현국 (가톨릭대학교 의과대학 성빈센트병원 정신과학교실) ;
  • 한진주 (아주대학교 의과대학 의학통계실) ;
  • 이은희 (아주대학교 의과대학 정신건강의학교실) ;
  • 노현웅 (아주대학교 의과대학 정신건강의학교실) ;
  • 노재성 (아주대학교 의과대학 정신건강의학교실) ;
  • 정영기 (아주대학교 의과대학 정신건강의학교실) ;
  • 임기영 (아주대학교 의과대학 정신건강의학교실) ;
  • 홍창형 (아주대학교 의과대학 정신건강의학교실) ;
  • 손상준 (아주대학교 의과대학 정신건강의학교실)
  • Received : 2017.02.19
  • Accepted : 2017.03.23
  • Published : 2017.04.30

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Abstract

Objective : This study aimed to investigate the effect of community-based Goal-Achieving program in geriatric depressive symptoms preliminarily. Methods : We obtained data from elderly Korean subjects with major depressive disorder (n=51) aged 60 years or older at baseline, taking case management from community mental health center. Subjects were randomly assigned to intervention group (n=24) and control group (n=27). We investigated depressive symptoms through Short Form Geriatric Depression Scale-Korean version (SGDS-K) at baseline and every month for 3 months to all subjects. We tested interaction between group and time in SGDS-K score to evaluate the effect of program. And post hoc test examined between group differences of SGDS-K at each time points. Results : In quadratic linear mixed effects model analysis, interaction between group and time was statistically significant (Total SGDS-K score : coefficient=0.29, p<0.001 ; SGDS-K dysphoria subscale : 0.18, p<0.001 ; SGDS-K hopelessness subscale : 0.05, p=0.089 ; SGDS-K cognitive impairment subscale : 0.06, p=0.003). And significant between group difference was shown in post hoc test at time points of third month (SGDS-K score of control group : SGDS-K score of intervention group=$10.74{\pm}3.482$ : $7.25{\pm}4.475$, p=0.0184). Conclusion : These results may suggest that 'Community-based the Goal-Achieving program' has efficacy in reducing geriatric depressive symptoms.

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Acknowledgement

Supported by : 보건복지부