• 제목/요약/키워드: Depression rating scale

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뇌전증 소아청소년 부모들의 우울증에 대한 침구치료 효과 (Acupuncture Treatment of Depression in Epilepsy Children and Adolescent's Parents)

  • 김연진
    • Korean Journal of Acupuncture
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    • 제33권2호
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    • pp.84-88
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    • 2016
  • Objectives : To assess and compare the effectiveness of acupuncture treatment of depression in epilepsy children and adolescent's parents. Methods : 20 cases of depression in epilepsy children and adolescent's parents were investigated in Southern TCM Centre, Southern University College, Malaysia. Subjects were randomly divided into two groups; Acupuncture treatment group and Herbal medication treatment group. Family relationships questionnaires and Hamilton Depression Rating Scale were used before, after 4 weeks and 8 weeks treatments in order to investigate the effectiveness of treatment. Results : After 4 weeks Acupuncture treatment group showed significant reduction in the Hamilton Depression Rating Scale. On the other hand, after 8 weeks both groups showed significant reduction in Hamilton Depression Rating Scale. Conclusions : The result suggests that the effectiveness of Acupuncture treatment is comparable with treat of Herbal medication treatment to reduce parent's Hamilton Depression Rating Scale.

대영전가미방(大營煎加味方)으로 호전된 상열감(上熱感)과 우울(憂鬱)을 동반한 갱년기 장애 치험 3례 (The Clinical Study of 3 Menopausal Disorder Patients with Hot Flush and Depression Treated by Daeyeongjeongami-bang)

  • 백동기
    • 동의신경정신과학회지
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    • 제23권4호
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    • pp.199-214
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    • 2012
  • Objectives : The purpose of this study is to evaluate the effects of Daeyeongjeongami-bang on menopausal disorder patients. Methods : We recruited 3 menopausal disorder patients who have been suffering from hot flush, fatigue and depression. In addition, the patients had been administrated Daeyeongjeongami-bang. The patients of menopausal disorder had been estimated with Kupperman's index, Menopause rating scale, Beck's depression Inventory, Self rating depression scale, Visual analogue scale and Heart rate variability. We measured Kupperman's index, Menopause rating scale, Beck's depression inventory and Self rating depression scale for every seven days. Heart rate variability was estimated twice, before and after the treatment. Results : After the treatments, symptoms of menopausal disorder were decreased. Conclusions : This study suggests that Daeyeongjeongami-bang is significantly effective on menopausal disorder patients with hot flush, fatigue and depression.

암환자 간병인의 우울증에 대한 침구치료 효과 (Acupuncture Treatment of Depression in Cancer Patient's Home Caregivers)

  • 김연진
    • Korean Journal of Acupuncture
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    • 제33권3호
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    • pp.131-138
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    • 2016
  • Objectives : To assess and compare the effectiveness of acupuncture treatment of depression in Cancer patient's Home Caregivers. Methods : Total 60 cases in Cancer patient's Home Caregivers, who fulfilled the study's eligibility criteria, were recruited and observed(N=40). The individuals were assigned into two groups, the Acupuncture group(N=20) and Control group(N=20). Changes in their Hamilton Depression rating Scale indices, were statistically compared before and after treatment in order to investigate the effectiveness of treatment. Results : 70% Home Caregivers were female and 30% were male, half of the Home Caregivers was patient's spouse or partner and employee. After 6 weeks, Acupuncture group seems to show reduction in the Hamilton Depression Rating Scale. On the other hand after 8 weeks Control group do not show reduction in the Hamilton Depression rating Scale. Conclusions : The results suggest that acupuncture treatment may provide short-term relief of depressive symptoms in Home Caregivers for Cancer patients. Findings from this non-randomized trial should be interpreted with caution.

우울증에 대한 예측모형 (A Prediction Model for Depression Risk)

  • 김재용;민병주;이재훈;장재승;하태현;하규섭;박태성
    • 응용통계연구
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    • 제27권2호
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    • pp.317-330
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    • 2014
  • 양극성 장애는 조증 삽화(manic episode)와 주요 우울삽화(major depressive episode)를 특징으로 하는 정신질환이다. 주요 우울삽화 시기에는 양극성 장애 환자들의 810%가 자살하는 것으로 알려져 있다. 그러므로 양극성 장애 환자를 치료할 때, 우울증상의 정도를 측정하는 것이 중요하다. 우울증상의 정도를 측정하기 위해 가장 많이 사용하는 검사법은 해밀턴 우울평가 척도(Hamilton depression rating scale)이다. 본 논문에서는 해밀턴 우울평가척도 점수를 이용하여 환자들의 치료 효과를 예측하기 위해 선형혼합효과모형(linear mixed effects model)과 전이모형(transition model)을 제시하였다. 예측을 위해 사용된 자료는 분당서울대학교병원을 방문하여 초진일 당시의 해밀턴 우울평가 척도 점수가 8 점 이상인 환자들의 정보를 사용하였다. 첫 조사시점부터 6개월, 12개월 후 세 차례에 걸쳐 관측된 해밀턴 우울평가 척도 점수를 선형혼합효과모형과 전이모형에 적합시켰다. 그 결과를 토대로 특정시점의 해밀턴 우울평가 척도 점수를 예측하였다. 첫 조사시점부터 6개월, 12개월 후의 해밀턴 우울평가 척도 점수를 사용해 선형혼합효과모형과 전이모형에 적합 시켰다. 이 모델들을 이용해 조사시점부터 24개월 후의 해밀턴 우울평가 척도 점수를 예측한다. 이 예측모델은 조사된 24개월 후의 점수와 예측된 24개월의 후의 점수를 비교하여 평가하였다.

Comparison of the Suicide Attempt Characteristics Associated with Mixed and Non-Mixed Depression in Koreans

  • Choi, Hyeon-Seok;Kim, Sung-Jin;Nam, Sang-Hun;Jung, Do-Un;Moon, Jung-Joon;Kim, Yeon-Sue;Oh, Min-Kyung;Jeon, Dong-Wook;Ahn, Yong Min
    • 정신신체의학
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    • 제29권2호
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    • pp.199-206
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    • 2021
  • Objectives : This study aimed to compare the characteristics of suicide attempts among Korean patients with mixed and non-mixed depression. Methods : Patients who visited the emergency room due to a suicide attempt and participated in the Korean Cohort for the Model Predicting a Suicide and Suicide-related Behavior study were included. Using the Montgomery-Asberg Depression Rating Scale (MADRS) and Young Mania Rating Scale (YMRS), 111 patients were classified into the mixed depression (n=46) and non-mixed depression groups (n=65). The Koukopoulos Mixed Depression Rating Scale (KMDRS) score was calculated using the MADRS and YMRS scores. Suicide attempt characteristics were evaluated using the Columbia Suicidal Severity Rating Scale (C-SSRS) and Suicide Intent Scale (SIS). Results : In the mixed depression group, the reason item among the ideation intensity score of the C-SSRS was higher, and the deterrent item score was lower. Scores on the timing and suicide note items of the SIS were higher, and scores for overt communication items were lower in the mixed depression group. The KMDRS score was positively correlated with the C-SSRS ideation intensity and total SIS score. After adjusting for additional variables, the KMDRS scores had a significant effect on the C-SSRS ideation intensity and total SIS scores. Conclusions : The mixed depression group showed a difference in the intensity of suicidal ideation and suicidal intention compared to those in the non-mixed depression group. The overall suicidal ideation intensity and suicidal intention increased according to the degree of mixed depression.

한방치료와 Rogers의 인간중심적 상담요법으로 호전된 뇌졸중 후 우울증 치험 2례 (A Clinical Report of Two Patients with Poststroke Depression by Korean Traditional Treatment and Roger's Person-centered Counseling)

  • 김진이;이진환;김수정;서주희;윤인애;박은영;성우용
    • 동의신경정신과학회지
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    • 제21권4호
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    • pp.187-206
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    • 2010
  • Objectives : This study was designed to report the effect of korean traditional treatment and person-centered counseling for poststroke depression Methods : We treated two patients who scored 37 point and 32 point at Beck's depression inventory each, and 23 point and 22 point at Hamilton rating scale for depression each by korean traditional treatment and person-centered counseling, Results : After treatment, the clinical symptoms were improved and Beck's depression inventory, Hamilton rating scale for depression score were decreased, Conclusions : The result suggest that korean traditional treatment and person-centered counseling is effective in patients with poststroke depression.

불안과 우울은 다른가? : Zung 자기보고식 불안 및 우울 척도의 탐색적 요인분석 (Are Anxiety and Depression Distinct? : Exploratory Factor Analysisof Zung's Self-Rating Anxiety and Depression Scales)

  • 정정엽;김대호
    • 생물정신의학
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    • 제20권1호
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    • pp.21-27
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    • 2013
  • Objectives There is a controversy regarding the construct validity of anxiety and depression. Some believe that these two symptoms are basically the same construct, that is, both measure what is called 'general distress' or two phenomena are distinct experiences which often coexist. To further understand relationship between anxiety and depressive symptoms, we investigated the factor structure of a combined anxiety and depression scale among psychiatric outpatients. Methods Data of Zung's Self-Rating Depression and Anxiety Scales were gathered from 401 newly visiting psychiatric outpatients at a university-affiliated hospital. We performed a component analysis on the 40 items from two scales. Results Exploratory factor analysis revealed a seven factor structure explaining 56% of total variance. Overall finding indicated that depression and anxiety scales consisted of four symptom domains : mainly depressive symptoms, mainly anxiety symptoms, common somatic symptoms, and others. Conclusions Our results suggest that the construct of self-reported depressive and anxiety symptoms are more complex than previously thought, i.e., either one or two factor theories. These findings also support that anxiety and depression can be better modeled by dimensional approach. Clinicians may be alert for the fact that both depression and anxiety scales measure distinct and also common aspects. Further researches on other scales especially, interview based instruments are needed.

뇌졸중 환자의 우울증 평가도구 비교 (A Comparison of Different Depression Instruments for Stroke Patients)

  • 이동진;심재광;안승헌
    • The Journal of Korean Physical Therapy
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    • 제23권2호
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    • pp.69-76
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    • 2011
  • Purpose: The aim of this study was to investigate the prevalence of depressive symptoms in stroke patients and to compare characteristics of different rating scales - Hamilton Depression Rating Scale (HDRS), Beck Depression Inventory (BDI) and Hospital Anxiety and Depression Scale-Depression (HAD.D)- with regard to diagnosis and severity assessment for post-stroke depression. Methods: Participants included 44 stroke patients who could communicate. At admission, all study participants received a semi-structured interview using the HDRS and a self-completed questionnaire using the BDI and the HAD-D. Pearson's correlation method was used to examine associations among the three depression scales. The BDI and HAD-D were compared based on HDRS criteria, and the sensitivity and specificity using cut-off values were analyzed. Results: The HDRS showed that 52.30% of stroke patients had depressive symptoms on the BDI and HAD-D it was 59.10%. The HDRS correlated significantly with the BDI (r=0.81, p<0.01) and HAD-D (r=0.55, p<0.01). The BDI correlated significantly with HADS (r=0.50, p<0.01). After calculating the area under the ROC curve to decide on HDRS criteria, the BDI (AUC=0.91, 95% CI: 0.83.0.99) showed a significantly larger area compared to the HAD.D (AUC=0.82, 95% CI: 0.69-0.94). The cut-off value of the BDI was 12.50 points with a sensitivity of 81.00% and a specificity of 76.20%. Conclusion: These findings show that the BDI is a useful screening test for depression that most closely predicts the HRDS score.

교대근무 간호사의 주관적 수면특성과 우울성향 (Subjective Sleep Characteristics and Depression of shift Nurses)

  • 정숙희
    • 한국직업건강간호학회지
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    • 제7권2호
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    • pp.155-163
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    • 1998
  • In order to investigate the effects of rotating shift work on the subjective characteristics of sleep and mental depression questionnaire survey was carried out on 405 shift workers and 153 nonshift workers who were nurses employed. in three university hospital. The questionnaire forms used in this study were the self rating depression scale(SDS) and circadian type questionnaire(CTQ) factor R(rigidity/flexbility of sleeping habit) and factor V(inability/ability to overcome drowsiness). The results were as follows ; 1. Mean score of CTQ R in shift workers was significantly lower than that in nonshift workers, however, no significant difference in CTQ V was observed between two groups. 2. Mean score of SDS was significantly higher in shift workers(44.1) than in nonshift workers(39.8). 3. Mean self rating depression scale scores of pervasive affect, physiologic equivalents and psychological equivalents were significantly higher in shift workers than in nonshift workers. 4. In shift worker, mean SDS score was the highest in confusion and followed by diurnal variation, retardation, and indeciveness in the descending order. In nonshift worker, that score was the highest in decreased libido and followed by confusion, and indeciveness in the descending order. 5. Circadian type questionnaire scores was significantly and negatively correlated with significantly and negatively correlating with Self-rating depression scale scores(r=-0.473).

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