대한불안의학회지 (Anxiety and mood)

  • 제6권1호
  • /
  • Pages.17-23
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  • 2010
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  • 2586-0151(pISSN)
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  • 2586-0046(eISSN)
대한불안의학회 (Korean Academy of Anxiety Disorders)
권호 표지

우울증 환자 가족들의 심리적 스트레스에 관한 연구 : 정신분열병 환자 가족과 비교

A Comparison Study on the Psychological Stresses of Families of Patients with Either Depression or Schizophrenia

  • 김진희 (계명대학교 의과대학 정신과학교실) ;
  • 이은정 (계명대학교 의과대학 정신과학교실) ;
  • 정성원 (계명대학교 의과대학 정신과학교실) ;
  • 성형모 (포천중문의과대학 구미병원 정신과학교실) ;
  • 사공정규 (동국대학교 의과대학 경주병원 정신과학교실) ;
  • 김정범 (계명대학교 의과대학 정신과학교실)
  • Kim, Jin-Hee (Department of Psychiatry, Keimyung University School of Medicine) ;
  • Lee, Eun-Jeong (Department of Psychiatry, Keimyung University School of Medicine) ;
  • Jung, Sung-Won (Department of Psychiatry, Keimyung University School of Medicine) ;
  • Sung, Hyung-Mo (Department of Psychiatry, Pochon Cha University) ;
  • SaKong, Jeong-Kyu (Department of Psychiatry, Gyeongju Hospital, College of Medicine, Dongguk University) ;
  • Kim, Jung-Bum (Department of Psychiatry, Keimyung University School of Medicine)
  • 투고 : 2009.12.22
  • 심사 : 2010.04.11
  • 발행 : 2010.04.30
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초록

Objective : This study compared the psychological stresses of depressed patients' families with those of schizophrenic patients' families. We investigated the influence of depressive patients' clinical features and their families' demographic characteristics on the families' depressive symptoms and stresses. Methods : Participants were 23 family members of depressed patients and 20 family members of schizophrenic patients. We measured the patients' clinical features (duration of illness, number of previous hospitalizations, and satisfaction with medication), and each family member's socioeconomic status and psychological characteristics (depressive mood, anxiety, family stress, and stress response), analyzing the data via independent t-test, chi-square test, and correlation and hierarchical multiple regression analyses. Results : The depressed patients' average clinical global impression (CGI) was significantly higher than that of the schizophrenic patients. The depressed patients' family members showed stress responses significantly higher than those of schizophrenic patients' family members. Furthermore, in depressed patients, frequency of hospitalization was positively correlated with family members' stat anxiety. For both patient types, family stress was positively correlated with the patient's severity of illness and the family's state anxiety, trait anxiety, and stress response ; socioeconomic status was positively correlated with the family's depressive symptoms ; the family's state anxiety positively correlated with the family's trait anxiety and stress response ; and the family's trait anxiety positively correlated with the family's stress response. Socioeconomic status predicted the family's depressive symptoms, and socioeconomic, illness severity and stress response predicted family stress. Conclusion : These findings suggest that both depressed patients' families and schizophrenic patients' families suffer from psychological stress. The study data also have important clinical implications, in that families of depressed patients need psychiatric intervention, as well as the patients themselves. In particular, family intervention should focus on psycho-education and stress coping strategies.

키워드

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