• Title/Summary/Keyword: Depression rating scale

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Comparison of Clinical Symptoms between Early and Late Onset Depression in Elderly Depressive Patients in Korea (한국의 노인우울증 환자에서 조발성 우울증과 만발성 우울증의 임상증상의 비교)

  • Park, Ki-Hong;Lee, Hwa-Young;Ham, Byung-Joo;Lee, Min-Soo
    • Korean Journal of Biological Psychiatry
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    • v.17 no.3
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    • pp.145-152
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    • 2010
  • Objectives : Clinical differences between elderly patients with early and late onset depression have been described although these have been inconsistent. We aimed to compare differences of clinical symptoms using the 17 items Hamilton Rating Scale for Depression(HAM-D-17) between two groups. Methods : Data of 175 elderly patients with a diagnosis of major depressive disorder according to DSM-IV from January 2005 to November 2009 were collected. Seventy five patients were early onset depression and one hundred patients were late onset depression. Depressive symptoms were assessed by the 17-item Hamilton Rating Scale for depression. Results : There were some differences in HAM-D-17 scores between early and late onset depression. Early onset depression patients scored significantly higher in retardation(t = 2.41, p = 0.017) and somatic symptoms( general)(t = 2.37, p = 0.019) than late onset depression patients. Conclusion : We concluded that early onset depression patients have more severe psychomotor retardation and general somatic symptoms than late onset depression patients in Korea. Because of some limitations of this study, further investigations will be needed to validate this study results.

Relationship among Pain, Depression and Activities of Daily Living in Nursing Home Residents (노인요양시설 입소 노인의 통증, 우울 및 일상생활활동과의 관련성)

  • Lee, Young-Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.11
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    • pp.6728-6738
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    • 2014
  • This study investigated the relationship among pain, depression and activities of daily living in nursing home residents. Data was collected through a structured questionnaire survey of residents at 4 nursing homes in S city. The measures were the Numeric Rating Scale (NRS) and Discomfort Scale-Dementia of the Alzheimer Type (DS-DAT) for self-reported and observational pain, Geriatric Depression Scale Short Form-Korea Version (GDSSF-K) for depression, Barthel Activities of Daily Living (BADL) scale for ADL. The data were analyzed using the Pearson's correlation coefficient and hierarchical multiple regression using the SPSS/PC 20.0 program. The analysis results of the relationship of pain, depression and activities of daily living, both DS-DAT and NRS showed a significant negative correlation with the activities of daily living and a positive correlation with depression. Finally, gender, arthritis, depression, and activities of daily living explained 28.1% of the variance in pain using NRS, whereas depression and activities of daily living explained 21.5% of the variance in pain using DS-DAT. The results highlight the need to develop a pain management program that reduces the depression and promotes the activities of daily living in nursing home residents; hence, a differentiated approach as non-pharmacological interventions is required.

Psychiatric Comparison Study of Kidney Transplantation Patient and Hemodialysis Patients (신투석 환자와 신장 이식 환자의 정신의학적 비교 연구)

  • Cho, Dong-Hwan;Park, Bum-Yong;Kong, Jin-Min;Kim, Jeong-Gee
    • Korean Journal of Psychosomatic Medicine
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    • v.6 no.1
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    • pp.59-69
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    • 1998
  • Objectives: This research was performed to know severity of depression and anxiety, the psychopathology of hemodialysis patients and kidney transplantation patients using Minneesota Multiphasic Personality Inventory(MMPI) and Zung's Self-rating Depression Scale (SDS), Zung's Self-rating Anxiety Scale(SAS), MMPI Subscales. Methods: We surveyed 31 hemodialysis patients and 119 kidney transplantation patients. 119 kidney transplantation group(KT) was investigated at ; 1) Before kidney transplantation (KT-1), 2) Three days after kidney transplantation(KT-2), 3) Three weeks after kidney transplantation(KT-3),4) Follow up at OPD(F/U). Results: 1) According to dermographic data, mean age was KT 33.1, HD 42.2, Control 33.1 years old and KT, HD were belonged to lower economic states and lower educational level than Control. 2) In the depression scale for SDS, KT-1 was more depressed than F/U and Control but depression scale was significantly decreased at KT-2 in comparison with HD. In the anxiety scale for SAS, KT-1 was more anxious than Control but anxiety scale was not different within IT subgroups and in comparison with HD. 3) In comparison of MMPI scales, Hs, D, Pt, Ma at KT-1, Pd, Pa, Pt, Ma at KT-2, F, D, Pd, Pt, Pa, Sc, Ma at KT-3, Pt at F/U were more high scores than Control.

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A Clinical Study on the Correlation between Gastrointestinal Symptoms, Depression, and Anxiety in Patients with Irritable Bowel Syndrome (과민성 장증후군 환자의 위장관 증상과 우울, 불안과의 상관관계 연구)

  • Hur, Bong-soo;Choi, Seo-hyung;Lyu, Yeoung-su
    • The Journal of Internal Korean Medicine
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    • v.40 no.4
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    • pp.629-636
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    • 2019
  • Objective: This study was designed to assess the correlation between gastrointestinal symptoms, depression, and anxiety in patients with irritable bowel syndrome (IBS). Method: New patients who visited the ${\bigcirc}{\bigcirc}$ Oriental Hospital completed standardized questionnaires. These consisted of questionnaires for IBS based on Rome III criteria, the Gastrointestinal Symptom Rating Scale (GSRS), the Beck Depression Inventory (BDI), and the Beck Anxiety Inventory (BAI). Results: A total of 103 patients participated. Among them, IBS was observed in 42 patients. There was a weak correlation between GSRS and BDI, but it was not statistically significant. There was a statistically significant weak correlation between GSRS and BAI. The main symptom factors affecting BAI were borborygmus, increased flatus, sucking sensations in the epigastrium, and abdominal distension. Conclusion: There was a statistically significant correlation between gastrointestinal symptoms and anxiety in patients with irritable bowel syndrome.

Degree of Cognitive function, Self-esteem and Depression of the Elderly by Aging (노인의 인지기능, 자아존중감과 우울정도)

  • 성기월
    • Journal of Korean Academy of Nursing
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    • v.27 no.1
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    • pp.36-48
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    • 1997
  • This survey was performed to evaluate and compare cognitive function, self-esteem and depression in the elderly related to aging. The data were collected from 200 elders in eight homes for the elderly in Taegu. Data collection was done from June 1 to 31, 1996. The scale used to measure cognitive function was the MMSE-K(Mini-Mental State Examination-Korea), Self-esteem was measmed using Rosenberg's self-esteem scale and depression using SDS(Self-rating Depression Scale). A comparison of cognitive function, self-esteem and depression by aging were summarised as follows : 1. There were significant differences on the cognitive function score in the elderly according to age group(F=24.81, P<.01). 2. There were significant differences on the self-esteem score in the elderly according to age group(F=3.84, P<.5). 3. There were significant differences on the depression score in the elderly according to age group (F=5.90, P<.1). 4. The general characteristics which affected the cognitive function scores of the elders were sex (F=8.45, P<.5), educational level(F=8.86, P<.5), spousing(F=34.59. P<.01), and the perception of health(F=4.63, P<.5). 5. The general characteristic which affected the self-esteem scores of the elders was the perception of health(F=3.81. P<.5). 6. The general characteristic which affected the depression scores was the educational level(F=3.96, P<.5).

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Factors Influencing Somatization in Adolescents (청소년의 신체화 증상에 영향을 미치는 요인)

  • Lee, Han-Ju;Seo, Mi-A
    • Journal of the Korean Society of School Health
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    • v.23 no.1
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    • pp.79-87
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    • 2010
  • Purpose: The purpose of this study was to explore the relationship between depression, alexithymia, social support and somatic symptom in adolescents. Methods: The subjects were 1,519 adolescents in Seoul. Radloff's CES-D (The Center for Epidemiological Studies-Depression scale) for depression, Bagby, Parker and Taylor's TAS (Toronto Alexithymia Scale) for alexithymia, Park's social support and Derogatis's SCL-90 (Brief Symptom Inventory & Matching Clinical Rating Scale) were used. The data was analyzed using descriptive statistics, Pearson's correlation coefficients, t or F test, and stepwise multiple regression. Results: Depression and somatic symptom were lower but social support was higher when compared to mean score. The somatic symptom was significantly positive correlations to age, depression, alexithymia but no correlation to social support. Stepwise multiple regression analysis showed that 21.8% of the somatic symptom was significantly accounted for depression, alexithymia, social support, gender, economic status, living alone, and living with parent. Conclusion: These results suggest that depression, alexithymia, living alone can be potential risk factors for somatic symptom in the adolescents. Therefore, these findings will give useful information for developing a promotion program focused on social support in the adolescents.

Study of Efficacy and Safety of Tianwangbuxin-dan for Poststroke Depression: A Randomized, Double Blinded, Non-inferiority Trial (뇌졸중 후 우울증에 대한 천왕보심단의 유효성 및 안전성 연구 : 무작위 배정, 이중맹검, 비열등성 연구)

  • Lee, Il-Suk;Kim, Mun-Soo;Lee, Sang-Kwan
    • The Journal of Internal Korean Medicine
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    • v.35 no.2
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    • pp.145-156
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    • 2014
  • Objectives : The aim of this study was to compare Tianwangbuxin-dan to Fluoxetine for antidepressive efficacy and safety in poststroke depression (PSD). Methods : A randomized, double blinded, non-inferiority trial was conducted. 113 PSD patients were recruited from a stroke center. Except for the 25 excluded patients, 88 PSD patients were randomly given either Tianwangbuxin-dan 1100 mg or Fluoxetine 20 mg per a day for 16 weeks. PSD was evaluated using Beck's depression inventory (BDI) and Hamilton depression rating scale (HDRS) and followed every fourth week. Repeated measure analysis of variance (ANOVA) was used to compare and contrast the depression scores of the two groups and to compare them among the evaluation times, at the beginning, $4^{th}$, $8^{th}$, $12^{th}$ and $16^{th}$ weeks. In addition, independent t-tests were used to find the difference between two groups at every evaluation time. Results : Finally, 88 PSD patients were included in the study, 63 PSD patients completed the procedure and 25 PSD patients were dropped out by the incompliance or withdrawal of consent. Tianwangbuxin-dan (or Fluoxetine) improved the depression of stroke patients and the efficacy of Tianwangbuxin-dan was not inferior to that of Fluoxetine. In addition, there was no significant side effect in two groups. Conclusions : This study showed that antidepressive efficacy and safety of Tianwangbuxin-dan in PSD patients.

50 Case Reports of Climacteric Syndrome Treated with Gamiguibi-hwan (가미귀비환(加味歸脾丸) 투여로 호전된 갱년기 증후군 환자 치험 50례)

  • Han, Ji-Yeon;Jang, Sae-Byul;Kim, Min-Ji;Kim, Seo-Young;Lim, Young-Woo
    • The Journal of Korean Obstetrics and Gynecology
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    • v.31 no.1
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    • pp.138-146
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    • 2018
  • Objectives: The purpose of this study is to evaluate the effects of Gamiguibi-hwan on Climacteric Syndrome. Method: We treated 50 cases menopausal disorder patients with Gamiguibi-hwan for 12 weeks. We estimated the effects by Menopause Rating Scale (MRS), Pittsburgh Sleep Quality Index (PSQI) and Beck's Depression Inventory II (BDI-II). Results: After treatment, the mean of MRS, PSQI and BDI-II score were decreased. Conclusions: This case shows that Gamiguibi-hwan is effective in treating menopausal disorder patients.

The Effects of Growth Hormone Therapy on the Quality of Life, Depression and Self-esteem (성장호르몬요법이 삶의 질, 우울, 자아존중감에 미치는 영향)

  • Oh, Jung-Mi;Kim, Kyung-Hee
    • The Journal of Korean Academic Society of Nursing Education
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    • v.12 no.1
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    • pp.52-59
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    • 2006
  • Purpose: The study was attempted to provide basic materials for development of nursing-intervention programs by examining effects of growth hormone therapy on the quality of life, depression and self-esteem. Method: A survey was conducted for 31 adult outpatients as experimental group who have received growth hormone therapy more than 6 months and for 29 adults as control group who have not. A scale developed by Hilditch was used to measure their quality of life and also, the Zung's Self-rating Depression Scale and the Rosenberg's Self-esteem Scale were adopted to measure their depression and self-esteem each. Data were analyzed using one-way and two-way ANOVA Result: 1) there were differences between the two groups in the overall measurement of the quality of life. the growth hormone therapy group was higher in sub-factors 2) There were clear-cut differences between the two groups in depression, so that the control group marked higher score in the measurement of depression. 3) Self-esteem was not identical across the two groups, so that it was more higher for the growth hormone treatment group. Conclusion: Those findings suggest that development of education programs related to growth hormone and nursing-intervention is promising.

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Analysis of Relationships between Parenting Stress, Maternal Depression, and Behavioral Problems in Children at Risk for Attention Deficit Hyperactive Disorder (주의력결핍 과잉행동장애 위험요인에 따른 어머니의 양육스트레스, 우울 및 아동문제행동 간의 관계분석)

  • Shin, Hee-Sun;Kim, Jeong-Mee
    • Journal of Korean Academy of Nursing
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    • v.40 no.3
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    • pp.453-461
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    • 2010
  • Purpose: In this study differences in behavioral problems between children at risk for Attention Deficit Hyperactive Disorder (ADHD) and normally developing children were identified. Further, relationships between parental stress, depression, and child behavioral problems according to ADHD symptoms were explored. Methods: Participants were 222 elementary school children and their parents. The ADHD risk group was determined by the Korean-ADHD Rating Scale. Data were collected using the Korean-ADHD Rating Scale, Korean version of Child Behavior CheckList (K-CBCL), Parenting Stress Index, and Beck Depression Inventory. Data were analyzed using t-test, Pearson correlation coefficients, and regression analysis. Results: 1) The ADHD risk group showed higher levels of behavioral problems, parenting stress, and maternal depression than the normal group. 2) There were significant relationships between ADHD scores and parenting stress (r=.66), maternal depression (r=.35), internal behavioral problems (r=.47), and external problems (r=.55), but, ADHD risk scores were negatively correlated with social competence (r=-.40). 3) The regression analysis revealed that ADHD levels affected the child's internal behavioral problems, mediated by maternal depression ($\beta$=.29, p<.001). Conclusion: The study results show that higher risk scores for ADHD indicate a significant effect for behavioral problems. Also, parenting stress and depression influence child's behavioral problems. These results suggest that identification of children at risk for ADHD and development of parental education programs would contribute to the prevention of behavioral problems and aggravation of the ADHD symptoms.