환자용 기분기록지 개발 및 타당도 연구
Development and Validation of the Patient Mood Chart
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초록
본 연구에서는 양극성 장애 외래 환자가 사용할 수 있는 자가 기분기록지를 개발하고 타당도 및 유용성을 검증하였다. 한국의 임상현장에서 기분기록지는 양극성 장애 환자의 치료반응 및 장기간 경과를 파악하는 데 있어 의미 있는 보조도구가 될 수 있을 것으로 보인다. 향후 환자용 기분기록지가 병식이나 치료 순응도의 향상, 재발의 조기 발견, 경과와 관련된 요인 탐구 등에도 긍정적 역할을 할 수 있는지 검증할 수 있는 후속 연구들이 필요할 것으로 보인다. 또한 일차 의료기관이나 정신병원 등 다양한 진료 환경에서 적용할 수 있는지에 관한 연구도 필요할 것으로 보인다.
Abstract
Objectives: The aim of this study was to report the developmental process of the patient mood chart (named the Patient Mood Chart, PMC), and to test its validity and utility. Methods: One hundred twenty nine subjects with bipolar disorder, as diagnosed using DSM-IV criteria, completed the PMC. A trained clinician administered the Hamilton Depression Rating Scale (HDRS), the Montgomery A˚sberg Depression Rating Scale (MADRS), the Inventory of Depressive Symptomatology (IDS), the Young Mania Rating Scale (YMRS) and the Global Assessment of Functioning (GAF). Mood ratings on the PMC were compared with clinician-rated measures taken at initial visits and 6-month follow-ups. To examine the utility of the PMC, a patient questionnaire-type survey was done. Results: Depressive symptom ratings on the PMC were highly correlated with the HAMD, MADRS and IDS scores. Manic symptom ratings on the PMC were correlated with the YMRS scores. Similarly, a strong correlation was found between mood chart scores and the GAF scores. Most patients considered the PMC to be useful and helpful. Conclusion: These findings support the validity and utility of the PMC. The PMC can be used for prospective assessment of symptom changes, treatment response, and long-term course for subjects with bipolar disorder.
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