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정신분열병 입원환자의 우울증상 유병 률 및 예측인자

Prevalence and Predictors of Depressive Symptoms Among the Inpatients with Schizophrenia

장성만|원승희|정재훈
대한생물치료정신의학회 (Korean Society Of Biological Therapies In Psychiatry)|2011.06|생물치료정신의학 (Journal of the Korean Society of Biological Therapies in Psychiatry)|제17권 제1호|pp. 121-130

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참고문헌

키워드

정신분열병·우울증·위험요인Schizophrenia · Depression · Risk factors
주제분류정신과학

초록

Objectives：This study was performed to evaluate the prevalence and to identify predictors of depressive symptoms among inpatients with schizophrenia. Methods：One hundred and forty-one schizophrenic patients were included. Sociodemographic characteristics were obtained by questionnaire. Depressive symptoms were evaluated using Center for Epidemiologic Studies Depression scale(CES-D). A cutoff score 16 or above was used to indicate depressive symptoms. Results：Prevalence of depressive symptoms was 46.8% in this sample, 43.7% in male and 50.0% in female. No familial support, six or more numbers of admission, infrequent visit of caretaker over the last month, impaired orientation and presence of pain or discomfort were predictors of depressive symptoms. Conclusion：Depressive symptoms were highly prevalent in inpatients with schizophrenia. The predictors of depressive symptoms should be given special attention to prevent the onset and progression of depressive disorder in this group of patients.

Abstract

Objectives：This study was performed to evaluate the prevalence and to identify predictors of depressive symptoms among inpatients with schizophrenia. Methods：One hundred and forty-one schizophrenic patients were included. Sociodemographic characteristics were obtained by questionnaire. Depressive symptoms were evaluated using Center for Epidemiologic Studies Depression scale(CES-D). A cutoff score 16 or above was used to indicate depressive symptoms. Results：Prevalence of depressive symptoms was 46.8% in this sample, 43.7% in male and 50.0% in female. No familial support, six or more numbers of admission, infrequent visit of caretaker over the last month, impaired orientation and presence of pain or discomfort were predictors of depressive symptoms. Conclusion：Depressive symptoms were highly prevalent in inpatients with schizophrenia. The predictors of depressive symptoms should be given special attention to prevent the onset and progression of depressive disorder in this group of patients.

참고문헌 (45)

  1. Bleuler E, "Dementia Praecox or the Group of Schizophrenias" (1950), International Universities Press
  2. Mulholland C, "The symptom of depression in schizophrenia and its management", Adv Psychiatr Treat, 6, pp.169~177 (2000)
  3. Davies LM, "Economics and schizophrenia", Br J Psychiatry, pp.18~21 (1994)
  4. Corrigan PW, "The construct validity of subjective quality of life for the severely mentally ill", J Nerv Ment Dis, 183, pp.281~285 (1995)
  5. 서호석, "정신분열병 환자의 삶의 질과 정신병리:주관 및 객관적 평가", 신경정신의학, 40(6), pp.1122~1131 (2001), 대한신경정신의학회
  6. Narvaez JM, "Subjective and objective quality of life in schizophrenia", Schizophr Res, 98, pp.201~208 (2008)
  7. Reine G, "Depression and subjective quality of life in chronic phase schizophrenic patients", Acta Psychiatr Scand, 108, pp.297~303 (2003)
  8. Fitzgerald PB, "Subject and observer-rated quality of life in schizophrenia", Acta Psychiatr Scand, 103, pp.387~392 (2001)
  9. 정순민, "입원중인 만성 정신분열병환자의 삶의 질과 정신병리의 관계", 생물치료정신의학, 13(1), pp.52~61 (2007), 대한생물치료정신의학회
  10. Tollefson GD, "The course of depressive symptoms in predicting relapse in schizophrenia:a double-blind,randomized comparison of olanzapine and risperidone", Biol Psychiatry, 46, pp.365~373 (1999)
  11. Siris SG, "Suicide and schizophrenia", J Psychopharmacol, 15, pp.127~135 (2001)
  12. Palmer BA, "The lifetime risk of suicide in schizophrenia:a reexamination", Arch Gen Psychiatry, 62, pp.247~253 (2005)
  13. Roy A, "Depression,attempted suicide,and suicide in patients with chronic schizophrenia", Psychiatr Clin North Am, 9, pp.193~206 (1986)
  14. Whitehead C, "Antidepressants for the treatment of depression in people with schizophrenia:a systematic review", Psychol Med, 33, pp.589~99 (2003)
  15. Gruenberg AM, "Depressive disorders in psychiatry", pp.990~ (1997), WB Saunders
  16. Fenton WS, "Comorbid conditions in schizophrenia", Curr Opin Psychiatry, 14, pp.17~23 (2001)
  17. Green AI, "Detection and management of comorbidity in patients with schizophrenia", Psychiatr Clin North Am, 26, pp.115~139 (2003)
  18. Zisook S, "Depressive symptoms in schizophrenia", Am J Psychiatry, 156, pp.1736~1743 (1999)
  19. Teresi J, "Prevalence of depression and depression recognition in nursing homes", Soc Psychiatry Psychiatr Epidemiol, 36, pp.613~620 (2001)
  20. 김진성, "정신분열병 환자의 우울증상에 미치는 요인", 생물치료정신의학, 14(1), pp.110~121 (2008), 대한생물치료정신의학회
  21. Radloff LS, "The CES-D Scale:A self report depression scale for research in the general population", Appl Psychol Meas, 1, pp.385~401 (1977)
  22. Eaton WW, "Rates of symptoms of depression in a national sample", Am J Epidemiol, 114, pp.528~538 (1981)
  23. Cho MJ, "Use of the Center for Epidemiologic Studies Depression(CES-D)Scale in Korea", J Nerv Ment Dis, 186, pp.304~310 (1998)
  24. Cho MJ, "Diagnostic Validity of the CES-D(Korean Version)in the Assessment of DSM-III-R Major Depression", J Korean Neuropsychiatr Asso, 32, pp.381~399 (1993)
  25. Bartels SJ, "Depressive symptoms in schizophrenia:comprehensive differential diagnosis", Compr Psychiatry, 29, pp.467~483 (1988)
  26. DeLisi LE, "Depression in Schizophrenia" (1990), American Psychiatric Press
  27. Wassink TH, "Prevalence of depressive symptoms early in the course of schizophrenia", Am J Psychiatry, 156, pp.315~316 (1999)
  28. Leff J, "Depressive symptoms in the course of schizophrenia. In Depression in Schizophrenia" (1990), American Psychiatric Press
  29. Siris SG, "Assessment and treatment of depression in schizophrenia", Psychiatric Annals, 24, pp.463~467 (1994)
  30. Siris SG, "Diagnosis of secondary depression in schizophrenia:implications for DSM-IV", Schizophr Bull, 17, pp.75~98 (1991)
  31. Buckley PF, "Psychiatric comorbidities and schizophrenia", Schizophr Bull, 35, pp.383~402 (2009)
  32. 조성진, "정신보건관련시설 입원(소)자의 주요 정신장애 유병률 - 전국 20개 시설의 입원(소)자를 대상으로", 신경정신의학, 43(6), pp.749~759 (2004), 대한신경정신의학회
  33. Cho MJ, "Prevalence of symptoms of depression in a nationalwide sample of Korean adults", Psychiatry Res, 14, pp.341~352 (1998)
  34. Iwata N, "Responses to a self-administered depression scale among younger adolescents in Japan", Psychiatry RES, 53, pp.275~287 (1994)
  35. Addington D, "A depression rating scale for schizophrenics", Schizophr Res, 3, pp.247~251 (1990)
  36. Hamilton M, "A rating scale for depression", J Neurol Neurosurg Psychiatry, 23, pp.56~62 (1960)
  37. Baynes D, "Depressive symptoms in sTable chronic schizophrenia:prevalence and relationship to psychopathology and treatment", Schizophr Res, 45, pp.47~56 (2000)
  38. Rieckmann N, "Depressed mood and its functional correlates in institutionalized schizophrenia patients", Schizophr Res, 77, pp.179~187 (2005)
  39. Bowie CR, "The longitudinal course of thought disorder in geriatric patients with chronic schizophrenia", Am J Psychiatry, 162, pp.793~795 (2005)
  40. Conley RR, "The burden of depressive symptoms in the long-term treatment of patients with schizophrenia", Schizophr Res, 90, pp.186~197 (2007)
  41. Snowdon J, "Recognising depression in residential facilities:an Australian challenge", Int J Geriatr Psychiatry, 23, pp.295~300 (2008)
  42. Kim SJ, "The Clincal Characteristics of Schizophrenic In-Patients with Depressive Symptoms", Schizophr Cinics, 7, pp.23~28 (2004)
  43. Ganguli M, "Depressive symptoms and cognitive decline in late life:a prospective epidemiological study", Arch Gen Psychiatry, 63, pp.153~160 (2006)
  44. Müller-Spahn F, "Clinical Presentation of Depression in the Elderly", Gerontology, 40, pp.10~14 (1994)
  45. Bagley H, "Recognition of depression by staff in nursing and residential homes", J Clin Nurs, 9, pp.445~450 (2000)

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