주요 우울 장애에서 절망감, 역기능적 태도 및 설명 양식
Hopelessness, Dysfunctional Attitudes and Explanatory Style in Major Depressive Disorder
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
목 적 본 연구는 주요 우울장애 단기 치료 경과 중 우울 증상의 변화와 절망감, 역기능적 태도와 설명 양식의 변화를 평가하여 주요 우울 장애에서 절망감, 역기능적 태도와 설명 양식의 의미를 규명하고자 하였다. 방 법 DSM-IV에 의하여 주요 우울 장애로 진단되어 입원 치료를 받는 환자들 중 본 연구에 참여를 동의한 환자를 대상으로 하였다. 30명의 환자들이 참여하였으나 설문지 응답 항목이 누락된 7명은 제외하였다. 대상 환자는 입원 후 1~2주 사이에 1차 평가를 하였고, 4주 후 2차 평가를 하였으며 정상 대조군은 4주 간격으로 두 번 평가하였다. 평가도구는 DAS, BHS, BDI, SESQ를 사용하였다. － 207 －
Abstract
Objectives：This study evaluated hopelessness, dysfunctional attitudes, and explanatory styles, and their relationships to depressive symptoms during the short-term treatment course of major depressive disorder(MDD). Method：The self-rating scales for dysfunctional attitudes(Dysfunctional Attitudes Scale, DAS), explanatory styles(Short-form Explanatory Style Questionnaire, SESQ), hopelessness(Beck Hopelessness Scale, BHS) and depressive symptom(Beck Depression Inventory, BDI) were administered to 23 hospitalized patients with MDD twice in 4 weeks interval and so did to 28 normal controls. Results：MDD patients had significantly higher BDI, BHS, and DAS scores than normal control in the first test. Regarding SESQ items, the stable positive score and global positive score was significantly lower in MDD patients than in normal controls, and the stable negative score and global negative score was significantly higher in MDD patients. Dividing MDD patients into improved and not-improved by mean improvement ratio of BDI, the improved group had significantly lower BHS and DAS scores, and improved SESQ scores in the second test, but notimproved group did not improve in BHS, DAS, and SESQ scores. Conclusion：This results confirmed that depressive symptoms, and hopelessness, dysfunctional attitude and explanatory style co-vary in MDD. Further study is necessary to discern whether cognitive characteristics is either epiphenomena or precedents of depressive symptoms in MDD.
참고문헌 (28)
- American Psychiatric Association, "Diagnostic and sta-tistical manual of mental disorders"
- Stewart JW, "Phenelzine versus imipramine in the treatment of probable atypical depression defining syndrome boundaries of selective MAOI responders", pp.306~1
- Sobin C, "Psychomotor symptoms of de-pression", 154, pp.4~17 (1997)
- Loas G, "Vulnerability to depresion: A model centered on anhedonia", 41, pp.39~54 (1996)
- Denninger JW, "Somatic symptoms in outpatients with major depressive disorder treated with fluoxetine", 47, pp.348~352 (2006)
- Abramson LY, "Learned help-lessness in human", pp.49~74
- Weissman A, "Uni-versity of Pennsylvania", Unpublished doctoral dissertation
- Beck AT, "Cognitive ther-apy of depression"
- Seligman MEP, "Failure to escape traumatic shock", pp.1~9
- Abramson LY, "Expectancy changes in depresion and schizophrenia", pp.102~9
- 박영남, "주요 우울 장애와 정신분열병 환자에서 우울 증상, 설명 양식 및 역기능적 태도", 45, pp.511~517 (2006)
- 한홍무, "Beck Depression Inventory의 한국판 표준화 연구-정상집단을 중심으로", pp.487~502
- 심민섭, "고등학생의 자살성향에 관한 연구 우울-절망-자살간의 구조적 관계에 대한 분석", pp.1~9
- 권석만, "한국판 역기능적 태도척도의 신뢰도 타당도 및 요인구조", pp.100~1
- Seligman MEP, "How to change your mind and your life"
- DeRubeis RJ, "How does cognitive therapy work? Cognitive change and symptom change in cognitive therapy and pharmaco-therapy for depression", pp.862~9
- Hamilton EW, "A longitudinal study in a hospital seting", pp.173~84
- Eaves G, "and demographic predictors of re-sponse to cognitive therapy for depression", pp.245~60, Jaret RB Graneman BD
- Fava M, "Dysfunctional attitudes in major depression Changes with pharmacotherapy", pp.45~9
- Miranda J, "Endorsement of dysfunctional beliefs depends on current mod state", pp.237~41
- Peselow ED, "Dysfunctional attitudes in depressed patients before and after clinical treatment and in normal control sub-jects", pp.439~44
- Petersen T, "cognitive-behavioural therapy maintains atributional style improvement in depresed patients reponding acutely to fluoxetine", 34, pp.555~561 (2004)
- Abramson LY, "A theory-based subtype of depression", pp.358~72, Hopelessness depression
- Kelly KA, "Com-orbidity in anxiety and depressive disorders Cormorbidity in anxiety and mood disorders", pp.499~543
- Sweeney PD, "The causality of casual attributions in depression; A cross-lagged panel corelational analysis", pp.14~22
- Eaves G, "Cognitive patterns in symptomatic and remitted unipolar major depression", pp.31~40
- Persons JB, "Longitudinal study of cognition life events and depression in psychiatric inpatients", pp.51~63
- Seligman MEP, "Explanatory style change during cognitive therapy for unipolar depression", pp.13~8