한국에서 우울증의 비약물학적 치료의 현황과 요구도
The Current Status and Requirements for Non-pharmacological treatment of Depression in Korea
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Abstract
Objective: As a part of plan to develop evidence-based treatment guidelines for depression that is more suitable for Korean situation, we investigate the present status and client’s requirements for non-pharmacological treatment of depression in Korean clinical situation.Methods: This study is a descriptive report. Subjects were patients with depression In 12 university hospitals which is located in metropolis in Korea. We analyzed the records from questionnaire about current clinical status and requirements for the non-pharmacological treatment of depression in Korea. Results:.50.8% of the subjects have experienced non-pharmacological treatments for their depression. The preference of non-pharmacological treatment method of depression is exercise/interesting activity, counseling by psychiatrist and psychotherapy, and the best effective treatment method is psychotherapy(Es=4.36). Actually, the mean consultation time by psychiatrist is 11.31±7.16 min, and the appropriate consultation time for client’s situation is 18.39±8.95 min. During consultation, patients’ satisfaction measurement for psychiatrist’s explanation about pharmacological treatment is 64.17±27.11, and satisfaction measurement for psychiatrist’s counseling to their depression about personal problems, resent stress, interpersonal relationship is 61.66±26.63. Conclusions: Actually, in Korea, many psychiatrists offered biologically oriented treatment to their patients with depression, and patients’ satisfaction measurement about consultation by psychiatrists is low. Many patients want to combined pharmacological and non-pharmacological treatment for their depression, and have aspired to information about complementary and self-help treatment methods. It is necessary to develop non-pharmacological treatment guideline for depression which reflect the clinical situation in Korea and meet Korean patients’ need.
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