소아의 걱정 증상과 우울 성향과의 관계
Relationship between Worry and Depressed Mood in Primary School Children
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참고문헌
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초록
연구배경 본 연구는 소아의 걱정 증상과 우울 성향과의 관련성을 조사하여 임상에서 과도한 걱정증상을 보이는 아동에 대한 세심하고 포괄적인 의료서비스를 제공하는데 도움이 되고자 하였다. 방 법 2007년 11월부터 12월까지 서울, 성남, 수원 소재 초등학교 각 1곳씩 3개교 3, 4, 5학년 총 758명 중, 검사에 동의하지 않은 64명(거부율: 8.4%)을 제외한 694명을 대상으로 하였다. 걱정 증상과 우울 성향은 한국형 소아용 펜실베니아 걱정증상 설문 (Korean Version of The Penn State Worry Questionnaire for Children, PSWQ-CK)과 소아 우울 척도(Children's Depression Inventory, CDI)를 통해 조사하였다. 결 과 내적 일치도에 의한 걱정증상 설문(α: 0.89) 및 소아 우울척도(α: 0.88)의 신뢰도는 적절하였다. PSWQ-CK와 CDI 모두 성별, 나이, 학년, 학교에 따른 차이는 보이지 않았다. PSWQ-CK와 CDI사이에는 강한 양의 상관관계가 있었으며, 이는 통계적으로 유의하였다(p<0.001). CDI의 하위 요인 중에서는 부정적 기분 및 신체화 증상 요인과 가장 강한 양의 상관관계를 보였다. 또 한 자살에 대한 생각을 가지고 있거나 자살하고 싶다고 대답한 경우 유의하게 걱정 증상 점수가 높았다. 결 론 소아의 걱정 증상과 우울 성향은 강한 상관관계를 보이므로 임상의는 걱정 증상 점수가 높은 소아에 대해 중재할 때 불안장 애에 대한 평가뿐만 아니라 우울 성향에 대한 평가도 같이 고려해 보아야 한다.
Abstract
Background This study examined the relationship between worry and depressed mood in primary school children in an effort to help provide children who suffer from excessive worry with refined and comprehensive healthcare services in a clinical setting. Methods Between November and December 2007, a total of 758 third, fourth and fifth grade students from three elementary schools located in Seoul, Sung-Nam and Su-Won were recruited for participation in this study. However, 64 students did not consent to participation in this study (rejection rate: 8.4%), and thus a total of 694 students were finally included in the study. Children’s worry and depressed moods were assessed using the Korean version of the Penn State Worry Questionnaire for Children (PSWQ-CK) and Children's Depression Inventory (CDI). Results Reliability based on internal consistency was adequate for the PSWQ-CK (α: 0.89) and CDI (α: 0.88). There were no significant differences in the PSWQ-CK and CDI scores according to gender, age, grade level and location of school. There was a significant positive correlation between the PSWQ-CK and CDI (p<0.001). The negative mood and somatization subscale of the CDI showed the strongest positive correlation with the PSWQ-CK. In addition, the PSWQ-CK scores of the children who had considered committing suicide and those who indicated that they wanted to commit suicide were significantly higher than those who did not have thoughts of suicide. Conclusions As shown in this study, clinicians should evaluate depressed mood and anxiety disorder in children with high PSWQ-CK scores and provide them with appropriate interventions.
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