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논문KCI 등재

파킨슨병 환자의 우울 예측 모형

A Prediction Model for Depression in Patients with Parkinson's Disease

배은숙|강창완|천상명|김재우
한국보건교육건강증진학회 (Korean Society for Health Education and Promotion)|2013.12|보건교육건강증진학회지 (KOREAN JOURNAL OF HEALTH EDUCATION AND PROMOTION)|제30권 제5호|pp. 139-151

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참고문헌

키워드

DepressionADLSocial stigmaSocial participationQuality of sleeping
주제분류예방의학/직업환경의학

초록

Objectives: This study investigated how income, duration of illness, social stigma, quality of sleeping, ADL and social participation related to Parkinson’s disease(PD) predict depression in a conceptual model based on the International Classification of Functioning(ICF) model. Methods: The sample included 206 adults with idiopathic Parkinson’s disease(IPD) attending D university hospital in B Metro-politan City. A structured questionnaire was used and conducted face-to-face interviews. The collected data were analyzed for fitness, using the AMOS 18.0 program. Results: A path analysis showed that the overall model provided empirical evidence for linkages in the ICF model. Depression was manifested by significant direct effects of social stigma(=.20, p<.001), quality of sleeping(=-.40, p<.001), ADL(=-.20, p<.01), and social participation(=-.12, p<.05), indirect effects including income(p<.05), duration of illness(p<.05). These variables explained 45.9% of variance in the prediction model. Conclusions: This model may help nurses to collect and assess information to develop intervention program for depression.

Abstract

Objectives: This study investigated how income, duration of illness, social stigma, quality of sleeping, ADL and social participation related to Parkinson’s disease(PD) predict depression in a conceptual model based on the International Classification of Functioning(ICF) model. Methods: The sample included 206 adults with idiopathic Parkinson’s disease(IPD) attending D university hospital in B Metro-politan City. A structured questionnaire was used and conducted face-to-face interviews. The collected data were analyzed for fitness, using the AMOS 18.0 program. Results: A path analysis showed that the overall model provided empirical evidence for linkages in the ICF model. Depression was manifested by significant direct effects of social stigma(=.20, p<.001), quality of sleeping(=-.40, p<.001), ADL(=-.20, p<.01), and social participation(=-.12, p<.05), indirect effects including income(p<.05), duration of illness(p<.05). These variables explained 45.9% of variance in the prediction model. Conclusions: This model may help nurses to collect and assess information to develop intervention program for depression.

참고문헌 (47)

  1. Adler, C. H., "Sleep issues in Parkinson’s disease", Neurology, 64(12), pp.12~20 (2005)
  2. Asako, Y., "Parkimson's disease with and without REM sleep behaviour disorder: Are there any clinical differences?", European Neurology, 61, pp.164~170 (2009)
  3. Beck, A. T., "Depression: Clinical, experimental and theoretical aspects" (1967), Haper & Row
  4. Broks, D. J., "Depression in Parkinson’s disease : Current opinion", Neurology, 14, pp.465~470 (2001)
  5. Bruce, M. L., "Depression and disability in late life: Directions for future research", American Journal of Geriatric Psychiatry, 9, pp.102~112 (2001)
  6. Chokroverty, S., "Sleep & degenerative neurologic disorders", Neurologic Clinic, 14, pp.807~826 (1996)
  7. Cole, S. A., "Depression and disability in Parkinson’s disease", Journal of Neuropsychiatry Clinical Neurosciology, 8, pp.20~25 (2006)
  8. Cummings, J. L., "Depression and Parkinson's disease: A review(comment)", American Journal of Psychiatry, 149, pp.443~454 (1992)
  9. De Boer, A. G., "Quality of life in patients with Parkinson's disease : Development of a questionnaire", Journal of Neurosurgery and Psychiatry, 61(1), pp.70~74 (1996)
  10. Fahn, S., "Recent development in Parkinson's disease" (1987), Macmillan Health care Information
  11. Gangliardi, B. A., "The impact of Duchenne muscular dystropy on families", Orthopedic Nursing, 10, pp.41~49 (1991)
  12. Giladi, N., "Risk factors for dementia, depression and psychosis in long-standing Parkinson's disease", Journal of Neural Transm, 107, pp.59~71 (2000)
  13. Global Parkinson’s Disease Survey Steering Committee, "Actors impacting on quality of life in Parkinson's disease: Results from an international survey", Movement Disorders, 17, pp.60~67 (2002)
  14. Goldberg, B., "The relationship between engagement in meaningful activities and quality of life in person disabled by mental illness", Occupational Therapy of Mental health, 18, pp.17~44 (2002)
  15. Happe, S., "Sleep disorders and depression in patients with Parkinson’s disease", Acta Neurology Scandinavia, 104, pp.275~280 (2001)
  16. Happe, S., "The influence of poor sleep on quality of life in patients with Parkinson’s disease-a prospective study", Somnologie, 7, pp.134~139 (2003)
  17. Harvey, R., "Individual difference in the phenomenological impact of social stigma", The Journal of social Psychology, 141(2), pp.174~189 (2001)
  18. Havlikova, E., "The impact of sleep and mood disorders on quality of life in Parkinson's disease patients", Journal of Neurology, 258, pp.2222~2229 (2011)
  19. "Ministry for health, welfare and family affairs" (2009)[URL]
  20. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives, "Hu, L.", Strctural Equation Modeling, 1~55 (1999)
  21. Hugs, D. M., "Burden of illness in Parkinson's disease", Movement Disorder, 20, pp.1449~1454 (2005)
  22. Johnson, S. J., "Costs of Parkinson's disease in a privately insured population", PharmacoEconomics, 31, pp.799~806 (2013)
  23. Kwon, Y. C., "Standardization of Korean of the Mini-Mental State Examination (MMSE-K) for use in the elderly. part II. diagnostic validity", Journal Neuropsychiatric Association, 28, pp.125~135 (1989)
  24. 김경미, "ICF 모델에 기초한 장애인의 참여 척도 개발", 재활복지, 14(3), pp.95~119 (2010), 한국장애인재활협회
  25. 김성렬, "파킨슨병 환자의 삶의 질에 영향을 미치는 요인", 대한신경과학회지, 23(6), pp.770~775 (2005), 대한신경과학회
  26. 김유리, "파킨슨병 환자의 자가간호수행에 영향을 미치는 요인", 재활간호학회지, 13(2), pp.140~150 (2010), 한국재활간호학회
  27. Lee, Y. H. ., "The relations between attributional style, life events, event attribution, hopelessness and depression", 박사, pp.1993
  28. Manni, R., "A sleep continuity scale in Alzheimer's disease : validation and relationship with cognitive and functional and deterioration", Neurologic Sociology, 34, pp.701~705 (2013)
  29. Marilyn, T., "Neurorehabilitation in Parkinson's Disease" (2008), SLACK Incorporated
  30. McDonald, W. M., "Prevalence, etiology and treatment of depression in Parkinson’s disease", Society of Biological psychiatry, 54, pp.373~375 (2003)
  31. Menza, M. A., "Parkinson's disease and depression : The relationship to disability and personality", Journal of Neuropsychiatric Clinical Neurosociolog, 6, pp.165~169 (1994)
  32. Oh, J. G., "Development and validation of Korean sleep scale", Journal of Korean Academy Nursing, 28(3), pp.563~572 (1998)
  33. Plafer, J., "Parkinson’s disease in the older patient" (2008), Radcliffe Publishing Ltd. Abingdon
  34. Rao, D., "Measuring stigma neurological conditions : the development of the stigma scale for chronic illness(SSCI)", Quailty bof Life Research, 18, pp.585~595 (2009)
  35. Richard, H., "Anxiety and Parkinson’s disease", Journal of Neuropsychiatry Clinical Neurosociology, 8, pp.383~392 (1996)
  36. Slawek, J., "Factors affecting tyh quality of life pf patients with idiopathic Parkinson’s disease : A cross-sectional study in an outpatient clinic attendees", Parkinsonism Related disorder, 11(7), pp.465~468 (2005)
  37. 송경애, "파킨슨병 환자의 인구학적？임상적 특성에 따른 우울, 일상생활 수행능력 및 인지기능", 기본간호학회지, 13(2), pp.249~256 (2006), 기본간호학회
  38. 소희영, "ICF 모델에 근거한 노인의 삶의 질 예측 모형", Journal of Korean Academy of Nursing, 41(4), pp.481~490 (2011), 한국간호과학회
  39. Soh, Sze-Ee, "Health-related quality of life of Australian with Parkinson's disease: A comparison with international studies", Physiology Canada, 64(4), pp.338~346 (2012)
  40. Starkstein, S., "Diagnostic criteria for depression in Parkinson’s disease : A study of symptom patterns using latent class analysis", Movement Disaorder, 26(12), pp.2239~2245 (2011)
  41. Tandberg, E., "The occurrence of depression in Parkinson’s disease : A community-based study", Archives of Neurology, 53, pp.175~179 (1996)
  42. Valderas, J. M., "Patient reported outcome measures : A model-based classification system for research and clinical practice", Quality of Life Research, 17, pp.1125~1135 (2008)
  43. Weiner, B., "An attributional analysis of reactions to stigmas", Journal of Personality Social Psychology, 55(5), pp.738~748 (1988)
  44. Wichowicz, H. M., "Factors associated with depression in Parkinson’s disease : A cross-sectional in a polish population", European Psychiatry, 21, pp.516~520 (2006)
  45. ICF : International classification of functioning disability and health, "World Health Organization", World Health Organization, ~ (2001)
  46. World report on disability, "World Health Organization", World Health Organization, ~ (2011)
  47. Yang, Y., "Functional disability, disability transition, and depressive symptoms in late life", Journal of Aging and Health, 17(3), pp.263~292 (2005)

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