투석 환자에서 연령에 따른 우울, 불안 및 긍정사고의 차이
The Differences of Depression, Anxiety and Positive Thinking between Adult and Elderly Hemodialysis Patients
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Abstract
Objective : The end-stage renal disease patients who shared fear of death, functional impairment due to hemodialysis are vulnerable to depression, anxiety and other mental problems. It is possible that their psychiatric characteristics and related autonomic nervous functions have some differences depending on their age. We purpose to find the differences of psychiatric characteristics and related autonomic nervous functions between adult and elderly hemodialysis patients. Methods : Our subjects are end-stage renal disease hemodialysis patients composed of 39 adults (＜65 years) and 24 seniors (≥65 years). Outcome measures included the 17-item Hamilton Rating Scale for Depression, The Hamilton Rating Scale for Anxiety, The Apathy Evaluation Scale and Mini-International Neuropsychiatric Interview by clinician. And subjects fulfilled self-report scale, The Positive thinking scale and The Snaith-Hamilton Pleasure Scale. The autonomic nervous functions are measured by heart rate variability. Results : There are no significant differences in demographic factors between two groups. The 17-item Hamilton Rating Scale for Depression, The Hamilton Rating Scale for Anxiety, The Apathy Evaluation Scale, The Snaith-Hamilton Pleasure Scale and autonomic nervous functions are also not different. But only positive thinking scale is higher in adult hemodialysis group than the elderly (F=5.395, p=0.024). Conclusion : This study compared depression, anxiety and autonomic nervous functions between adult and senior hemodialysis patients. There are no significant differences in psychiatric characteristics and autonomic nervous functions between two groups except positive thinking traits. Senior patients endured their chronic disease similar to adult patients did in spite of their old age. This result suggests that elderly’s higher positive thinking traits affect their endurances about the negative situations.
참고문헌 (28)
- Fukuhara S, "Symptoms of depression, prescription of benzodiazepines, and the risk of death in hemodialysis patients in Japan", Kidney Int, 70, pp.1866~1872 (2006)
- Hinrichsen GA, "Depression in hemodialysis patients", Psychosomatics, 30, pp.284~289 (1989)
- Kimmel PL, "Immunologic function and survival in hemodialysis pa-tients", Kidney Int, 54, pp.236~244 (1998)
- Kimmel PL, "Psychosocial factors in dialysis patients", Kidney Int, 59, pp.1599~1613 (2001)
- Kimmel PL, "Survival in hemodialysis patients: the role of depression", J Am Soc Nephrol, 4, pp.12~27 (1993)
- Kimmel PL, "ESRD patient quality of life: symptoms, spiritual beliefs, psychosocial factors, and ethnicity", Am J Kidney Dis, 42, pp.713~721 (2003)
- Kimmel PL, "Psychiatric illness in patients with end-stage renal disease", Am J Med, 105, pp.214~221 (1998)
- Cukor D, "Depression and anxiety in urban hemodialysis patients", Clin J Am Soc Nephrol, 2, pp.484~490 (2007)
- 정연순, "유지 혈액투석치료를 받는 만성신부전에 수반된 우울증에서 항우울제 치료에 따른 우울증상 및 영양지표의 변화", Kidney Research and Clinical Practice, 27(1), pp.94~101 (2008), 대한신장학회
- Kroenke K, "Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection", Ann Intern Med, 146, pp.317~325 (2007)
- Smith MD, "Diagnosis of depression in patients with end-stage renal disease. Comparative analysis", Am J Med, 79, pp.160~166 (1985)
- Kutner NG, "Assessing depression and anxiety in chronic dialysis patients", J Psychosom Res, 29, pp.23~31 (1985)
- Cukor D, "Anxiety disorders in adults treated by hemodialysis: a single-center study", Am J Kidney Dis, 52, pp.128~136 (2008)
- Lawrence RH, "Disentangling the disablement process", J Gerontol B Psychol Sci Soc Sci, 51, pp.S173~S182 (1996)
- Jin Yoon, "Geriatric psychology" (1997), JoongAng books
- Backer J, "Perceived stressors of financially secure, community-residing older women", Geriatr Nurs, 16, pp.155~159 (1995)
- Lim SW, "A Validation Study of the Abbreviated Self-Rated Korean Version of MINI (MINI Patient Health Survey)", Anxiety and Mood, pp.3~ (2007)
- 김현정, "긍정적 사고 척도의 개발 및 타당화 연구", 한국심리학회지: 건강, 11(4), pp.767~784 (2006), 한국건강심리학회
- 김태영, "확률적 보상과제를 이용한 기분안정기 양극성 장애 환자의 보상학습 특성", 대한정신약물학회지, 23(1), pp.28~35 (2012), 대한정신약물학회
- Won Kim, "The Effect of Cognitive Behavior Therapy-Based Psychotherapy Applied in a Forest Environment on Physiological Changes and Remission of Major Depressive Disorder", PSYCHIATRY INVESTIGATION, 6(4), pp.245~254 (2009), 대한신경정신의학회
- Yun SJ, "Depression, Anxiety and Sleep Disturbances in Patients with Hemodialysis", J Korean Neuropsychiatr Assoc, pp.38~ (1999)
- 김성록, "혈액투석 중인 환자의 우울증과 불안증", Kidney Research and Clinical Practice, 29(6), pp.733~741 (2010), 대한신장학회
- Pelle AJ, "Beyond Type D personality: reduced positive affect (anhedonia) predicts impaired health sta-tus in chronic heart failure", Qual Life Res, 18, pp.689~698 (2009)
- Bossola M, "Symptoms of depression and anxiety over time in chronic hemodialysis patients", J Nephrol, 25, pp.689~698 (2012)
- Taylor SE, "Illusion and well-being: a social psychological perspective on mental health", Psychol Bull, 103, pp.193~210 (1988)
- Beck AT, "Depression; Clinical, experimental, and theoretical aspects" (1967), Harper & Row
- Beck AT, "Cognitive therapy, behavior therapy, psychoanalysis, and pharmacotherapy" (1985), Plenum
- Heimberg RG, "Partner similarity mediates interpersonal anxiety", Cognitive Therapy and Research, 9, pp.443~453 (1985)