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우울증 환자 가족들의 심리적 스트레스에 관한 연구:정신분열병 환자 가족과 비교

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Author(s)
김진희이은정정성원성형모사공정규김정범
Keimyung Author(s)
Jung, Sung WonKim, Jung Bum
Department
Dept. of Psychiatry (정신건강의학)
Journal Title
대한불안의학회지
Issued Date
2010
Volume
6
Issue
1
Abstract
Objective:This study compared the psychological stresses of depressed patients’ families with those of schizophrenic patients’ families. We investigated the influence of depressive patients’ clinical features and their families’ demographic characteristics on the families’ depressive symptoms and stresses.
Methods:Participants were 23 family members of depressed patients and 20 family members of schizophrenic patients. We measured the patients’ clinical features (duration of illness, number of previous hospitalizations, and satisfaction with medication), and each family member’s socioeconomic status and psychological characteristics (depressive mood, anxiety, family stress, and stress response), analyzing the data via independent t-test, chi-square test, and correlation and hierarchical multiple regression analyses.
Results:The depressed patients’ average clinical global impression (CGI) was significantly higher than that of the schizophrenic patients. The depressed patients’ family members showed stress responses significantly higher than those of schizophrenic patients’ family members. Furthermore, in depressed patients, frequency of hospitalization was positively correlated with family members’ stat anxiety. For both patient types, family stress was positively correlated with the patient’s severity of illness and the family’s state anxiety, trait anxiety, and stress response;socioeconomic status was positively correlated with the family’s depressive symptoms;the family’s state anxiety positively correlated with the family’s trait anxiety and stress response;and the family’s trait anxiety positively correlated with the family’s stress response. Socioeconomic status predicted the family’s depressive symptoms, and socioeconomic, illness severity and stress response predicted family stress.
Conclusion:These findings suggest that both depressed patients’ families and schizophrenic patients’ families suffer from psychological stress. The study data also have important clinical implications, in that families of depressed patients need psychiatric intervention, as well as the patients themselves. In particular, family intervention should focus on psycho-education and stress coping strategies.(Anxiety and Mood 2010;6(1):17-23)
Key Words:Depression·Schizophrenia·Family·Psychological stress.
Alternative Title
A Comparison Study on the Psychological Stresses of Families of Patients with Either Depression or Schizophrenia
Keimyung Author(s)(Kor)
정성원
김정범
Publisher
School of Medicine
Citation
김진희 et al. (2010). 우울증 환자 가족들의 심리적 스트레스에 관한 연구:정신분열병 환자 가족과 비교. 대한불안의학회지, 6(1), 17–23.
Type
Article
ISSN
1738-9046
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/38682
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Psychiatry (정신건강의학)
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