• 제목/요약/키워드: BDI SCALE

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뇌졸중 환자의 우울증 평가도구 비교 (A Comparison of Different Depression Instruments for Stroke Patients)

  • 이동진;심재광;안승헌
    • The Journal of Korean Physical Therapy
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    • 제23권2호
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    • pp.69-76
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    • 2011
  • Purpose: The aim of this study was to investigate the prevalence of depressive symptoms in stroke patients and to compare characteristics of different rating scales - Hamilton Depression Rating Scale (HDRS), Beck Depression Inventory (BDI) and Hospital Anxiety and Depression Scale-Depression (HAD.D)- with regard to diagnosis and severity assessment for post-stroke depression. Methods: Participants included 44 stroke patients who could communicate. At admission, all study participants received a semi-structured interview using the HDRS and a self-completed questionnaire using the BDI and the HAD-D. Pearson's correlation method was used to examine associations among the three depression scales. The BDI and HAD-D were compared based on HDRS criteria, and the sensitivity and specificity using cut-off values were analyzed. Results: The HDRS showed that 52.30% of stroke patients had depressive symptoms on the BDI and HAD-D it was 59.10%. The HDRS correlated significantly with the BDI (r=0.81, p<0.01) and HAD-D (r=0.55, p<0.01). The BDI correlated significantly with HADS (r=0.50, p<0.01). After calculating the area under the ROC curve to decide on HDRS criteria, the BDI (AUC=0.91, 95% CI: 0.83.0.99) showed a significantly larger area compared to the HAD.D (AUC=0.82, 95% CI: 0.69-0.94). The cut-off value of the BDI was 12.50 points with a sensitivity of 81.00% and a specificity of 76.20%. Conclusion: These findings show that the BDI is a useful screening test for depression that most closely predicts the HRDS score.

뇌졸중후 우울증의 정도와 운동기능의 회복과의 상관관계에 대한 연구 (The correlation between post-stroke depression and the recovery rate of motor functions)

  • 박세진;박상동;이정훈
    • 동의신경정신과학회지
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    • 제13권2호
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    • pp.101-106
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    • 2002
  • Objectives : The degree of post-stroke depression was observed and then correlated to the recovery rate of the motor functions of the above treated stroke patients. Methods : The BDI SCALE(Beck Depression Inventory Scale) and motor grades of 50 diagnosed stroke patients who were hospitalized in Dong-Seo Oriental Hospital between the period of May 2002 to September 2002 were measured. After a 1 month recovery period the BDI SCALE and motor grade of the above mentioned patients were again measured and a correlation was observed. Results : A lower BDI SCALE was observed in patients with a higher motor grade recovery rate. Conclusion : The treatment of post-stroke depression is imperative for positive effects on the motor functions of stroke patients.

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척주관협착증 환자의 Beck Depression Inventory 점수와 이와 관련된 요인들의 분석 (Beck Depression Inventory Score and Associated Factors in Korean Patients with Lumbar Spinal Stenosis)

  • 김애라;서보병;김진모;배정인;장영호;이용철;강철형;정성원;홍지희
    • The Korean Journal of Pain
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    • 제20권2호
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    • pp.138-142
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    • 2007
  • Background: Depression is a frequent comorbid disease of chronic pain patients. This study was conducted to evaluate the prevalence of depression and to correlate associated factors and depression in patients with lumbar spinal stenosis. Methods: The data of this survey was collected from 97 patients that visited our pain clinic for the management of lumbar spinal stenosis. Depression was examined by a self-reported survey using the Korean version of the Beck Depression Inventory (BDI). The Oswestry Disability Index (ODI) and the life satisfaction scale score were also obtained. Demographic and clinical characteristics (including spouse status, employment status, smoking status, the number of patients with multiple painful areas, the number of patients with combined disease, pain duration, visual analogue scale, Roland 5-point scale and walking distance) were obtained from an interview with the patient. The patients were divided into group N ($BDI{\leq}14$, n = 43) and group 0 (BDI > 14, n = 54) according to the BDI scale. Of the 97 patients, 55,7% had a high BDI score. Results: The patients in group N had a higher rate of employment (48.0%, P < 0.05) and had higher life satisfaction scale scores ($9.4{\pm}2.5$, P < 0.01) as compared to group D patients. The BDI score showed a close correlation with employment status and the life satisfaction scale. Conclusions: Many lumbar spinal stenosis patients had high BDI scores. Employment status and the life satisfaction scale were closely correlated with the BDI score.

정신분열병 환자에서 갑상선기능과 기분증상 및 신체증상 (Thyroid Dysfunctions Associated with the Mood Symptoms and the Psychosomatic Symptoms in Patients with Schizophrenia)

  • 김세희;한덕현;나철;민경준;주소연
    • 정신신체의학
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    • 제17권1호
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    • pp.30-36
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    • 2009
  • 연구목적 : 갑상선기능은 기분, 인지기능, 불안, 수면 등의 증상과 관련된다. 갑상선기능이상 시에 정신분열병 환자에서 음성증상, 기분, 신체증상에 어떤 차이가 있는지, 또 각각의 증상 변화와 어떻게 연관되는지를 연구하였다. 방법 : 정신분열병으로 입원했던 환자 65명을 입원 당시의 갑상선호르몬 수치에 따라 갑상선기능불안정 군과 갑상선기능정상 군으로 나누었다. 두 군의 입원 당시와 8주 후에 평가했던 음성증상평가척도(Scale for the Assessment of Negative Symptoms ; 이하 SANS), 양성증상평가척도(Scale for the for the Assessment of Positive Symptoms ; 이하 SAPS), 벡우울증척도(Beck Depression Inventory ; 이하 BDI), 신체감각증폭척도(Somatosensory Amplication Scale ; 이하 SSAS)의 변화를 비교하였다. 각 환자들은 항정신병약물 치료를 포함한 입원 치료를 받았으며, 갑상선기능이 불안정했던 경우 4주 후에 갑상선호르몬의 정상화를 확인하였다. 결과 : 8주 뒤에 갑상선기능정상 군과 갑상선기능불안정 군에서 SANS, BDI, SSAS 변화 차이가 의미 있게 나타났다. 갑상선기능정상 군에서 갑상선기능불안정 군에 비해 척도 점수가 크게 낮아졌는데, SANS는 23.3%(F=57.0, p<0.01), BDI는 19.6%(F=12.9, p<0.01), 신체감각증폭척도는 16.2%(F=17.1, p<0.01) 더 변화가 컸다. SANS, BDI, SSAS 세 지표 간에 유의한 상관관계는 없었다. 결론 : 정신분열병 환자들에게서 갑상선기능이 음성증상, 우울감, 신체증상에 관련된 예후에 표지가 될 수 있을 것이다.

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초기성인기와 중년기 우울장애 환자에서 영성이 희망에 미치는 영향의 차이 (Difference of the Effects of Spirituality on the Hope in Early Adults and Middle Aged Patients with Depression)

  • 이나빈;민정아;채정호
    • 우울조울병
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    • 제10권1호
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    • pp.31-36
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    • 2012
  • Objectives : The aim of this study was to investigate the relationship between depressive symptom, spiritual well-being and state hope in early adults and middle aged patients with depression. Methods : A total of 180 outpatient were surveyed with Beck Depression Inventory (BDI), Functional Assessment of Chronic Illness Therapy-Spiritual Well-being Scale (FACIT-Sp) and The State Hope Scale (SHS). Mean scores of BDI, FACIT-Sp and SHS were compared between two groups of different age. Correlation analysis and multiple linear regression analyses were performed to identify the effect of BDI and FACIT on SHS according to age. Results : Mean scores of SHS and FACIT were higher significantly in middle aged group than early adults group, while BDI was not different between two groups. And early adults and middle aged patient's state hope showed a significantly negative correlation with spiritual well-being. In regression analysis, the effect of BDI, FACIT on SHS were significant in both groups and the regression model explained 42% of the variance of state hope in early adults group and 26% in middle aged group, respectively. Conclusion : These findings suggest that in depressive symptom and low state hope relationship, spirituality is important protective factor in both aged adult outpatients with depression.

불면증 환자의 정신생리 상태 -수면 직전 각성 정도, 자기 효율 정도, 수면 위생, 불안과 우울 정도- (Psychophysiologic States of Insomnia Patients -Pre-Sleep Arousal, Self Efficacy, Sleep Hygiene Awareness and Practice, Depression, and Anxiety-)

  • 오강섭;이소희;이시형
    • 수면정신생리
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    • 제2권1호
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    • pp.82-90
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    • 1995
  • Objectives : Insomnia is significantly influenced by the pre-sleep arousal, self efficacy, sleep hygiene, depression and anxiety. The authors tried to explore how these factors are related with the clinical features of sleep. Methods : Fifty three patients diagnosed as insomnia by DSM-IV criteria were studied. They filled up the pre-sleep arousal scale(PSAS), sleep efficacy scale(SES), sleep hygiene awareness and practice scale, BDI, and state and trait anxiety scales. Results: 1) The mean values of sleep-related variables were as follows : Sleep latency,136.89 minutes ; frequences of awakening during a night, 2.28 ; minutes to get back to sleep, 42.70 ; total sleep time, 180.19 minutes ; duration of illness, 72.00 months. 2) The mean scores of scales were as follows : PSAS(cognitive), 22.40 ; PSAS(somatic), 17.32 ; SES, 20.16 ; sleep hygiene knowledge, 25.96 ; caffein knowledge, 59.78 ; sleep hygiene practice, 42.12 ; BDI. 18.2 ; state anxiety, 41.24 ; trait anxiety ; 44.50. 3) In the subjects with superimposed depression, the mean frequency of awakening during a night and the mean pre-sleep arousal scale score were higher than in those without depression. 4) Frequency of awakening were correlated positively with a PSAS(a tight tense feeling in your muscle) and sleep hygiene awareness. PSAS(cognitive) were correlated positively with a PSAS(somatic). BDI correlated positively with a PSAS item(a jittery, nervous feeling in your body)and a SES item (not allow a poor night's sleep to interfere with daily activities). Anxiety scales were correlated positively with sleep hygiene practice scale sleep, and PSAS were correlated negatively with SES. Conclusions : The mean scores of PSAS, SES, sleep hygiene awareness and practice scale, BDI, state and trait anxiety scales of insomniacs were correlated either positively or negatively in insomnia patients. These factors seem to contribute to the development and maintainence of insomnia.

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Beck 우울 척도 점수가 요통 환자의 한방 치료 초기에 미치는 영향에 대한 후향적 연구 (A Retrospective Study: Influence of Beck Depression Inventory Score to a Patient under the Early Stages of Oriental Medical Treatment for Low Back Pain)

  • 홍남중;이제균;이태규;박종훈
    • 동의신경정신과학회지
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    • 제22권4호
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    • pp.41-50
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    • 2011
  • Objectives : The purpose of this study is to know that Beck Depression Inventory(BDI) score to effect on improvement degree of low back pain after oriental medical treatment. Methods : We analyzed charts of 33 inpatients who were treated in Ja-Seng Hospital of Oriental Medicine and Bu-Cheon Ja-seng Hospital of Oriental Medicine. Subject is divided into Group A(BDI<10) and Group B(BDI${\geqq}$10). Numerical Rating Scale(NRS) and Oswestry Disability Index(ODI) were checked on admission, after 1 week, NRS and ODI were rechecked to estimate the efficacy of treatments. Results : 1. In both groups, NRS was significantly decreased(p<0.05). Analyzed result of the interaction between the two groups didn't show significant difference(p=0.197). 2. In Group A, ODI was significantly decresed(p<0.05). In Group B, ODI wasn't significantly decreased(p=0.058). The interaction analysis between the two groups didn't show significant difference(p=0.173). 3. Analyzing patients with chronic back pain longer than 6 months by the presence of depression tendency and NRS, ODI decrease after 1 week of ambulation, while the NRS reduction showed relevancy by the depression tendency (p<0.05), the ODI reduction didn't(p=0.272). Conclusions : 1. Although improvement of pain before and after the treatment and degree of functional recovery in high-level BDI group was less than low-level BDI group, but it was stastically insignificant. 2. High BDI score of patients with chronic low back pain is the factor of disturbing pain improvement.

해운 운임 간 인과관계에 관한 연구 (A Study on the Causal Relationship Between Shipping Freight Rates)

  • 전준우
    • 융합정보논문지
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    • 제9권12호
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    • pp.47-53
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    • 2019
  • 본 연구의 목적은 VECM 모형(Vector Error Correction Model)을 활용해 해운 운임 간 인과관계를 분석하는 것이다. 분석에 사용된 해운 운임은 BDI(Baltic Dry Index), HRCI(Howe Robinson Containership Index), WS(World Scale rate), SCFI(Shanghai Containerized Freight Index)다. 분석 기간은 2013년 8월 2일부터 2019년 9월 6일까지이며 주간 데이터를 활용했다. VECM 모형 분석 결과, BDI는 일주일 전의 BDI에 많은 영향을 받는 것으로 분석되었으며, WS의 1% 상승은 일주일 후의 HRCI를 0.022% 상승시키는 것으로 분석되었다. HRCI 1% 상승은 일주일 후의 SCFI를 0.77% 상승시키며, WS는 일주일 전의 WS에 많은 영향을 받는 것으로 나타났다. 본 연구의 분석 결과는 각 해운시장의 해운 운임 예측에 도움을 주며, 이를 활용하여 의사결정자들이 올바른 의사결정을 할 수 있게 도움을 줄 수 있다고 사료된다.

한국어판 PANSI(Positive and Negative Suicide Ideation)척도의 신뢰성 및 타당성 연구 (A Reliability and Validity Study of the Korean Version of PANSI(Positive and Negative Suicide Ideation) Scale)

  • 허만세;이순희;김영숙
    • 한국사회복지학
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    • 제68권3호
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    • pp.149-180
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    • 2016
  • 본 연구는 국내에서 PANSI(Positive and Negative Suicide Ideation) 척도가 청소년의 자살사고를 측정하는 도구로 활용될 수 있도록 타당도와 신뢰도를 검정하는 것이 목적이다. 이를 위하여 중학생 552명에게 한국어판 PANSI 척도를 중심으로 한 설문조사를 실시하여 자료를 수집하였으며, 수집된 자료를 통하여 PANSI 척도의 내적일관성 정도를 알아보았고, 관련척도(CES-D, BDI, RES, SWLS)들과의 상관관계분석을 통하여 준거타당도를 살펴보았으며, 확인적 요인분석을 통하여 PANSI 척도의 요인구조의 적합도 정도를 분석하였다. 본 연구의 주된 결과는 첫째, PANSI 척도의 내적일관성 Cronbach' ${\alpha}$는 .883으로 신뢰성이 비교적 높았다. 둘째, PANSI 척도는 Self-esteem 및 SWLS 척도와 유의한 부적상관관계, BDI, CES-D와는 유의한 정적상관관계가 나타나 준거 타당도를 일정 정도 확보되는 것으로 나타났다. 셋째, PANSI 척도의 확인적 요인분석 결과 2요인 모형이 적합하였으며 자료에 대해 66.0%의 설명력을 가지고 있는 것으로 나타났다. 이러한 연구 결과는 PANSI 척도가 국내에서 청소년 자살사고를 측정하고 나아가 선별하는 데 활용할 수 있는 경험적 근거를 제공하는 것이다.

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The Effect of Knee Joint Traction Therapy on Pain, Physical Function, and Depression in Patients with Degenerative Arthritis

  • Lee, Dong Kyu
    • The Journal of Korean Physical Therapy
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    • 제31권5호
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    • pp.317-321
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    • 2019
  • Purpose: To identify the effect of knee joint traction therapy on pain, physical function, and depression in patients with degenerative arthritis. Methods: In total, 30 patients with degenerative arthritis were randomly assigned to one of two groups: the experimental group, who underwent knee joint traction therapy, and the control group, who underwent general physical therapy (15 patients per group). Pain was measured using the visual analogue scale (VAS), physical function was measured using the Western ontario and McMaster universities osteoarthritis (WOMAC) index, and depression was measured using the Beck depression inventory (BDI). The VAS, WOMAC score, and BDI score were recorded before and after the 4-week treatment. Results: As a result of comparison within groups, the experimental and control group showed significant difference for VAS, WOMAC and BDI after the experiment (p<0.05). In comparison between the two groups, the experimental group in which knee joint traction was applied showed more significant change in VAS, WOMAC and BDI than the control group (p<0.05). Conclusion: This study showed that knee joint traction therapy was effective in improving pain, physical function, and depression in patients with degenerative arthritis.