뇌졸중 후 우울증 척도 비교

정강재,김덕용,박창일,온석훈,임종엽,곽은희 대한재활의학회 2008 Annals of Rehabilitation Medicine Vol.32 No.6

Objective: To compare the characteristics between geriatric depression scale (GDS), Hamilton depression rating scale (HDRS) and post-stroke depression scale (PSDS) in the aspect of diagnosis and severity assessment for post-stroke depression. Method: 45 post-stroke patients were included for this study. Subjects were classified through DSM-IV criteria into three different groups; depression-free, minor depression and major depression. GDS, HDRS, PSDS were also assessed in all subjects simultaneously. Three depression assessment scales were compared between groups based on DSM-IV criteria, and the sensitivity and specificity using cut-off value were analyzed.Results: All scales showed the significant differences between depression group and depression-free group. GDS showed higher sensitivity and specificity than HDRS and PSDS and GDS showed the significant difference between minor depression and no depression group, but other scales did not. HDRS and PSDS in major depression group showed the significant differences compared with minor depression group (p<0.05), but GDS did not. Conclusion: GDS may be more useful to identify the presence of depression compared to GDRS and PSDS. However, to measure the severity of depression, HDRS and PSDS may be more useful than GDS. Objective: To compare the characteristics between geriatric depression scale (GDS), Hamilton depression rating scale (HDRS) and post-stroke depression scale (PSDS) in the aspect of diagnosis and severity assessment for post-stroke depression. Method: 45 post-stroke patients were included for this study. Subjects were classified through DSM-IV criteria into three different groups; depression-free, minor depression and major depression. GDS, HDRS, PSDS were also assessed in all subjects simultaneously. Three depression assessment scales were compared between groups based on DSM-IV criteria, and the sensitivity and specificity using cut-off value were analyzed.Results: All scales showed the significant differences between depression group and depression-free group. GDS showed higher sensitivity and specificity than HDRS and PSDS and GDS showed the significant difference between minor depression and no depression group, but other scales did not. HDRS and PSDS in major depression group showed the significant differences compared with minor depression group (p<0.05), but GDS did not. Conclusion: GDS may be more useful to identify the presence of depression compared to GDRS and PSDS. However, to measure the severity of depression, HDRS and PSDS may be more useful than GDS.

부적응 도식과 우울간의 관계에서 정서조절방략의 매개효과

정미현,김남재 덕성여자대학 학생생활지도연구소 2008 學生生活硏究 Vol.24 No.-

This research explored cognitive emotion condition tactic, behavioral emotion control tactic, and empirical emotion condition tactic, each media effect and causal effects in he relation of maladjustment diagram and depression and tactic more affecting depression. 388 women's university students were given to answer to the maladjustment diagram Questionnaire, Emotion Regulation Strategy Questionnaire(ERSQ) and Self-Rating Depression Scale(SDS). Depression were 48 scores over, selected from among the 388 students. To explore the relation of maladjustment diagram, each emotion condition tactic(cognitive, behavioral, empirical), a correlational analysis was conducted and a regression analysis was conducted. And based on that, a structural equation model was built and the adequacy was verified. The correlational analysis showed static correlation with depression in emotion deficiency, desertion/unrest, distrust/abuse, social isolation/alienation, deficiency/value, failure, risk/disease vulnerability, fusion/immaturity self-sacrifice, emotional depression, and the selection of negative thinking, inactive thinking, blaming others in cognitive emotion control tactics, and the selection of emotion acceptance in behavioral emotion control tactic, and the selection of indulgence and overeating in empirical emotion condition tactic. The regression analysis, showed the selection of emotion deficiency, distrust/abuse, social isolation/alienation, defect value, risk/disease vulnerability as maladjustment diagram variables affecting depression via cognitive emotion control tactics(negative thinking, inactive thinking, blaming others), and that of social isolation/alienation, failure, risk/disease vulnerability as maladjustment diagram variables affecting depression via. Thus structural equation model verification was conducted to confirm the causality affecting depression using these maladjustment diagram variables and each emotion control tactic. The analysis showed that maladjustment diagram affects depression via partial media of cognitive emotion control tactics(negative thinking, inactive thinking, blaming others), and significantly affects depression partial media of empirical emotion control tactics(indulgent activity and overeating) whose adequacy was supported. The causal effect indicated that the route of maladjustment diagram and depression via partial media of cognitive emotion control tactics rather than via empirical emotion control tactics had a higher effect. Regardless of correlation with depression in behavioral emotion condition tactic(emotion acceptance), it showed insignificant result of media effect between maladjustment diagram and behavioral tactic, which was discussed.

A comparative study on cardiovascular disease risk factors in Korean adults according to clinical depression status

Seo, Yuri,Je, Youjin Elsevier 2018 Psychiatry Research Vol.263 No.-

<P><B>Abstract</B></P> <P>This study was conducted to compare the association between depression and cardiovascular disease risk factors among Korean adults. This study was based on the data from the Korea National Health and Nutrition Examination Survey conducted in 2012–2014. Using a multivariable logistic regression model, we calculated odds ratios (ORs) and 95% confidence intervals (CIs). A total of 10,359 subjects aged 19–64 years were selected, and 432 subjects (74 men, 358 women) were included in the physician-diagnosed depression group. Several cardiovascular risk factors were associated with higher odds of clinical depression. For men, high waist circumference (≥91.3 cm) and body mass index (≥25.0 kg/m<SUP>2</SUP>) were significantly associated with increased odds of depression, and high physical activity (≥50 MET h/week) was associated with decreased odds of depression. Men with dyslipidemia and metabolic syndrome had 2.43-fold and 2.0-fold higher odds of depression than those without the diseases. For women, current smokers had 2.25-fold higher odds of depression than nonsmokers, and frequent alcohol drinkers (≥4 times/week) also had 2.88-fold higher odds of depression than nondrinkers. Korean adults with clinical depression had a higher prevalence of some risk factors for cardiovascular diseases than those without depression.</P> <P><B>Highlights</B></P> <P> <UL> <LI> There have been several studies on cardiovascular disease risk factors in relation to depression status. However, there are limited data on the association between depression and cardiovascular disease risk factors in Korean adults, especially for men. </LI> <LI> We investigated whether lifestyle factors, anthropometric and clinical measurements leading to cardiovascular disease were associated with the prevalence of depression in Korean adults, using a large nationally representative sample of Korean population, and confirmed that there are positive associations between depression and several cardiovascular disease risk factors among Korean adults. </LI> <LI> Our findings support early detection and management of depression among people with or at high risk of cardiovascular disease. </LI> <LI> Given the increasing importance of depression in many countries, the cardiovascular disease risk factors should be carefully monitored and adequate lifestyle changes could be advised. </LI> </UL> </P>

방사선 치료 중인 암환자의 우울에 대한 연구

김윤원,양창국,최병무,한홍무 大韓神經精神醫學會 1996 신경정신의학 Vol.35 No.2

저자는 1994년 4월부터 9월까지 동아대학교병원 치료방사선과에서 방사선 치료를 받고 있는 암환자 50명을 대상으로 Endicott(1984)의 주요우울증 진단기준에 따른 정신의학적 면담과 HRSD, BDI등의 자가평가척도를 통해 우울증의 빈도, 암환자의 정서상태에 영향을 줄 수 있는 인구통계학적 자료 및 각 변인에 따른 우울의 정도와 특성을 비교 분석하였다. 그 결과를 요약해 보면 다음과 같다. 1) 50명의 환자 중 Endicott(1984) 진단기준으로는 20명(40%)의 환자가 주요우울증에 해당했고 24명(48%)이 경우울증으로 분류되었다. 즉 전체 환자의 88%가 어느정도 이상의 우울증이 동반된다고 판단되었다. 2) 암 자체의 증상이라고도 볼 수 있는 '건강에 대한 염려', '체중감소', '식욕감퇴', '소화기계 증상' 등의 문항이 우울군에서 유의하게 높았다. 이는 암환자의 신체증상이 반드시 암에 이차적인 증상만은 아님을 시사하기 때문에 이러한 증상이 호소될 때 반드시 우울증의 공존에 대한 고려가 필요하다고 생각된다. 3) 학교, 종교, 성별, 연령 등에 따른 BDI 및 HRSD의 평균과 정신의학적 진단은 통계적인 유의성이 없었으나 배우자와 사별한 환자 12명 중 83%가 주요우울증으로 진단되어 암환자에서 배우자로 부터 받는 지지의 경우가 우울증 발생에 중요한 역할을 함을 시사한다. 4) 암의 종류별로는 폐암군에서 높은 우울점수를 보였고 유방암군은 기타암군에 비해서 통계적으로 유의하게 낮은 우울점수를 보였으며 유방암 환자의약 83%가 비우울군으로 나타났다. 폐암군의 경우 신체적 합병증이 많았고 예후가 불량한 경우가 많았던 반면 유방암군은 경과가 양호한 환자들이 대부분이었다. 이로 보아 암의 종류에 따른 우울 정도의 차이가 나는 이유는 병의 치료 상태나, 경과, 예후등의 차이가 우울증에 영향을 끼치기 때문으로 추정된다. Objects : This study was intended to compare the prevalence rate of depression and to investigate the characteristics of depression in cancer patients on radiotherapy. Methods : The authors studied not patterns and prevalence of depression of the 50 cancer patients who were being treated by radiotherapy. Endicott's revised criteria for depression and rating scales for depression, Beck Depression Inventory(BDI) and Hamilton Rating Scale for Depression(HRSD), were used to evaluate depression. Also, the authors compared the mean scores of BDI and HRSD according to each selected variables which might influence on the affective state of cancer patients. Results : 1) According to Endicott criteria for depression, twenty patients(40%) were major depression, twenty-four patients(48%) were minor depression and six patients(12%) were non-depressed. 2) Items of hypochondriasis, weight loss, loss of appetite, and digestive symptoms in both BDI and HRSD, which indicate secondary symptoms induced by cancer itself, were significantly higher in both depressed groups as compared with non-depressed group. This suggests that we should not treat these symptoms simply as secondary symptoms dut to cancer itself but consider presentation of depression when cancer patients complain of these somatic symptoms. 3) Educational level, sex, age, duration of illness did not affect the rate of prevalence of major depression. But the widowed showed significantly higher prevalence of major depression than those who were in the married status(p<0.01). 4) Difference in rates of depression was noted among different cancer groups. The breast cancer group showed significantly lower rate of major depression(p<0.01) and much lower mean scores of BDI and HRSD than the lung cancer or other cancer groups(p<0.01). Conclusion : These above results suggest that depression is very common in cancer patients on radiotherapy and appropriate concerns is needed. The rate of depression was significantly higher in lung cancer group and in the widowed. We have to pay psychiatric concerns about somatic symptoms sush as weight loss, loss of appetite, and digestive symptoms which indicated secondary symptoms induced by cancer itself. Because these somatic symptoms were more prevalent in depressed groups.

憂鬱症의 歸因 模型에 관한 硏究

金延 인제대학교 1985 仁濟醫學 Vol.6 No.3

憂鬱症의 歸因 模型을 檢證하기 위해 憂鬱症, 經憂鬱症, 正常 등 세 집단을 對象으로 하여 歸因 形態를 측정한 결과 憂鬱症 患者는 우울하지 않은 사람들보다 否定的 事件(朱敗)에 대해서 內的 歸因, 統制 不可能한 歸因, 持續的 歸因함을 확인했다. This study has attempted to prove attributional model of depression which was proposed as an alternative model of Beck's cognitive triad and Seligman's learned helplessness model of depression. It was hypothesized that, in the attributional model of depression, depressives compaired to nondepressives attribute negative life events (failure) to internal, uncontrollable, stable and global causes. Ninety six subjects, 46 males and 50 females participated in the experimental research. Their mean age was 21, and education 12 years. The subjects were classified as severe depression, mild depression, and nondepression according to the scores of Beck Depression Inventory as a subjective symptom criteria. Experimental design was 3(depression) x2 (reinforcement) x2 (suggestion) factorial design, and the dependent variables were the subjects' attribution of, and anagram performance after, the negative outcome experiences. The subjects were randomly assigned to 12 cells and treated on the experimental sitution which involved a discrimination problem task whcih is either soluble (100% reinforcement) or insoluble (20% reinforcement), thus providing success and failure outcome experiences. And then a suggestion was said that other people among his/her ages could solve either successfully or unsuccessfully the discrimination problem tasks. Next the subjects were handed an attributional rating scale in which they were supposed to check the degree of internality, controllability, stability and globality of attributional causes of success and failure outcome experiences. And then anagram task was ensued. The result largely upheld the attributional model of depression. Severe depressives compaired to mild depressives, and mild depressives, and mild depressives compaired to nondepressives attribute failure to internal, uncontrollable, and stable causes and attribute success to controllable and unstable causes. Accordingly depressives percepted the causes of negative life events as responsible, less controllable, and persistent, which supported the attributional model of depression. The learned helplessness model of depression was also supported by showing that, the more depressed, the more performance deficit in anagram solution tasks after success and failure outcome experiences, was revealed and the per son who experienced failure outcome manifested more lowered performance that those who experienced success outcome. The suggestion of success and failure(of other) was not effective on the attributional behavior of outcome experiences and it was discussed in light of the relationship between the attribution and the use of consensus information. Global dimension which was rejected in this research was also discussed in light of the characteristic of experimental situation and diagnostic categories of the depresed subjects. Three fouth of the attributional model of depression was supported in which depressives characteristically attribute negative outcomes to internal, uncontrollable, stable causes, accordingly Beck's cognitive model of depression also supported.

작업기반 회상프로그램이 지역사회 노인의 우울과 회복탄력성에 미치는 영향 : 주관적 평가와 심박변이도 측정을 이용한 예비연구

홍서진,박치수,이재신 대한지역사회작업치료학회 2022 대한지역사회작업치료학회지 Vol.12 No.1

Objective : This study was to investigate the effect of Occupation based reminiscence program on depression and resilience of community elderly. Methods : Occupation based reminiscence program was provided to two elderly women. Baseline(A) of 3 sessions, intervention(B) of 11 sessions, and baseline regression(A') of 3 sessions were performed. Korean Form of Geriatric Depression Scale (KGDS) for depression and Korean Resilience Quotient Test-53 (KRQ-53) for resilience were measured for subjective evaluation at the last session of each period. QECG-3 was measured for heart rate variability, at each session to investigate physiological depression and physiological resilience. The amount of change in each period of subjective depression and subjective resilience was investigated for the analysis of results, and physiological depression and physiological resilience were visually analyzed to confirm the average and ±2 standard deviation band results for each period. Results : Depression decreased in both subjective and physiological depression. Subjective resilience decreased in subject 1 and increased in subject 2, and physiological resilience increased in all subjects. Conclusion : Occupation based reminiscence program was effective for subjective depression, physiological depression, and physiological resilience for elderly in community. Through this, the group study that applied Occupation based reminiscence program to prevent of depression and increase of physiological resilience of elderly in community could be considered. 목적 : 작업기반 회상프로그램이 지역사회 노인의 우울과 회복탄력성에 미치는 영향을 알아보기 위하여, 주관적 평가와 심박변이도 신호에 대한 생리적 변화를 비교하는 것이다. 연구방법 : 여성 노인 2명에게 단일사례 연구방법 중 ABA' 설계로 기초선(A) 3회, 중재기(B) 11회, 기초선 회귀(A') 3회 총 17회를 진행하였다. 중재 기간에는 작업기반 회상프로그램을 제공하였다. 주관적 평가를 위하여 우울은 Korean Form of Geriatric Depression Scale(KGDS), 회복탄력성은 Korean Resilience Quotient Test-53(KRQ-53)를 각 기간별 마지막 회기에 측정하였다. 심박변이도는 생리적 우울과 생리적 회복탄력성을 알아보고자 QECG-3를 매회기 반복 측정하였다. 결과 분석은 주관적 우울과 주관적 회복탄력성의 각 기간별 변화량을 알아보았고, 생리적 우울과 생리적 회복탄력성에 대한 측정결과는 시각적 분석으로 각 기간별 평균값과 ±2 표준편차 밴드(기준값) 결과를 확인하였다. 결과 : 작업기반 회상프로그램 결과에서 우울은 주관적 우울과 생리적 우울에서 모두 감소하는 것으로 나타났다. 주관적 회복탄력성은 대상자 1에서는 감소하고 대상자 2에서 증가하는 결과를 보였고, 생리적 회복탄력성에서는 대상자 모두 증가하여 작업기반 회상프로그램에 대한 긍정적인 변화를 확인하였다. 따라서, 주관성과 객관성 결과에 상반된 차이를 보인 회복탄력성에는 추가적인 재검증이 필요하다. 결론 : 지역사회 노인에게 작업기반 회상프로그램이 주관적 우울, 생리적 우울, 생리적 회복탄력성에 효과가 있음을 확인할 수 있었다. 이를 통해 지역사회 노인의 우울 예방과 생리적 회복탄력성 증가에 작업기반 회상프로그램을 적용한 집단 연구를 고려할 수 있을 것이다.

도시지역 일부 고등학생들의 우울과 불안에 관한 조사 연구

곽은주,송인순,정용준,조영채 韓國保健敎育.健康增進學會 2003 보건교육건강증진학회지 Vol.20 No.2

This study has examined the degree of depression and anxiety among high school students in an urban area and then explored the factors influencing their depression and/or anxiety status. Self-administered questionnaires were offered to 2,381 students from ten high schools in Daejon Metropolitan City. The items for investigation included such factors as various characteristics of school and family life, daily life style, and the degree of depression and anxiety. Based on the study results, the following conclusions were made; 1. The distribution according to the depression degree has shown that 61.9% of students were normal, 32.9% of students had mild depression, 5.0% moderate depression, and 0.3% severe depression. As for anxiety, 40.2% of students were normal, while 19.1% were classified as having anxiety and 40.7% borderline anxiety. 2. As regards to the degree of depression and anxiety, it was greater in girls than boys, in 3rd graders than 1st and 2nd graders, and in the groups who have recieved lower grades in studies, who had poor relations with their friends and a low feeling of satisfaction with school life. In particular, concerning various characteristics of family life, the scores of depression and anxiety were higher in the groups whose financial conditions were poor, whose parents' interests were lower, whose degree of satisfaction with their family and school life was lower, than their counterparts. 3. According to their life styles higher scores of depression and anxiety were found in the groups whose sleeping time was inappropriate, whose breakfasts were skipped, who ate daily snacks, who didn't take regular exercises, and who had poor health habits, compared to their counterparts, respectively. 4. As for the correlation between the degree of depression and its associated variables, the higher scores of depression were in positive correlation with the groups who had lower grades in studies, poor relation with their friends, low feeling of satisfaction with school and home life, low parents' interest, poor subjective condition of health, breakfast skipping, lack of regular exercises, and lower indices of health habits. 5. As for anxiety, the higher scores of anxiety were in the positive correlation with the groups with poor relation with their friends, low feeling of satisfaction with school and family life, poor subjective condition of health, lack of regular exercises, and poor health habits. 6. The influential factors on the depression of students were selected such as subjective condition of health, sex, feeling of satisfaction with family and school life, grades in studies, relation with their friends, presence of regular exercises, degree of interest of parents, sleeping time, cigarette smoking and eating breakfast. 7. The influential factors on the anxiety state of students were selected such as subjective condition of health, feeling of satisfaction with family and school life, sex, sleeping time, regular exercises, cigarette smoking, snacking and relations with their friends. The present study results suggest that girls rather than boys, higher graders than lower ones are more vulnerable to anxiety and depression state, and besides, various characteristics of school and family life, and daily life style can be influential on students' emotional states. Therefore, better management of psychological status of students is thought to require a wide variety of measures to modify the influencing factors and to encourage social support.

Depression and PTSD in Pashtun Women in Kandahar, Afghanistan

신성만,김현정,Lina Liw,김성재 한국간호과학회 2009 Asian Nursing Research Vol.3 No.2

Objectives The objectives were (a) to establish prevalence of depression and post-traumatic stress disorder(PTSD) in Afghanistan and, (b) to investigate sociodemographic and quality of life variables, which predict depression and PTSD. Methods Translated versions of the Beck Depression Inventory, Impact of Event Scale-Revised, and Quality of Life Inventory were administered to 125 Pashtun women in Kandahar, and statistically analyzed. Results Approximately half of the participants showed moderate to severe levels of depression, and more than half of the participants exhibited symptoms of PTSD. Education and income showed significant associations with PTSD symptoms or depression. The way one spends time, general health status, and general feeling towards life predicted low levels of depression and PTSD. Conclusions The high prevalence of depression and PTSD indicate the continuing need for mental health intervention. While education has been found to be a protective factor for mental health in previous studies, the relationship between education and mental health appear to be more complex among Afghan women. Quality of life variables could be further investigated and incorporated into mental health interventions for Afghan women. Objectives The objectives were (a) to establish prevalence of depression and post-traumatic stress disorder(PTSD) in Afghanistan and, (b) to investigate sociodemographic and quality of life variables, which predict depression and PTSD. Methods Translated versions of the Beck Depression Inventory, Impact of Event Scale-Revised, and Quality of Life Inventory were administered to 125 Pashtun women in Kandahar, and statistically analyzed. Results Approximately half of the participants showed moderate to severe levels of depression, and more than half of the participants exhibited symptoms of PTSD. Education and income showed significant associations with PTSD symptoms or depression. The way one spends time, general health status, and general feeling towards life predicted low levels of depression and PTSD. Conclusions The high prevalence of depression and PTSD indicate the continuing need for mental health intervention. While education has been found to be a protective factor for mental health in previous studies, the relationship between education and mental health appear to be more complex among Afghan women. Quality of life variables could be further investigated and incorporated into mental health interventions for Afghan women.

BDI-Ⅱ에 의한 도시지역 노인의 우울 정도와 관련요인

양수,김남초 대한간호학회정신간호학회 2001 정신간호학회지 Vol.10 No.4

This study was conducted to measure the level of depression by BDI-Ⅱ which has not been used in Korea, and to identify factors influencing depression among the elderly. Data were collected from July to August 2000. Study participants were 301 elderly aged of 60 years or over who were recruited from 9 senior centers located in Seoul, Korea. The questionnaire consisted of demographics and BDI-Ⅱ by developed by Beck(1996). The data were analyzed byt-test, ANOVA. Stepwise multiple regression. The results were as follows: 1. The mean score of depression was 17.10±9.76, which means mild depression by Beck(1996). Of the sample, 116(38.5%) were nondepressed, 72(23.9%) were mildly depressed, 74(24.6%) were moderately depressed, and 39(13.0%) were severely depressed. 2. Regarding the sub-dimensions, depression score was highest in the item of Lost of Interest in Sex, whereas the item-score of Suicidal. Thoughts or Wishes was lowest. 3. With respect to the Changes in Sleeping Pattern item, 15.6% subjects reported that they were sleeping more, and 56.1% indicated that they were sleeping less. For changes in Appetite, 57.2% endorsed decreased appetite, whereas 10.4% reported increased appetite. 4. The mean score of depression showed significant differences in terms of following factors: gender, age, existence or absence of a spouse, family resident, education, provider of living expenses, number of going out, number of friends, perceived health status, ADL, knowledge of the cause of depression, thought of prognosis for depression. 5. In the multiple stepwise regression analysis on depression, significant predictors were existence or absence of a spouse, ADL, gender, thought of prognosis for depression, number of going out, family resident. These variables explained 24.9% of depression. In the light of these results, this study will be further used as a basic data to identify risk factors of depression and to realize the importance of care for depressed elderly. Also, these results showed that the education for the depressed elderly is very important. Therefore much attention has to be paid to elderly from the standpoint of mental health nursing. We would like to make following suggestions based on the findings of this study: * The development of intervention program to help the community-dwelling elderly seek treatment modalities are offered. * Further study research on a development of a model which comprehensive explains depression of the elderly should be needed. * It is necessary to study systematically the availability of BDI-Ⅱ with consideration of the cultural differences.

An Acoustic Study of Fundamental Frequency and Pauses in Depressive Teenagers in Thailand: A Pilot Study

Phanintra Teeranon 세종대학교 언어연구소 2020 Journal of Universal Language Vol.21 No.1

Depression is a major public health problem among Thais. It has been reported that 30% of 70 million people living in Thailand suffer from depression. Suicide is a potential end result from mental illness, which normally involves depression. Diagnosis and treatment are key factors in the prevention of depression. In traditional diagnosis, there are two key methods of testing: (ⅰ) a screening test and interview and (ⅱ) a biomarker test. In recent years, detecting depression with speech—a kind of biomarker test— has gained high acceptance. Cues of suprasegments in speech, such as pauses, loudness, tones, rhythm, and phonation, have been scientifically proven using acoustic methods of being indicators of depression. This paper has two main objectives: (ⅰ) to conduct a review of the use of suprasegments as cues and an analysis of the cues capable of indicating depression in Thailand and (ⅱ) to analyze an acoustic study of pitch measured by the fundamental frequency and silent pause length in depressed and non-depressed participants. The method used in the study is the acoustic method of linguistics. Praat program version 6.2.09 was used to analyze the data. This is a pilot study of three depressed Thai students aged 20 compared with three non-depressed Thai participants. We propose a new perspective upon Thai language speech indicators that combines two or more cues in detecting depression (e.g. depression inventory with pause duration and word signs). Interestingly, it was found that the pitch of Thai tones may not be an appropriate cue for depression in Thais. This result conflicts with previous research conducted in other non-tonal languages. The results of this study lay the foundation for a Thai speech index for depression that can be further developed for the detection of depression.