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박상욱(Sang-Wook Park),배경열(Kyung-Yeol Bae),김선영(Seon-Young Kim),유준안(Joon-An Yoo),양수진(Su-Jin Yang),김성완(Sung-Wan Kim),김재민(Jae-Min Kim),신일선(Il-Seon Shin),홍영준(Young-Joon Hong),안영근(Young-Keun Ahn),정명호(Myung-Ho 대한생물치료정신의학회 2009 생물치료정신의학 Vol.15 No.2
Objectives: Depression after acute coronary artery syndrome(ACS) is common and associated with higher mortality, while little is known about predictors of the onset of depression. This study aimed to investigate the incidence and predictors of depression at the points of first hospitalization and 12 month after ACS. Methods: Eighty one patients with ACS were recruited from the heart center of a university hospital. Depression was categorized using Hamilton Depression Rating Scale(HAMD)>7. Data on sociodemographic characteristics (age, gender, education, marital state, religion, accommodation and occupation), severity of ACS(Global Registry of Acute Coronary Events risk score), disability(World Health Organization Disability Assessment Schedule Ⅱ-12), and personality(Big Five Inventory) were obtained. Results: Incident rates of depression were 25% and 23% at the first hospitalization and at 12 months after ACS, respectively. Predictors of depression were disability at the first hospitalization and neuroticism at 12 months after ACS. Conclusion: Depression was common after ACS in this sample. More intensive psychiatric care and intervention is needed for the high risk groups of depression.
이삼연(Sam-Yeon Lee),김재민(Jae-Min Kim),유준안(Joon-An Yoo),신일선(Il-Seon Shin) 대한생물치료정신의학회 2006 생물치료정신의학 Vol.12 No.2
Dementia is one of the main diseases that cause public health problems. In the period of fast graying of the population internationally, the prevention and cure of dementia is in need. The development of instrument which could screen dementia in the early stage is the first step for managing the dementia patient appropriately. The screening instrument for dementia has an advantage that it is possible to evaluate the conditions of dementia in a relatively short period of time. However, there is a problem in the reliability and validity of the evaluation result. In this review article, the authors introduce the screening instruments for dementia which have been used at national and international levels, discuss the limitations of the instruments, describe alternative strategies to overcome the limitations, and suggest points for future studies and efficient use.