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        우울증 환자의 질병행동에 관한 비교연구 : 한국과 일본의 대학병원 외래 환자를 대상으로 Analysis Based on Outpatients of University Hospitals in Korea and Japan

        金光日,栗田廣,佐佐木雄司,崔美京,小野搏行,關根義夫 大韓神經精神醫學會 1995 신경정신의학 Vol.34 No.3

        The aim of this study is to clarify factors determining illness behavior for Korean and Japanese depressed patients in relation to sociodemographic and illness variables and compare illness behavior patterns between the groups from the viewpoint of cultural value. Data regarding the illness behavior of 62 Japanese and 69 Korea depressed outpatients of university hospitals who were diagnosed by ICD-9 were used. All subjects were interviewed with semi-structured questionnaire. The first contact resuouces and time lag in approaching first mental health services and number of path until subjects' first contact mental health services were dependent variables, whereas sociodemographic and illness variables were independent variables. Analysis showed: 1) Korean subjects showed a tendency of first contact to non-mental health resources, of multiple help resources and delayed contact to mental health resources. Also, korean subjects relied more on traditional and folk medicine and drugstore than Japanese subjects. 2) Sociodemographic and illness variables did, inspite of sterotype, poorly impact on illness behavior except only one variable:Someatizing patients revealed a tendency of first contact to non-mental health resources, of multiple help resources and delayed contact to mental health resources. Such a pattern was similar in Japan and Korea. Subjective symptoms are thought be an important factor on illness behavior of depressed patients beyond medical systems. 3) In Japan, the higher in educational status,the more rapid in contact to mental health resources and the depressed who have early experience. In Korea, the depressed who have their spouse menifested delayed contact to mental health resources. Different support systems would be needed for the depressed patients in terms of utilization of mental health resources in different cultures.

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