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Objectives: First, the objective of the present study was to investigate the differences of temperament and character traits between depression group(n=27) and non-depression group(n=29) in Breast Cancer patients. Second, it was to explore the effect of those factors on depression in breast cancer patients. Methods: Of the 115 subjects, 56 individuals were completed the 17-item Hamilton Depression Rating Scale(HDRS-17) with clinician and Korean version of Temperament and Character Inventory (TCI). Results: depression group showed significantly higher ``Harm avoidance``, and lower Self-directedness` score as compared to non-depression group. The stepwise linear regression analysis showed ``HA1(worry and pessimism)`` was the only significant predicting variable for depression. Conclusion: These data suggest that temperaments and characters should be considered in studies investigating depression from acute stressful events.
Depression is the second most common chronic disease in primary care. However, depression is commonly misdiagnosed, or though diagnosed properly, it is easy to treat inadequate doses or duration of antidepressants. It is of importance to diagnose and treat properly. Because of a wide range of symptoms and comorbidities, it is difficult to make a diagnosis of depression. Rating scales can be useful for the diagnosis of depression. It is feasible that the clinicians assess the patients with depression appropriately and determine therapeutic strategies by rating scales for depression. We have reviewed the purpose of rating scales for depression, including screening, ratings of symptoms, diagnosis, the progress, and the results of treatment. We also have described the actual condition of rating scales in Korea, which were performed by clinical research center for depression. It is restricted within marrow limits to select certain rating scale for depression and poorly known that some scales have been developed. Therefore, it is important task to announce the rating scales for depression so that the clinicians and researchers can be familiar with these scales. It is also important to develop a diversity of scales so that the clinicians can select appropriate scales.