| The Effect of Cognitive-behavioral Characteristics on Depression of Caregivers in Brain-injured Patients. |
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Do, Hyun Kyung , Hwang, Ji Sun , Cho, Yun Jeong , Lee, Dong Seok , Han, Na Mi , Jung, Kyu Young , Kim, Hyun Dong , Kong, Bo Geum |
1Department of Physical Medicine and Rehabilitation, Busan Paik Hospital, Inje University College of Medicine, Korea. gloomysund03@naver.com
2Department of Neuropsychiatry, Busan Paik Hospital, Inje University College of Medicine, Korea. |
| 뇌손상 환자에서의 보호자 우울에 대한 인지행동학적 특성의 영향 |
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도현경, 황지선, 조윤정, 이동석, 한나미, 정규영, 김현동, 공보금1 |
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인제대학교 의과대학 부산백병원 재활의학교실, 1신경정신의학교실 |
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| Abstract |
Objective
To evaluate the relationship between depression and cognitive-behavioral characteristics of caregivers using social problem solving inventory (SPSI), social support or conflict scale (SSS or SCS) and somatic symptoms (SS).
Method
Fifty five couples of brain-injured patients and caregivers participated in this study. We conducted a questionnaire survey of caregivers with Beck depression index (BDI), SPSI, SSS, SCS and SS for cognitive-behavioral characteristics. And also we studied demographic factors of patients and caregivers, clinical features of brain-injured patients, care- giving duration and time per day through interview and review of medical records. The statistical analyses were performed by independent t-test, one-way ANOVA, Pearson correlation test and linear regression analysis-stepwise method.
Results
BDI of the caregivers showed a negative correlation with SPSI, SSS, patients' MMSE and caregivers' education level, also a positive correlation with SCS, SS and patients' GDS (p＜0.05). And married caregivers showed more depressive mood (p＜0.05). Of these factors, the most influencing factors on BDI were GDS and SCS through linear regression analysis (p＜0.01).
Conclusion
MMSE, GDS and education level as cognitive- mental factors rather than physical and economic strain had a statistical correlation with depression of caregivers. Especially, SPSI, SSS and SCS as cognitive-behavioral characteristics should be considered on evaluation of depression of caregivers and will be helpful for successful rehabilitation for patients and caregivers. (J Korean Acad Rehab Med 2009; 33: 48-58) |
| Key Words:
Caregiver, Depression, Brain-injured, Social problem solving inventory, Social support |
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