불안장애 및 주요우울장애 환자의 우울 증상의 차이

• 영문명: Depressive Symptoms in Anxiety Disorder and Major Depressive Disorder
• 발행기관: 대한신경정신의학회
• 저자명: 양현주 김대호 장은영 박선철 박용천
• 간행물 정보: 『신경정신의학』제50권 제4호, 297~304쪽, 전체 8쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2011.07.30

영문 초록

ObjectivesZZDepressive symptoms are often exhibited by individuals with anxiety disorders. Co-morbidity with depressive disorder is associated with more severe symptoms and poorer outcomes in the course of illness. In this study we investigated the symptomatic and sociodemographic correlates of depressive symptoms in anxiety disorders and compared them with those in major depressive disorder. MethodsZZAt a psychiatric ward of a university-affiliated hospital, 192 outpatients with anxiety disorders and 119 with major depressive disorder (MDD) were recruited for a consecutive sample. They completed a questionnaire that included Symptom Checklist-90-Revised (SCL-90-R), Beck Depression Inventory (BDI), State and Trait Anxiety Inventory, and socio-demographic variables. ResultsZZCompared to those with depressive disorders, patients with anxiety disorders showed significantly lower levels of depressive symptoms. However, the difference was confined to the negative attitude sub-scale of BDI, not somatic symptoms and performance difficulty. Multiple regression analysis showed factors that a Global Severity Index of SCL-90-R, state anxiety, lower education, and older age predicted depression in anxiety disorders. In contrast, the Global Severity Index and trait anxiety were extracted for MDD. ConclusionZZThis cross-sectional study indicated that depressive symptoms in anxiety disorders can be differentiated from those of MDD so as to lower level of the core cognitive symptoms of depression. Further studies may benefit from looking at both depressive symptoms and co-morbid depressive diagnosis.

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키워드

Depression Anxiety disorders Depressive disorder Depressive disorder Major