당뇨병 환자의 우울증상과 스트레스 대처방식： 류마티스 관절염 환자 및 건강 대조군과 비교

• 영문명: Depressive Symptoms and Ways of Coping of Patients with Diabetes Mellitus： Compared with Rheumatoid Arthritis Patients and Healthy Subjects
• 발행기관: 대한신경정신의학회
• 저자명: 심민영 연규월 김하경 김영철 홍영선 이지수 이정희 류정화 하창윤 김지민 성유미 김수인 임원정
• 간행물 정보: 『신경정신의학』제44권 제5호, 591~596쪽, 전체 6쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2005.09.30

영문 초록

Objectives：This study investigated how diabetes mellitus (DM) and depressive symptoms are related, and differed in terms of coping strategies. In addition, we compared those findings with rheumatoid arthritis (RA) patients. Methods：80 DM patients, 45 RA patients and 77 healthy subjects completed the Beck depression inventory (BDI) and the Korean version of the ways of coping checklist. Results：BDI scores of depressed DM patients were significantly higher than healthy subjects (p<0.01) but not significantly with depressed RA patients. Both scores of active (p<0.01) and passive coping (p<0.05) in DM patients were significantly lower than healthy subjects (p<0.01), and the scores of wishful thinking of DM patients were significantly lower than RA patients (p<0.01). BDI scores of DM patients were significantly correlated with the number of complications and the scores of problem-focused coping (p<0.05). In the hierarchical regression analysis, even after controlling for clinical characteristics, coping strategies altogether could account for 31.0% of the variance of the depressive symptoms in DM patients significantly (p<0.01). Conclusion：DM patients showed significantly higher depression rate than healthy subjects but not than RA patients. In DM patients, insufficient coping strategies could explain substantial portions of depressive symptoms. Therefore, enhancing healthier coping strategies in addition to prevent medical complications might lessen depressive symptoms experienced by DM patients.

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키워드

Diabetes mellitus Depression Coping Rheumatoid arthritis