제목 2.2.4.말기암 환자의 주요 우울장애 유병률과 관련 인자에 대한 일 기관 연구 작성일 17-04-15 23:55
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말기 환자의 우울증의 관련 인자로는 통증 및 기능장애나 병세의 악화 등 신체상태, 남성, 젊은나이, 우울증 과거력, 사회지지 체계의 결여, 존재론적 고통 등이 보고된다. 국내 연구에서는 연령, 신체 기능 점수 및 통증 정도가 우울점수와 양의 상관관계가 있었으며, 여성 환자와 저학력을 가진 환자가 우울점수가 높았다. 반면, 영적 안녕감은 우울증상과 음의 상관관계를 보였다. 하지만 이런 소수의 선행연구들은 앞서 언급하였듯이 주요 우울장애의 진단기준이 아닌, 우울 증상척도의 점수와의 관련성을 연구하였을 뿐이다. 이에 따라 본 연구에서는 국내 말기암 환자에서 DSM-IV 진단 기준을 포괄적인 접근과 제외적인 접근을 적용하여 각각의 주요 우울장애의 유병률을 조사하고, 관련 인자를 확인하고자 한다.

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