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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 2,002 - 2,009 (8page)
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This study aimed at exploring the psychometric characteristics of the Korean Version of the Depression and Somatic Symptoms Scale (DSSS) in a clinical sample, and investigating the impact of somatic symptoms on the severity of depression. Participants were 203 consecutive outpatients with current major depressive disorders (MDD) or lifetime diagnosis of MDD. The DSSS was compared with the Montgomery-Åsberg Depression Rating Scale (MADRS) and the 17-items Hamilton Depression Rating Scale (HAMD). The DSSS showed a two-factor structure that accounted for 56.8% of the variance, as well as excellent internal consistency (Cronbach’s alpha = 0.95), concurrent validity (r = 0.44–0.82), and temporal stability (intraclass correlation coefficient = 0.79). The DSSS had a high ability to identify patients in non-remission (area under receiver operating characteristic [ROC] curve = 0.887). Maximal discrimination between remission and non-full remission was obtained at a cut-off score of 22 (sensitivity = 82.1%, specificity = 81.4%). The number of somatic symptoms (the range of somatic symptoms) and the scores on the somatic subscale (SS, the severity of somatic symptoms) in non-remission patients were greater than those in remission patients. The number of somatic symptoms (slope = 0.148) and the SS score (slope = 0.472) were confirmed as excellent predictors of the depression severity as indicated by the MADRS scores. The findings indicate that the DSSS is a useful tool for simultaneously, rapidly, and accurately measuring depression and somatic symptoms in clinical practice settings and in consultation fields.
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참고문헌 (26)
참고문헌 신청
Simon GE / 1999 / An international study of the relation between somatic symptoms and depression / N Engl J Med 341:1329~1335
박선철 / 2016 / Clinical Significance of the Number of Depressive Symptoms in Major Depressive Disorder: Results from the CRESCEND Study / Journal of Korean Medical Science 31(4):617~622
Greden JF / 2003 / Physical symptoms of depression: unmet needs / J Clin Psychiatry 64(Suppl 7):5~11
Leuchter AF / 2010 / Painful physical symptoms and treatment outcome in major depressive disorder : a STAR*D(sequenced treatment alternatives to relieve depression)report / Psychol Med 40:239~251
Judd LL / 1998 / Major depressive disorder : a prospective study of residual subthreshold depressive symptoms as predictor of rapid relapse / J Affect Disord 50:97~108
박선철 / 2016 / Clinical Significance of the Number of Depressive Symptoms in Major Depressive Disorder: Results from the CRESCEND Study / Journal of Korean Medical Science 31(4):617~622
Greden JF / 2003 / Physical symptoms of depression: unmet needs / J Clin Psychiatry 64(Suppl 7):5~11
Leuchter AF / 2010 / Painful physical symptoms and treatment outcome in major depressive disorder : a STAR*D(sequenced treatment alternatives to relieve depression)report / Psychol Med 40:239~251
Judd LL / 1998 / Major depressive disorder : a prospective study of residual subthreshold depressive symptoms as predictor of rapid relapse / J Affect Disord 50:97~108
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