지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
오류제보하기
Background: The factor structure of the Hamilton Depression Rating Scale (HDRS) is well validated for patients with major depressive disorder (MDD). We examined whether HDRS factors can measure the anxious distress specifier in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, in patients with MDD. Methods: A retrospective chart review of patients with MDD between March 2012 and June 2015 was conducted. We extracted data on anxious distress symptoms and detailed clinical information and examined how the 5 HDRS factors (anhedonia/retardation, guilt/agitation, bodily symptoms, insomnia, and appetite) were related to the anxious distress specifier using the receiver operating characteristic (ROC) curve analysis and the area under the ROC curve analysis. Results: We observed significant differences in the HDRS and Beck Depression Inventory scores between anxious distress and non-anxious distress groups at the index episode. The score for guilt/agitation factor was significantly higher than that for other factors in the anxious distress group and exhibited good predictive efficiency at baseline. Conclusion: Further investigation of the anxious distress specifier as a diagnostic entity would be worthwhile. In addition, the scores for guilt/agitation factor on the HDRS might be a promising marker for distinguishing patients with anxious distress from those with other subtypes of major depression, especially for the index episode.
목차
등록된 정보가 없습니다.
참고문헌 (36)
참고문헌 신청
Cassidy EL / 2005 / Mixed anxiety and depression in older adults: clinical characteristics and management / J Geriatr Psychiatry Neurol 18:83~88
Fava M / 2006 / What clinical and symptom features and comorbid disorders characterize outpatients with anxious major depressive disorder: a replication and extension / Can J Psychiatry 51:823~835
Kessler RC / 2007 / Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization’s World Mental Health Survey Initiative / World Psychiatry 6:168~176
Kruijshaar ME / 2005 / Lifetime prevalence estimates of major depression:an indirect estimation method and a quantification of recall bias / Eur J Epidemiol 20:103~111
Helmchen H / 2000 / Subthreshold disorders in psychiatry:clinical reality, methodological artifact, and the doublethreshold problem / Compr Psychiatry 41:1~7
Fava M / 2006 / What clinical and symptom features and comorbid disorders characterize outpatients with anxious major depressive disorder: a replication and extension / Can J Psychiatry 51:823~835
Kessler RC / 2007 / Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization’s World Mental Health Survey Initiative / World Psychiatry 6:168~176
Kruijshaar ME / 2005 / Lifetime prevalence estimates of major depression:an indirect estimation method and a quantification of recall bias / Eur J Epidemiol 20:103~111
Helmchen H / 2000 / Subthreshold disorders in psychiatry:clinical reality, methodological artifact, and the doublethreshold problem / Compr Psychiatry 41:1~7
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