Anxiety and mood (대한불안의학회지)

Korean Academy of Anxiety Disorders (대한불안의학회)
권호 표지

Factor Analysis of Standardized Depression Scales in Suicidal Attempters among Patients with Depressive Disorders : CRESCEND Study

우울증 자살시도자들에서 표준우울평가척도들의 요인분석 : CRESCEND 연구

  • Hong, Min Ah (Department of Psychiatry, Keimyung University School of Medicine) ;
  • Kim, Min Kyung (Department of Psychiatry, Keimyung University School of Medicine) ;
  • Kim, Jung Bum (Department of Psychiatry, Keimyung University School of Medicine) ;
  • Jun, Tae Youn (Department of Psychiatry, College of Medicine, The Catholic University of Korea) ;
  • Yim, Hyeon Woo (Department of Preventive Medicine, College of Medicine, The Catholic University of Korea) ;
  • Lee, Min Soo (Department of Psychiatry, College of Medicine, Korea University) ;
  • Kim, Jae Min (Department of Psychiatry, Chonnam National University Medical School)
  • 홍민아 (계명대학교 의과대학 정신과학교실) ;
  • 김민경 (계명대학교 의과대학 정신과학교실) ;
  • 김정범 (계명대학교 의과대학 정신과학교실) ;
  • 전태연 (가톨릭대학교 의과대학 정신과학교실) ;
  • 임현우 (가톨릭대학교 의과대학 예방의학교실) ;
  • 이민수 (고려대학교 의과대학 정신과학교실) ;
  • 김재민 (전남대학교 의과대학 정신과학교실)
  • Received : 2014.12.06
  • Accepted : 2015.02.17
  • Published : 2015.04.30
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Abstract

Objective : The aim of this study was to find associations between specific symptoms and suicidal behavior by using global severity on depression scales. Methods : Data were obtained from 1,183 patients of CRESCEND study. Factor analysis of the 17-item Hamilton Rating Scale for Depression (HAM-D) and the Beck Depression Inventory-II (BDI-II) was used to compare symptom clusters between the past suicide attempters and the non-suicide attempters, among the patients with depressive disorders. Results : Factor analyses of HAM-D and BDI-II extracted three factors. Suicide attempters had significantly higher scores on core factor of HAM-D, including depressed mood, feeling of guilt, suicide, work, and activities. The higher scores on all factors of BDI-II or scores correlated with a total of 7 suicide attempts and with known risk factors for suicidal behavior. Conclusion : These findings suggest that the suicide attempters complained of more cognitive, affective, somatic symptoms on BDI-II, but the core factor on HAM-D was the only differentiated factor between the two groups. Clinician-rated scales as well as self-reported questionnaires were valid in measuring suicidal attempts, and the clinical profile may help in guiding the studies of biological correlates and the treatments to reduce suicide risk.

Keywords

Acknowledgement

Supported by : 보건복지부

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