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Journal of the Korean Academy of Rehabilitation Medicine 2009;33(1):48-58.
The Effect of Cognitive-behavioral Characteristics on Depression of Caregivers in Brain-injured Patients.
Do, Hyun Kyung , Hwang, Ji Sun , Cho, Yun Jeong , Lee, Dong Seok , Han, Na Mi , Jung, Kyu Young , Kim, Hyun Dong , Kong, Bo Geum
1Department of Physical Medicine and Rehabilitation, Busan Paik Hospital, Inje University College of Medicine, Korea. gloomysund03@naver.com
2Department of Neuropsychiatry, Busan Paik Hospital, Inje University College of Medicine, Korea.
뇌손상 환자에서의 보호자 우울에 대한 인지행동학적 특성의 영향
도현경, 황지선, 조윤정, 이동석, 한나미, 정규영, 김현동, 공보금1
인제대학교 의과대학 부산백병원 재활의학교실, 1신경정신의학교실
Abstract
Objective
To evaluate the relationship between depression and cognitive-behavioral characteristics of caregivers using social problem solving inventory (SPSI), social support or conflict scale (SSS or SCS) and somatic symptoms (SS).
Method
Fifty five couples of brain-injured patients and caregivers participated in this study. We conducted a questionnaire survey of caregivers with Beck depression index (BDI), SPSI, SSS, SCS and SS for cognitive-behavioral characteristics. And also we studied demographic factors of patients and caregivers, clinical features of brain-injured patients, care- giving duration and time per day through interview and review of medical records. The statistical analyses were performed by independent t-test, one-way ANOVA, Pearson correlation test and linear regression analysis-stepwise method.
Results
BDI of the caregivers showed a negative correlation with SPSI, SSS, patients' MMSE and caregivers' education level, also a positive correlation with SCS, SS and patients' GDS (p<0.05). And married caregivers showed more depressive mood (p<0.05). Of these factors, the most influencing factors on BDI were GDS and SCS through linear regression analysis (p<0.01).
Conclusion
MMSE, GDS and education level as cognitive- mental factors rather than physical and economic strain had a statistical correlation with depression of caregivers. Especially, SPSI, SSS and SCS as cognitive-behavioral characteristics should be considered on evaluation of depression of caregivers and will be helpful for successful rehabilitation for patients and caregivers. (J Korean Acad Rehab Med 2009; 33: 48-58)
Key Words: Caregiver, Depression, Brain-injured, Social problem solving inventory, Social support


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