만성적인 신체질환이 있는 노인 환자의 우울증 조기발견을 위한 병원기반 모델
- Alternative Title
- A General Hospital-Based Model for Early Detection of Depression in the Geriatric Patients with Chronic Medical Diseases
- Abstract
- The geriatric patients with chronic physical diseases are frequently associated with the continuous clusters of depression including nonpathological sadness, subsyndromal depression, minor depressive disorder, and major depressive disorder. Because of the complex and reciprocal relationships among depression, elderly, and chronic physical diseases, screening approaches with specific nosological methods should be needed in the realm of early detection of depression. Cognitive decline is frequently manifested in geriatric depression with medical or neurological diseases. Also, somatic symptoms of depression or emotional symptoms of physical diseases can play a role as a hampering factor in the early detection of depression. Furthermore, after-care has been regarded as an essential factor of depression screening in the geriatric patients with chronic physical diseases. We reviewed the most popular examples of integrated medicine for depression in primary care. Thus, we propose a general hospital-based model for early detection of depression which includes favorable response loop between screening and therapeutic intervention. Our model can be a basis for evidence-based detection and after-care for depression in the geriatric patients with chronic medical diseases.
- All Author(s)
- 박선철
; 이화영
; 심세훈
; 이동우
; 한상우
; 박상호
; 김여주
; 최재성
; 정성원
; 이소영
; 나경세
; 권영준
- Issued Date
- 2013
- Type
- Article
- Keyword
- Depression; Geriatric; Physical disease; Early detection; Response loop
- Publisher
- 대한생물정신의학회
- ISSN
- 1225-8709
; 2005-7571
- Citation Title
- 대한생물정신의학회지
Korean Journal of Biological Psychiatry
- Citation Volume
- 20
- Citation Number
- 2
- Citation Start Page
- 31
- Citation End Page
- 39
- Language(ISO)
- kor
- URI
- http://schca-ir.schmc.ac.kr//handle/2022.oak/447
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