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主要憂戀症환자 예비평가에서 the Center for Epidemiologic Studies Depression Scale(CES-D) 의 진단적 타당성 연구
조맹제,김계회 대한신경정신의학회 1993 신경정신의학 Vol.32 No.3
Through four times of preliminary trials, the authors translated the Center for Epidemiologic Studies Depression Scale (CES-D), a self-reporting depression scale, into Korean, paying particular attention to the culturally different mode of expression of depressive feelings and thoughts. The final version of the CES-D was administered to 164 psychiatric patients (30 schizophrenic, 31 alcohol dependence, 30 anxiety disorder, 46 major depression, 27 remitted depression), and 540 non-random selected general population. Reliability and validity test optimal cut-off point estimation, and R O C curve analyis were done to investigate the diagnostic validity of this depression screening instrument in assessing clinical depression (DSM-III-R major depression). Internal consistency-reliability and concurrent validity associated with other depression measure scales (H RD S, DSI, B D I) were excellent Content validity and discriminant validity which differentiate DSM-III-R major depression patients from other psychiatric patients were also good. The authors suggested the score ‘25’ as the optimal cut-off point in clinical setting, and the score ‘21’ in the community setting for its use as a primary screening test for further test to idenify DSM-III-R major depression. This relatively high cut-off point was reviewed in the viewpoint of culturally determined style of response for the depression questionnaire in Korea. R O C curve analysis revealed wide AUC o f this instrument which indicates its high diagnostic validity in assessing DSM-III-R major depression. Observer rating scales such as H R S D and D S I were a bit superior to self reporting scales, and the CES-D and B D I showed almost equal diagnostic validity in assessing DSM-III-R major depression
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主要憂鬱症환자 예비평가에서 the Center for Epidemiologic Studies Depression Scale(CES-D)진단적 타당성 연구
조맹제,김계희 大韓神經精神醫學會 1993 신경정신의학 Vol.32 No.3
Through four times of preliminary trials, the authors translated the Center for Epidemiologic Studies Depression Scale(CES-D), a self-reporting depression scale, into Korean, paying particular attention to the culturally different mode of expression of depressive feelings and thoughts. The final version of the CES-D was administered to 164 psychiatric patients (30 schizophrenic, 31 alcohol dependence, 30 anxiety disorder, 46 major depression, 27 remitted depression), and 540 non-random selected general population. Reliability and validity test, optimal cut-off point estimation, and ROC curve analysis were done to investigate the diagnostic validity of this depression screening instrument in assessing clinical depression (DSM-III-R major depression). Internal consistency-reliability and concurrent validity associated with other depression measure scales(HRDS. DSI, BDI) were excellent Content validity and discriminant validity which differentiate DSM-III-R major depression patients from other psychiatric patients were also good. The authors suggested the score '25' as the optimal cut-off point in clinical setting, and the score '21' in the community setting for its use as a primary screening test for further test to identify DSM-III-R major depression. This relatively high cut-off point was reviewed in the viewpoint of culturally determined style of response for the depression questionnaire in Korea. ROC curve analysis revealed wide AUC of this instrument which indicates its high diagnostic validity in assessing DSM-III-R major depression. Observer rating scales such as HRSD and DSI were a bit superior to self reporting scales, and the CES-D and BDI showed almost equal diagnostic validity in assessing DSM-III-R major depression.
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성인여성의 우울 수준에 따른 얼굴자극평가법(FSA) 반응 차이 연구
고은정(Ko, Eun-Jung),박주령( Park, Jooryung),이근매(Lee, Keun-Mae) 한국미술치료학회 2020 美術治療硏究 Vol.27 No.3
본 연구는 성인여성의 우울수준에 따라 얼굴자극평가법(FSA)의 자극그림 1과 2의 반응 차이를 검토하여 우울선별도구로 활용 가능성을 제시하는데 그 목적이 있다. 경기도에 거주하는 성인여성 200명으로 통합적 한국판 CES-D척도(우울증간이선별도구)를 실시한 후 얼굴자극평가법(FSA)을 실시하여 자료를 수집하였다. 우울 수준에 따라 우울집단 69명과 비우울집단 114명을 선별하여 얼굴자극평가법(FSA) 채점매뉴얼 2판 채점항목에 근거하여 교차분석을 실시하였다. 본 연구의 결과는 다음과 같다. 첫째, Betts(2016)의 ‘FSA RATING MANUAL 2nd EDITION’의 평가 기준은 Cohen’s Kappa 상관계수에서 높은 수준의 신뢰도를 나타냈다. 둘째, 성인여성의 우울 수준에 따라 자극그림 1, 2의 ‘색칠 정도’, ‘색의 적절성’, ‘내적 에너지’, ‘논리성’, ‘발달단계’, ‘보속성’의 항목에서 유의미한 반응 차이가 나타났다. 우울 성인여성은 색을 칠하지 않고 선으로만 표현하거나 적절하지 않은 색을 사용하는 빈도가 많았다. 또한 낮은 수준의 내적 에너지를 나타내었고, 비논리적이거나 기괴한 요소가 있는 그림을 그리는 반응을 보였다. 끝으로 본 연구를 통한 연구의 시사점과 얼굴자극평가법(FSA)의 활용가능성을 제시하였다. The purpose of this study was to examine the applicability of Face Stimulus Assessment(FSA) as a supplementary indicator of the level of depression among adult women. The researchers recruited 200 adult women who volunteered to be tested using the Center for Epidemiologic Studies Depression Scale (CES-D) and the FSA. Of these, 69 depressed women and 114 non-depressed women were selected as participants, and cross-analysis was performed based on their scores on the second edition of the FSA. The results of the study are as follows. First, the significantly high level of the evaluation criteria of Bett’s (2016) Rating Manual (2nded.) was confirmed by an absolute inter-rater agreement based on Cohen’s Kappa Coefficient. Second, significant differences in the response characteristics of adult women who took the FSA were categorized by in categories of “Color Prominence,” “Color Fit,” “Implied Energy,” “Logic,” “Developmental Level,” and “Perseveration.” The drawings of the depressed women showed the high frequency of using only lines without colors or using inappropriate colors. In addition, low implied energy and non-logical or odd elements were found in their drawings. Last, the authors suggested the implications for research and availability of FSA for future studies.
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