Characteristics of Low Resilient Depressed Patients

다국어 초록 (Multilingual Abstract)

Objective: The aim of this study was to find characteristics of low resilience group in patient with depressive disorder.
Methods: High (≥75th percentile), medium, low (≤25th percentile) resilience groups were classified on the basis of Connor-Davidson resilience scale (CD-RISC). Correlation and regression analysis were done about CD-RISC and parenting behavior inventory, temperament and characteristics inventory. After 3 months, CGI-S, and PHQ-9 scores were followed up.
Results: 64 patients completed the study. Religious or nonreligious state showed significant difference among the three groups (p=.034). In low resilience group, mean age and reasonable explanation of the mother was significant lower compared with the high resilience group (p=.015). Novelty seeking, persistence, self-directedness, cooperativeness and self-transcendence were lower, and harm avoidance was higher in the low resilience group. Resilience score were significantly correlated with the percentage of improvement on PHQ-9(p=.031) and CGI-I(p=.001) score. In regression analysis about CD-RISC, state hope scale and persistent were coefficient of determinant.
Conclusion: These findings imply that a mother’s rearing attitude, giving a reasonable explanation for problems encountered could affect a child’s resilience. Persistence can be believed of as a core temperament that reflects the concept of resilience well. Low resilience is implicated as poor prognostic factor in depression recovery.

참고문헌 (Reference)

1 이현희, "한국판 정적 정서 및 부적 정서 척도 (Positive Affect and Negative Affect Schedule; PANAS)의 타당화 연구" 한국임상심리학회 22 (22): 935-946, 2003

2 권선중, "한국판 감사 성향 척도(K-GQ-6)의신뢰도 및 타당도" 한국건강심리학회 11 (11): 177-190, 2006

3 이훈진, "피해망상 집단과 우울증 집단의 지각된 부모양육행동과 애착유형" 한국임상심리학회 23 (23): 381-396, 2004

4 최지애, "우울증 환자의 부모양육행동, 대상관계 및 자아존중감에 관한 연구" 대한신경정신의학회 47 (47): 450-470, 2008

5 김상선, "경계선 성격장애 성향자의 자기 및 타인 표상과 지각된 부모 양육행동" 한국임상심리학회 26 (26): 703-715, 2007

6 Han C, "Validation of the Patient Health Questionnaire-9 Korean version in the elderly population: the Ansan Geriatric study" 49 : 218-223, 2008

7 McCullough ME, "The grateful disposition : a conceptual and empirical topography" 82 : 112-, 2002

8 Southwick SM, "The Psychobiology of Depression and Resilience to Stress : implications for Prevention and Treatment" 1 : 255-291, 2005

9 Cha KH, "Subjective well-being among college students" 62 : 455-477, 2003

10 Kobasa SC, "Stressful life events, personality, and health: an inquiry into hardiness" 37 : 1-, 1979

11 Mann MM, "Self-esteem in a broad-spectrum approach for mental health promotion" 19 : 357-, 2004

12 Edward K, "Resilience: a protector from depression" 11 : 241-, 2005

13 Aroian KJ, "Resilience, stress, and depression among Russian immigrants to Israel" 22 : 54-, 2000

14 Carver CS, "Resilience and thriving: issues, models, and linkages" 54 : 245-266, 1998

15 Smith TB, "Religiousness and depression : evidence for a main effect and the moderating influence of stressful life events" 129 : 614-636, 2003

16 Hyun-Sook Baek, "Reliability and Validity of the Korean Version of the Connor-Davidson Resilience Scale" 대한신경정신의학회 7 (7): 109-115, 2010

17 Arnarson EO, "Prevention of depression among Icelandic adolescents" 47 : 577-585, 2009

18 Fredrickson BL, "Positive emotions speed recovery from the cardiovascular sequelae of negative emotions" 12 : 191-220, 1998

19 Armstrong MI, "Pathways between social support, family well being, quality of parenting, and child resilience: what we know" 14 : 269-281, 2005

20 Watson D, "Negative affectivity : the disposition to experience aversive emotional states" 96 : 465-490, 1984

21 Schoonjans F, "Medcalc statistics for biomedical research: software manual [computer program]" Medcalc Statistical Software 2003

22 Peterman AH, "Measuring spiritual well-being in people with cancer : the functional assessment of chronic illness therapy--Spiritual Well-being Scale(FACIT-Sp)" 24 : 49-58, 2002

23 Pengilly JW, "Hardiness and social support as moderators of stress" 56 : 813-820, 2000

24 Choi HS, "Evaluation of spiritual quality of life in Korean cancer patients"

25 Steinhardt M, "Evaluation of a resilience intervention to enhance coping strategies and protective factors and decrease symptomatology" 56 : 445-453, 2007

26 Sin NL, "Enhancing wellbeing and alleviating depressive symptoms with positive psychology interventions : A practice friendly meta analysis" 65 : 467-487, 2009

27 Friend J, "Educational resilience in young adolescents"

28 Scheier MF, "Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): a reevaluation of the Life Orientation Test" 67 : 1063-, 1994

29 Chang EC, "Dispositional optimism and primary and secondary appraisal of a stressor : Controlling for confounding influences and relations to coping and psychological and physical adjustment" 74 : 1109-, 1998

30 Connor KM, "Development of a new resilience scale : the Connor Davidson Resilience Scale(CD RISC)" 18 : 76-82, 2003

31 Snyder CR, "Development and validation of the State Hope Scale" 70 : 321-, 1996

32 Watson D, "Development and validation of brief measures of positive and negative affect : The PANAS scales" 54 : 1063-, 1988

33 Kang YY, "Development and application of counselling process hope scales"

34 Hoe MY, "A Study for the development and validation of an inventory for parenting behavior perceived by adolescents" 12 : 170-189, 2004