한국어판 우울증 호전정도평가척도의 신뢰도와 타당도 = The Reliability and Validity of Korean Version of Clinically Useful Depression Outcome Scale

다국어 초록 (Multilingual Abstract)

Objectives：The Clinically Useful Depression Outcome Scale (CUDOS) was developed as a brief, clinically useful, reliable, and valid self-report questionnaire for the evaluation of depression outcome. This study aimed to standardize Korean version of the CUDOS (CUDOS-K). Method：The CUDOS was translated into Korean in due process. The subjects were 70 patients, who were undergoing either inpatient or outpatient treatment for major depressive disorder diagnosed by DSM-IV criteria, and 50 normal controls. The subjects, both depressed and normal control, were also administered CUDOS-K, Hamilton Depression Rating Scale-17 (HDRS-17), Korean Version of Center for Epidemiological Studies Depression Scale (CES-D), The Patient Health Questionnaire Nine-item Screener (PHQ-9), and Clinical Global Impression-Severity (CGI-S). Results：The CUDOS-K had high internal
consistency (Cronbach’s α=.911) and high split-half reliability (Spearman-Brown formula=.949). The correlation coefficients between the CUDOS-K and CGI-S, HDRS-17, CES-D, and PHQ-9 were respectively high. To identify factor structure of the CUDOS-K, factor analysis was performed. There were five factors above eigen value 1.0, which explained 71.635% of variances. Conclusion：These results suggests that the CUDOS-K is reliable and valid self-report questionnaire for the outcome measurement of depressive symptoms, and it could be a valuable additions to routine clinical practice for the evaluation of depressive symptoms.

참고문헌 (Reference)

1 이정균, "한국정신장애의 역학적 조사 연구 (XIV)-양극성 장애 및 주요우울병의 유병률" 33 : 18-31, 1994

2 이중서, "한국어판 Hamilton 우울증 평가 척도의 신뢰도, 타당도 연구" 44 : 456-465, 2005

3 전겸구, "한국어판 CES-D 개발연구 I" 11 : 65-76, 1992

4 최홍석, "주요우울장애의 선별 도구로서 한국판" 대한가정의학회 28 (28): 114-119, 2007

5 이민수, "정신분열병에 대한 리스페리돈의 효과 및 안정성" 37 : 67-74, 1998

6 함병주, "우울증 환자의 낙인 지각에 관한 일 연구" 2 : 237-244, 2004

7 조맹제, "우울증 환자 예비평가에서 the Center for Epidemiological Studies Depression Scale (CES-D)의 진단적 타당성연구" 32 : 381-399, 1993

8 Huynh NN, "What Are the Implications of the STAR*D Trial for Primary Care? A Review and Synthesis" 10 : 91-96, 2008

9 Albert Y, "Validation of the patient health questionnaire-9 for depression screening among Chinese American" 49 : 211-217, 2008

10 Zimmerman M, "Using a Self-Report Depression Scale to Identify Remission in Depressed Outpatients" 161 : 1911-1913, 2004

11 Wells KB, "The functioning and well-being of depressed patients. results from the medical outcomes study" 262 : 914-919, 1989

12 Greenberg PE, "The economic burden of depression" 54 : 405-418, 1990

13 Haro JM, "The Clinical Global Impression-Schizophrenia scale: a simple instrument to measure the diversity of symptoms present in schizophrenia" 107 : 16-23, 2003

14 Frank E Carpenter LL, "Sex differences in recurrent depression:are there any that are significant?" 145 : 41-45, 1988

15 Satorius N, "Physical symptoms of depression as a public health concern" 64 : 3-4, 2003

16 Keller M, "Past, present, and future directions for defining optimal treatment outcome in depression" 289 : 3152-3160, 2003

17 Akistal HS, "Mood disorder: Clinical features In: Sadock VA. Comprehensive textbook of psychiatry" Wiliams & Wilkins 1341-1347, 2000

18 Shafer AB, "Meta-analysis of the factor structures of four depression questionnaires: Beck, CES-D, Hamilton, and Zung" 62 : 123-146, 2006

19 Young MA, "Gender differences in the clinical features of unipolar major depressive disorder" 178 : 200-203, 1990

20 Zimmerman M, "Developing brief scales for use in clinical practice: the reliability and validity of single-item selfreport measures of depression symptom severity, psychosocial impairment due to depression, and quality of life" 67 : 1536-1541, 2006

21 Hamilton M, "A rating scale for depression" 23 : 56-62, 1960

22 Zimmerman M, "A clinically useful depression outcome scale" 49 : 131-140, 2008