정신과 입원환자의 정신사회적 스트레스와 우울성향과의 상관관계 분석

A Correlative Analysis Between Psychosocial Stress and Depressive Trend in Psychiatric Inpatients

The author intended to establish correlationship between psychosocial stress and a depressive trend in psychiatric inpatients. 428 subjects were selected by the 3-stage-clustered-stratified- probability-proportional-extraction method from 18 psychiatric hospitals nationwide, and were investigated by psychiatric interview and questionnaire survey. The psychosocial stress was evaluated by the social readjustment rating scale, which had developed by Holmes & Rahe(1967) and translated by Lee, Peong Suk(1984). The depressive trends were measured by the self-rating depression scale designed by Zung and Durham(1965). The collected data were analyzed through the SPSS program. The statistical methods employed were F-test and multiple regression analysis. The summary of the results was as follows 1) Psychosocial stress was positively correlated with a depressive trend of the psychiatric inpatients. Among the psychosocial stresses, health stress, family stress and economy stress were positively correlated with a depressieve trend, while social stress was inversely correlated with a depressive trend. 2) The total scores of life changes were significantly correlated with pervasive affect and rhythmic disturbances, also among depressive symptoms the total scores of life changes were significantly correlated with crying spell and insomnia. 3) The pervasive affect has higher scores in health, job and family stress groups, rythmic disturbances have higher scores in economy, health, job family and marital stress groups, other physiologocal disturbances have higher scores in job, economy and health stress groups, psychomotor activity has higher scores in health, job and family stress groups and ideational depression has higher scores in family, marital, health and economy stress groups. 4) Among the depressive symptoms, easy fatigability, dysphoric mood, hopelessness, emptiness, insomnia, weight loss, tachycardia,diurnal variation and retardation were significantly correated with psychosocial stress groups. 5) The easy fatigability is more frequent symptom in job, economy, health and family stress groups, dysphoric mood in health and job stress groups, hoplessness in marital, family and health stress groups, emptiness in economy, marital, family and health stress groups, insomnia in job, economy, family, health and marital stress groups, weight loss in job and health stress groups, tachicardia in job, economy, and health stress groups, diurnal variation in job, family, health and martial stress groups and psychomotor in job, family, health and marital stress groups.