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KMID : 0361420090330010048
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Journal of Korean Academy of Rehabilitation Medicine
2009 Volume.33 No. 1 p.48 ~ p.58
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The Effect of Cognitive-behavioral Characteristics on Depression of Caregivers in Brain-injured Patients
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Do Hyun-Kyung
Hwang Ji-Sun
Cho Yun-Jeong
Lee Dong-Seok
Han Na-Mi
Jung Kyu-Young
Kim Hyun-Dong
Kong Bo-Geum
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Abstract
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Objectives:To evaluate the relationship between depression and cognitive-behavioral characteristics of caregivers using social problem solving inventory (SPSI), social support or conflict scale (SSS or SCS) and somatic symptoms (SS).
Methods: Fifty five couples of brain-injured patients and caregivers participated in this study. We conducted a questionnaire survey of caregivers with Beck depression index (BDI), SPSI, SSS, SCS and SS for cognitive-behavioral characteristics. And also we studied demographic factors of patients and caregivers, clinical features of brain-injured patients, care- giving duration and time per day through interview and review of medical records. The statistical analyses were performed by independent t-test, one-way ANOVA, Pearson correlation test and linear regression analysis-stepwise method.
Results: BDI of the caregivers showed a negative correlation with SPSI, SSS, patients’ MMSE and caregivers’ education level, also a positive correlation with SCS, SS and patients’ GDS (p<0.05). And married caregivers showed more depressive mood (p<0.05). Of these factors, the most influencing factors on BDI were GDS and SCS through linear regression analysis (p<0.01).
Conclusion:MMSE, GDS and education level as cognitive- mental factors rather than physical and economic strain had a statistical correlation with depression of caregivers. Especially, SPSI, SSS and SCS as cognitive-behavioral characteristics should be considered on evaluation of depression of caregivers and will be helpful for successful rehabilitation for patients and caregivers.
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KEYWORD
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Caregiver, Depression, Brain-injured, social problem solving inventory, Social support
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