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KMID : 0869220170210010035
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Journal of Korean Geriatric Psychiatry
2017 Volume.21 No. 1 p.35 ~ p.40
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Effect of Community-Based ‘Goal-Achieving Program’ in Patient with Late-Life Depression : Preliminary Study
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Kang Gye-Ha
Chang Ki-Jung
Lim Hyun-Kook
Han Jin-Joo
Lee Eun-Hee
Roh Hyun-Woong
Noh Jai-Sung
Chung Young-Ki
Lim Ki-Young
Hong Chang-Hyung
Son Sang-Joon
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Abstract
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Objective：This study aimed to investigate the effect of community-based Goal-Achieving program in geriatric depressive symptoms preliminarily.
Methods：We obtained data from elderly Korean subjects with major depressive disorder (n=51) aged 60 years or older at baseline, taking case management from community mental health center. Subjects were randomly assigned to intervention group (n=24) and control group (n=27). We investigated depressive symptoms through Short Form Geriatric Depression Scale-Korean version (SGDS-K) at baseline and every month for 3 months to all subjects. We tested interaction between group and time in SGDSK score to evaluate the effect of program. And post hoc test examined between group differences of SGDS-K at each time points.
Results：In quadratic linear mixed effects model analysis, interaction between group and time was statistically significant (Total SGDS-K score : coefficient=0.29, p＜0.001 ; SGDS-K dysphoria subscale : 0.18, p＜0.001 ; SGDS-K hopelessness subscale : 0.05, p=0.089 ; SGDS-K cognitive impairment subscale : 0.06, p=0.003). And significant between group difference was shown in post hoc test at time points of third month (SGDS-K score of control group : SGDS-K score of intervention group=10.74±3.482 : 7.25±4.475, p=0.0184).
Conclusion：These results may suggest that ‘Community-based the Goal-Achieving program’ has efficacy in reducing geriatric depressive symptoms.
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KEYWORD
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Geriatric depression, Community based, The Goal-Achieving program
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