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KMID : 0928320070070010039
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Korean Journal of Health Promotion and Disease Prevention
2007 Volume.7 No. 1 p.39 ~ p.44
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Drug compliance according to severity of depressive symptoms in medically ill outpatients
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Park Jeung-Woong
Kim Dae-Hyun
Suh Young-Sung
Kim Jung-Bum
Lee Geon-Ho
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Abstract
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Background: It has been known that the prevalence of depression is increasing and depression may affect the compliance to medical treatment. The purpose of this study was to evaluate drug compliance according to severity of depressive symptoms in outpatient clinic.
Methods: We surveyed 90 medical outpatients and evaluated the severity of depressive symptoms by Beck Depression Inventory(BDI) score that was divided into normal, the level of normal (0~9). mild(10~18), more than moderate level(≥19). The BDI is a self-administered scale with 21 items measuring depression. We compared drug compliance of medical patients We compared drug compliance of patients with normal level of depressive symptoms(normal group) to those with more than mild level(depressive group).
Results: The prevalence of patients with the mild level of depressive symptoms was 41% and that with more than moderate level of those 16%. There were significant relationships between BDI score and the degree of drug compliance at any follow up period(Pearson coefficient of correlation -0.28(6 months), -0.44(1 year), -0.472(2 years). The depressive group had significantly lower drug compliance than normal group at 6-months(P〈0.01), 1-year(P=0.02) and 2-years(P=0.02) follow-up period. There were significantly greater differences between more severe depressive group and normal group at any follow period(6 months, P=0.02; 1 year, P< 0.01; 2 year, P< 0.01).
Conclusions: Depression was related with drug compliance of medically ill patients. Depression is needed to be evaluated and treated to improve drug compliance in mdeically ill patients. (Korean J Health Promot Dis Prev 2007 ; 7(1) : 39~44)
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KEYWORD
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drug compliance, depression, BDI(Beck Depression Inventory)
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