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KMID : 0981220090090020035
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Congnitive Behavior Therapy in Korea
2009 Volume.9 No. 2 p.35 ~ p.47
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Stress and Relapse Depressive Middle-Aged Women: Focused on Stress Evaluation by Contextual Approach
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Lee Yu-Ri
Kwon Jung-Hye
Lee Min-Soo
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Abstract
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This study was conducted to examine whether stress characteristics of depressive middle-aged women patients differed from those of normal women and relapse rate differed according to the stress events in depressive middle-aged women patients using contextual approach. The subjects consisted of 38 outpatients with a diagnosis of unipolar depression and 33 normal person, and all female and married. The subject were to be asked what events had occurred during recent 6 months, and the details of the events were obtained. And then stress events were divided into episodic life event and ongoing stress, and the threatening level of episodic life event and ongoing stress and the dependency of episodic life event were rated by 2 psychologists and 3 clinical psychology graduate students. Areas of ongoing stress were ategorized ‘husband’, ‘family’, ‘friend’, ‘children’ ‘work’, ‘finance’, ‘health’, and ‘family’s health’. Interrater reliability were .89-.92 for threatening level and 1.00 for dependency. The result was that there were no significant group difference depression group and normal group in frequency of episodic life event, threatening level of episodic life event, frequency of independent episodic life event, and frequency of ongoing stress. But depressive group experienced more threatening ongoing stress than normal group, especially ‘husband’ and ‘family’ areas. 6 of 26 depressive patients who participated 11 months follow-up study relapsed. There were no significant group difference relapse depression group and non-relapse depression group in frequency of episodic life event, threatening level of episodic life event, frequency of independent episodic life event, and frequency of ongoing stress. But relapse depression group experienced more threatening ongoing stress than non-relapse depression group, especially ‘husband’ area. The implication for CBT of the depression was discussed and direction for future studies was suggested.
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KEYWORD
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Depression, Stress, Relapse
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