Background
: It is known that underlying depression is expressed to psychosomatic symptoms. There was suggested that many of subjects who wanted comprehensive health check-up had not experienced symptomatic relief after having taken primary care by psychosomatic symptoms. So this study was attempted to support information on primary care by analyzing their depressive tendency and characteristics.

Methods : We adapted 148 subjects who wanted comprehensive health check-up as case group and 129 subjects who taken periodic health check-up as control group who visited Taejon Chongchon Sun Health Screening Center from May to August, 1994. Thereafter we compared and analyzed their depressive tendency and characteristics with self-answering paper CES-D.

Results : Wanted comprehensive health check-up group was higher than periodic health check-up group at CES-D score(P<0.001). On defining when potential cut-off CES-D was over 21, depressive group was 32.4% in case group and 15.4% in control group(P<0.05). Depressive tendency was higher in case group than in control group of female, lower economic state & lower educational state. But the difference by age, religion state did not have statistical significance(P>0.05).

Conclusion : Subjects who wanted comprehensive health check-up reported significantly higher depressive tendency than periodic health check-up group in female, lower economic state & lower educational state. We recommend that primary care physician should pay attention to patient's psychosomatic symptoms.