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Journal of the Korean Academy of Family Medicine 1991;12(7):36-45.
Published online July 1, 1991.
A study on family APGAR score and FACES III of the patients of depression clinical psychologist.
Hong Ki Kim, Seon Hang Jang, Sun Mi Lee, Eui Shik Chung
우울증 환자에서 가족기능도지수와 가족적응력 결속력 평가척도에 대한 연구
김홍기, 장선향, 이선미, 정의식
전주예수병원 가정의학과
It is well known that depression is closely associatied with family function.
Family APGAR Score devised by Smilkstein and FACES Ⅲ by Olson are being used as tools of evaluating family function. So, the writers of this paper selected 30 patients of depression who were admitted to or discharged from the neuropsychiatric department of P.M.C as a patient-group. We also selected 30 patients without alcoholism or abuse of drug or serious physical and mental handicap among the patients who had visited Family Medicine Department of P.M.C as a control-group. So, the writers of this paper had researched the family function and tried to get beneficial materials for the understanding of the depressed patients and for the better management of them.
A sociodemographic sheet, Family APGAR Score and FACES Ⅲ were used for this purpose. And the results were as follows:
1. Out of 30 people in the patient group there were 22 women (73.3%) and 8 men (26.7%). Out of 30 people in the control group, there were also so many women and men. The average age of them was 39.3±9.3.
2. In family APGAR Score of the patient group, the average score was 5.0±2.3 and in that of the control group, it was 8.2, 9 people(30%) of "Dysfunctional Family"(point 0 to 3) and 9 people(30%) of "Healthy Functional Family" , 4 people(13.3%) of "Low Functional Family" and 1 person(3.3%) of "Dysfunctional Family"
3. In FACES Ⅲ cohesion of the patient group there were 20 people(66.7%) in Disengaged" and 6 people(20.0%) in "Separated" and 3 people(10.0%) in "connected" and 1 people "Disengaged" and "separated" each and 6 people(20%) in "Connected".
4. In FACES Ⅲ adaptability of the patient group, there were 9 people(30%) in "Chaotic" and 8 people(26.7%) in "Rigid" and 7 people in "Structured" and 6 people(20.0%) in "Flexible". In that of the contrast group, 13 people(43.3%) in "Structured" and 9 people(30.0%) in "Flexible" 5 people(16.7%) in "Chaotic 2 and 3 people(10%) in "Rigid".
5. In FACES Ⅲ family types of the patient group, there were 14 people(46.7%) "Extreme" and 12 people(40.0%) of "Mid-Range" and 4 people(13.3%) of "Balanced" type. In those of the contrast group, there were 14 people(46.7%) of "Balanced" and 13 people(43.3%) of "Mid-Range" and 4 people (13.3%) of "Extreme" type.
According to the above results, Family APGAR Score and FACES Ⅲ are thought to be useful instruments to understand and to decide how to manage the depressed patients.


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