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Journal of the Korean Academy of Family Medicine 1995;16(6):381-393.
Published online June 1, 1995.
Correlation between family function and depression of inpatients in general hospital.
Hyoung Won Park, Young Ryong Park, Jin Ju Park, Won Gon Kim, Jae Hong Kim, Sung Ha Lee
종합병원 입원환자의 가족기능과 우울과의 상관관계
박형원, 박영룡, 박진주, 김원곤, 김재홍, 이성하
한일병원 가정의학과
Abstract
Background
: Family is a important social factor which has influenc on health. Therefore, it is thought that the thing which evaluates family function for estimating depressive trend is one method of the systemic approach. Thus, we studied correlation between family function and depression of inpatients in general hospital.

Methods : The studied subjects were 167 inpatients wxcept the patients with poor mentality, the patients who were answered incorrectly among the total 296 inpatients who were admitted to Sung Nam Hospital on some day, March, 1994, and the authors analyzed and evaluated correlation between family function and depression of inpatients through the questionnare which included the demographic and physical characteristics, and through the objective psychological examination, FACES Ⅲ and BDI questionnare which were approved reliability and validity.

Results : Among the respondents, cohesion and adaptability scale of FACES Ⅲ were as high as with age, and cohesion scale is as high as with income. On the other hand, women were significantly higher in depressed inpatients than men, and there was a significant tendency for depression to increase with age, and in lower deucation group, and in lower income group, and in longer hospital duration. Frequency of depression among the total inpatients was 39.5%. In family type according to cohesion scale, separated or disengaged type was predominant in depressed group, but connected or enmeshed type, predominant in nondepressed group, and this results were statistically significant(P<0.05). In family type according to adaptability scale, flexble or rigid type was predominant in depressed and nondepressed group, and there was no significant statistically.

Conclusion : In study of correlation between family funtcion and depression, cohesion scale was lower level in depressed group than in nondepressed group, this result was statistically significant(P<0.05), but, there was no significant correlation statistically between adaptability scale and depression.
초록
연구배경 : 가족은 건강에 영향을 미치는 중요한 요인이다. 따라서, 환자의 우울정도를 평가함에 있어서 가족기능을 평가하는 것은 우울에 대한 체계적 접근방식으 하나라고 생각된다. 이에, 본 저자 등은 종합병원 입원환자를 대상으로 한 우울 및 비우울군에서 가족기능과 어떤 상관관계를 지니는지 알아보고자 하였다.

방법 : 1994년 3월 경기도 성남시 소재, 일개 종합병원에 입원중인 환자 296명 중에서, 검사에 협조가 어려운 환자와 불성실하게 응답한 환자를 제외한, 167명을 대상으로 하였고, 환자의 성, 연령 등의 인구통계학적 자료와 입원기간, 진단명 등의 신체질환에 관한 자료를 얻기 위해 만들어진 설문과, 신뢰도 및 타당도가 이미 입증된 객관적 심리검사를 통해 입원환자의 가족기능과 우울정도를 비교분석하였다.

결과 : 응답자중 나이가 많을수록 적응도, 결속도가 높았고, 월수입이 많을수록 결속도가 높았다. 또한 여자가 남자보다 우울군이 많았으며, 나이가 많을수록, 입원기간이 길수록, 월수입이 적을수록, 학력이 낮을수록 우울군이 많았고, 전체 입원환자의 우울의 빈도는 39.5%였다. 가족 결속도에 따른 가족유형은 우울군에서는 분리군, 이탈군이 많았으나, 비우울군에서는 연결군, 밀착군이 많았고, 유의한 차이가 있었으며(P<0.05), 가족적응도에 따른 가족유형은 우울군에서는 유연군, 경직군순으로 많았고, 비우울군에서는 경직군, 유연군 순으로 많았으나, 유의한 차이는 없었다.

결론 : 입원환자의 가족기능과 우울과의 비교연구에 있어서, 우울군이 비우울군보다 가족 결속도가 유의한 수준으로 낮은 분포를 보였으나, 가족 적응도와 우울과는 유의한 상관관계를 보이지 않았다.


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