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NTIS 바로가기생물정신의학 = Korean journal of biological psychiatry, v.17 no.3, 2010년, pp.145 - 152
박기홍 (고려대학교 의과대학 신경정신과학교실) , 이화영 (고려대학교 의과대학 신경정신과학교실) , 함병주 (고려대학교 의과대학 신경정신과학교실) , 이민수 (고려대학교 의과대학 신경정신과학교실)
Objectives : Clinical differences between elderly patients with early and late onset depression have been described although these have been inconsistent. We aimed to compare differences of clinical symptoms using the 17 items Hamilton Rating Scale for Depression(HAM-D-17) between two groups. Method...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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노인 우울증은 발생시점에 따라서 어떻게 구분할 수 있나요? | 노인 우울증은 우울증의 발생시점에 따라 청장년시절부터 우울증이 있었던 환자가 노년기에 재발하여 나타난 조발성 우울증과 노년기에 처음으로 발생한 만발성 우울증으로 구분할 수 있다. 노인 우울증 환자의 30% 정도만이 노년기에 처음으로 우울증상이 발생한 만발성 우울증으로 알려져 있으며,6) 만발성 우울증은 신경학적 평가에서 이상이 많고,7) 구조적인 뇌의 변화와 피질하 혈관성 병변의 증가와8)9) 연관이 있다는 연구결과가 있다. | |
과거의 노인들의 우울증상은 어떻게 받아지는 경향이 있었나요? | 1) 특히 노인인구에서 우울증은 높은 유병률과 자살시도율, 여러 동반질환들로 인하여 노인 건강의 주요한 관심 영역이 되고 있다.2-4) 과거에 노인들의 우울증상은 노화의 자연스러운 현상으로 생각되거나 고령자층 차별(ageism)에 영향을 받아서 중요하게 받아들여지지 않았고, 치료자들은 이를 정상적인 것으로 받아들이는 경향이 있었다.5) 하지만 실제적으로 우울증이 노인건강에 심각한 위험을 준다는 측면에서 노인들의 우울증상을 노화의 자연스러운 현상으로 간주하여 무시하지 않고, 면밀한 관찰과 정확한 평가가 필요하다. | |
고령화로 인한 노인인구의 비중은 어떻게 되나요? | 한국은 사망률 감소, 출생률 감소, 평균 수명 증가에 따라 OECD 국가 중에서도 고령화가 기하급수적으로 빠르게 진행되고 있다. 통계청이 발표한 ‘2009년 고령자 통계’에 따르면 총 인구에서 노인이 차지하는 비율은 10.7%로 10년 전 보다 3.8% 높아졌다.22) 증가된 노인인구의 비중과 함께 노인 우울증의 비율도 급격히 증가하고 있 으며, 국민건강보험공단이 조사한 결과에 따르면 2009년 한국 우울증 환자의 34. |
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