우울증 환자의 신체 증상에 관한 연구

Abstract

Objectives：Somatic symptoms are known to be a prominent characteristic in patients with depression. The purpose of this study was to investigate somatic symptoms of depressed patients. Methods：Somatic symptoms were assessed with the Symptom Questionnaire-Korean version Somatic Symptom (SQ-SS) and Somatic Wellbeing Scale (SQ-SWB) in 249 patients with a DSM-IV diagnosis of depressive disorders (192 with Major Depressive Disorder, 34 with Dysthymic Disorder, and 23 with Depressive Disorder NOS) and 142 normal adults without depression. Through factor analysis of the SQ-SS, six factors were extracted, i.e. somatic well-being, headaches, gastrointestinal disturbances, respiratory complaints, heaviness in the limbs, and muscle pain. The depression and normal control group were compared with SQ-SS, SQ-SWB and six factors. Results：The mean score of the SQSS was significantly higher in the MDD patients, whereas the mean score of the SQ-SWB showed no difference between the groups. Gastrointestinal disturbances and muscle pain were experienced more frequently among the MDD patients compared to the control group. The patients of the MDD, Dysthymia, and Depressive disorder NOS experienced more frequent headaches than the control group. Conclusion：The findings suggest that the MDD patients complained more about somatic symptoms than the control group. Gastrointestinal disturbances, muscle pain and headaches were associated with depression. The limitations of the present study and issues for further study were discussed.