Psychiatry investigation

Korean Neuropsychiatric Association (대한신경정신의학회)
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Current Use of Depression Rating Scales in Mental Health Setting

  • Lee, Eun-Jeong (Department of Psychiatry, Dongsan Medical Center, Keimyung University School of Medicine) ;
  • Kim, Jung-Bum (Department of Psychiatry, Dongsan Medical Center, Keimyung University School of Medicine) ;
  • Shin, Im-Hee (Department of Medical Statistics, Catholic University of Daegu, School of Medicine) ;
  • Lim, Kyung-Hee (Regional Military Manpower Office) ;
  • Lee, Sang-Hee (Department of Psychiatry, Seodaegu Daedong Hospital) ;
  • Cho, Gyung-Ah (Saim Hospital) ;
  • Sung, Hyung-Mo (Department of Psychiatry, CHA Gumi Medical Center, CHA University) ;
  • Jung, Sung-Won (Department of Psychiatry, Dongsan Medical Center, Keimyung University School of Medicine) ;
  • Zmimmerman, Mark (Department of Psychiatry and Human Behavior, Brown Medical School) ;
  • Lee, Yang-Hyun (Department of Psychiatry, MunGyeong Jeil General Hospital)
  • Received : 2010.04.13
  • Accepted : 2010.07.27
  • Published : 2010.09.30
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Abstract

Objective This study was to investigate the current use of depression rating scales by psychiatrists and clinical psychologists in Korea. Methods The questionnaires from many psychiatrists and clinical psychologists were included in the analysis. The questionnaire was composed of items about examining the percentage of patients clinically using depression rating scales, reasons for not use of them, the degree of satisfaction, the perceived agreement rate between the result of depression rating scales and doctor's clinical interview in the evaluation of patients with depressive symptoms. Data were analyzed by ${\chi}^2$ and independent t-test. Results The clinical use of depression rating scales was more frequent in the psychologists than in the psychiatrists. The purposes for using depression rating scales were assessed into six areas, there was no significant difference in between two groups, and both groups po-inted out their purpose as rating of severity and screening. The reasons for not using scales were that their interview may be sufficient for diagnosis and assessment of depressive patients and they are not familiar with the use of depression rating scales. The psychiatrists usually prefer the Beck Depression Inventory (BDI), Hamilton Depression Rating Scale and Symptom Checklist 90-Revision (SCL-90-R) in order of frequency, and the clinical psychologists are more likely to use the BDI, Minnesota Multiphasic Personality Inventory and SCL-90-R. Overall rate of satisfaction in the use of the scales was $67.29{\pm}14.45%$ and overall perceived agreement rate was $70.89{\pm}16.45%$. Conclusion Currently used depression rating scales at the clinical practice were not various. Therefore, to heighten clinicians' utility of these depression rating scales measures, either educational efforts or advertisements, or both, will be necessary to spread them wildly.

Keywords

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