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Korean Journal of Psychology: General

The Efficiency of Human Figure Drawing(HFD) Test for Differentiating Mild Dementia from Geriatric Depression

Korean Journal of Psychology: General / Korean Journal of Psychology: General, (P)1229-067X; (E)2734-1127
2010, v.29 no.4, pp.767-789


Abstract

The purpose of this study was to examine the efficiency of the Human Figure Drawing(HFD) Test for differentiating mild dementia from geriatric depression and normal elderly person. The HFD test was administered to 92 patients with clinically diagnosed mild dementia, 97 with geriatric depression and 52 normal control, all matched for age, education and sex level. The cut-off scores, sensitivities, specificities, positive likelihood ratio(+LR), negative likelihood ratio(-LR), and the Area Under Curve(AUC) of each group were calculated and then the analysis of the omission frequency of HFD body details was conducted. HFD qualitative scoring system significantly discriminated mild dementia patients from geriatric depression patients or normal controls but could not discriminate geriatric depression patients from normal controls. However, in the omission frequency analysis of HFD body details, not only mild dementia patients showed more ‘omission’, ‘transparency’ and ‘distortion’ than normal controls or geriatric depression patients, but also geriatric depression patients omitted details more than normal controls in the fine body detail of their HFD. So the final diagnosis should be based on both qualitative and quantitative analysis of HFD. Finally, implication and limitations of this study were discussed.

keywords
Human Figure Drawing Test, mild dementia, geriatric depression, sensitivity, specificity, 인물화 검사, 경도 치매, 노인 우울증, 민감도, 특이도

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Korean Journal of Psychology: General