The objective was to estimate the prevalence and correlates of psychiatric disorders in a nationwide sample of Korean adults. Face-to-face interviews were conducted with the Korean version of Composite International Diagnostic Interview 2.1/DSM-IV (N = 6275, response rate 79.8%). The lifetime and 12-month prevalences for all types of DSM-IV disorders were 33.5% and 20.6%, respectively. Those of specific disorders were as follows: 17.2% and 7.1% for alcohol use disorder, 11.2% and 7.4% for nicotine use disorder, 5.2% and 4.2% for specific phobia, 4.3% and 1.7% for major depressive disorder, and 2.3% and 1.0% for generalized anxiety disorder. Among the sociodemographic variables, widowed status, higher income, and rural residence were the risk factors for both lifetime major depressive disorder and alcohol use disorder after controlling for gender, age, and education. The prevalence of psychiatric disorders was higher than those observed in other East-Asian countries and most European countries, but lower than that in the United States. Alcohol use disorder was particularly high in Korea.
"d ED is defined as the sum of AN and BN in four studies,,–,, as the sum of AN,BN and other atypical eating disorders in three studies,,, and is not clearly defined on one study "
[Show abstract][Hide abstract] ABSTRACT: The estimated prevalence of eating disorders reported in community surveys from different parts of the world varies widely but there has been no systematic attempt to identify the reasons for these differences.
Shanghai Archives of Psychiatry 08/2013; 25(4):212-23. DOI:10.3969/j.issn.1002-0829.2013.04.003
"One-year prevalence estimates for major depressive disorder were 1.7% in 2001 and 2.5% in 2006. For dysthymia, the 1-yr prevalence was 0.3% and 0.4% in 2001 and 2006, respectively (3, 4). These studies used the Korean version of the Composite International Diagnostic Interview (CIDI; 5), so the results can be directly compared with the results from the National Comorbidity Study in the United States or the World Mental Health Survey. "
[Show abstract][Hide abstract] ABSTRACT: The nationwide prevalence of major depressive disorder in Korea is lower than most countries, despite the high suicide rate. To explain this unexpectedly low prevalence, we examined the functional disability and quality of life in community-dwelling subjects with significant depressive symptoms not diagnosable as depressive disorder. A total of 1,029 subjects, randomly chosen from catchment areas, were interviewed with the Center for Epidemiologic Studies Depression scale, Mini International Neuropsychiatric Interview, WHO Quality of Life scale, and the WHO Disability Assessment Schedule. Those with scores over 21 on the depression scale were interviewed by a psychiatrist for diagnostic confirmation. Among community-dwelling subjects, the 1-month prevalence of major depressive disorder was 2.2%, but the 1-month prevalence of depressive symptoms not diagnosable as depressive disorder was 14.1%. Depressive disorders were the cause of 24.7% of work loss days, while depressive symptoms not diagnosable as depressive disorder were the cause of 17.2% of work loss days. These findings support the dimensional or spectrum approach to depressive disorder in the community and might be the missing link between the apparent low prevalence of depressive disorder and high suicide rate in Korea.
Journal of Korean medical science 02/2013; 28(2):280-6. DOI:10.3346/jkms.2013.28.2.280 · 1.27 Impact Factor
"Culturally variable response styles among ethnic groups may be responsible for the difference (14, 15). Since we recorded a lower prevalence of depressive symptoms than previous studies using the same self-report scale (6, 16, 17) and a similar prevalence of definite depression to those of previous studies using fully structured interviews (4, 5), our findings raise the possibility that there has been a change of style of response to questionnaires for depression among Koreans over the last two decades. Increased awareness of depression and westernizing influences may have contributed to such a change. "
[Show abstract][Hide abstract] ABSTRACT: The aim of this study was to investigate the prevalence and correlates of depressive symptoms in the largest number of Korean individuals examined to date. We analyzed cross-sectional data collected from 229,595 Korean adults aged 19 yr and above who participated in a Korean Community Health Survey conducted in 2009. The Center for Epidemiologic Studies Depression Scale (CES-D) was used as the measurement tool for depressive symptoms (CES-D score over 16) and definite depression (CES-D score over 25). Multivariate logistic regression analysis was performed to identify associations between sociodemographic factors and depressive symptoms. The percentages of depressive symptoms and definite depression in the total study population were 11% (7.8% for men, 14.0% for women) and 3.7%, (2.4% for men, 5.0% for women), respectively. Female gender, older age, disrupted marital status, low education and income level, multigenerational household composition and metropolitan residence were associated with greater risk of depressive symptoms. The present study provides a valid prevalence and correlates of depressive symptoms, using the largest representative sample of the Korean general population to date. Various sociodemographic factors contribute to the prevalence and effects of depressive symptoms in Korea.
Journal of Korean medical science 01/2013; 28(1):128-35. DOI:10.3346/jkms.2013.28.1.128 · 1.27 Impact Factor
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