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- 저자 : MaengJe Cho (검색결과 4 건)
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Epidemiology of Depressive Disorders in Korea
MaengJe Cho,JunYoung Lee 대한신경정신의학회 2005 PSYCHIATRY INVESTIGATION Vol.2 No.1
Prevalence rates of major depression between 3.5-4% and those of depressive symptoms were between 7.4-38.9% in Korea. The low rates of major depression and the high rates of depressive symptoms seem to be due to different response attitude to the interviewer and self–reporting instrument, which could be explained by Confucian cultural influence in Korea. Depressive mood, loss of interest, insomnia and fatigue were common symptoms in persons with major depression. The symptom profiles of major depression were not different from those of western countries. The prevalence rates of major depression in the elderly of Korea were high. These high rates may be related with recent sociocultural stresses in the elderly of Korea. Risk factors of major depression were woman, old age, recent cohort, disrupted marriage, low socioeconomic status and rural residence. Old age and rural residence are rarely reported as risk factors in other countries. Academic failure was an important correlate in adolescent depression. Course, disability and service use were rarely reported in persons with major depression in Korea.
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MaengJe Cho,SuJeong Seong,JeeEun Park,InWon Chung,YoungMoon Lee,Ahn Bae,JoonHo Ahn,DongWoo Lee,JaeNam Bae,SeongJin Cho,JongIk Park,Jungwoo Son,SungMan Chang,BongJin Hahm,JunYoung Lee,JeeHoon Sohn,JinS 대한신경정신의학회 2015 PSYCHIATRY INVESTIGATION Vol.12 No.2
Objective-The aim of this study was to estimate the prevalence and correlates of mental disorders in Korean adults. Methods-Door to door household surveys were conducted with community residents aged 18–74 years from July 19, 2011, to November 16, 2011 (n=6,022, response rate 78.7%). The sample was drawn from 12 catchment areas using a multistage cluster method. Each subject was assessed using the Korean version of the World Health Organization Composite International Diagnostic Interview (CIDI) based on the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV). Results-Lifetime and 12-month prevalence estimates were as follows: alcohol use disorders, 13.4% and 4.4%, respectively; nicotine use disorders, 7.2% and 4.0%, respectively; anxiety disorders, 8.7% and 6.8%, respectively; and mood disorders, 7.5% and 3.6%, respectively. The prevalence rates of all types of DSM-IV mental disorders were 27.6% and 16.0%, respectively. Being female; young; divorced, separated, or widowed; and in a low-income group were associated with mood and anxiety disorders after adjustment for various demographic variables, whereas being male and young were associated with alcohol use disorders. Higher income was not correlated with alcohol use disorder as it had been in the 2001 survey. Conclusion-The rate of depressive disorders has increased since 2001 (the first national survey), whereas that of anxiety disorders has been relatively stable. The prevalence of nicotine and alcohol use disorders has decreased, and the male-to-female ratio of those with this diagnosis has also decreased.
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Haesoo Kim,HongJin Jeon,JaeNam Bae,MaengJe Cho,SeongJin Cho,Hyochul Lee,JinPyo Hong 대한신경정신의학회 2018 PSYCHIATRY INVESTIGATION Vol.15 No.3
Objective The purpose of the present study was to investigate the association between Body Mass Index, suicide, perceived stress, and life dissatisfaction in a general population sample of Korean adults. Methods A total of 6,022 nationally representative adults aged 18 to 74 were selected using a multistage cross-sectional cluster sampling method. Questionnaires regarding suicide behaviors, perceived stress, and life satisfaction were completed by the participants. They also reported their heights and weights, which were used to calculate BMI. Psychiatric disorders were diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, using the Korean version of the Composite International Diagnostic Interview. Results The results showed that being underweight was associated with higher risk for suicide ideation [odds ratio (OR), 1.6; 95% confidence interval (Cl), 1.18-2.05] and suicide attempt (OR, 2.0, 95% Cl, 1.23-3.31). Likewise, obesity also increased the risk of suicide ideation (OR, 1.3; 95% Cl, 1.11-1.56) although not suicide attempt. Furthermore, underweight individuals were more likely to report severe level of perceived stress (OR, 1.7; 95% Cl, 1.26-2.17) and life dissatisfaction (OR, 1.3; 95% Cl, 1.07-1.68). All of the results remained significant after adjusting for age, gender, education, and psychiatric illnesses. Conclusion This study found that being underweight is a significant risk factor for suicide and poor subjective wellbeing in Korea. It suggests that BMI status may be an important modifiable factor for improving mental health in Korea.
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Subin Park,JinPyo Hong,HongJin Jeon,Sujeong Seong,MaengJe Cho 대한신경정신의학회 2015 PSYCHIATRY INVESTIGATION Vol.12 No.2
Objective-We examined whether childhood exposure to psychological trauma is associated with greater suicidality and whether specific psychiatric disorders modulate this association in a representative sample of Korean adults. Methods-The Korean version of the Composite International Diagnostic Interview 2.1 was administered to 6,027 subjects aged 18–74 years. Subjects who experienced a traumatic event before the age of 18 years, the childhood-trauma-exposure group, were compared with controls without childhood trauma exposure. Results-Childhood exposure to psychological trauma was associated with lifetime suicidal ideation (OR=3.19, 95% CI=2.42–4.20), suicide plans (OR=4.15, 95% CI=2.68–6.43), and suicide attempts (OR=4.52, 95% CI=2.97–6.88). These associations weakened after further adjustment for any psychiatric disorders, but they were not eliminated. The risk of suicide attempts related to childhood trauma increased with the presence of a concurrent alcohol use, depressive, or eating disorder. Conclusion-In terms of clinical implications, patients with these disorders who have a history of childhood trauma should be carefully assessed for their suicide risk and aggressively treated for psychiatric disorders.
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