소아기 우울장애의 유병율 및 역학적 특성연구

다국어 초록 (Multilingual Abstract)

Objective
Childhood depressive disorder is one of the most common childhood-onset psychiatric disorder, and one of the most prevalent chronic health conditions affecting school aged children. The prevalence of childhood depressive disorder is estimated to be approximately 2% to 8% in American or European children. It is not yet clear why the prevalence of depression increase during adolescence. The objective of this study was to examine the prevalence and epidemiological characteristics of childhood depressive disorder in Korea.

Method
This study conducted a survey of elementary school children in the Cheonan area from September 2008 to August 2009. Twelve thousands and eighty four children who replied to questions on Kovac’s Depression Inventory and epidemiological data including father and mother smoking/drinking history, vaccination history, ADHD and autistic spectrum disorder history, et al. were analyzed.

Results
The prevalence rate of childhood depressive disorder was 3.08%. The mean age was 9.21±1.81 years for control group (5,969 male, 6,055 female) and 8.38±5.60 years for depression group (CDI sore>22; 159 male, 210 female). The two groups were similar regarding age, height, weight, and economic status but different to sex and grade. The scores ASSQ and Dupaul’s ADHD Scales in the depressive group was significantly higher than that in the control group. Depressive group were correlated with marital status, indirect smoking history, alcohol drinking history at pregnancy, vaccination history, not associated father and mother smoking history.

Conclusion
This population based study is first evaluation prevalence study of large scale in Korean childhood depressive disorder. Increased rates of childhood depressive disorder, as reported by primary caretakers, might reflect the increasing negative impact of environmental risk factors on neurobehavioral health. The longitudinal study of the prevalence of childhood depressive disorder must be considered for further.

국문 초록 (Abstract)

소아기 우울장애는 소아정신과의 대표적 질환이다. 본 연구는 국내에서는 처음으로 대단위 유병율 연구를 시행하였으며 소아기 우울장애에 대한 역학적 특성을 알아보고자 했다.
결론적으로 대상자의 남아 2.7%, 여아 3.5%의 유병율이 나타났고, 학년별 분포에서 1학년이 1.5%로 가장 낮았고 6학년이 5.6%로 가장 높게 나타나 성별 및 학년별 분포에서 유의한 차이가 나타났다. 또한 우울장애군과 대조군에서 아동의 가족 내 결혼생활, 간접흡연, 산모의 임신중 음주력, 예방접종력에서 유의한 차이를 나타냈으며 ADHD위험군과 자폐스펙트럼장애 위험군에서도 양군간에 유의한 차이를 나타내었다.

목차 (Table of Contents)

• Ⅰ. 서 론 1
• Ⅱ. 연구 대상 및 방법 5
• Ⅲ. 결 과 9
• Ⅳ. 고 찰 52
• Ⅴ. 결 론 64
• 참고 문헌 65
• Abstract 71