한국 주요정신장애의 유병률 및 관련요인 : 2006 전국정신질환역학조사 = Prevalence and Correlates of Major Mental Disorders among Korean Adults : A 2006 National Epidemiologic Survey

다국어 초록 (Multilingual Abstract)

Objectives The aims of this study are to estimate the prevalence of the DSM-IV psychiatric disorders in the Korean population using the Korean version of Composite International Diagnostic Interview (K-CIDI), and to compare those with previous studies.
Methods The Korean Epidemiologic Catchment Area study Replication (KECA-R) was Conducted between August 2006 and April 2007. The sampling of the subjects was carried out across 12 catchment areas. A multistage, cluster sampling design was adopted. The target Population included all eligible residents aged 181o 64 years. Face-to-face interviews were conducted with the Korean version of Composite International Diagnostic Interview (K-CIDI) based on the DSM-IV (N=6,510, response rate=81.7%).
Results A total of 6,510 participants completed the interview. The lifetime and 12-month prevalence rates for all types of DSM-IV disorders were 30.0% and 17.3%, respectively. Those of Specific disorders were as follows : 1) alcohol use disorder, 16.2% and 5.6% ; 2) nicotine use disorder, 9.0% and 6.0% ; 3) specific phobia, 3.8% and 3.4% ; 4) major depressive disorder, 5.6% and 2.5% ; and 5) generalized anxiety disorder, 1.6% and 0.8%. Data relating to nicotine and alcohol use disorder revealed a very high male/female ratio. Mood disorder and anxiety disorder were more prevalent among females than males.
Conclusion The prevalence of psychiatric disorders was high. In comparison with other studies, remarkable differences in the distribution of psychiatric disorders across the country and times were observed.

참고문헌 (Reference)

1 조맹제, "한국어판 Composite International Diagnostic Interview(K-CIDI)의 개발" 대한신경정신의학회 41 (41): 2002

2 Kessler RC, "Validity of the assessment of bipolar spectrum disorders in the WHO CIDI 3.0" 96 : 259-269, 2006

3 Kawakami N, "Twelve-month prevalence, severity, and treatment of common mental disorders in communities in Japan: preliminary finding from the World Mental Health Japan Survey 2002-2003" 59 : 441-452, 2005

4 Blazer DG, "The prevalence and distribution of major depression in a national community sample: the National Comorbidity Survey" 151 : 979-986, 1994

5 Regier DA, "The NIMH epidemiologic catchment area program. Historical context, major objectives, and study population characteristics" 41 : 934-941, 1984

6 Korean Association of Smoking & Health, "Smoking statistics"

7 Wittchen HU, "Reliability and procedural validity of UM-CIDI DSM-III-R phobic disorders" 26 : 1169-1177, 1996

8 Lee CK, "Psychiatric epidemiology in Korea. Part I: Gender and age differences in Seoul" 178 : 242-246, 1990

9 Demyttenaere K, "Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys" 291 : 2581-2590, 2004

10 Bijl RV, "Prevalence of psychiatric disorder in the general population: results of The Netherlands Mental Health Survey and Incidence Study (NEMESIS)" 33 : 587-595, 1998

11 Alonso J, "Prevalence of mental disorders in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project" 21-27, 2004

12 Robins LN, "National institute of mental health diagnostic interview schedule. Its history, characteristics, and validity" 38 : 381-389, 1981

13 Lee S, "Lifetime prevalence and inter-cohort variation in DSM-IV disorders in metropolitan China" 37 : 61-71, 2007

14 Kessler RC, "Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication" 62 : 593-602, 2005

15 Merikangas KR, "Lifetime and 12-month prevalence of bipolar spectrum disorder in the National Comorbidity Survey replication" 64 : 543-552, 2007

16 Cho MJ, "Lifetime and 12-month prevalence of DSM-IV psychiatric disorders among Korean adults" 195 : 203-210, 2007

17 Kessler RC, "Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States. Results from the National Comorbidity Survey" 51 : 8-19, 1994

18 Fleming JA, "Introduction to Epidemiologic Research Methods. in: Textbook in psychiatric epidemiology, 2nd ed" John Wiley & Sons 3-4, 2002

19 Saha S, "Incidence of schizophrenia does not vary with economic status of the country: evidence from a systematic review" 41 : 338-340, 2006

20 Korea Center for Disease Control and Prevention, "In-depth Analyses of the Third National Health and Nutrition Examination Survey: The Health Interview and Health Behavior Survey Part"

21 Chiu E, "Epidemiology of depression in the Asia Pacific region" 12 : S4-S10, 2004

22 Everlyn J, Bromet, "Epidemiology of Psychosis with Special Reference to Schizophrenia (2nd ed). in: Textbook in psychiatric epidemiology" John Wiley & Sons 368-369, 2002

23 Sung Man Chang, "Economic Burden of Schizophrenia in South Korea" 대한의학회 23 (23): 167-175, 2008

24 Chang SM, "Cross-national difference in the prevalence of depression caused by the diagnostic threshold" 106 : 159-167, 2008

25 Kessler RC, "Comorbidity of DSM-III-R major depressive disorder in the general population: results from the US National Comorbidity Survey" 17-30, 1996

26 Helzer JE, "Alcoholism--North America and Asia. A comparison of population surveys with the Diagnostic Interview Schedule" 47 : 313-319, 1990

27 Suh TW, "2006 The Central Mental Health Supporting Committee Report" K.I.f.H.A.S.A. Ministry of Health and Welfare, Central Mental Health Supporting Committee 2006

28 Health Insurance Review Agency and National Health Insurance Corporation, "2005 National Health Insurance Statistical Yearbook" Health Insurance Review Agency and National Health Insurance Corporation 2006

29 Ministry of Health and welfare and National Health Insurance Corporation, "2005 Medical Aid statistical Yearbook" Ministry of Health and welfare and National Health Insurance Corporation 2006