Cho Maeng Je, Kim Jang-Kyu, Jeon Hong Jin, Suh Tongwoo, Chung In-Won, Hong Jin Pyo, Bae Jae-Nam, Lee Dong-Woo, Park Jong-Ik, Cho Seong-Jin, Lee Choong-Koung, Hahm Bong-Jin
Department of Psychiatry and Behavioral Science, Institute of Human Behavioral Medicine, Seoul National University College of Medicine, Seoul, South Korea.
J Nerv Ment Dis. 2007 Mar;195(3):203-10. doi: 10.1097/01.nmd.0000243826.40732.45.
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.
目的是估计韩国成年人群体全国样本中精神障碍的患病率及其相关因素。采用韩国版综合国际诊断访谈2.1/DSM-IV进行面对面访谈(N = 6275,应答率79.8%)。所有类型DSM-IV障碍的终生患病率和12个月患病率分别为33.5%和20.6%。特定障碍的患病率如下:酒精使用障碍为17.2%和7.1%,尼古丁使用障碍为11.2%和7.4%,特定恐惧症为5.2%和4.2%,重度抑郁症为4.3%和1.7%,广泛性焦虑障碍为2.3%和1.0%。在社会人口统计学变量中,在控制性别、年龄和教育程度后,丧偶状态、较高收入和农村居住是终生重度抑郁症和酒精使用障碍的危险因素。精神障碍的患病率高于其他东亚国家和大多数欧洲国家,但低于美国。韩国的酒精使用障碍患病率尤其高。