Department of Psychiatry and Behavioral Science, Seoul National University Hospital, 28 Yeongeon-dong, Jongno-gu, Seoul 110-744, South Korea.
Asian J Psychiatr. 2010 Mar;3(1):26-30. doi: 10.1016/j.ajp.2010.01.009. Epub 2010 Mar 15.
The aim of this study was to estimate the prevalence of the DSM-IV major mental disorders in the Korean population using the Korean version of Composite International Diagnostic Interview (K-CIDI).
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 using a multistage, cluster sampling design. The target population included all eligible community dwelling residents aged 18-64 years. Face-to-face interviews were conducted using the K-CIDI based on the DSM-IV.
A total of 6510 participants completed the interview (response rate=81.7%). The lifetime and 12-month prevalence rates for DSM-IV major mental disorders were 29.0% and 16.9%, 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%. Additionally, data related to nicotine and alcohol use disorder revealed a very high male to female ratio. Further, mood and anxiety disorders were more prevalent in females than in males.
The prevalence of major mental disorders was high. In comparison with the studies performed in other countries, notable differences were observed with respect to the distribution of mental disorders in Korea.
本研究旨在使用韩国复合国际诊断访谈（K-CIDI）评估韩国人群中 DSM-IV 主要精神障碍的患病率。
韩国流行病学抽样区研究复制（KECA-R）于 2006 年 8 月至 2007 年 4 月进行。采用多阶段、聚类抽样设计，在 12 个抽样区进行了受试者的抽样。目标人群包括所有符合条件的 18-64 岁社区居住居民。使用基于 DSM-IV 的 K-CIDI 进行面对面访谈。
共有 6510 名参与者完成了访谈（应答率=81.7%）。DSM-IV 主要精神障碍的终身患病率和 12 个月患病率分别为 29.0%和 16.9%。特定疾病的患病率如下：（1）酒精使用障碍，16.2%和 5.6%；（2）尼古丁使用障碍，9.0%和 6.0%；（3）特定恐惧症，3.8%和 3.4%；（4）重度抑郁症，5.6%和 2.5%；（5）广泛性焦虑症，1.6%和 0.8%。此外，尼古丁和酒精使用障碍的数据显示出非常高的男女比例。此外，情绪和焦虑障碍在女性中的患病率高于男性。
主要精神障碍的患病率较高。与在其他国家进行的研究相比，韩国精神障碍的分布存在显著差异。
