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韩国成年人精神障碍患病率及相关因素:2021年韩国全国心理健康调查

Prevalence of Mental Disorders and Associated Factors in Korean Adults: National Mental Health Survey of Korea 2021.

作者信息

Rim Soo Jung, Hahm Bong-Jin, Seong Su Jeong, Park Jee Eun, Chang Sung Man, Kim Byung-Soo, An Hyonggin, Jeon Hong Jin, Hong Jin Pyo, Park Subin

机构信息

Division of Research Planning, Mental Health Research Institute, National Center for Mental Health, Seoul, Republic of Korea.

Department of Psychiatry and Behavioral Sciences, Seoul National University College of Medicine, Seoul, Republic of Korea.

出版信息

Psychiatry Investig. 2023 Mar;20(3):262-272. doi: 10.30773/pi.2022.0307. Epub 2023 Mar 22.

Abstract

OBJECTIVE

Mental health is a global concern and needs to be studied more closely. We aimed to estimate the prevalence of mental disorders and their associated factors among the general population in Korea.

METHODS

The National Mental Health Survey of Korea 2021 was conducted between June 19 and August 31, 2021 and included 13,530 households; 5,511 participants completed the interview (response rate: 40.7%). The lifetime and 12-month diagnosis rates of mental disorders were made using the Korean version of the Composite International Diagnostic Interview 2.1. Factors associated with alcohol use disorder (AUD), nicotine use disorder, depressive disorder, and anxiety disorder were analyzed, and mental health service utilization rates were estimated.

RESULTS

The lifetime prevalence of mental disorders was 27.8%. The 12-month prevalence rates of alcohol use, nicotine use, depressive, and anxiety disorders were 2.6%, 2.7%, 1.7%, and 3.1%, respectively. The risk factors associated with 12-month diagnosis rates were as follows: AUD: sex and age; nicotine use disorder: sex; depressive disorder: marital status and job status; anxiety disorder: sex, marital status, and job status. The 12-month treatment and service utilization rates for 12-month AUD, nicotine use disorder, depressive disorder, and anxiety disorder were 2.6%, 1.1%, 28.2%, and 9.1%, respectively.

CONCLUSION

Approximately 25% of adults in the general population were diagnosed with mental disorders during their lifetime. The treatment rates were substantially low. Future studies on this topic and efforts to increase the mental health treatment rate at a national level are needed.

摘要

目的

心理健康是一个全球关注的问题,需要更深入地研究。我们旨在估计韩国普通人群中精神障碍的患病率及其相关因素。

方法

2021年韩国全国心理健康调查于2021年6月19日至8月31日进行,包括13530户家庭;5511名参与者完成了访谈(应答率:40.7%)。使用韩国版的综合国际诊断访谈2.1得出精神障碍的终生患病率和12个月诊断率。分析了与酒精使用障碍(AUD)、尼古丁使用障碍、抑郁症和焦虑症相关的因素,并估计了心理健康服务利用率。

结果

精神障碍的终生患病率为27.8%。酒精使用、尼古丁使用、抑郁和焦虑障碍的12个月患病率分别为2.6%、2.7%、1.7%和3.1%。与12个月诊断率相关的危险因素如下:AUD:性别和年龄;尼古丁使用障碍:性别;抑郁症:婚姻状况和工作状况;焦虑症:性别、婚姻状况和工作状况。12个月AUD、尼古丁使用障碍、抑郁症和焦虑症的12个月治疗和服务利用率分别为2.6%、1.1%、28.2%和9.1%。

结论

普通人群中约25%的成年人在其一生中被诊断患有精神障碍。治疗率极低。需要对该主题进行进一步研究,并在国家层面努力提高心理健康治疗率。

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