한국인의 우울증 진단기준의 특성

• 영문명: Characteristics of Diagnostic Criteria for Depression in Korea
• 발행기관: 대한신경정신의학회
• 저자명: 장성만 손지훈 이준영 최지환 조성진 전홍진 함봉진 이동현 조맹제
• 간행물 정보: 『신경정신의학』제46권 제5호, 447~452쪽, 전체 6쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2007.09.30

영문 초록

Backgrounds：Many Korean epidemiologic studies reported lower prevalence rates of depression than those of Western countries. For the low prevalence, it is explained that there’s something wrong in the direct application of diagnostic criteria of depression to Korean culture, i.e. categorical fallacy, or it may be truly low-prevalent. We will analyze diagnostic criteria for depression defined by Western. Methods：Six thousand and two hundred seventy-five community dwelling subjects, aged 18-64 years were interviewed by using Korean version of Composite International Diagnostic Interview (K-CIDI). Diagnostic criteria for depression defined by DSM-IV were analyzed using the item response theory. Results：We could not find any fallacies of diagnostic criteria for depression defined by DSM-IV when assessing depression among Koreans. Fatigue, concentration difficulties, and sleep disturbance appeared more frequently in mild depression, while psychomotor change, death/suicide, and worthlessness/guilt did not appear until severe depression. Conclusion：The diagnostic criteria for depression defined by DSM-IV are appropriate for the Koreans. There are different responding levels, i.e. threshold, of depressive criteria according to severities of depression. Koreans with depression are more likely to complain of appetite change, but less of worthless or guilty feelings than Western people.

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키워드

Depression Prevalence Criteria