대학생들의 우울장애에 관현 연구 : 유병율, 위험요인, 자살행동 및 기능장애
Depressive Disorders among the College Students：Prevalence, Risk Factors, Suicidal Behaviors and Dysfunctions
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초록
주요우울장애의 1년 유병율이 여학생에서 9.5%, 남학생에서 4.2%로 대학생들이 우울장애를 흔히 경험함을 알 수 있었다. 주요우울장애의 위험요인으로 여성 성별과 20~21세 연령이 작용하는 것으로 조사되었다. 주요우울장애를 겪는 경우 학생들은 학교 적응에 있어서 많은 어려움을 겪게 되고 대인관계상 어려움이나 휴학 등의 기능장애를 경험하게 되며, 자해나 자살의 위험성도 유의하게 높아지는 것을 알 수 있었다. 따라서 주요우울장애의 높은 빈도와 영향을 고려할 때 대학 단위 별로 우울장애의 예방과 조기발견, 조기중재를 위한 시스템이 마련되어야할 것이며, 이는 우선적으로 주요우울장애 고위험군에 대한 적극적인 선별과정과 우울장애에 대한 교육을 통해 이루어져야 할 것이다.
Abstract
Objectives：The purpose of this study was to investigate the prevalence and correlates of major and minor depressive disorders in college students. Methods：A cross-sectional study was completed on a sample of 906 students (507 men and 399 women) with the self-administered form of Korean version of Mini International Neuropsychiatric Interview (K-MINI). Results：Estimated 12-month prevalence of major depressive disorder was 4.2% in men and 9.5% in women, and that of minor depressive disorder was 15.4% in men and 23.2% in women. The factors, ‘female gender’ and ‘age of 20-21’, were significantly associated with major depressive disorder. ‘Poor adaptation to school’ was significantly associated with major depressive disorder both in men and women, but ‘poor interpersonal relationship’ and ‘history of school withdrawal’ were associated only in men. Idea of self-injury and suicidal behaviors (suicidal ideation, plan and attempt) were significantly associated with major depressive disorder in women, but were not associated with minor depressive disorder. Conclusion：Major and minor depressive disorders are highly prevalent in the college students. Major depressive disorder was more associated with dysfunctions and suicidal behaviors than minor depressive disorder. Campus-based mental health service is needed for the high-risk students. (J Korean Neuropsychiatr Assoc 2006;45(5):432-437)
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