한국인의 우울증 진단기준의 특성
Characteristics of Diagnostic Criteria for Depression in Korea
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참고문헌
키워드
초록
DSM-IV가 제시하는 주요우울장애 진단 기준은 한국인의 우울증을 평가하는 데 있어 타당하기는 하나, 진단 기준의 역치가 높다. 우울증의 중증도에 따라 호소하는 증상들이 달랐다.
Abstract
Backgrounds：Many Korean epidemiologic studies reported lower prevalence rates of depression than those of Westerncountries. 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. (J Korean Neuropsychiatr Assoc 2007; 46(5):447-452)
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