신세대 우울증의 정신병리적 특성
Psychopathological Characteristics of Modern Type Depression
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Objectives: This research probes into the characteristics of modern type depression (MTD) in South Korea, drawing parallels to Japan’s hikikomori state. It aims to bridge cultural value gaps and highlight its significance in South Korea, given the observed reclusive youth behaviors. Methods: Participants undertook a semi-structured interview assessing hikikomori tendencies and MTD. Also, self-reports were done using the 25-item Hikikomori Questionnaire (HQ-25), 22-item Tarumi’s Modern-Type Depression Trait Scale: Avoidance of Social Roles, Complaint, and Low Self-Esteem (TACS-22), Patient Health Questionnaire-9 (PHQ-9), Beck Depression Inventory-II (BDI-II), Young’s Internet Addiction Test (YIAT), Smartphone Addiction Scale-Short form Version (SAS-SV), Revised UCLA Loneliness Scale (RULS), Lubben Social Network Scale (LSNS-6). Scores were analyzed by group (MTD, control) using and logistic regression was done. Additional analysis was done by group (modern type with hikikomori and modern type without hikikomori). Results: Of 59 participants, 29 had MTD. In both groups, age and sex were matched with differences in education years. The MTD group contained 14 hikikomori individuals. Logistic regression identified the HQ-25 as a significant predictor for MTD. Notably, specific components like “low self-esteem” in TACS-22 and “isolation” in the HQ-25 significantly influenced MTD status. HQ-25 and RULS were significantly different between modern type with hikikomori and modern type without hikikomori. Conclusions: Using Japanese diagnostic criteria, this study illuminated MTD in Korean patients. The findings underscore isolation and low self-esteem predicted diagnosis of MTD. As MTD shares common pathological traits with hikikomori, the therapeutic interventions are important in Korea.
Abstract
Objectives: This research probes into the characteristics of modern type depression (MTD) in South Korea, drawing parallels to Japan’s hikikomori state. It aims to bridge cultural value gaps and highlight its significance in South Korea, given the observed reclusive youth behaviors. Methods: Participants undertook a semi-structured interview assessing hikikomori tendencies and MTD. Also, self-reports were done using the 25-item Hikikomori Questionnaire (HQ-25), 22-item Tarumi’s Modern-Type Depression Trait Scale: Avoidance of Social Roles, Complaint, and Low Self-Esteem (TACS-22), Patient Health Questionnaire-9 (PHQ-9), Beck Depression Inventory-II (BDI-II), Young’s Internet Addiction Test (YIAT), Smartphone Addiction Scale-Short form Version (SAS-SV), Revised UCLA Loneliness Scale (RULS), Lubben Social Network Scale (LSNS-6). Scores were analyzed by group (MTD, control) using and logistic regression was done. Additional analysis was done by group (modern type with hikikomori and modern type without hikikomori). Results: Of 59 participants, 29 had MTD. In both groups, age and sex were matched with differences in education years. The MTD group contained 14 hikikomori individuals. Logistic regression identified the HQ-25 as a significant predictor for MTD. Notably, specific components like “low self-esteem” in TACS-22 and “isolation” in the HQ-25 significantly influenced MTD status. HQ-25 and RULS were significantly different between modern type with hikikomori and modern type without hikikomori. Conclusions: Using Japanese diagnostic criteria, this study illuminated MTD in Korean patients. The findings underscore isolation and low self-esteem predicted diagnosis of MTD. As MTD shares common pathological traits with hikikomori, the therapeutic interventions are important in Korea.
참고문헌 (25)
- Komori T, "Social status and modern-type depression : a review", Brain Behav, 9, pp.e01464~ (2019)
- Kato TA, "Modern-type depression as an"adjustment"disorder in Japan : the intersection of collectivistic society encountering an individualistic performance-based system", Am J Psychiatry, 174, pp.1051~1053 (2017)
- Kato TA, "Multidimensional anatomy of ‘modern type depression’ in Japan : a proposal for a different diagnostic approach to depression beyond the DSM-5", Psychiatry Clin Neurosci, 70, pp.7~23 (2016)
- Tarumi S, "The “new” varient of depression: the dysthymic type", J Clin Psychiatry, 34, pp.687~694 (2005)
- 김누리, "한국형 부모양육태도 개념도 연구", 아시아교육연구, 21(1), pp.155~190 (2020), 교육연구소[DOI]
- 허정무, "부모의존 성인자녀세대의 생활양식과 가족관계의 미래 전망", 예술인문사회 융합 멀티미디어 논문지, 9(12), pp.1295~1304 (2019), 사단법인 인문사회과학기술융합학회[DOI]
- Changes in parenting attitudes of Koreans and policy implications, "Moon MG", Korea Institute of Child Care and Education, ~ (2017)
- Lee KM, "The psychosocial characteristics of oiettolie adolescents", Korean J Couns Psychother, 13, pp.147~162 (2001)
- "Measures to support socially maladjusted youth such as Hikikomori"[URL]
- Teo AR, "Development and validation of the 25-item Hikikomori questionnaire(HQ-25)", Psychiatry Clin Neurosci, 72, pp.780~788 (2018)
- 제세령, "은둔형 외톨이 자가보고 척도의 신뢰도 및 타당도 연구", 신경정신의학, 61(2), pp.80~89 (2022), 대한신경정신의학회[DOI]
- Kato TA, "Development and validation of the 22-item Tarumi’s modern-type depression trait scale: avoidance of social roles, complaint, and low self-esteem (TACS-22)", Psychiatry Clin Neurosci, 73, pp.448~457 (2019)
- Kroenke K, "The PHQ-9 : validity of a brief depression severity measure", J Gen Intern Med, 16, pp.606~613 (2001)
- Richardson EJ, "Factor structure of the PHQ-9screen for depression across time since injury among persons with spinal cord injury", Rehabil Psychol, 53, pp.243~249 (2008)
- Beck AT, "Manual for the Beck depression inventory (BDI-II)" (1996), Pearson
- "Internet addiction test"[URL]
- Kwon M, "Development and validation of a smartphone addiction scale(SAS)", PLoS One, 8, pp.e56936~ (2013)
- Kwon M, "The smartphone addiction scale : development and validation of a short version for adolescents", PLoS One, 8, pp.e83558~ (2013)
- Russell D, "The revised UCLA loneliness scale : concurrent and discriminant validity evidence", J Pers Soc Psychol, 39, pp.472~480 (1980)
- Kim OS, "Korean version of the revised UCLA loneliness scale : reliability and validity test", J Nurs Acad Soc, 27, pp.871~879 (1997)
- Lubben J, "Performance of an abbreviated version of the Lubben social network scale among three European community-dwelling older adult populations", Gerontologist, 46, pp.503~513 (2006)
- Hong M, "Validation of Korean versions of the Lubben social network scales in Korean Americans", Clin Gerontol, 34, pp.319~334 (2011)
- Kato TA, "Hikikomori: multidimensional understanding, assessment, and future international perspectives", Psychiatry Clin Neurosci, 73, pp.427~440 (2019)
- Kashihara J, "Perceptions of traditional and modern types of depression : a cross-cultural vignette survey comparing Japanese and American undergraduate students", Psychiatry Clin Neurosci, 73, pp.441~447 (2019)
- Lee YS, "Home visitation program for detecting, evaluating and treating socially withdrawn youth in Korea", Psychiatry Clin Neurosci, 67, pp.193~202 (2013)