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소아기 우울장애의 유병률 및 역학적 특성 : 자가평가 연구

The Prevalence and Epidemiological Characteristics of Childhood Depressive Disorder in South Korea : Self Reported Study

  • 최혜원 (마음누리 클리닉) ;
  • 이문수 (단국대학교의료원 환경보건센터) ;
  • 임명호 (단국대학교의료원 환경보건센터) ;
  • 권호장 (단국대학교의료원 환경보건센터) ;
  • 하미나 (단국대학교의료원 환경보건센터) ;
  • 유승진 (단국대학교의료원 환경보건센터) ;
  • 김은정 (단국대학교 의과대학 정신건강의학교실) ;
  • 백기청 (단국대학교의료원 환경보건센터)
  • Choi, Hae-Won (Maumnuri Psychiatric Clinic) ;
  • Lee, Moon-Soo (The Environmental Health Center, Neuro Development) ;
  • Lim, Myung-Ho (The Environmental Health Center, Neuro Development) ;
  • Kwon, Ho-Jang (The Environmental Health Center, Neuro Development) ;
  • Ha, Mi-Na (The Environmental Health Center, Neuro Development) ;
  • Yoo, Seung-Jin (The Environmental Health Center, Neuro Development) ;
  • Kim, Eun-Jeong (Department of Psychiatry, College of Medicine, Dankook University) ;
  • Paik, Ki-Chung (The Environmental Health Center, Neuro Development)
  • 투고 : 2012.06.09
  • 심사 : 2012.08.20
  • 발행 : 2012.09.30

초록

Objectives : Childhood depressive disorder one of the most prevalent chronic health conditions affecting school aged children. The objective of this study was to examine the prevalence and epidemiological characteristics of childhood depressive disorder in Korea. Methods : In this study, a survey was conducted of elementary school children in the Cheonan area from September 2009 to August 2010. A total of 12,084 children were included in the analyses. The primary measure of depression was the 27-item Kovacs' Children's Depression Inventory (CDI), the Korean Dupaul attention-deficit hyperactivity disorder Rating Scales (K-ARS), Autism Spectrum Screening Questionnaire (ASSQ) and Restless Legs Syndrome Questionnaire (RLSQ) were also administered. Results : The prevalence rate of childhood depressive disorder was 3.07%. The mean age was $9.21{\pm}1.81$ years for the control group (5,969 male, 6,054 female) and $9.91{\pm}1.83$ years for the depression group (CDI score${\geq}$22 ; 159 male, 210 female). Age, height, weight, and economic status were similar for the two groups. However, there were statistically significant differences in the distribution of sex. The distribution of school grade also differed between the two groups. Scores for CDI, K-ARS, and ASSQ in the depressive group were higher than those of the control group. Conclusions : This is the first large-scale population-based study to report on the prevalence of childhood depressive disorder in South Korea. Increased rates of childhood depressive disorder, as reported by primary caretakers, might reflect the increasing negative impact of environmental risk factors on neurobehavioral health. Longitudinal study of the prevalence of childhood depressive disorder should be considered for further evaluation.

키워드

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피인용 문헌

  1. Cut-Off Scores of the Children's Depression Inventory for Screening and Rating Severity in Korean Adolescents vol.12, pp.1, 2015, https://doi.org/10.4306/pi.2015.12.1.23
  2. The Distributional Changes in the First-Visit Psychiatric Child and Adolescent Outpatients at a University Hospital over a Ten-Year Period vol.26, pp.3, 2015, https://doi.org/10.5765/Jkacap.2015.26.3.165
  3. The Effects of Mind Subtraction Meditation on Depression, Social Anxiety, Aggression, and Salivary Cortisol Levels of Elementary School Children in South Korea vol.31, pp.3, 2016, https://doi.org/10.1016/j.pedn.2015.12.001