J Korean Neuropsychiatr Assoc.
2004 Nov;43(6):749-759.
Prevalence Rates of Major Mental Disorders in Mental Health Related Facilities : Nationwide 20 Institutions Study
- Affiliations
-
- 1Department of Psychiatry, Gachon Medical School, Incheon, Korea. sjcho@ghil.com
- 2Department of Psychiatry, Seoul National University, College of Medicine, Seoul, Korea.
- 3Korea Institute of Health and Social Affairs, Seoul, Korea.
- 4Department of Psychiatry, Ulsan University, College of Medicine, Seoul, Korea.
- 5Department of Psychiatry, Inha University, College of Medicine, Incheon, Korea.
- 6Department of Psychiatry, Seoul National University, College of Medicine, Boramae Hospital, Seoul, Korea.
- 7Department of Psychiatry, College of Medicine, Inje University, Seoul, Korea.
- 8Department of Psychiatry, Kangwon National University, College of Medicine, Chunchon, Korea.
- 9Seong-Il Mental Hospital, Namwon, Korea.
- 10Department of Health Policy and Management, Seoul National University, College of Medicine, Seoul, Korea.
Abstract
OBJECTIVES
One of the objectives of this study is to estimate the prevalence rates of psychiatric diagnoses in the combined populations of psychiatric hospitals, psychiatric nursing facilities and homeless asylums using the Korean version of the Composite International Diagnostic Interview (K-CIDI), which is a comprehensive and fully standardized interview schedule to assess psychiatric disorders for diagnosis. The Other objective is to compare with previously studied prevalence rates of psychiatric diagnoses using the results of this study.
METHODS
: The study subjects, aged from 18 to 64 years, were randomly selected from 64,582 institutionalized population of psychiatric hospitals, psychiatric nursing facilities and homeless asylums as of 30, June, 2001. Twelve trained interviewers administered the K-CIDI to the selected respondents. A total of 1,875 respondents (male 1,194, female 681) completed the interview.
RESULTS
: The lifetime and one year prevalences of any diagnosis excluding nicotine dependence. withdrawal, anxiety disorder, eating disorder, somatoform disorder were 88.2% (male 88.1%, female 88.3%), and 65.8% (male 62.7%, female 73.7%), respectively. The lifetime and one year prevalences of schizophrenia and other psychotic disorders were 78.5% (male 75.3%, female 83.7%), and 56.8% (male 51.9%, female 64.8%), respectively. The lifetime and one year prevalences of alcohol use disorder (dependence/abuse) were 26.7% (male 37.9%, female 8.3%), and 8.7% (male 12.8%, female 2.1%), respectively. The lifetime and one year prevalences of mood disorder were 18.1% (male 13.5%, female 25.8%), and 10.4% (male 7.2%, female 16.9%), respectively. The lifetime and one year prevalences of schizophrenia and other psychotic disorders were comparable with the 2001 community survey by 1.19% to 1.32%, and 0.51% to 0.61%, respectively. The lifetime and one year prevalences of schizophrenia were also comparable by 0.16% to 0.28%, and 0.16% to 0.25%, respectively. There were no significant changes of prevalence rates when correction were applied to other psychiatric diagnosis.
CONCLUSION
: The results of this study could be used for evaluating the distribution of psychiatric diagnoses in mental health related facilities and for planning mental health policies.
