Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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Estimating the Burden of Psychiatric Disorder in Korea

우리나라 국민의 정신질환으로 인한 질병부담 추정

  • Park, Jae-Hyun (Department of Health Policy and Management, Seoul National University College of Medicine) ;
  • Yoon, Seok-Jun (Department of Preventive Medicine, Korea University College of Medicine) ;
  • Lee, Hee-Young (National Cancer Center) ;
  • Cho, Hee-Sook (Department of Preventive Medicine, Kangwoon University College of Medicine) ;
  • Lee, Jin-Yong (Department of Health Policy and Management, Seoul National University College of Medicine) ;
  • Eun, Sang-Jun (Department of Health Policy and Management, Seoul National University College of Medicine) ;
  • Park, Jong-Hyock (Department of Health Policy and Management, Seoul National University College of Medicine) ;
  • Kim, Yoon (Department of Health Policy and Management, Seoul National University College of Medicine) ;
  • Kim, Yong-Ik (Department of Health Policy and Management, Seoul National University College of Medicine) ;
  • Shin, Young-Soo (Department of Health Policy and Management, Seoul National University College of Medicine)
  • 박재현 (서울대학교 의과대학 의료관리학교실) ;
  • 윤석준 (고려대학교 의과대학 예방의학교실) ;
  • 이희영 (국립암센터) ;
  • 조희숙 (강원대학교 의과대학 예방의학교실) ;
  • 이진용 (서울대학교 의과대학 의료관리학교실) ;
  • 은상준 (서울대학교 의과대학 의료관리학교실) ;
  • 박종혁 (서울대학교 의과대학 의료관리학교실) ;
  • 김윤 (서울대학교 의과대학 의료관리학교실) ;
  • 김용익 (서울대학교 의과대학 의료관리학교실) ;
  • 신영수 (서울대학교 의과대학 의료관리학교실)
  • Published : 2006.01.31
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Abstract

Objectives: This study estimated the burden of disease especially caused by psychiatric disorders in Korea by using DALY, a composite indicator that was recently developed by the Global Burden of Disease study group. Methods: First, 11 of the major psychiatric disorders in Korea were selected based on the ICD-10. Second, the burden of disease due to premature death was estimated by using YLLs (years of life lost due to premature death). Third, for the calculation of the YLD (years lived with disability), the following parameters were estimated in the formula: the incidence rate, the prevalence rate and the disability weight of each psychiatric disorder. Last, we estimated the DALY of the psychiatric disorders by adding the YLLs and YLDs. Results: The burden of psychiatric disorder per 100,000 people was attributed mainly to unipolar major depression (1,278 person-years), schizophrenia (638 person-years) and alcohol use disorder (287 person-years). For males, schizophrenia (596 person-years) and alcohol use disorder (491 person-years) caused the highest burden. For females, unipolar major depression (1,749 person-years) and schizophrenia (680 person-years) cause the highest burden. As analyzed by gender and age group, alcohol use disorder causes a higher burden than schizophrenia in men aged 40 years and older. For females, unipolar major depression causes the highest burden in all age groups. Conclusions: We found that each of the psychiatric disorders that cause the highest burden is different according to gender and age group. This study's results can provide a rational basis to plan a national health policy regarding the burden of disease caused by psychiatric disorders.

Keywords

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