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Prevalence and Correlates of Depressive Symptoms in Korean Adults: Results of a 2009 Korean Community Health Survey

  • Oh, Dong Hoon (Department of Psychiatry, Hanyang University College of Medicine) ;
  • Kim, Shin Ah (Department of Preventive Medicine, Hanyang University College of Medicine) ;
  • Lee, Hye Young (Department of Preventive Medicine, Hanyang University College of Medicine) ;
  • Seo, Joo Youn (Department of Preventive Medicine, Hanyang University College of Medicine) ;
  • Choi, Bo-Youl (Department of Preventive Medicine, Hanyang University College of Medicine) ;
  • Nam, Jung Hyun (Department of Psychiatry, Hanyang University College of Medicine)
  • Published : 2013.01.10

Abstract

The aim of this study was to investigate the prevalence and correlates of depressive symptoms in the largest number of Korean individuals examined to date. We analyzed cross-sectional data collected from 229,595 Korean adults aged 19 yr and above who participated in a Korean Community Health Survey conducted in 2009. The Center for Epidemiologic Studies Depression Scale (CES-D) was used as the measurement tool for depressive symptoms (CES-D score over 16) and definite depression (CES-D score over 25). Multivariate logistic regression analysis was performed to identify associations between sociodemographic factors and depressive symptoms. The percentages of depressive symptoms and definite depression in the total study population were 11% (7.8% for men, 14.0% for women) and 3.7%, (2.4% for men, 5.0% for women), respectively. Female gender, older age, disrupted marital status, low education and income level, multigenerational household composition and metropolitan residence were associated with greater risk of depressive symptoms. The present study provides a valid prevalence and correlates of depressive symptoms, using the largest representative sample of the Korean general population to date. Various sociodemographic factors contribute to the prevalence and effects of depressive symptoms in Korea.

Keywords

References

  1. Lopez AD, Murray CC. The global burden of disease, 1990-2020. Nat Med 1998; 4: 1241-3. https://doi.org/10.1038/3218
  2. Ustun TB, Ayuso-Mateos JL, Chatterji S, Mathers C, Murray CJ. Global burden of depressive disorders in the year 2000. Br J Psychiatry 2004; 184: 386-92. https://doi.org/10.1192/bjp.184.5.386
  3. Jeon HJ. Epidemiologic studies on depression and suicide. J Korean Med Assoc 2012; 55: 322-8. https://doi.org/10.5124/jkma.2012.55.4.322
  4. Cho MJ, Chang SM, Hahm BJ, Chung IW, Bae A, Lee YM, Ahn JH, Won SH, Son J, Hong JP, et al. Prevalence and correlates of major mental disorders among Korean adults: a 2006 National Epidemiologic Survey. J Korean Neuropsychiatr Assoc 2009; 48: 143-52.
  5. Cho MJ, Kim JK, Jeon HJ, Suh T, Chung IW, Hong JP, Bae JN, Lee DW, Park JI, Cho SJ, et al. Lifetime and 12-month prevalence of DSM-IV psychiatric disorders among Korean adults. J Nerv Ment Dis 2007; 195: 203-10. https://doi.org/10.1097/01.nmd.0000243826.40732.45
  6. Cho MJ, Nam JJ, Suh GH. Prevalence of symptoms of depression in a nationwide sample of Korean adults. Psychiatry Res 1998; 81: 341-52. https://doi.org/10.1016/S0165-1781(98)00122-X
  7. Ohayon MM, Hong SC. Prevalence of major depressive disorder in the general population of South Korea. J Psychiatr Res 2006; 40: 30-6. https://doi.org/10.1016/j.jpsychires.2005.02.003
  8. Kim YT, Choi BY, Lee KO, Kim H, Chun JH, Kim SY, Lee DH, Ghim YA, Lim DS, Kang YW, et al. Overview of Korean Community Health Survey. J Korean Med Assoc 2012; 55: 74-83. https://doi.org/10.5124/jkma.2012.55.1.74
  9. Cho MJ, Kim KH. Diagnostic validity of the CES-D (Korean version) in the assessment of DSM-III-R major depression. J Korean Neuropsychiatr Assoc 1993; 32: 381-99.
  10. Rim H, Kim H, Lee K, Chang S, Hovell MF, Kim YT, Kim Y, Kang G, Tak Y, Im J. Validity of self-reported healthcare utilization data in the Community Health Survey in Korea. J Korean Med Sci 2011; 26: 1409-14. https://doi.org/10.3346/jkms.2011.26.11.1409
  11. Radloff LS. The CES-D scale: a self report depression scale for research in the general population. Appl Psych Meas 1977; 1: 385-401. https://doi.org/10.1177/014662167700100306
  12. Park JH, Kim KW. A review of the epidemiology of depression in Korea. J Korean Med Assoc 2011; 54: 362-9. https://doi.org/10.5124/jkma.2011.54.4.362
  13. Piccinelli M, Wilkinson G. Gender differences in depression. Critical review. Br J Psychiatry 2000; 177: 486-92. https://doi.org/10.1192/bjp.177.6.486
  14. Jang Y, Kim G, Chiriboga D. Acculturation and manifestation of depressive symptoms among Korean-American older adults. Aging Ment Health 2005; 9: 500-7. https://doi.org/10.1080/13607860500193021
  15. Lee JJ, Kim KW, Kim TH, Park JH, Lee SB, Park JW, McQuoid DR, Steffens DC. Cross-cultural considerations in administering the center for epidemiologic studies depression scale. Gerontology 2011; 57: 455-61.
  16. Kim E, Jo SA, Hwang JY, Shin C, Kim DK, Woo EK, Kim SS, Shin KR, Jo I. A survey of depressive symptoms among South Korean adults after the Korean financial crisis of late 1997: prevalence and correlates. Ann Epidemiol 2005; 15: 145-52. https://doi.org/10.1016/j.annepidem.2004.05.004
  17. Kim MD, Hong SC, Lee CI, Kwak YS, Shin TK, Jang YH, Oh EH, Lee JW, Jeon BH, Hwang SE. Prevalence of depression and correlates of depressive symptoms for residents in the urban part of Jeju Island, Korea. Int J Soc Psychiatry 2007; 53: 123-34. https://doi.org/10.1177/0020764006075022
  18. Young E, Korszun A. Sex, trauma, stress hormones and depression. Mol Psychiatry 2010; 15: 23-8. https://doi.org/10.1038/mp.2009.94
  19. O'Hara MW, Kohout FJ, Wallace RB. Depression among the rural elderly. A study of prevalence and correlates. J Nerv Ment Dis 1985; 173: 582-9. https://doi.org/10.1097/00005053-198510000-00002
  20. Berkman LF, Berkman CS, Kasl S, Freeman DH Jr, Leo L, Ostfeld AM, Cornoni-Huntley J, Brody JA. Depressive symptoms in relation to physical health and functioning in the elderly. Am J Epidemiol 1986; 124: 372-88. https://doi.org/10.1093/oxfordjournals.aje.a114408
  21. Kennedy GJ, Kelman HR, Thomas C. The emergence of depressive symptoms in late life: the importance of declining health and increasing disability. J Community Health 1990; 15: 93-104. https://doi.org/10.1007/BF01321314
  22. Blazer D, Burchett B, Service C, George LK. The association of age and depression among the elderly: an epidemiologic exploration. J Gerontol 1991; 46: M210-5. https://doi.org/10.1093/geronj/46.6.M210
  23. Roberts RE, Kaplan GA, Shema SJ, Strawbridge WJ. Does growing old increase the risk for depression? Am J Psychiatry 1997; 154: 1384-90. https://doi.org/10.1176/ajp.154.10.1384
  24. Yu J, Li J, Cuijpers P, Wu S, Wu Z. Prevalence and correlates of depressive symptoms in Chinese older adults: a population-based study. Int J Geriatr Psychiatry 2012; 27: 305-12. https://doi.org/10.1002/gps.2721
  25. Cho MJ, Lee JY, Kim BS, Lee HW, Sohn JH. Prevalence of the major mental disorders among the Korean elderly. J Korean Med Sci 2011; 26: 1-10.
  26. Statistics Korea. Avaiable at https://www.index.go.kr/egams/stts/jsp/potal/stts/PO_STTS_IdxMain.jsp?idx_cd=1063&bbs=INDX_001 [accesseed on 1 August 2012]
  27. OECD. Education at a Glance 2011: OECD Publishing. Available at http://www.oecd-ilibrary.org/education/education-at-a-glance-2011_eag-2011-en [accesseed on 1 August 2012]
  28. Rotermann M. Marital breakdown and subsequent depression. Health Rep 2007; 18: 33-44.
  29. Sheeber L, Hops H, Alpert A, Davis B, Andrews J. Family support and conflict: prospective relations to adolescent depression. J Abnorm Child Psychol 1997; 25: 333-44. https://doi.org/10.1023/A:1025768504415
  30. Ross CE, Mirowsky J. Sex differences in the effect of education on depression: resource multiplication or resource substitution? Soc Sci Med 2006; 63: 1400-13. https://doi.org/10.1016/j.socscimed.2006.03.013
  31. Cho SJ, Oh DH, Lee JA, Choi BY, Park YC, Nam JH. Prevalence of main psychiatric disorders in relation to urbanization in Gyeonggi Province by using the Korean Version of the Mini-International Neuropsychiatric Interview. J Korean Neuropsychiatr Assoc 2011; 50: 288-96.
  32. Peen J, Dekker J, Schoevers RA, Have MT, de Graaf R, Beekman AT. Is the prevalence of psychiatric disorders associated with urbanization? Soc Psychiatry Psychiatr Epidemiol 2007; 42: 984-9. https://doi.org/10.1007/s00127-007-0256-2
  33. Dekker J, Peen J, Koelen J, Smit F, Schoevers R. Psychiatric disorders and urbanization in Germany. BMC Public Health 2008; 8: 17. https://doi.org/10.1186/1471-2458-8-17
  34. Peen J, Schoevers RA, Beekman AT, Dekker J. The current status of urban- rural differences in psychiatric disorders. Acta Psychiatr Scand 2010; 121: 84-93. https://doi.org/10.1111/j.1600-0447.2009.01438.x
  35. Lin CH, Lee YY, Liu CC, Chen HF, Ko MC, Li CY. Urbanization and prevalence of depression in diabetes. Public Health 2012; 126: 104-11. https://doi.org/10.1016/j.puhe.2011.10.006

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