Journal of Korean Medical Science

Korean Acad Medical Sciences (대한의학회)
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Prevalence, Work-Loss Days and Quality of Life of Community Dwelling Subjects with Depressive Symptoms

  • Sohn, Jee Hoon (Division of Public Medicine Health Service, Seoul National University Hospital) ;
  • Ahn, Seung Hee (Jongno Community Mental Health Center) ;
  • Seong, Su Jeong (Department of Neuropsychiatry, Seoul National University Hospital) ;
  • Ryu, Ji Min (Department of Neuropsychiatry, Seoul National University Hospital) ;
  • Cho, Maeng Je (Department of Neuropsychiatry, Seoul National University Hospital)
  • Published : 2013.02.10
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Abstract

The nationwide prevalence of major depressive disorder in Korea is lower than most countries, despite the high suicide rate. To explain this unexpectedly low prevalence, we examined the functional disability and quality of life in community-dwelling subjects with significant depressive symptoms not diagnosable as depressive disorder. A total of 1,029 subjects, randomly chosen from catchment areas, were interviewed with the Center for Epidemiologic Studies Depression scale, Mini International Neuropsychiatric Interview, WHO Quality of Life scale, and the WHO Disability Assessment Schedule. Those with scores over 21 on the depression scale were interviewed by a psychiatrist for diagnostic confirmation. Among community-dwelling subjects, the 1-month prevalence of major depressive disorder was 2.2%, but the 1-month prevalence of depressive symptoms not diagnosable as depressive disorder was 14.1%. Depressive disorders were the cause of 24.7% of work loss days, while depressive symptoms not diagnosable as depressive disorder were the cause of 17.2% of work loss days. These findings support the dimensional or spectrum approach to depressive disorder in the community and might be the missing link between the apparent low prevalence of depressive disorder and high suicide rate in Korea.

Keywords

References

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