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KCI등재 학술저널

韓國 精神障碍의 疫學的 調查 硏究(M) -恐慌 障많와 國家別 比較-

A Nationwide Epidemiological Study of Mental Disorders in Korea(M) - Prevalence of Panic Disorder and Cross National Sites -

The nationwide epidemiological study of mental disorders including panic disorder in Korea using DSM-III Korean Version was conducted in the Capital City of Korea(Seoul) and 20 rural areas and compared to the other 9 countries. The results were as follows ; 1. The life time prevalence o f panic disorder o f Korea was 1.68%(Seoul 1.11% and rural areas 2.60%). 2. As for sex in Korea, female was for more prevalent than male, female was 2.9% and male was 0.5%. 3. The most prevalent age group in Korea was 2.6% in 46 - 64 years old group. 4. Mean onset age of panic disorder in Korea was 31.7 years old. 5. One m onth prevalence rate in Korea was 1.2%(female 2.1%, male 0.3%), six months prevalence rate was 1.4%(female 2.2%, male 0.4%) and anual prevalence rate was 1.5%. 6. Symptom profile o f life time panic disorder o f Korea were palpitation(93.7%), dyspnia and chocking or smothering sensation(both 81.0%), dizziness or verrigo(80.0%),chest pain or discomfort(76.8%) and trembling or shaking(71.6%). 7. Com obidity o f lifetime psychiatric disorders with panic disorder o f Korea were any phobia 45.3%(simple phobia 38.9%, agoraphobia 34.7% and social phobia 10.5%), major depression 28. 4%, dysthymia 16.8%, obsessive compulsive disorder 13.7%, alcohol abuse 13.7% and drug abuse 7.4%. 8. Unadjusted lifetime prevalence rate o f suicide attempts o f Korea in person with panic d isorder was 17.6% and without panic disorder was 2.8%. 9. Comparison among 10 countries(Korea, USA, Canada, Puerto Rico, France, Germany, Italy, Lebanon, Taiwan and New Zealand) were as follows ; 1) The highest lifetime prevalence was Germany(3.2%) and Italy, France, Lebanon, New Zealand, USA, Puerto Rico, Korean, Canada and Taiwan in order. The highest female and male ratio was Korea(5.9) and the lowest was Puerto Rico(1.3). 2) The highest one month prevalence was Lebanon(1.4%) and the lowest was New Zealand (0.4%). The highest female male ratio was Korea(7.0) and the lowest was Puerto Rico(0.7). 3) The highest six months prevalence was Lcbanon(2.1%) and the lowest was USA. The highest female male ratio was Korea(5.5) and the lowest was Puerto Rico(0.7). 4) The earliest mean age of onset was New Zealand(23.2) and the latest was Germany(33.3). 5) Comparison of symptom profile of lifetime panic disorder were as follows ; (1) The highest symptom profile of dyspnea was Puerto Rico(84.6%), palpitation was Korea (93.7%) chest pain or discomfort was France(79.5%), chocking or smothering sensation was Korea(81.0%), dizziness and vertigo was Korea(80.0%), feeling of unreality was Puerto Rico(76. 9%), paresthesia was Puerto Rico(57.7%), hot and cold flushes was New Zealand(80.4%), sweat ing was Canada(87.0%), faintness was Korea(68.4%), trembling or shaking was Canada(89.1%) and fear of dying, going crazy was Puerto Rico(80.8%). (2) The lowest symptom profile of dyspnea was New Zealand(52.2%), palpitation was Lebanon( 40.0%), chest pain or discomfort was USA(50.8%),choking or smothering sensation was USA(43.2%), dizziness and vertigo was Lcbanon(40.0%), feeling of unreality was Korea(40.0%), paresthesia was New Zealand(17.4%), hot and cold flushes were Taiwan(37.5%), sweating was Lcbanon(20.0%), faintness was Canada(43.5%), trembling and shaking was Lebanon(20.0%) and fear of dying, going crazy was Taiwan(50.0%). 6) Comparison of comorbidity of lifetime psychiatric disorders with panic disorder were as follows ; (1) The highest prevalence with major depression was Canada(65.2%), dysthymia was Canada (32.6%), bipolar disorder was Puerto Rico(19.2%), phobia was Puerto Rico(76.9%), obsessive compulsive disorder was New Zealand(19.6%), alcohol abuse was Canada(47.8%), drug abuse was Canada(39.1%),schizophrenic disorder was Puerto Rico(

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