Characteristics of Diagnostic Criteria for Depression in Korea.
- Author:
Sung Man CHANG
1
;
Jee Hoon SOHN
;
Jun Young LEE
;
Ji Hwan CHOI
;
Sung Jin CHO
;
Hong Jin JEON
;
Bong Jin HAHM
;
Dong Hyun LEE
;
Maeng Je CHO
Author Information
1. Department of Psychiatry, Clinical Research Institute, Seoul National University College of Medicine, Seoul, Korea. mjcho@snu.ac.kr
- Publication Type:Original Article
- Keywords:
Depression;
Prevalence;
Criteria
- MeSH:
Appetite;
Depression*;
Diagnostic and Statistical Manual of Mental Disorders;
Fatigue;
Korea*;
Prevalence
- From:Journal of Korean Neuropsychiatric Association
2007;46(5):447-452
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUNDS: Many Korean epidemiologic studies reported lower prevalence rates of depression than those of Western countries. For the low prevalence, it is explained that there's something wrong in the direct application of diagnostic criteria of depression to Korean culture, i.e. categorical fallacy, or it may be truly low-prevalent. We will analyze diagnostic criteria for depression defined by Western. METHODS: Six thousand and two hundred seventy-five community dwelling subjects, aged 18-64 years were interviewed by using Korean version of Composite International Diagnostic Interview (K-CIDI). Diagnostic criteria for depression defined by DSM-IV were analyzed using the item response theory. RESULTS: We could not find any fallacies of diagnostic criteria for depression defined by DSM-IV when assessing depre-ssion among Koreans. Fatigue, concentration difficulties, and sleep disturbance appeared more frequently in mild depression, while psychomotor change, death/suicide, and worthlessness/guilt did not appear until severe depression. CONCLUSION: The diagnostic criteria for depression defined by DSM-IV are appropriate for the Koreans. There are different responding levels, i.e. threshold, of depressive criteria according to severities of depression. Koreans with depression are more likely to complain of appetite change, but less of worthless or guilty feelings than Western people.
