1.Two Clinical Vignettes on Disruptive Mood Dysregulation Disorder: Diagnostic Ambiguity and Unclear Course
Mood and Emotion 2025;23(1):21-24
Disruptive mood dysregulation disorder (DMDD) is a DSM-5 diagnosis for children and adolescents characterized by persistent irritability and severe temper outbursts. Due to overlapping symptoms with other disorders, DMDD is frequently misdiagnosed. This study presents two clinical cases. The first case involves a 14-year-old male patient with chronic irritability, temper outbursts, and impulsive aggression, resulting in significant academic and social impairment. The second case involves a 14-year-old female patient who initially presented with pathological gambling and emotional instability. These cases illustrate the diagnostic complexity of DMDD and its potential progression to mood disorders, such as bipolar disorder. Careful clinical observation and comprehensive assessment of irritability and mood dysregulation are essential for an accurate diagnosis. This study underscores the importance of continuous follow-up in DMDD patients to monitor disease progression and optimize treatment strategies. Understanding the developmental trajectory, comorbidities, and treatment responses in DMDD can help improve clinical outcomes and prevent long-term psychiatric complications.
2.Prevalence and Factors Influencing Behavioral Addictions among School Adolescents: A Study in the Gwangju-Jeonnam Region
Narae KIM ; Bo-Hyun YOON ; Hyunju YUN ; Hyoung-Yeon KIM ; Ha-Ran JUNG ; Yuran JEONG ; Suhee PARK ; Young-Hwa SEA
Mood and Emotion 2025;23(1):11-20
Background:
The aim of this study is to evaluate the prevalence and associated psychosocial factors of behavioral addictions among school adolescents living in the Gwangju and Jeonnam regions in Korea.
Methods:
A self-reported survey was conducted from December 4, 2023, to January 31, 2024, including 855 middle and high school students residing in the Gwangju-Jeonnam regions. Aside from the information on demographic characteristics, data on depression, anxiety, Internet gaming addiction, gambling problems, and resilience was obtained.
Results:
The prevalence of Internet gaming addiction among adolescents was 5.4%, while the prevalence of gambling problems was 3.3%. The male adolescents had a significantly higher risk of behavioral addiction compared with the female adolescents. The logistic regression analysis revealed that male and depression were significant risk factors for Internet gaming addiction. For gambling problems, male was identified as a significant risk factor.
Conclusion
The findings of this study suggested that the prevalence of behavioral addiction among school adolescents has been relatively higher than that of previous studies, emphasizing the need for community-based prevention and intervention strategies tailored to the sex difference and psychological factors associated with adolescent behavioral addictions.
3.Factors Associated with Suicide Risk among the Elderly Living Alone in Jeju, Korea
Hae-Joo AHN ; Moon-Doo KIM ; Hyun-Ju YANG
Mood and Emotion 2025;23(1):1-10
Background:
The growing number of elderly individuals living alone presents a major social issue, encompassing loneliness, isolation, economic and health challenges, and increased risk of suicide. This study aimed to identify factors associated with suicide risk among elderly individuals living alone in Jeju.
Methods:
A total of 4,742 participants completed questionnaires to assess their sociodemographic characteristics. Depressive symptoms were evaluated using the Short Form Geriatric Depression Scale-Korean version (sGDS-K), with a cutoff score of eight indicating the presence of depressive symptoms. Suicide risk was assessed using the MiniInternational Neuropsychiatric Interview-Plus. Multivariate logistic regression analysis was performed to identify significant correlates of suicide risk.
Results:
Multivariate logistic regression analysis identified the following factors as significantly associated with suicide risk: poor subjective health status (odds ratio [OR]=1.590, 95% confidence interval [CI]: 1.137-2.224), current drinking (OR=1.511, 95% CI: 1.119-2.042), hypertension (OR=1.419, 95% CI: 1.133-1.778), and sGDS scores ≥8 (OR=4.318, 95% CI: 3.408-5.469).
Conclusion
This study highlights the importance of intensive mental health services and socioeconomic support in preventing suicide among elderly individuals living alone. Targeted interventions should focus on those who have poor subjective health status, are current drinkers, have hypertension, or exhibit depressive symptoms.
4.Two Clinical Vignettes on Disruptive Mood Dysregulation Disorder: Diagnostic Ambiguity and Unclear Course
Mood and Emotion 2025;23(1):21-24
Disruptive mood dysregulation disorder (DMDD) is a DSM-5 diagnosis for children and adolescents characterized by persistent irritability and severe temper outbursts. Due to overlapping symptoms with other disorders, DMDD is frequently misdiagnosed. This study presents two clinical cases. The first case involves a 14-year-old male patient with chronic irritability, temper outbursts, and impulsive aggression, resulting in significant academic and social impairment. The second case involves a 14-year-old female patient who initially presented with pathological gambling and emotional instability. These cases illustrate the diagnostic complexity of DMDD and its potential progression to mood disorders, such as bipolar disorder. Careful clinical observation and comprehensive assessment of irritability and mood dysregulation are essential for an accurate diagnosis. This study underscores the importance of continuous follow-up in DMDD patients to monitor disease progression and optimize treatment strategies. Understanding the developmental trajectory, comorbidities, and treatment responses in DMDD can help improve clinical outcomes and prevent long-term psychiatric complications.
5.Prevalence and Factors Influencing Behavioral Addictions among School Adolescents: A Study in the Gwangju-Jeonnam Region
Narae KIM ; Bo-Hyun YOON ; Hyunju YUN ; Hyoung-Yeon KIM ; Ha-Ran JUNG ; Yuran JEONG ; Suhee PARK ; Young-Hwa SEA
Mood and Emotion 2025;23(1):11-20
Background:
The aim of this study is to evaluate the prevalence and associated psychosocial factors of behavioral addictions among school adolescents living in the Gwangju and Jeonnam regions in Korea.
Methods:
A self-reported survey was conducted from December 4, 2023, to January 31, 2024, including 855 middle and high school students residing in the Gwangju-Jeonnam regions. Aside from the information on demographic characteristics, data on depression, anxiety, Internet gaming addiction, gambling problems, and resilience was obtained.
Results:
The prevalence of Internet gaming addiction among adolescents was 5.4%, while the prevalence of gambling problems was 3.3%. The male adolescents had a significantly higher risk of behavioral addiction compared with the female adolescents. The logistic regression analysis revealed that male and depression were significant risk factors for Internet gaming addiction. For gambling problems, male was identified as a significant risk factor.
Conclusion
The findings of this study suggested that the prevalence of behavioral addiction among school adolescents has been relatively higher than that of previous studies, emphasizing the need for community-based prevention and intervention strategies tailored to the sex difference and psychological factors associated with adolescent behavioral addictions.
6.Factors Associated with Suicide Risk among the Elderly Living Alone in Jeju, Korea
Hae-Joo AHN ; Moon-Doo KIM ; Hyun-Ju YANG
Mood and Emotion 2025;23(1):1-10
Background:
The growing number of elderly individuals living alone presents a major social issue, encompassing loneliness, isolation, economic and health challenges, and increased risk of suicide. This study aimed to identify factors associated with suicide risk among elderly individuals living alone in Jeju.
Methods:
A total of 4,742 participants completed questionnaires to assess their sociodemographic characteristics. Depressive symptoms were evaluated using the Short Form Geriatric Depression Scale-Korean version (sGDS-K), with a cutoff score of eight indicating the presence of depressive symptoms. Suicide risk was assessed using the MiniInternational Neuropsychiatric Interview-Plus. Multivariate logistic regression analysis was performed to identify significant correlates of suicide risk.
Results:
Multivariate logistic regression analysis identified the following factors as significantly associated with suicide risk: poor subjective health status (odds ratio [OR]=1.590, 95% confidence interval [CI]: 1.137-2.224), current drinking (OR=1.511, 95% CI: 1.119-2.042), hypertension (OR=1.419, 95% CI: 1.133-1.778), and sGDS scores ≥8 (OR=4.318, 95% CI: 3.408-5.469).
Conclusion
This study highlights the importance of intensive mental health services and socioeconomic support in preventing suicide among elderly individuals living alone. Targeted interventions should focus on those who have poor subjective health status, are current drinkers, have hypertension, or exhibit depressive symptoms.
7.Two Clinical Vignettes on Disruptive Mood Dysregulation Disorder: Diagnostic Ambiguity and Unclear Course
Mood and Emotion 2025;23(1):21-24
Disruptive mood dysregulation disorder (DMDD) is a DSM-5 diagnosis for children and adolescents characterized by persistent irritability and severe temper outbursts. Due to overlapping symptoms with other disorders, DMDD is frequently misdiagnosed. This study presents two clinical cases. The first case involves a 14-year-old male patient with chronic irritability, temper outbursts, and impulsive aggression, resulting in significant academic and social impairment. The second case involves a 14-year-old female patient who initially presented with pathological gambling and emotional instability. These cases illustrate the diagnostic complexity of DMDD and its potential progression to mood disorders, such as bipolar disorder. Careful clinical observation and comprehensive assessment of irritability and mood dysregulation are essential for an accurate diagnosis. This study underscores the importance of continuous follow-up in DMDD patients to monitor disease progression and optimize treatment strategies. Understanding the developmental trajectory, comorbidities, and treatment responses in DMDD can help improve clinical outcomes and prevent long-term psychiatric complications.
8.Prevalence and Factors Influencing Behavioral Addictions among School Adolescents: A Study in the Gwangju-Jeonnam Region
Narae KIM ; Bo-Hyun YOON ; Hyunju YUN ; Hyoung-Yeon KIM ; Ha-Ran JUNG ; Yuran JEONG ; Suhee PARK ; Young-Hwa SEA
Mood and Emotion 2025;23(1):11-20
Background:
The aim of this study is to evaluate the prevalence and associated psychosocial factors of behavioral addictions among school adolescents living in the Gwangju and Jeonnam regions in Korea.
Methods:
A self-reported survey was conducted from December 4, 2023, to January 31, 2024, including 855 middle and high school students residing in the Gwangju-Jeonnam regions. Aside from the information on demographic characteristics, data on depression, anxiety, Internet gaming addiction, gambling problems, and resilience was obtained.
Results:
The prevalence of Internet gaming addiction among adolescents was 5.4%, while the prevalence of gambling problems was 3.3%. The male adolescents had a significantly higher risk of behavioral addiction compared with the female adolescents. The logistic regression analysis revealed that male and depression were significant risk factors for Internet gaming addiction. For gambling problems, male was identified as a significant risk factor.
Conclusion
The findings of this study suggested that the prevalence of behavioral addiction among school adolescents has been relatively higher than that of previous studies, emphasizing the need for community-based prevention and intervention strategies tailored to the sex difference and psychological factors associated with adolescent behavioral addictions.
9.Factors Associated with Suicide Risk among the Elderly Living Alone in Jeju, Korea
Hae-Joo AHN ; Moon-Doo KIM ; Hyun-Ju YANG
Mood and Emotion 2025;23(1):1-10
Background:
The growing number of elderly individuals living alone presents a major social issue, encompassing loneliness, isolation, economic and health challenges, and increased risk of suicide. This study aimed to identify factors associated with suicide risk among elderly individuals living alone in Jeju.
Methods:
A total of 4,742 participants completed questionnaires to assess their sociodemographic characteristics. Depressive symptoms were evaluated using the Short Form Geriatric Depression Scale-Korean version (sGDS-K), with a cutoff score of eight indicating the presence of depressive symptoms. Suicide risk was assessed using the MiniInternational Neuropsychiatric Interview-Plus. Multivariate logistic regression analysis was performed to identify significant correlates of suicide risk.
Results:
Multivariate logistic regression analysis identified the following factors as significantly associated with suicide risk: poor subjective health status (odds ratio [OR]=1.590, 95% confidence interval [CI]: 1.137-2.224), current drinking (OR=1.511, 95% CI: 1.119-2.042), hypertension (OR=1.419, 95% CI: 1.133-1.778), and sGDS scores ≥8 (OR=4.318, 95% CI: 3.408-5.469).
Conclusion
This study highlights the importance of intensive mental health services and socioeconomic support in preventing suicide among elderly individuals living alone. Targeted interventions should focus on those who have poor subjective health status, are current drinkers, have hypertension, or exhibit depressive symptoms.
10.Two Clinical Vignettes on Disruptive Mood Dysregulation Disorder: Diagnostic Ambiguity and Unclear Course
Mood and Emotion 2025;23(1):21-24
Disruptive mood dysregulation disorder (DMDD) is a DSM-5 diagnosis for children and adolescents characterized by persistent irritability and severe temper outbursts. Due to overlapping symptoms with other disorders, DMDD is frequently misdiagnosed. This study presents two clinical cases. The first case involves a 14-year-old male patient with chronic irritability, temper outbursts, and impulsive aggression, resulting in significant academic and social impairment. The second case involves a 14-year-old female patient who initially presented with pathological gambling and emotional instability. These cases illustrate the diagnostic complexity of DMDD and its potential progression to mood disorders, such as bipolar disorder. Careful clinical observation and comprehensive assessment of irritability and mood dysregulation are essential for an accurate diagnosis. This study underscores the importance of continuous follow-up in DMDD patients to monitor disease progression and optimize treatment strategies. Understanding the developmental trajectory, comorbidities, and treatment responses in DMDD can help improve clinical outcomes and prevent long-term psychiatric complications.

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