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Diagnostic Distribution of Psychiatric Disorders among Korean Young Adults

소아청소년정신의학 2020년 31권 2호 p.80 ~ 87
 ( Hwangbo Ram ) - Sungmo Clinic

장혜정 ( Chang Hye-Jung ) - Kyung Hee University School of Business
반건호 ( Bahn Geon-Ho ) - Kyung Hee University School of Medicine Department of Psychiatry

Abstract


Objectives: The prevalence of psychiatric disorders among young adults is different from that among younger or older age groups because of biological and environmental changes. The purpose of this study was to analyze the diagnostic distribution of psychiatric disorders in 19?30-year-old Koreans based on their age and gender using data from the Korean National Health Insurance Service (NHIS).

Methods: From the 2011 medical claims sample data of NHIS of 1,375,842 people, we extracted the data of 221,038 people aged 19?30 years, including 106,232 (48.1%) men and 114,806 (51.9%) women. We evaluated the overall changes in the diagnostic distribution of psychiatric disorders over a 3-year period.

Results: The diagnostic frequency in women was 13,627 (59.0%), which was significantly higher than that in men. “Other anxiety disorders” was the most common psychiatric disorder in both genders, followed by depressive episodes, somatoform disorders, “other neurotic disorders,” and nonorganic sleep disorders. In men, attention-deficit/hyperactivity disorder or intellectual disabilities were not among the top 10 disorders. In women, no significant changes in major psychiatric disorders were seen over the 3-year period.

Conclusion: These results reveal the trends of diagnostic distribution of mental illnesses depending on the development, particularly in young adulthood. It is necessary to identify whether such trends are due to biological or environmental factors, aging processes, or complex influences.

키워드

Prevalence; Psychiatric disorder; Nationwide; Young adulthood
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