Prevalence of DSM-IV major mental disorders among Korean adults: A 2006 National Epidemiologic Survey (KECA-R)

Impact of stigma on use of mental health services by elderly Koreans

“…Additionally, because a cross-sectional design was used in the present study, a causal relationship between correlates and the use of services may not be warranted. Finally, although this measure of the use of mental health services has been utilized by previous Korean national mental health epidemiological surveys (KECA-2001 and KECA-R-2006 [31,32]) to assess the type of professional services that people visit, it could not be validated in the present study.…”

“…The mean period between the age at which the services were first used and the current age of the subjects was less than 10 years (mean 9.74 ± 8.85) and may be due to either a very recent increase in the utilization of mental health services in Korea or to recall bias. Although increased utilization was reported in all age groups in three successive national mental health epidemiological surveys [1,31,32], age-related differences in the degree of increase may have been influenced by differences in recall bias across age cohorts. Additionally, despite the fact that the lifetime prevalence of the use of mental health services is cumulative, the middle-aged rather than the elderly cohort exhibited the highest prevalence of use.…”

“…The K-CIDI was validated by Cho et al [29] according to the World Health Organization (WHO) guidelines [30]. Repeated blind clinical interviews using the Structured Clinical Interview for DSM-IV Disorders (SCID) and clinical diagnoses are in agreement with K-CIDI diagnoses [29], and the K-CIDI was used in previous Korean national mental health epidemiological surveys, the KECA-2001 and KECA-R-2006 [31,32]. The present study focused on the lifetime prevalence of DSM-IV mental disorders and the lifetime utilization of mental health services for all analyses.…”

Mental-physical comorbidity in Korean adults: results from a nationwide general population survey in Korea

“…First, our study is a cross-sectional survey that might have been inappropriate to observe the cumulative effect of time and environmental factors. Second, relatively low prevalence of mental disorders 18 and obesity 47 in Korea might have attenuated the manifestation of multifactorial association among biopsycho-social factors. In this regard, cross-cultural and symptomatological differences could attribute to higher diagnostic threshold of mental disorders in Korea,48,49 which might have caused selection biases.…”

Disease network of mental disorders in Korea

“…To investigate the relationships among mental disorders, we used two large national studies of Korean adults, the KECA-R [24] and the KECA-2011 [20]. The KECA-R was conducted from July 2006 to April 2007.…”