Mental-Physical Comorbidity in Korean Adults: Results from a Nationwide General Population Survey in Korea

Kim, Ji Hyun; Chang, Sung Man; Bae, Jae Nam; Cho, Seong Jin; Lee, Jun-Young; Kim, Byung Soo; Cho, Maeng Je

doi:10.4306/pi.2016.13.5.496

Cited by 21 publications

(19 citation statements)

References 51 publications

(66 reference statements)

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“…First, we have analyzed the diagnostic distribution of psychiatric disorders in children and adolescents aged below 19 years in a previous study [8] and have also attempted to examine changes in people aged 19 years or older in a continuum. Second, as the incidence of physical diseases begins to increase after the age of 30 years [9], distinguishing the influence of physical-mental comorbidity becomes difficult [10]. In the NPS data, 221,038 people were aged 19-30 years, including 106,232 (48.1%) men and 114,806 (51.9%) women.…”

Section: Participantsmentioning

confidence: 99%

Diagnostic Distribution of Psychiatric Disorders among Korean Young Adults

Hwangbo

Chang

Bahn

2020

J Korean Acad Child Adolesc Psychiatry

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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.

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Section: Participantsmentioning

confidence: 99%

Diagnostic Distribution of Psychiatric Disorders among Korean Young Adults

Hwangbo

Chang

Bahn

2020

J Korean Acad Child Adolesc Psychiatry

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“…Moreover, tremor and other motor symptoms or antipsychotic drugs side-effects in addition to orally specific ones, may affect the patients' ability to maintain oral hygiene [16]. Schizophrenia patients die from the same causes as the general population [17][18][19][20], however their expected life-span is 15 to 20 years shorter and their quality of life severely impaired [21]. Poor periodontal status further deteriorates patients' quality of life.…”

Section: Introductionmentioning

confidence: 99%

Untitled

2019

Arch. Psychiatry Res.

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Objectives-The aim of this prospective cohort study was to investigate whether the association of periodontal status with schizophrenia treatment outcomes differs by patient's age. Subjects and methods-The study was performed on the consecutive sample of 67 patients diagnosed with schizophrenia and discharged because achieving remission criteria. Papilla bleeding index (PBI) was measured at hospital discharge. Positive and negative syndrome scale (PANSS) total score, positive, negative and general symptoms subscales' scores were measured at hospital discharge, after three, and after six months. Results:-After the adjustment for potential confounders, baseline PBI was significantly unfavorably associated with PANSS total score, negative and general symptoms subscales scores in the patients younger than 45 three and six months after the hospital discharge, and with the positive symptoms sub-scale in patients younger than 34. At youngest 10% of patients, a unit difference in baseline PBI resulted in the 8.12 (95% CI 2.78-13.47; p=0.004) points higher total PANSS score three months later. Our study showed that the younger patients with worse periodontal status are at higher risk for poorer schizophrenia treatment outcomes and faster worsening of remission. This study demonstrates the necessity of more rigorous and more frequent control of younger schizophrenia patients with worse periodontal status after hospital discharge to achieve overall improvement of the patients' quality of life as well as the efficacy of psychiatric therapies aimed toward the primary mental disorder.

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“…Depression is known to increase the risk for chronic diseases, and may worsen the course of these diseases [ 7 , 8 ]. Possible reasons for such high comorbidity among the patients with depression include unhealthy lifestyle related to the depressive state such as smoking, poor adherence to medical regimens, and biological impact of depression on proinflammatory factors, the hypothalamic-pituitary axis, autonomic nervous system, and metabolic factors [ 7 , 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

The Prevalence of Chronic Physical Diseases Comorbid with Depression among Different Sex and Age Groups in South Korea: A Population-Based Study, 2007–2014

Park¹,

Hong²,

Jang³

et al. 2018

Psychiatry Investig

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Objective People with depression often suffer from comorbid, chronic physical diseases. Little is known about how demographic characteristics such as age and sex influence the prevalence of chronic physical diseases comorbid with depression. Therefore, this study aimed to explore the age and sex differences in the prevalence of diverse, chronic physical diseases comorbid with depression. Methods This cross-sectional survey were conducted with the participants (n=45,598) of the Korean National Health and Nutrition Examination Survey (KNHANES). Using log-binomial regression, age adjusted prevalence ratios (APR) of chronic physical diseases of participants with depression and those without depression were estimated for each sex and age group.Results The APR of most chronic physical diseases were significantly higher among respondents with depression than those without depression. Chronic physical diseases that showed the highest APR were asthma in adult male respondents (APR=3.46) and adult female respondents (APR=2.19) and chronic renal failure in elderly male respondents (APR=8.36) and elderly female respondents (APR=1.94). Conclusion Prevalence ratios of the chronic physical diseases comorbid with depression differed according to sex and age groups. Collaborative care strategies should be designed according to demographic characteristics of the population.

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Mental-Physical Comorbidity in Korean Adults: Results from a Nationwide General Population Survey in Korea

Cited by 21 publications

References 51 publications

Diagnostic Distribution of Psychiatric Disorders among Korean Young Adults

Diagnostic Distribution of Psychiatric Disorders among Korean Young Adults

Untitled

The Prevalence of Chronic Physical Diseases Comorbid with Depression among Different Sex and Age Groups in South Korea: A Population-Based Study, 2007–2014

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