Journal of Korean Neuropsychiatric Association (신경정신의학)

Korean Neuropsychiatric Association (대한신경정신의학회)
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Depressive Disorders among the College Students：Prevalence, Risk Factors, Suicidal Behaviors and Dysfunctions

대학생들의 우울장애에 관현 연구 : 유병율, 위험요인, 자살행동 및 기능장애

No, Myeong-Seon;Jeon, Hong-Jin;Lee, Hae-Woo;Lee, Hyo-Jeong;Han, Seong-Ku;Ham, Bong-Jin
노명선;전홍진;이해우;이효정;한성구;함봉진

  • Published : 20060000
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Abstract

Objectives：The purpose of this study was to investigate the prevalence and correlates of major and minor depressive disorders in college students. Methods：A cross-sectional study was completed on a sample of 906 students (507 men and 399 women) with the self-administered form of Korean version of Mini International Neuropsychiatric Interview (K-MINI). Results：Estimated 12-month prevalence of major depressive disorder was 4.2% in men and 9.5% in women, and that of minor depressive disorder was 15.4% in men and 23.2% in women. The factors, ‘female gender’ and ‘age of 20-21’, were significantly associated with major depressive disorder. ‘Poor adaptation to school’ was significantly associated with major depressive disorder both in men and women, but ‘poor interpersonal relationship’ and ‘history of school withdrawal’ were associated only in men. Idea of self-injury and suicidal behaviors (suicidal ideation, plan and attempt) were significantly associated with major depressive disorder in women, but were not associated with minor depressive disorder. Conclusion：Major and minor depressive disorders are highly prevalent in the college students. Major depressive disorder was more associated with dysfunctions and suicidal behaviors than minor depressive disorder. Campus-based mental health service is needed for the high-risk students. (J Korean Neuropsychiatr Assoc 2006;45(5):432-437)

주요우울장애의 1년 유병율이 여학생에서 9.5%, 남학생에서 4.2%로 대학생들이 우울장애를 흔히 경험함을 알 수 있었다. 주요우울장애의 위험요인으로 여성 성별과 20~21세 연령이 작용하는 것으로 조사되었다. 주요우울장애를 겪는 경우 학생들은 학교 적응에 있어서 많은 어려움을 겪게 되고 대인관계상 어려움이나 휴학 등의 기능장애를 경험하게 되며, 자해나 자살의 위험성도 유의하게 높아지는 것을 알 수 있었다. 따라서 주요우울장애의 높은 빈도와 영향을 고려할 때 대학 단위 별로 우울장애의 예방과 조기발견, 조기중재를 위한 시스템이 마련되어야할 것이며, 이는 우선적으로 주요우울장애 고위험군에 대한 적극적인 선별과정과 우울장애에 대한 교육을 통해 이루어져야 할 것이다.

Keywords

References

  1. Mowbray CT. Megivern D, Mandiberg JM, Strauss S, Stein CH, Collins K, et al, Campus mental health services: Recommendations for change. Am J Orthopsychiatry 2006:76:226-237 https://doi.org/10.1037/0002-9432.76.2.226
  2. Westefeld JS, Homaifar B, Spotts J, Furr S, Range L, Werth JL Jr, Perceptions concerning college student suicide: data from four universities. Suicide Life Threat Behav 2005;35:640-645 https://doi.org/10.1521/suli.2005.35.6.640
  3. Andrews B. Wilding JM, The relation of depression and anxiety to life-stress and achievement in students. Br J Psychol 2004:95:509-521 https://doi.org/10.1348/0007126042369802
  4. Heiligenstein E, Guenther G, Hsu K, Herman K. Depression and academic impairment in college students. J Am Coil Health 1996:45:59-64 https://doi.org/10.1080/07448481.1996.9936863
  5. Hysenbegasi A, Hass SL, Rowland CR. The impact of depression on the academic productivity of university students. J Ment Health Policy Econ 2005;8:145-151
  6. American College Health Association. American College Health Association-National College Health Assessment (ACHA-NCHA) Spring 2004 Reference Group data report (abridged), J Am Coll Health 2006:54:201-211 https://doi.org/10.3200/JACH.54.4.201-212
  7. Makaremi A. Relation of depression and anxiety to personal and academic problems among Iranian college students. Psychol Rep 2000;87:693-698 https://doi.org/10.2466/PR0.87.6.693-698
  8. Upmanyu VV, Upmanyu S, Lester D. Depressive symptoms among U.S. and Indian college students: the effects of gender and gender role. J Soc Psychol 2000;140:669-671 https://doi.org/10.1080/00224540009600508
  9. Baron MR, Matsuyama Y. Symptoms of depression and psychological distress in United States and Japanese college students, J Soc Psychol 1988;128:803-816 https://doi.org/10.1080/00224545.1988.9924558
  10. Webb E, Ashton CH, Kelly P, Kamali F. Alcohol and drug use in UK university students. Lancet 1996;348:922-925 https://doi.org/10.1016/S0140-6736(96)03410-1
  11. Han SK, Hahm BJ, Jeon HJ, Lee HW. The report for mental health of the seoul national university students. Seoul National University:2006.p.63
  12. Yoo SW, Kim YS, Noh JS, Oh KS, Kim CH, Namkoong K, et al. Validity of Korean version of the mini-international neuropsychiatric interview. Anxiety and Mood 2006:2:50-55
  13. Cho MJ, Hahm BJ, Kim JK, Park KK, Chung EK, Sub DW, et al. Korean epidemiologic catchment area (KECA) study for psychiatric disorders: prevalence of specific psychiatric disorders. J Korean Neuropsychiatr Assoc 2004;43:470-480
  14. Surtees PG, Wainwright NWJ, Pharoah PDP. Psychosocial factors and sex differences in high academic attainment at Cambridge University. Oxford Review of Education 2002:28:21-38 https://doi.org/10.1080/03054980120113616
  15. Stewart-Brown S, Evans J, Patterson J, Petersen S, Doll H, Balding J, et al. The health of students in institutes of higher education: an important and neglected public health problem? J Public Health Med 2000:22:492-499 https://doi.org/10.1093/pubmed/22.4.492
  16. Roberts R, Golding J, Towell T, Weinreb I. The effects of economic circumstances on British students' mental and physical health. J Am Coll Health 1999:48:103-109 https://doi.org/10.1080/07448489909595681
  17. Sadock BJ. Sadock VA, Kaplan & Sadock's Comprehensive Textbook of Psychiatry, 8th ed., Philadelphia, Lippincott Williams & Wilkins:2005. p.1578-1579
  18. Hahm BJ. Cho MJ. Prevalence of psychiatric disorders in a community population. J Korean Neuropsychiatr Assoc 2002:41:713-724
  19. Meilman PW, Manley C, Gaylor MS, Turco JH. Medical withdrawals from college for mental health reasons and their relation to academic performance. J Am Coll Health 1992:40:217-223 https://doi.org/10.1080/07448481.1992.9936283
  20. McMichael AJ, Hetzel BS. Mental health problems among university students, and their relationship to academic failure and withdrawal. Med J Aust 1975;1:499-504
  21. Park CW, Park SH, Cho YR. The relationship between psychological characteristics and academic achievement in medical students. J Korean Neuropsychiatr Assoc 1999:38:985-996
  22. Sadock BJ, Sadock VA, Kaplan & Sadock's Comprehensive Textbook of Psychiatry, 8th ed.. Philadelphia, Lippincott Williams & Wilkins:2005. p.2447
  23. Kisch J, Leino EV, Silverman MM. Aspects of suicidal behavior, depression, and treatment in college students: results from the spring 2000 national college health assessment survey. Suicide Life Threat Behav 2005;35:3-13. Konick LC, Gutierrez PM. Testing a model of suicide ideation in college students. Suicide Life Threat Behav 2005;35:181-192 https://doi.org/10.1521/suli.35.1.3.59263