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Cross-national difference in the prevalence of depression caused by the diagnostic threshold

Cited 100 time in Web of Science Cited 108 time in Scopus
Authors
Chang, Sung Man; Hahm, Bong-Jin; Lee, Jun-Young; Shin, Min Sup; Jeon, Hong Jin; Hong, Jin-Pyo; Lee, Hochang B.; Lee, Dong-Woo; Cho, Maeng Je
Issue Date
2007-08-30
Publisher
Elsevier
Citation
J Affect Disord. 2008 ;106(1-2):159-67.
Keywords
AdolescentAdultAsian Continental Ancestry Group/*psychology/statistics & numerical data*Cross-Cultural ComparisonCross-Sectional StudiesDepressive Disorder, Major/diagnosis/*epidemiology/psychology*Diagnostic and Statistical Manual of Mental DisordersFemaleHealth SurveysHumansInterview, PsychologicalKoreaMaleMiddle AgedPsychometrics/statistics & numerical dataUnited States
Abstract
BACKGROUND: According to published reports, the prevalence rates of major depressive disorder (MDD) in East-Asian countries are lower than in the West, but the reasons for this difference have not been fully investigated. METHODS: This study compared the Korean Epidemiologic Catchment Area study (KECAS) sample with the National Comorbidity Survey (NCS, USA) sample. In total, this study included 5349 participants in KECAS and 7423 in NCS aged 18-54 years. The Composite International Diagnostic Interview (CIDI) assessed for MDD. Analysis of the individual symptoms of MDD was completed. RESULTS: Diagnostic threshold of MDD was higher in KECAS participants than in NCS participants. Koreans diagnosed with MDD showed more work impairment than Americans with MDD. Koreans were more likely to express the symptoms like "low energy" and "concentration difficulty," but less to the symptoms like "depressed mood" and "thoughts of death" during an episode of MDD. LIMITATIONS: The Diagnostic and Statistical Manual of Mental Disorders (DSM) framework was the basis for the majority of the comparisons made in this study. Various depressive symptoms not included in the DSM framework were unlikely to be detected. CONCLUSIONS: Cross-cultural differences in rates of MDD are attributable to diagnostic thresholds. Symptom patterns and forms of depression in Korea, as defined by the DSM framework, are not identical to those in the U.S.
ISSN
0165-0327 (Print)
Language
English
URI
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17725930

http://hdl.handle.net/10371/63127
DOI
https://doi.org/10.1016/j.jad.2007.07.023
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College of Medicine/School of Medicine (의과대학/대학원)Psychiatry (정신과학전공)Journal Papers (저널논문_정신과학전공)
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