JungYun Go, Jung Hyun Lee, MinKyung Jo, Subin Park
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引用次数: 0
Abstract
Objective: Though disruptive, impulse-control, and conduct disorders (DICCD) represent significant public health challenges in Korea, diagnosis-specific epidemiological data remain limited. This study investigated DICCD's prevalence, risk factors, and psychiatric comorbidities as distinct diagnostic entities in a nationally representative sample of Korean children and adolescents.
Methods: Data from the National Mental Health Survey of Korea-Child & Adolescent 2022 (6,275 participants aged 6-17 years) were analyzed. Diagnoses were made using the Korean version of the Kiddie Schedule for Affective Disorders and Schizophrenia-Computerized Version, based on Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Sociodemographic and parental characteristics, lifestyle variables, and psychiatric comorbidities were assessed. Multivariable logistic regression analyses identified risk factors and comorbidity patterns.
Results: Prevalence rates were 2.76% for DICCD, 2.52% for oppositional defiant disorder (ODD), and 0.61% for conduct disorder (CD). ODD and CD shared risk factors-adolescent age (15-17 years), parental anxiety, and child sleep problems-but also exhibited distinct risk factor profiles. ODD was associated with parental depression, maternal employment, and excessive screen use, and CD with male sex and rural residence. Comorbidity patterns also differed. ODD was associated with mood disorders. CD exhibited elevated risks for substance use disorders and suicidal behavior.
Conclusion: This first nationally representative study demonstrated distinct prevalence rates and risk factors for DICCD, ODD, and CD in Korean children and adolescents. Disorder-specific comorbidity patterns require tailored prevention and treatment approaches. The findings underscore the clinical importance of maintaining diagnostic distinctions and implementing comprehensive psychiatric screening protocols for high-risk adolescents.
期刊介绍：
The Psychiatry Investigation is published on the 25th day of every month in English by the Korean Neuropsychiatric Association (KNPA). The Journal covers the whole range of psychiatry and neuroscience. Both basic and clinical contributions are encouraged from all disciplines and research areas relevant to the pathophysiology and management of neuropsychiatric disorders and symptoms, as well as researches related to cross cultural psychiatry and ethnic issues in psychiatry. The Journal publishes editorials, review articles, original articles, brief reports, viewpoints and correspondences. All research articles are peer reviewed. Contributions are accepted for publication on the condition that their substance has not been published or submitted for publication elsewhere. Authors submitting papers to the Journal (serially or otherwise) with a common theme or using data derived from the same sample (or a subset thereof) must send details of all relevant previous publications and simultaneous submissions. The Journal is not responsible for statements made by contributors. Material in the Journal does not necessarily reflect the views of the Editor or of the KNPA. Manuscripts accepted for publication are copy-edited to improve readability and to ensure conformity with house style.
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