@article{ref1,
title="Mental-physical comorbidity in Korean adults: results from a nationwide general population survey in Korea",
journal="Psychiatry investigation",
year="2016",
author="Kim, Ji-Hyun and Chang, Sung Man and Bae, Jae Nam and Cho, Seong-Jin and Lee, Jun-Young and Kim, Byung-Soo and Cho, Maeng Je",
volume="13",
number="5",
pages="496-503",
abstract="OBJECTIVE: The aims of this study were to estimate the prevalence of mental-physical comorbidity and health-threatening risk factors in subjects with mental disorders, and the risks of mental disorders in those with physical diseases for the last 12 months in the general Korean population. <br><br>METHODS: Korean Epidemiologic Catchment Area study replication (KECA-R) was conducted for 6,510 adults between August 2006 and April 2007. The Korean version of Composite International Diagnostic Interview 2.1 (K-CIDI) was used in the survey. Prevalence of mental and physical disorders, and risk factors for physical health were calculated, and their associations were evaluated with adjustment for age and sex. <br><br>RESULTS: Subjects with any mental disorder showed significantly higher prevalence of chronic physical conditions (adjusted odds ratio, AOR=1.5 to 2.8, p<0.001) and medical risk factors including smoking, heavy drinking, overweight, and hypertension (AOR=1.5 to 4.0, p<0.001). Of those with chronic physical conditions, 21.6% had one or more comorbid mental disorder compared with 10.5% of the subjects without chronic physical disorders (AOR=2.6, p<0.001). Contrary to expectations, depressive disorders did not show significant association with hypertension and prevalence of obesity was not influenced by presence of mental disorders. Further studies should assess these findings. <br><br>CONCLUSION: This is the first identification of significant mental-physical comorbidity in the general Korean population. Clinicians and health care officials should keep in mind of its potential adverse effects on treatment outcome and aggravated disease-related socioeconomic burden.<p /> <p>Language: en</p>",
language="en",
issn="1738-3684",
doi="10.4306/pi.2016.13.5.496",
url="http://dx.doi.org/10.4306/pi.2016.13.5.496"
}