J Korean Med Sci.
2011 Jan;26(1):108-115. 10.3346/jkms.2011.26.1.108.
Relationships of Mental Disorders and Weight Status in the Korean Adult Population
- Affiliations
-
- 1Department of Psychiatry, Inha University College of Medicine, Incheon, Korea. jnbae@inha.ac.kr
- 2Department of Psychiatry & Behavioral Science, Institute of Human Behavioral Medicine, Seoul National University College of Medicine, Seoul, Korea.
- 3Department of Psychiatry, Inje University College of Medicine, Seoul, Korea.
- 4Department of Psychiatry, Kangwon National University College of Medicine, Chuncheon, Korea.
- 5Department of Psychiatry, Gachon Medical School, Incheon, Korea.
- 6Department of Psychiatry, Seoul National University Boramae Hospital, Seoul, Korea.
- 7Department of Neuropsychiatry, DongGuk International Hospital, DongGuk University College of Medicine, Goyang, Korea.
- 8Department of Psychiatry, Kyungpook National University Hospital, Daegu, Korea.
- 9Department of Psychiatry, Depression center, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
- KMID: 1777984
- DOI: http://doi.org/10.3346/jkms.2011.26.1.108
Abstract
- The purpose of this study was to evaluate the associations between weight status and mental disorders, including depressive disorder, anxiety disorder and alcohol use disorder. A total of nationally representative 6,510 subjects aged 18-64 yr was interviewed in face-to-face household survey. Response rate was 81.7%. Mental disorders were diagnosed using the Korean version of the Composite International Diagnostic Interview (K-CIDI). The subjects reported their heights and weights. After adjusting for age and gender, the lifetime diagnosis of depressive disorder had a significant association with only the underweight group (odds ratio [OR], 1.68, 95% confidence interval [CI], 1.19-2.38). The association between underweight and depressive disorder was the strongest for subjects with a high education level (OR, 1.75, 95% CI, 1.2-2.56), subjects with a married/cohabiting status (OR, 1.94, 95% CI, 1.17-3.22) and smokers (OR, 2.58, 95% CI, 1.33-4.98). There was no significant association between obesity and depressive disorder in Korea. But there was a significant association between the underweight group and depressive disorder. The relationship between obesity and mental disorder in a Korean population was different from that in a Western population. These results suggest that the differences of traditional cultures and races might have an important effect on the associations between the weight status and mental disorders.
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