한국 군 장병에서의 불안장애의 발생률

The Incidence Rate of Anxiety Disorders in the Korean Military

  • 이승엽 (국군의무사령부) ;
  • 윤창교 (국군의무사령부) ;
  • 민정아 (가톨릭대학교 서울성모병원 건강증진의학과) ;
  • 이창욱 (가톨릭대학교 의과대학 정신과학교실) ;
  • 박동언 (국군의무사령부) ;
  • 안종성 (국군의무사령부) ;
  • 이상돈 (국군수도병원 정신건강의학과) ;
  • 백명재 (국군수도병원 정신건강의학과) ;
  • 장준영 (국군의무사령부) ;
  • 양주연 (국군의무사령부) ;
  • 채정호 (가톨릭대학교 의과대학 정신과학교실)
  • 투고 : 2014.04.05
  • 심사 : 2014.04.19
  • 발행 : 2014.04.30

초록

Objective : To obtain the incidence rate of anxiety disorders among the active duty Korean military personnel, who visited the military hospitals from 2011 to 2013, this descriptive epidemiological study was performed. Methods : After acquiring the data for the anxiety disorders from Defense Medical Statistics Information System, the annual incidence rates were analyzed by forces, position status, and specific disease entities. Results : One thousand, nine hundred and thirteen (1,913) active duty male military personnel were diagnosed with any kinds of anxiety disorders in their first visit to the psychiatric outpatient department (OPD). The total OPD visit counts were 7,870 during the same period. Anxiety disorder, NOS was the most frequent disorder, followed by panic disorder. While the incidence rate for anxiety disorder, NOS decreased, panic disorder displayed increasing tendency. Stress-related disorders and obsessive-compulsive disorder were positioned third and fourth, respectively, for the number of first visit and they both showed decreasing tendency in annual incidence rates. Social anxiety disorder, specific phobias, generalized anxiety disorder (GAD) and mixed anxiety-depressive disorder followed next. The annual incidence rates for anxiety disorders showed decreasing tendency, particularly evident in army soldiers. However, naval officers showed higher anxiety disorder incidence rate compared to those of the army and the air forces. Conclusion : Comparing to general population, panic disorder was higher while specific phobias and GAD were lower in the Korean military. It is interesting to observe higher incidence rate for anxiety disorder in naval officers and warrants further evaluation.

키워드

참고문헌

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