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Purpose: The purpose of this study was to identify the factors associated with generalized anxiety disorder.
Methods: This study utilized secondary data drawn from the 16th Adolescent Health Behavior Survey conducted in 2020. A chi-squared test(Rao-Scott χ2 test) and complex design logistic regression analysis were conducted to analyze the differences and the factors associated with generalized anxiety disorder of adolescents. The GAD risk group was defined by a GAD-7 score of 10 or more points.
Results: The factors associated with generalized anxiety disorder were sociodemographic characteristics such as gender(OR:1.236, 95%CI:1.151~1.328), socioeconomic status(OR:1.086, 95%CI:.947~1.247), COVID-19 related socioeconomic change(OR:1.125, 95%CI:1.047~1.208) and health-related behavior characteristics such as substance abuse(OR:1.557, 95%CI:1.183~2.051), smartphones overdependency(OR:3.736, 95%CI:3.241~ 4.306) and psychosocial characteristics such as perceived health status(OR:2.317, 95%CI:2.112~2.542), perceived stress(OR:11.564, 95%CI:9.619~13.902), sadness and hopelessness(OR:2.850, 95%CI:2.668~3.044), suicidal thoughts(OR:2.593, 95%CI:2.414~2.786), violent victimization(OR:1.580, 95%CI:1.298~1.923).
Conclusions: Based on these results, there should be a development of intervention programs for early detection, appropriate treatment and prevention of generalized anxiety disorder in Korean adolescents.
목적: 이 연구의 목적은 한국 청소년의 범불안장애 고위험군의 인구사회학적 특성, 건강관련행동 특성 및 심리사회적 특성들의 차이를 살펴보고, 범불안장애와 관련된 요인을 파악하기 위한 것이다.
방법: 제16차(2020년) 청소년건강행태조사를 기반으로 범불안장애 고위험군의 특성을 파악하고 범불안장애와 관련된 요인을 파악하기 위해 교차분석(Rao-Scott χ2 test)과 복합설계 로지스틱회귀분석을 실시하였다. 범불안장애는 GAD-7로 측정하였고 총점이 10점이상인 경우 범불안장애 고위험군으로 정의하였다.
결과: 인구사회학적 특성인 성별(OR:1.236, 95%CI:1.151~1.328), 경제상태(OR:1.086, 95%CI:.947~1.247), 코로나19 이후 경제적 상태 변화(OR:1.125, 95%CI:1.047~1.208), 건강관련행동 특성인 치료목적 제외 습관적 약물경험(OR:1.557, 95%CI:1.183~2.051), 스마트폰 과의존 경험(OR:3.736, 95%CI:3.241~4.306), 심리사회적 특성인 주관적 건강인지(OR:2.317, 95%CI:2.112~2.542), 평상시 스트레스인지(OR:11.564, 95%CI:9.619~13.902), 슬픔과 절망감 경험(OR:2.850, 95%CI:2.668~3.044), 자살생각(OR:2.593, 95%CI:2.414~2.786), 폭력을 당한 경험(OR:1.580, 95%CI:1.298~1.923)이 범불안장애 위험에 영향을 미치는 것으로 나타났다.
결론: 청소년의 범불안장애와 관련된 요인을 바탕으로 범불안장애의 조기발견, 적절한 치료 및 예방을 위한 중재 프로그램의 개발이 이루어져야 한다.
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