보건교육건강증진학회지 (Korean Journal of Health Education and Promotion)

  • 제28권2호
  • /
  • Pages.1-13
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  • 2011
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  • 1229-4128(pISSN)
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  • 2635-5302(eISSN)
한국보건교육건강증진학회 (Korean Society for Health Education and Promotion)
권호 표지

우울증상 해결자원의 유용성 신념에 영향을 미치는 요인: 정신건강예방에 대한 함의

Factors Affecting Beliefs on Usefulness of Resources to Alleviate Depressive Symptoms among Korean Adults: Implications for Mental Health Prevention

  • 이선혜 (중앙대학교 사회과학대학 사회복지학부) ;
  • 서진환 (성공회대학교 사회복지학과) ;
  • 정슬기 (중앙대학교 사회과학대학 사회복지학부)
  • Lee, Sun-Hae (School of Social Welfare, College of Social Sciences, Chung-Ang University) ;
  • Suh, Jin-Hwan (Department of Social Welfare, SungKongHoe University) ;
  • Chung, Sul-Ki (School of Social Welfare, College of Social Sciences, Chung-Ang University)
  • 투고 : 2011.02.15
  • 심사 : 2011.06.11
  • 발행 : 2011.06.30
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초록

Objectives: This study investigated beliefs of Koreans on the usefulness of various resources they use to alleviate depressive symptoms and to identify factors affecting the beliefs on different approaches to depressive symptoms. Methods: A household survey was conducted on a stratified sample of adults of age 18~74 (N=1,607) in 2009. The participants were asked to read a case vignette of depression and to provide their opinion about usefulness of 39 types of resources as ways of addressing the symptoms. Factors affecting opinions on usefulness of various resources were examined with logistic regression. Results: The three approaches identified via factor analysis were believed to be useful in the order of 'psychological/relational/activity-oriented', 'lifestyle/cultural', and 'physical/medical' approaches. The logistic regression analyses revealed that correct recognition of symptoms increased the likelihood of positive opinion about psychological and physical approaches, and so did having current symptoms about physical and popular approaches. Past help-seeking experience increased the likelihood of negative opinion about physical approach, however. Conclusions: Strategies to adopt various types of resources need to be developed, including rigorous use of psychosocial methods, mechanisms to control service quality, and the integration of diverse resources into the current community mental health services.

키워드

참고문헌

  1. 김광일. 한국인의 질병행동과 정신건강. 정신건강연구 1997; 16:50-60.
  2. 김재환, 김광일. 간이 정신진단검사 SCL-90-R의 한국판 표준화 연구 II. 정신건강연구 1984;2:278-311.
  3. 박재현 외 9명. 우리나라 국민의 정신질환으로 인한 질병부담 추정. 예방의학회지 2006;39(1):39-45.
  4. 서진환, 이선혜. 정신건강문제 해결자원의 유용성에 관한 신념: 우울증과 정신분열병의 비교. 보건교육건강증진학회지. 2009;26(3):97-110.
  5. 이선혜, 서진환. 우리나라 성인의 우울증상 식별력과 해결방법에 대한 신념: 수도권 거주자에 대한 방문서베이 결과. 정신보건과 사회사업 2009;32:41-77.
  6. 이선혜, 서진환. 한국 성인의 정신건강역량: 우울증과 정신분열병을 중심으로. 사회복지연구 2010:41(2):127-158.
  7. 보건복지부. 2010년 정신보건사업안내, 2010.
  8. 조맹제 외 13명. 정신질환실태 역학조사 2006. 서울: 보건복지부, 2007.
  9. 통계청. 인구주택총조사보고서. 서울: 통계청, 2006.
  10. Angermeyer MC, Matschinger H. Public attitude towards psychiatric treatment. Acta Psychiatrica Scandinavica 1996;94:326-336. https://doi.org/10.1111/j.1600-0447.1996.tb09868.x
  11. Angermeyer MC, Matschinger H. Have there been any changes in the public's attitudes towards psychiatric treatment? Results from representative population surveys in Germany in the years 1990 and 2001. Acta Psychiatrica Scandinavica 2005;111(1):68-73. https://doi.org/10.1111/j.1600-0447.2004.00441.x
  12. Barlow, DH. Abnormal Psychology: An Integrative Approach. 5th ed. Belmont, CA: Thomson Wadsworth, 2005.
  13. Derogatis LR. Brief Symptom Inventory 18. Minneappolis, MN: NCS Pearson, 2000.
  14. Goodwin FK, Jamison KR. Suicide in Manic-Depressive Illness. NY: Oxford University Press, 1990. pp.227-244.
  15. Hall MA 외 5명. Measuring patients' trust in their primary care providers. Medical Care Research and Review 2002; 59,293-318. https://doi.org/10.1177/1077558702059003004
  16. Jorm AF 외 6명. Helpfulness of interventions for mental disorders: beliefs of health professionals compared with the general public. British Journal of Psychiatry 1997a;171:233-237. https://doi.org/10.1192/bjp.171.3.233
  17. Jorm AF 외 5명. Mental health literacy: a survey of the public's ability to recognise mental disorders and their beliefs about the effectiveness of treatment. Medical Journal of Australia 1997b;166:182-6.
  18. Jorm AF 외 6명. Belief systems of the general public concerning appropriate treatments for mental disorders. Social Psychiatry and Psychiatric Epidemiology 1997c;32(8):468- 473.
  19. Jorm AF, Angermeyer M, Katschnig H. Public Knowledge of and Attitudes to Mental Disorders: A Limiting Factor in the Optimal Use of Treatment Services. In: Andrews G, Henderson S, editors. Unmet Need in Psychiatry: Problems, Resources, Responses. Cambridge University Press, 2000a.
  20. Jorm AF 외 5명. Public belief systems about the helpfulness of interventions for depression: associations with history of depression and professional help-seeking. Social Psychiatry and Psychiatric Epidemiology 2000b;35(5):211-219. https://doi.org/10.1007/s001270050230
  21. Jorm AF 외 5명. Providing information about the effectiveness of treatment options to depressed people in the community: a randomized controlled trial of effects on mental health literacy, help-seeking and symptoms. Psychological Medicine 2003;33(6):1071-9. https://doi.org/10.1017/S0033291703008079
  22. Jorm AF, McKinnon A, Christensen H, Griffiths KM. Structure of beliefs about the helpfulness of interventions for depression and schizophrenia: results from a national survey of the Australian public. Social Psychiatry and Psychiatric Epidemiology 2005a;40:877-883. https://doi.org/10.1007/s00127-005-0991-x
  23. Parker G, Mahendran R, Yeo SG, Loh MI, Jorm AF. Diagnosis and treatment of mental disorders: a survey of Singapore mental health professionals", Social Psychiatry and Psychiatric Epidemiology 1999;34(10):555-563. https://doi.org/10.1007/s001270050175
  24. Parslow RA, Jorm AF. Improving Australians' depression literacy. Medical Journal of Australia 2002;177:117-121.
  25. Regier DA, Hirschfeld RMA, Goodwin FK, Burke JD, Lazar JB, Judd LL. The NIMH depression awareness, recognition, and treatment program: structure, aims, and scientific basis. American Journal of Psychiatry 1988;145:1351-1357.
  26. Rubin A, Babbie ER. Research Methods for Social Work, 6th ed. Belmont, CA: Thomas Higher Education, 2005. 김기덕, 김용석, 유태균, 이기영, 이선우, 정슬기(옮김). 사회복지 조사방법론. 서울: Sangage Learning, 2008.
  27. Schulz A, Drayer RA, Rollman BL. Depression as a risk factor for non-suicide mortality in the elderly. Biological Psychiatry 2002;52(3):205-25. https://doi.org/10.1016/S0006-3223(02)01423-3
  28. Waerna M, Rubenowitzb E, Wilhelmsonb K. Predictors of suicide in the old elderly. Gerontology 2003;49(5):328-34. https://doi.org/10.1159/000071715
  29. World Health Organization. The World Health Report 2001. Mental Health: New Understanding, New Hope. Geneva: World Health Organization, 2001.
  30. World Health Organization. The ICD-10 Classification of Mental and Behavioral Disorders. Diagnostic Criteria for Research. Geneva: World Health Organization, 1993.
  31. Yamashiro G, Matsuoka JK. Help-seeking among Asian and Pacific Americans: A multiperspective analysis. Social Work 1997;42(2):176-186. https://doi.org/10.1093/sw/42.2.176
  32. Yoo TK, Lee, SH. Does mental health affect continued participation in the workfare program? The South Korean case. International Social Work 2011;54(4):551-564. https://doi.org/10.1177/0020872810383447