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The Daily Life Experiences of Community Dwelling People with Mental Disabilities

재가 정신장애인의 일상생활경험

  • Received : 2020.04.03
  • Accepted : 2020.07.18
  • Published : 2020.09.30

Abstract

Purpose: As the daily life experiences of community-dwelling people with mental disabilities are closely correlated to mental health recovery, this study aimed to analyze their daily life experiences in depth to determine their significance. Method: Participants included eight community-dwelling people with mental disabilities. A total of 12 in-depth interviews were conducted once or twice per participant. The collected data were analyzed using the phenomenological analysis method described by Giorgi. Results: The daily life experiences of community-dwelling people with mental disabilities were categorized into the following four components: "encountering shocking reality in the outside world", "life tied down by the mental illness", "happiness and gratefulness encountered in daily life", and "wishing for a change and self-sustaining life". Conclusion: This study found that the recovery and welfare of community-dwelling people with mental disabilities were promoted and that these patients made necessary efforts to become a member of the local community. These findings could be used as a reference for establishing social welfare policies which enable people with mental disabilities to participate as functioning members of the community that facilitate the prevention of relapse, to promote their integration into the community. Furthermore, the present results will contribute to the development of nursing intervention programs to promote recovery and prevent relapse, to ultimately establish a mental health management system.

Keywords

References

  1. Edward KL, Welch A, Chater K. The phenomenon of resilience as described by adults who have experienced mental illness. Journal of Advanced Nursing. 2009;65(3):587-595. https://doi.org/10.1111/j.1365-2648.2008.04912.x
  2. Jin H, Mosweu I. The social cost of schizophrenia: A systematic review. Pharmacoeconomics. 2017;35(1):25-42. https://doi.org/10.1007/s40273-016-0444-6
  3. Kim HS. Schizophrenia spectrum and other psychotic disorders. In: Kang MH, Kim YS, Kim PH, Kim HJ, Park KR, et al., editors. Up-to-date psychiatric mental health nursing (particulars). 5th ed. Seoul: Hakjisa Medical; 2019. p. 2-38.
  4. Park JH, Lee HS. A study on the use of the media for positive perception and attitude towards people with mental illness: Focusing on depression, obsessive-compulsive disorder, and panic disorder. Journal of the Korea Academia-Industrial cooperation Society. 2019;20(4):250-263. https://doi.org/10.5762/KAIS.2019.20.4.250
  5. Lee C. National mental health status 3rd preliminary report. National mental health statistics pilot study. Seoul: National center for Mental Health; 2017 December, Report No.: 979-11-86322-51-2.
  6. Korea Ministry of Government Legislation. 2016 Law on mental health promotion and mental health and welfare services support [Internet]. Sejong: Korea Ministry of Government Legislation. 2016 [cited 2020 Jan 18]. Available from: https://www.law.go.kr/lsInfoP.do?lsiSeq=183629#0000
  7. World Health Organization. 2018 Mental disorders. [Internet]. Geneva: WHO. 2018 [cited 2020 Jan 24]. Available from: https://www.who.int/en/news-room/fact-sheets/detail/mental-disorders
  8. Siu BWM, Tsang MMY, Lee VCK, Liu ACY, Tse S, Luk HSM, et al. Pathway to mental health recovery: A qualitative and quantitative study on the needs of Chinese psychiatric inpatients. BioMed Central Psychiatry. 2016;16(1):236. https://doi.org/10.1186/s12888-016-0959-6
  9. Son MA, Lee YM, Jung KA. The effects of a combined exercise program on obesity and metabolic syndrome factors for chronic psychiatric inpatients. Journal of Korean Biological Nursing Science. 2014;16(2):105-112. https://doi.org/10.7586/jkbns.2014.16.2.105
  10. Dorota S, Agnieszka K, Irena W, Michal K, Joanna R. Internalized stigma and its correlates among patients with severe mental illness. Neuropsychiatric Disease and Treatment. 2018; 14:2259-2608. https://doi.org/10.2147/NDT.S169051
  11. Jeong HJ. A qualitative study on the recovery experience of the mentally disabled - Focusing on empowerment practice in a community psychiatric rehabilitation center. Crisisonomy. 2018; 14(2):33-55.
  12. Drapalski AL, Lucksted A, Perrin PB, Aakre JM, Brown CH, DeForge BR, et al. A model of internalized stigma and its effects on people with mental illness. Psychiatric Service. 2013;64(3): 264-269. https://doi.org/10.1176/appi.ps.001322012
  13. Beverley G, Geoff W. Personal experiences of people with serious mental illness when seeking, obtaining and maintaining competitive employment in Queensland, Australia. Work. 2016;53 (4):835-843. https://doi.org/10.3233/wor-162252
  14. Netto JA, Polly Y, Cocks E, McNamara B. Facilitators and barriers to employment for people with mental illness: A qualitative study. Journal of Vocational Rehabilitation. 2016;44(1):61-72. https://doi.org/10.3233/jvr-150780
  15. Kim HS. Understanding Community Psychiatric Nursing. In: Kang MH, Kim YS, Kim PH, Kim HJ, Park KR, et al., editors. Up-to-date psychiatric mental health nursing (generalities). 5th ed. Seoul: Hakjisa Medical; 2019. p. 385-396.
  16. Kim MY, Lee NH, Joe HM, Jeong BY, Kim YS. The experience of schizophrenic's employment retention. Journal of Korean Association for Qualitative Research. 2013;14(2):145-157.
  17. Kaite P, Karanikola M, Papathanasoglou E. Application of van Manen's methodology in studying the lived experience of severe mental illness: The dimension of existential investigation through literature and art. Nursing Care & Research. 2018;51: 144-153.
  18. Giorgi A. The theory, practice and evaluation of the phenomenological method as a qualitative research. Journal of Phenomenological Psychology. 1997;28(2):235-260. https://doi.org/10.1163/156916297x00103
  19. Kang YW, Lim CH, Lee HC. North Korean refugees'life in South Korea: Christian educational approaches. A Journal of Christian Education in Korea. 2010;24:459-490. https://doi.org/10.17968/jcek.2010..24.014
  20. Eiser C. Psychological effect of chronic disease. Journal of Child Psychology and Psychiatry. 1990;31(1):85-98. https://doi.org/10.1111/j.1469-7610.1990.tb02274.x
  21. Dukes S. Phenomenological methodology in the human sciences. Journal of Religion and Health. 1984;23(3):197-203 https://doi.org/10.1007/bf00990785
  22. Lincoln YS, Guba EG. Naturalistic inquiry. Beverly Hills. CA: Sage Publication; 1985. 416 p.
  23. Vogel DL, Bitman RL, Hammer JH, Wade NG. Is stigma internalized? The longitudinal impact of public stigma on selfstigma. Jounal of Counseling Psychology. 2013;60(2):311-316. https://doi.org/10.1037/a0031889
  24. Min SY, Wong YLI. Sources of social support and community integration among persons with serious mental illnesses in Korea. Journal of Mental Health. 2015;24(4):183-188. https://doi.org/10.3109/09638237.2015.1019045
  25. Jack T, Gary RB, Michelle PS, Jenna LG, Kristin ED. Housing preferences and choices among adults with mental illness and substance use disorders: A qualitative study. Community Mental Health Journal. 2010;46:381-388. https://doi.org/10.1007/s10597-009-9268-6
  26. Kim DW. A phenomenological study on the life experience of people with psychiatric disabilities in housing facilities. Journal of Disability and Welfare. 2009;11:183-220.
  27. Michalak E, Livingston J, Hole R, Suto M, Hale S. 'It's something that I manage but it is not who I am': Reflections on internalized stigma in individuals with bipolar disorder. Chronic Illness. 2011;7(3):209-224. https://doi.org/10.1177/1742395310395959