Browse > Article

Koreans' Beliefs on Helpfulness of Mental Health Resources: A Comparison between Depression and Schizophrenia  

Suh, Jin-Hwan (Department of Social Welfare, SungKongHoe University)
Lee, Sun-Hae (Department of Social Welfare, College of Liberal Arts, Chung-Ang University)
Publication Information
Abstract
Objectives: This study investigated Korean public's beliefs on helpfulness of various resources and preferred ways of addressing symptoms of mental health problems. Methods: A household survey was conducted on a stratified sample of adults aged between 18 and 74 (N=1,584). The participants were asked to provide their opinion on helpfulness of 39 resources for problems presented in the vignette, either depression(DEP) or schizophrenia(SPR). Descriptive statistics and factor analysis were conducted to summarize their opinion and to identify the underlying structure of beliefs about helpfulness of various resources. Results: Counselors/psychologists/social workers, family, psychiatrists, other therapists, and religious leaders were believed to be the most helpful. Methods that require one's initiatives marked percentages much higher than those of 'waiting to get better' or 'dealing with it alone'. The percentages for medications were lower than other methods in general, but higher than those of a western sample especially on antidepressants and anti-psychotics. Psycho/social approach was favored more for SPR than for DEP, and popular/cultural approach was favored much more for DEP than for SPR; physical/medical approach was strongly unfavored against DEP. Conclusion: Strategies need to be developed for utilizing various helpful resources to diversify modality of mental health services and facilitate referrals and gatekeeping. The differences in beliefs on helpfulness of various methods between DEP and SPR point to the need for problem-specific strategies.
Keywords
Mental; Depression; Schizophrenia; Beliefs; Prevention; Korea;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 김복연, 김석범, 김창윤, 강복수, 정종학. 의료보호대상자의 의료 이용양상. 영남의대학술지 1991;8(2):185-201
2 박재현 외 9명. 우리나라 국민의 정신질환으로 인한 질병부담 추정. 예방의학회지 2006;39(1):39-45   과학기술학회마을
3 유승흠, 조우현. 전국민의료보험 실시에 따른 이용수준과 양상의 변화. 대한병원협회지 1987;16(10):28-32
4 황규혁, 김광일, 송수식. 질병행동에 대한 일반인들의 태도 조사. 신경정신의학 1988;27(1):80-95
5 Akutsu PD, Chu JP. Clinical problems that initiate professional help-seeking behaviors from Asian Americans. Professional Psychology: Research and Practice 2006;37(4):407-415   DOI   ScienceOn
6 Andersen RM. Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior 1995;36(1):1-10   DOI   PUBMED   ScienceOn
7 Chadda RK, Agarwal V, Singh MC, Raheja K. Help seeking behavior of psychiatric patients before seeking care at a mental hospital. International Journal of Social Psychiatry 2001;47(4):71-78   DOI   ScienceOn
8 Jorm AF. Mental health literacy. Public knowledge and beliefs about mental disorders. The British Journal of Psychiatry 2000;177:396-401   DOI   ScienceOn
9 Jorm AF. 외 5명. Pulbic belief systems about the helpfulness of interventions for depression: associations with history of depression and professional help-seeking. Soc Psychiatry Psychiatr Epidemiol 2000;35(5):211-219   DOI   ScienceOn
10 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):1071-1079   DOI   ScienceOn
11 Jorm AF, Wright A, Morgan AJ. Where to seek help for a mental disorder? National survey of the beliefs of Australian youth and their parents. MJA 2007;187(10):556-560
12 Kessler RC, McGonagle KA, Zhao S, Nelson CB, Hughes M, Eshleman S. Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the U.S. Archives of General Psychiatry 1994;51:8-19   DOI   ScienceOn
13 Kovess-Masf$\ty V. 외 8명. What makes people decide who to turn to when faced with a mental health problem? Results from a French survey. BMC Public Health 2007;7(188):1-9   DOI
14 신연희, 안현의. 전문적 도움 추구 행동에서 접근요인과 회피요인의 상대적 중요성 고찰. 한국심리학회지: 상담 및 심리치료 2005;17(1):177-195
15 김의철, 박영신. 스트레스 경험, 대처와 적응 결과: 토착심리학적 접근. 한국심리학회지: 정신 1997;2(1):96-126
16 Parker G, Mahendran R, Yeo SG, MI, Loh, Jorm AF. Diagnosis and treatment of mental disorders: A survey of Singapore mental health professionals. Soc Psychiatry Psychiatr Epidemiol 1999;34(10);555-563   DOI   ScienceOn
17 남은우, 박재성, 니시가끼, 하마이. 의약분업 실시 전.후 영도지역 주민의 약국 및 의료기관 의료이용 양상 변화 분석. 영도연구(고신대학교 영도발전연구소) 2000;1(2):427-48
18 보건복지부. 정신질환실태 역학조사 2006. 서울: 보건복지부. 2006
19 서진환. 지역사회에서의 정신건강 증진방안. 사회정신의학 2006;11(2):59-71
20 Gordon RS. An operational classification of disease prevention. In Preventing mental disorders : A research perspective. Eds by Stenberg JA and Silverman MM, Rockville, MD : NIMH. 1987
21 Jorm AF, Blewitt KA, Griffiths KM, Kitchener BA, Parslow RA. Mental health first aid responses of the public: results from an Australian national survey. BMC Psychiatry 2005;5:1-9   DOI   ScienceOn
22 Rubin A, Babie ER. Research Methods for Social Work. 6th ed. Canada: Cengage Learning, 2007. 김기덕 외 5명(옮김). 사회복지조사방법론. 서울: 센게이지러닝 코리아, 2008
23 Liang, B, Goodman, Lk Tummala-Narra, P, Weintraub, S. A theoretical framework for understanding help-seeking processes among survivors of intimate partner violence, American Journal of Commuity Psychology 2005;36(1/2):71-84   DOI
24 Norman RM, Lewis SW, Marshall M. Duration of untreated psychosis and its relationship to clinical outcome. Br. J Psychiatry Suppl. 2005;48:s19-23
25 Judge AM, Perkins DO, Niere J, Penn DL. Pathways to care in first episode psychosis: A pilot study on help-seeking precipitants and barriers to care. Journal of Mental Health 2005;14(5):465-469
26 김광일, 김명정. 정신과 입원치료에 있어서의 사회문화적 문제. 신경정신의학 1973;12:245-254
27 이선혜. 대학생의 정신건강 원조체계 활용 행태: 정신건강서비스 활성화에 대한 함의. 정신보건과 사회사업 2002;13:36-58
28 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 Psychiatr Scand 2005;111(1):68-73   DOI   ScienceOn
29 Fisher LJ, Goldeney RD. Differences in community mental health literacy in older and younger Australians. International Journal of Geriatric Psychiatry 2003;18(1):33-40   DOI   ScienceOn
30 Okazaki S. Treatment delay among Asian-American patients with severe mental illness. American Journal of Orthopsychiatry 2000;70(1):58-64   DOI   ScienceOn
31 이선혜, 서진환. 우리나라 성인의 우울증상 식별력과 해결방법에 대한 신념: 수도권 거주자에 대한 방문서베이 결과. 정신보건과 사회사업 2009;32:41-77
32 김광일. 한국인의 의료행동과 정신과 진료. 정신건강연구 1998;17:1-3
33 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. The Medical Journal of Australia 1997a;166:182-186   PUBMED
34 Parslow RA, Jorm AF. Improving Australians' depression literacy. MJA 2002;177:117-121
35 Regier DA. 외 5명. The de facto US mental and addictive disorders service system. Archives of General Psychiatry 1993; 50:85-94   DOI   PUBMED   ScienceOn
36 통계청. 인구주택총조사보고서. 서울: 통계청. 2006
37 Jorm AF 외 6명. Belief systems of the general public concerning appropriate treatments for mental disorders. Soc Psychiatry Psychiatr Epidemiol 1997b;32(8):468-473   PUBMED
38 World Health Organization. The World Health Report 2001. Mental health: New understanding, new hope. Geneva, Switzerland: World Health Organization, 2001
39 Snowden LR, Yamada AM. Cultural differences in access to care. Annual Review of Clinical Psychology 2005;1:143-166   DOI
40 Nakane Y. 외 5명. Public beliefs about causes and risk factors for mental disorders: a comparison of Japan and Australia. BMC Psychiatry 2005;5:33 doi:10.1186/1471-244X-5-33   DOI   ScienceOn
41 Shin JK. Help-seeking behavior by korean immigrants for depression. Issues in Mental Health Nursing 2002;23:461-476   DOI   PUBMED   ScienceOn
42 Yamashiro G, Matsuoka JK. Help-seeking among Asian and Pacific Americans: A multiperspective analysis. Social Work 1997;42(2):176-186   DOI   ScienceOn