• Title/Summary/Keyword: 정신건강 회복

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Effects of the Upright Body Type Excercise on Lung Capacity and Depression of People with Mental Illness (바른체형운동 지도가 정신장애인의 우울감 및 폐활량에 미치는 효과)

  • Woo, Kyung-Hee;Yang, Jeong-Ok;Lee, Joong-Sook;Lee, Bom-Jin;Kim, Eui-Suk;Jung, Sook-Hee;Kwak, Yi-Sub
    • Journal of Life Science
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    • v.26 no.10
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    • pp.1169-1181
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    • 2016
  • The purpose of this study was to investigate the effects of the regular Upright Body Type Excercise on posture, muscle strength of leg, lung capacity and depression of people with mental illness. The subjects of this study were recruited from B mental health center (5 years and more mental illness patients, n=19) located in P city. For the exercise group, They were carried out the Upright Body Type Excercise Program during 8 weeks (60 min/time, 3 times/week). They were randomly divided into two groups. Exercise group (n=10) and Control group (n=9). And also, they were agreed with consent forms before the experiments. Research results were as follows. Through the upper body type exercise, there was significantly difference in PEF and FEV1/FVC in the trained group. And also, there was much improved in depression level in the trained group. The change of melancholy feeling before and after the program was not statistically significant. However, because of limitations of sampling size due to the peculiarities of the program participants, in consideration of the limit of statistical validation exists clearly, intended to better understand the subjective experience of attendees, qualitative analyzing(qualitative research) was carried out in parallel. It was conducted a deep interview only person accepted among program participants, thematic analysis, subject analysis tasks to be subdivided by classifying by considering the semantic units of what participants expressed, was thus carried out. It found that the degree of melancholy feeling of mental disorders who participated in the Upright Body Typed Exercise Program was reduced. The course of the experience of change in depression appered the three subjects and six sub-themes such as "the start of the change", "interest of the program", "recognition of the need of the body’s health", "physical health promotion", "recovery of physical function", "negative change of habits (attitude)", "reduction of sense of depression", "confidence that it is possible to", "hope for the future". Therefore, upper body type exercise is much helpful in lung capacity and mental health of people with mental illness. So, this type of exercise mostly needed in the people with mental illness group than the other group for the quality of life.

A Study on the Difference of Psychosocial Characteristics and Quality of Life according to the Type of Functional Gastrointestinal Disorder (기능성 위장질환의 종류에 따른 정신사회적 특성 및 삶의 질의 차이에 관한 연구)

  • Park, Seung-Kyu;Lee, Sang-Yeol;Ryu, Han-Seung;Choi, Suck-Chei;Yang, Chan-Mo;Jang, Seung-Ho;Yeom, Dong Han;Lee, Kuy-Haeng
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.1
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    • pp.58-66
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    • 2021
  • Objectives : The purpose of this study is to compare the psychosocial characteristics of patients diagnosed with functional gastrointestinal disorder (FGID) by classifying them into irritable bowel syndrome (IBS), functional dyspepsia (FD), functional constipation (FC), functional heartburn (FH) groups, and overlap group (two or more functional diseases) and to examine the factors associated with the quality of life (QoL) of patients with FGID. Methods : A total of 144 patients who were diagnosed with FGID were selected as the subjects. The demographical factors were investigated; Korean-Beck Depression Inventory-II (K-BDI-II), Korean-Beck Anxiety Inventory (K-BAI), Korean version of Childhood Trauma Questionnaire (K-CTQ), Multi-dimensional Scale of Perceived Social Support (MSPSS), Korean Version of Connor-Davidson Resilience Scale (K-CD-RISC), and World Health Organization Quality of Life Assessment Instrument Brief Form (WHOQOL-BREF) were used to evaluate the psychosocial factors. Results : TThe overlap group had a significantly higher K-BDI-II score (F=11.09, p<0.001) and K-BAI score (F=8.93, p<0.001) compared to other groups. In childhood trauma, the IBS patients had a difference in emotional neglect (F=2.54, p=0.04) than the FD patients. The QoL of FGID patients had a negative correlation with depression (r=-0.196, p<0.01), anxiety (r=-0.235, p<0.01), and childhood trauma (r=-0.222, p<0.01), and a positive correlation with social support (r=0.512, p<0.01) and resilience (r=0.581, p<0.01). Conclusions : Overlap group had a higher level of depression and anxiety, and the IBS patient group had a higher level of emotional neglect than the FD patient group in terms of childhood trauma.

A Study on Psychosocial Trait and Mental Health of the Adolescent's Addiction to Cybersex (인터넷 섹스중독 청소년의 심리사회적 특성과 정신건강 연구)

  • Lee, Sang-June
    • Korean Journal of Social Welfare
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    • v.55
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    • pp.341-364
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    • 2003
  • The purpose of this study was to investigate the relationship between adolesccents' cybersexual addiction and psychosocial traits. In addition, the relationship between cybersexual addiction and mental health were examined. For the study, 1,742 students attending middle schools and high schools were surveyed. According to the results of study, first, 1.3% of the adolescents reported the severe degree of cybersexual addiction, 2.3% of them had the moderate degree of addiction, 4.2% of them showed the minor degree. The result indicated that 7.8% of entire adolescents had cybersexual addiction. Second, middle school students showed the highest rate of cybersexual addiction and the students attending general high schools reported the lowest rate. Third, the following groups were likely to have the higher levels of cybersexual addiction; students who were males, had low self-control and less emotional support from the family and friends, and whose parents had marital problems. Fourth, the cybersexually addicted adolescents had experienced more psychological symptoms than general internet users had. Fifth, there was the positive relationship between cybersexual addition and psychological symptoms among adolescents. In particular, cybersexual addiction had the most serious effect on phobic anxiety. Finally, T-score measuring the degree of psychopathological symptoms had the positive relationship with the level of cybersexual addiction among adolescents. Moreover, adolescents who had clinical psychopathology and T-score over 70 showed the various rates from 10.9% to 45.2% in the 9 domains of symptoms.

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Effects of Perceived Stress, Sleep, and Depression on Resilience of Female Nurses in Rotating Shift and Daytime Fixed Work Schedules (순환교대근무와 주간고정근무 여성 간호사의 회복탄력성에 대한 스트레스, 수면, 우울증의 영향)

  • Jeong, Ju Li;Kwon, Hyuk Min;Kim, Tae Hyung;Choi, Mal Rye;Eun, Hun Jeong
    • Sleep Medicine and Psychophysiology
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    • v.26 no.2
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    • pp.111-124
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    • 2019
  • Objectives: Healthy sleep is important and can have a positive effect on resilience. The aim of the present study was to compare the differences in resilience between two group nurses in rotating shift and daytime fixed work schedules and to investigate stress perception, coping factors, social and psychological health, and sleep factors that may affect resilience. Methods: A total of 400 female nurses having rotating shift and daytime fixed work schedules at two hospitals was surveyed from June 12, 2017 to June 12, 2018. All participants completed perceived stress scale (PSS), stress coping short form (Brief COPE), psycho-social wellbeing Index short form (PWI-SF) or general health questionnaire-18 (GHQ-18), center for epidemiologic studies depression scale (CES-D), STAI-X-1 in state-trait anxiety inventory (STAI), Pittsburgh sleep quality index (PSQI), Epworth sleepiness scale (ESS), insomnia severity index (ISI), Conner Davidson resilience scale (CD-RISC). Independent t-test, paired t-test, Pearson correlation analysis, and multiple regression analysis were applied to the results of the final 373 questionnaires of 400 nurses in two general hospitals. Results: Comparing the variable statistics between the two groups of rotating shift and daytime fixed work nurses, showed statistically significant differences in all variables except perceived stress, sleep quality, and daytime sleepiness. Factors that had a significant correlation with resilience were stress coping strategies, depression, and insomnia severity (p < 0.001). In multiple regression analysis, larger positive reframing1 (β = 0.206, p < 0.001), severe less depression (β = -3.45, p < 0.001), and higher psychosocial health (β = 0.193, p < 0.001). As acceptance coping2 increased (β = 0.129, p < 0.05), as daytime sleepiness decreased (β = -1.17, p < 0.05), and as active coping2 increased (β = 0.118, p < 0.05), as the positive reframing2 increases (β = 0.110, p < 0.05), the resilience increased. Conclusion: This study, it was found that resilience was higher in daytime fixed workers than in shift workers. In addition, specific stress coping strategies, psycho-social health, sleep, and depression factors were associated with resilience.

The Effect of Coping Strategies on the Outcome of Stressful Life Events and Mental Health (삶의 사건에 대한 대응양식이 문제해결과 정신건강에 미치는 영향)

  • Lee, In-Jeong
    • Korean Journal of Social Welfare
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    • v.36
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    • pp.285-307
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    • 1998
  • This study explored three issues in regard to the relationship among stressful life events, coping, successful outcomes, life satisfaction and depression. The first issue was about the differences in the level of use among eight coping strategies according to the type of stressful life events. The second issue dealt with the differences between those who achieved successful outcomes and those who did not in the use of coping strategies. The third issue was if the different use of coping strategies was related to the level of life satisfaction and depression. Stressful life events were divided into problems of four areas such as health, finance, family relations including well-being of family members, and work Coping was assessed by eight factors. The survey data collected from 221 community residing adults was used for analyses. Findings suggested that the level of the use of escape-avoidance was very low while the level of the use of planful problem solving, seeking positive meaning, self control, and accepting responsibility was high for all stressful life events. It was also found that in some stressful life events those who achieved successful outcomes used more planful problem solving, more seeking positive meaning and less escape-avoidance than those who did not achieve successful outcomes. Finally, for almost all of the stressful life events, the use of more planful problem solving was related to either higher level of life-satisfaction or lower level of depression while the use of more escape-avoidance was related to lower level of life-satisfaction and higher level of depression. According to the results, implication for social work intervention was discussed.

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Effect of Mood and Personality Characteristics on Psychophysiological Responses (기분과 성격특성이 정신생리적 반응에 미치는 영향)

  • Koo, Moon-Sun;Yu, Bum-Hee
    • Sleep Medicine and Psychophysiology
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    • v.8 no.1
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    • pp.59-66
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    • 2001
  • Objectives: This study examined the effect of mood and personality characteristics on psychophysiological responses measured by a biofeedback system in a normal population. Methods: Fifty healthy volunteers without any history of medical or psychiatric illnesses participated in this study. We measured the Spielberger trait anxiety inventory, Beck depression inventory, and Eysenck personality questionnaires in these subjects. Using the J & J biofeedback system, we also measured skin temperature, electrodermal response, forearm and frontal electromyography (EMG)s in 3 experimental conditions of baseline, stress, and recovery phases. Results: Trait anxiety did not show any significant correlation with psychophysiological responses except stress response in forearm EMG levels(r=0.282, p<0.05). Depressed mood was negatively correlated with forearm EMG levels in baseline (r=-0.299, p<0.05) and recovery phases(r=-0.314, p<0.05). Subjects with relatively high levels of depressed mood showed different stress and recovery responses in frontal EMG levels compared with those with relatively low levels of depressed mood (F=4.26, p<0.05). Extroverted subjects showed higher levels of forearm EMG than introverted ones in stress phase. Conclusion: Mood and personality characteristics in healthy subjects are closely related with psychophysiological responses measured by a biofeedback system. We suggest that mood and personality characteristics should be considered as important variables in analyzing abnormal psychophysiological responses in some psychiatric patients.

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A Qualitative Study on the Mental Crisis Occurence and Self-Help Support Process of People with Mental Disabilities - Focused on the Experience of Participating in Self-Study and Mutual Help of Bethel's House (정신장애인의 정신적 위기 발생과 자조적 지원과정에 관한 질적 연구 - 베델의 집 당사자연구 참여경험을 중심으로 -)

  • Lee, Yong-Pyo;Chung, Yu-Seok;Bae, Jin-Young
    • The Journal of the Korea Contents Association
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    • v.21 no.7
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    • pp.304-316
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    • 2021
  • The purpose of this study is to analyze the records of 8 people with mental disabilities who had participated in Research and Mutual Help of Bethel's House and to investigate the occurrence of mental crisis and process of self-help by using the grounded theory method. As a result of axial coding, the central phenomenon of crisis experience of the people with mental disabilities was derived as 'being overwhelmed by hardships in the life related to their symptoms'. In the self-help process of overcoming the crisis, Action-interaction strategies were derived as 'talking about the hardships', 'researching and practicing with peers', 'participating in various groups', etc. through the intervening conditions such as 'understanding patterns and meanings of hardships led by the person' and 'finding ways to overcome the hardships with the person'. These strategies were analyzed as a process in which the person with mental disabilities leads his/her life reassuming control over his/her crisis. The result of this study shows that it is necessary to expand the political crisis concept in the support system for the mental crisis of people with mental disabilities, and the self-help approach in which the persons participate autonomously can be useful.

Lived Experience of Difficult Times for Young Adult Street Homeless - Application of Parse's Human Becoming Research Method - (청년기에 시작된 거리노숙인의 힘겨운 시기에 대한 체험 - Parse의 인간되어감 연구방법을 적용하여 -)

  • Kim, Hyun-Kyoung;Kim, Ok-Ja
    • Korean Journal of Social Welfare
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    • v.63 no.2
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    • pp.31-56
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    • 2011
  • This study was done to identify experience of young adults street homeless aged 20-30s by knowing meaning and structure of empirical phenomena for procedure that how young adults became street homeless according to bio-psycho-social change. Five young adults street homeless were recruited who were on the air of SBS program, 'That why we want to know: young hope on the road-Young adults homeless are increased(Saturday July 26, 2008)', and from monthly magazine published by Homeless Center in Seoul. And phenomenological and heuristic Human Becoming Research Methodology of Parse was applied in this study. Although young adults street homeless made an opportunity for job, the working poor made him street homeless who suffer from social stigma and exclusion, but he struggled for self-support with social care. The quality of life for young adult street homeless depends on the social care under human rights with the bio-psycho-social aspects.

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A Systematic Review of the Variables Related to Post-Traumatic Stress Disorder in Firefighters (소방공무원의 외상 후 스트레스 장애 관련변인에 관한 체계적 문헌고찰)

  • Kang, Min-Ju;Kim, Young-Hwa;Han, Seung-Woo
    • Fire Science and Engineering
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    • v.33 no.2
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    • pp.164-172
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    • 2019
  • This study examined the Post-Traumatic Stress Disorder (PTSD)-related variables of firefighters through a systematic literature review. Electronic databases were searched, including RISS, National Assembly Library, NDSL, KmBase. The search terms were PTSD, Post-Traumatic Stress, Post-Traumatic Stress Disorder and Firefighter. Eleven studies from 146 references screened were included. All studies were non-experimental and correlational analyses. The positive correlation factors were age, duration of work, traumatic events, frequency of mobilization, number and strength of traumatic events experienced, work burden, coping method, D-type personality, depression, and anger rumination. The negative correlation factors were resilience, social support, self-esteem. To improve the mental health of firefighters in the future, professional intervention programs should be constructed to improve resilience, social support, and self-esteem, which are protective factors of PTSD.

Factors Influencing to the Caregiving Satisfaction of Mothers of a Person with Mental Disorder (정신장애인을 돌보는 어머니의 돌봄만족감에 영향을 미치는 요인 연구)

  • Kim, Yoen-Soo
    • Korean Journal of Social Welfare
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    • v.58 no.3
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    • pp.371-398
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    • 2006
  • The purpose of this study is to investigate the level of mother's caregiving satisfaction of a person with mental disorder and factors influencing to it as a positive aspect of caregiving experience. A survey conducted upon 231 mothers who live together with their adult-children with mental disorder through community mental health centers, social rehabilitation facilities and day hospitals. Collected data were analysed by t-test, Oneway-ANOVA, hierachical multiple regression analysis, and so on. The results are as follows: 1) The mean of mother's caregiving satisfaction is 3.06 in 5 point scale. Among the total items of the caregiving satisfaction scale, the means of the items 'finding strength through caregiving' and 'personal growth through caregiving' are higher than any others. 2) In the final regression model, statistically significant factors influencing to the caregiving satisfaction are 'the relationship quality between mothers and the mentally disordered', 'perceived social support from family, significant others, and friends', 'marital status of mothers', and 'family income'. Better relationship quality between mothers and the adult children with mental disorder and higher social support from family, significant others, and friends explained higher caregiving satisfaction of mothers. The level of a widow or divorced mother's caregiving satisfaction is higher than married one. The less family income affected to higher caregiving satisfaction. Variables related to mental disorder of adult-children, such as social function, years of mental disorder and frequency of hospitalization were not statistically significant influencing factors to mother's caregiving satisfaction. Through this research, the implications of social work practice were suggested in many ways.

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