• Journal of Convergence for Information Technology
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• v.9 no.5
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• pp.228-235
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• 2019

The purpose of this study is to explore the experiences and challenges of public guardianship services project for the mental disabled as a system of supporting the decision-making and the rights advocacy. For this purpose, interviews with 11 social workers who act as public guardians were conducted and a model of practice was suggested through analysis using the grounded theory of Strauss and Corbin(1998). As a results, the possibility of rights advocacy through public guardian services for the mentally disabled, the positive change of attitude of the facilities and the establishment of direction for the restoration of rights for the mentally disabled were derived. Public guardians experienced excessive empowerment of their guardians or difficulties in the process of their duties, but were also able to defend the rights of the mental disabled and support self-determination right. Through this study, expansion of budgets and expansion of beneficiaries for public guardianship services, establishment of infrastructure for integration in the community, set-up a support organization for public guardian services and Raising awareness of the mental disabled and public guardian services were suggested.

• Korean Journal of Psychosomatic Medicine
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• v.30 no.1
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• pp.22-29
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• 2022

Objectives : In this study, we evaluate psychological stress, symptoms of anxiety and depressed mood and resilience which medical residents and interns perceived during COVID-19 event, then investigate the associations between stress and the symptoms and mediating effect of resilience on the associations. Methods : In this study, we made a self-reporting form to evaluate psychological stress with perceived stress scale (PSS), symptoms of anxiety and depressed mood with Hospital anxiety and depression scale (HAD), and resilience with Conner-Davidson Resilience Scale (CD-RISC). Medical residents and interns, who worked in a hospital during COVID-19 event, filled the self-reporting forms from july, 2020 to august, 2020. We conducted a Pearson correlation coefficient and a multiple regression to confirm association between psychological stress and symptoms of anxiety and depressed mood, then mediating effect of resilience. Results : The higher stress perceived, the more symptoms of anxiety and depressed mood were reported by medical residents and interns. The higher resilience is associated with lower stress and less symptoms of anxiety and depressed mood, which resilience is proven to mediate partially the association between stress and symptoms of depressed mood. Conclusions : This study shows that resilience has a partial mediating effects on the association between stress and psychological pathology especially depressed mood, given that medical residents and interns were under psychological distress during COVID-19 event. This suggests that resilience is the key for medical trainees to overcome the future crisis like COVID-19 event.

• 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.

• Korean Journal of Culture and Social Issue
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• v.16 no.3
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• pp.241-265
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• 2010

This study reviewed the present state and differences of rehabilitation programs of the gambling addiction by comparing with other psychiatric disorder(including psychotic disability and alcohol addiction). This study also intended to suggest necessities, meanings and inherent fields of the rehabilitation in gambling addiction. First of all, the government and a few gambling industries run clinic centers for gamblers and their families, but have been lacked rehabilitation services for social comeback and adaptation or devaluated rehabilitation services than therapies. Gambling addict didn't have impairments of the cognitive function and their daily abilities was better than any other psychiatric disorders. But Damage of social role or function of gambling addiction was severe. And it is caused by nonadaptive nature of gambling behavior, personality/emotional change through gambling addiction process, and previous personality problem etc. There are many severe failure of social role and its attendant bankrupcy, family's problems and social poverty in gambling addiction, Therefore, important fields in the rehabilitation of gambling addiction should be services for basic social comeback support service, credit recovery support, monetary management, support of rehabilitation of family and vocational rehabilitation. Finally, the significance and critical points of the current study has been discussed as well.

• Sleep Medicine and Psychophysiology
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• v.8 no.1
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• pp.52-58
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• 2001

Objectives: An Increased level of psychophysiologic arousal and diminished physiologic flexibility would be observed in patients with panic disorder compared with a normal control group. We investigated the differences of psychophysiologic response between patients with panic disorder and normal control to examine this hypothesis. Methods: Ten Korean patients with panic disorder who met the diagnostic criteria of DSM-IV were compared with 10 normal healthy subjects. In psychological assessment, levels of anxiety and depression were evaluated by State-Trait Anxiety Inventory, Beck's Depression Inventory and Hamilton Rating Scale For Anxiety and Depression. Heart rate, respiration rate, electrodermal response, and electromyographic activity were measured by biofeedback system (J & J I-330 model) to determine psychophysiologic responses on autonomic nervous system. Stressful tasks included mental arithmetic, video game, hyperventilation, and talking about a stressful event. Psychophysiologic responses were measured according to the following procedures : baseline(3 min)-mental arithmetic (3 min)-rest (3 min)-video game (3 min)-rest (3 min)-hyperventilation (3 min)-rest (3 min)-talking about a stressful event (3 min). Results: The baseline level of anxiety and depression, electrodermal response (p=.017), electromyographic activity (p=.047) and heart rate (p=.049) of patients with panic disorder were significantly higher than those of the normal subject group. In electrodermal response, patient group had significantly higher startle response than the control group during hyperventilation (p=.001). Startle and recovery responses of heart rate in the patient group were significantly lower than responses in the control group during mental arithmetic (p=.007, p=.002). In electrodermal response of the patient group, startle response was significantly higher than recovery response during mental arithmetic (p=.000) and video game task (p=.021). Recovery response was significantly higher than startle response in respiratory response during hyperventilation. Conclusion: The results showed that patients with panic disorder had higher autonomic arousal than the control group, but the physiologic flexibility was variable. We suggest that it is helpful for treatment of panic disorder to decrease the level of autonomic arousal and to recover the physiologic flexibility in certain stressful event.

• Research in Community and Public Health Nursing
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• v.30 no.1
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• pp.69-78
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• 2019

Purpose: This study tries to test mediating effects of hope and therapeutic relationship in the relation between general social functions and mental health recovery of community people with mental illness. Methods: This study was carried out in a cross-sectional research design. The participants included 217 people with mental illnesses who were enrolled at eight Mental Health Welfare Centers in the Gyeonggi Province. Data were collected from February to May, 2018. The collected data were analyzed using a regression analysis, and SPSS PROCESS macro was used to test the mediating effects. Results: This study analyzed the direct effects of general social functions on the hope, therapeutic relationship and mental health recovery. And general social functions had indirect effects on their mental health recovery via hope and therapeutic relationship. Both hope and therapeutic relationship had dual mediating effects in the influence of general social functions on mental health recovery. Conclusion: The role of hope and therapeutic relationship in the mental health recovery of community people with mental illness is important, and it is confirmed that hope is a powerful factor influencing mental health recovery.

• Korean Journal of Social Welfare
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• v.58 no.2
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• pp.33-56
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• 2006

Primary care takers, especially older parents, who live with and care for an adult child with mental illness struggle with the dilemma of who will provide for their child's social and emotional needs and physical care requirements when they can no longer care so. Therefore, 'Permanency plan(financial, residential, legal plan)' is very important for social integration and normalization of mental illness adults. This study aims to introduce the mental health systems in New Zealand and to investigate the permanency plan strategies(benefit, supplements, and the laws) of the government and community support services of NGOs through the interviews with team leaders of representative NGO, Te Korowai Aroha. Permanency plan strategies of New Zealand Government and NGOs are as follows. 1) Financial plans for adults with mental illness include main benefit(invalid benefit), various allowances(family allowance and disability allowance), and wage subsidies for employment. 2) The Government provide accommodation supplement and re-establishment grant for residential plan. And NGOs have supported accommodation program to provide support and accommodation that are important for social integration. 3) Adult mental illness is provided the support of welfare guardian and property manager under the Protection of Personal and Property Rights Act. According the results, this study concluded that social services for the mental illness which secure supported accommodation and benefits is strongly needed. At the same time, mental health delivery system is needed to make distinction between social services and clinical services.

• Korean Journal of Social Welfare
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• v.66 no.4
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• pp.281-306
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• 2014

This paper explores the how the disability type, severeness and economic activeness affects marital satisfaction, and seeks to improve marital satisfaction among disabled by clarifying mediating effects of discriminatory experiences in everyday experiences. This research was done with 3,463 married disabled who were prone to everyday discrimination, among whom were enrolled in research database of Employment Development Institute of Korea Employment Promotion Agency for the Disabled. The research showed positive effects between marital satisfaction and everyday discriminatory experience except for unemployed people and severe among all the disabled type (external disability, sensory disability, mental disability, internal disability), disability severeness (severe and light), and economic activeness (paid workers, self-employed, home-worker, unemployed, not economically active). Also, relationship between disability type, severeness, economical activeness and marital satisfaction was partly mediated through everyday discriminatory experiences. Therefore, active movements to reduce everyday discrimination are strongly advised.

• Korean Journal of Social Welfare
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• v.68 no.3
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• pp.127-147
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• 2016

The purpose of this study was to examine the impact of 10-year psychosocial rehabilitation services provided by a psychosocial rehabilitation center on the quality of life for the mentally ill. The data were collected from a psychosocial rehabilitation center located in Daegu metropolitan area using a quasi-experimental study design. The experimental group consisted of 23 mentally ill subjects and the comparison group consisted of 23 mentally ill subjects that did not use the mental health services voluntarily. The quality of life were measured at baseline and every year over 10-year period. The collected data were analyzed using Hierarchical Linear Modeling(HLM). The findings of this study were as follows: First, it was found that the psychosocial rehabilitation services were effective increasing experimental group's quality of life outcomes. Second, the analyses indicated that the psychosocial rehabilitation services' effectiveness could be maintained at least 10 years indicating that the services had a long-term positive impact on the mentally ill. Third, it was revealed that the experimental group's quality of life outcomes improved over time showing a curvelinear shape rather than showing a linear pattern. The psychosocial rehabilitation services provided by a psychosocial rehabilitation center were positively affected the quality of life as well as maintained at least 10 years for the mentally ill. Finally, the implications and limitations of these findings were discussed.

• Journal of Convergence for Information Technology
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• v.11 no.5
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• pp.158-167
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• 2021

This work aims to explore personal coping and insight experience in mental disorder symptoms from the perspective of the parties in order to lay an empirical basis for the transition of the mental health service paradigm from a medical model to a human rights model. For this purpose, in-depth interviews with 8 persons with mental disorders were conducted and a model of practice was suggested through analysis using the grounded theory. As a result, 11 categories, 23 sub-categories and 132 concepts were identified. According to the analysis of this study, people with mental disorders have changed their perspective on symptoms through in-depth insight into their identities and symptoms as mental disorders, and discovered their own autonomous ways to cope with symptoms, managing their daily lives. Therefore, in developing a Korean alternative model for people with mental disorders, it is necessary to prepare conditions to find their own countermeasures through opportunities for insight.