• Title/Summary/Keyword: 정신 장애인

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Factor Structure of the Korean-Child Behavior Checklist 1.5-5 Dysregulation Profile in Infants and Toddlers With Mental Disorders and the Difference Among Mental Disorders (정신장애 영유아에 대한 K-CBCL 1.5-5 (Korean-Child Behavior Checklist 1.5-5) 조절곤란 프로파일의 요인구조와 정신장애 간 차이검증)

  • Kyung, Hye Min;Ha, Eun Hye
    • Therapeutic Science for Rehabilitation
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    • v.12 no.1
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    • pp.37-49
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    • 2023
  • Object : This study aimed to identify the factor structure of Korean-Child Behavior Checklist 1.5-5 Dysregulation Profile (K-CBCL 1.5-5 DP) in infants and toddlers with mental disorders and verify differences in K-CBCL 1.5-5 DP among the diagnosis groups. Methods : The participants were 265 mothers of infants and toddlers with mental disorders who completed K-CBCL 1.5-5 DP. The data was analyzed using AMOS 25.0 and SPSS 25.0. Results : First, the bifactor model was the most suitable for the factor structure of the K-CBCL 1.5-5 DP. Second, there were significant differences among the diagnosis groups, such as communication disorders, pervasive developmental disorders, emotional disorders, and developmental delays. It was confirmed that the pervasive developmental disorder and emotional disorder groups showed significantly higher dysregulation compared with the communication disorder group. Conclusion : This study confirmed that infants and toddlers had dysregulation problems. Using the bifactor model, the multidimensional nature of the K-CBCL 1.5-5 DP was assessed. It was also meaningful that dysregulation could contribute to onset and deepening of symptoms of pervasive developmental disorders and emotional disorders in infancy.

Estimation of risks for social exclusion in persons with psychosocial disabilities : a comparison between persons with psychosocial disabilities and those with other types of disabilities (정신장애인의 사회적 배제에 대한 위험 추정 : 타 장애집단과의 비교)

  • Park, Ji Hye;Lee, Sun Hae
    • Korean Journal of Social Welfare Studies
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    • v.47 no.4
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    • pp.361-388
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    • 2016
  • The purpose of the study was to conduct an empirical study on the scope and level of social exclusion experienced by persons with psychosocial disabilities. The Wave 6 data of the Panel Survey of Employment for the Disabled were used to investigate the current status of social exclusion in life areas including income, education, work, housing, health, social network, social participation, and discrimination (N=4,161). A series of logistic regressions were executed, with the psychosocial disability(PD) group being the reference; the reverse odds rations of different disability groups were compared against the PD reference group (OR=1). The results showed that compared with all others, the PD group was about 2 to 11 times more likely to have risks in income, work, and housing; and that compared to other groups except for the autism/developmental disability group, they were about 6 to 10 times more likely to have risks in social network, social participation and discrimination. In conclusion, the authors urged the need for legal mandates to have community based mental health services and welfare services for the disabled more available to the PD groups and the necessity to eliminate various discriminatory legislations that are violating human and social rights of the persons with PDs.

Analysis of workers's perception for vocational rehabilitation of the mentally disabled

  • Park, Jeong-Hwa
    • Journal of the Korea Society of Computer and Information
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    • v.25 no.12
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    • pp.253-259
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    • 2020
  • In this paper, we propose to confirm the perceptions of vocational rehabilitation of the mentally disabled by mental health service providers. The survey was conducted using a questionnaire consisting of vocational ability for the mentally disabled, family support, worker competence, and worker needs, targeting 132 workers at the mental health welfare center and mental rehabilitation facility, which are mental health service institutions in A Metropolitan City. The collected data were analyzed using the technical knowledge, t-test, ANOVA, Scheff? test, Pearson's correlation coefficient, and multiple regression using the SPSS 21.0 program. In the end, the workers' desire for vocational rehabilitation for the mentally disabled of workers in mental health service institutions was higher in mental rehabilitation facilities than in mental health welfare centers, and the competence of workers had a significant effect on the vocational skills and family support of the mentally disabled people. Therefore, it will be possible to ultimately promote vocational rehabilitation for the mentally disabled by strengthening the capacity for vocational rehabilitation for the mentally handicapped of mental health service providers in the future.

The Effects of Recovery Oriented Practices on Psychiatric Symptoms of People with Mental Disorder (회복지향실천이 정신장애인의 정신과적 증상에 미치는 영향)

  • Lee, In-Jeong;Kim, Mi-Young
    • Journal of Digital Convergence
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    • v.16 no.11
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    • pp.605-611
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    • 2018
  • This study examines the effects of recovery-oriented practices on psychiatric symptoms of people with mental disorder and further explores the impact of recovery-oriented practices in each subcategories on psychiatric symptoms, thereby demonstrating the intent of restoring the community mental health rehabilitation center. For this, a survey was conducted on 378 people with mental disorder who used community mental health rehabilitation center and correlation and hierarchical regression analysis were conducted. The study found that among the five subcategories of recovery, including age and duration of illness, 'Life Goal,' 'Involvement,' and 'diversity of treatment options' alleviate symptoms of people with mental disorder. Based on these findings, community mental health rehabilitation center has presented the combined significance of psychiatry and social welfare programs to facilitate the recovery of the mentally handicapped by reflecting the value and factors of recovery-oriented practice.

Perception of Mental Health Recovery of Mentally Disordered Offenders Hospitalized at the National Forensic Psychiatric Hospital : Contents Analysis (국립법무병원에 입원 중인 정신장애 범죄자의 정신 건강 회복에 대한 인식: 내용 분석)

  • Moonhee Gang;Donghyeon Gwak
    • Journal of Industrial Convergence
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    • v.21 no.3
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    • pp.83-97
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    • 2023
  • The purpose of this study was to identify perception of mental health recovery of mentally disordered offenders hospitalized at the national forensic psychiatric hospital. The participants were 91 mentally disordered offenders hospitalized at the national forensic psychiatric hospital in C province. The participants were provided with a written questionnaire about mental health recovery so that they could freely describe it, and collected data were analyzed by two researchers according to Krippendorff's content analysis method. As a result, meaning of mental health recovery were derived from 4 categories and 17 themes, and four categories were 'liberate from psychiatric symptoms', 'stable daily and social life is possible', 'living a hopeful and meaningful life' and 'life without crime after discharge'. mental health recovery facilitators and barriers were derived from 4 categories and 14 themes, 'treatment factors', 'personal factors', 'interpersonal factors' and 'environmental factors'. The results of this study can be used as basic data for education and intervention development for mental health recovery of mentally disordered offenders at the national forensic psychiatric hospital.

A Relation between Clinical Characteristics of Cancer Patients on Radiotherapy and Psychiatric Disorders (방사선 치료중인 암환자의 임상적 특징과 정신과 장애의 관련성)

  • Kim, Ho-Chan;Moon, Chang-Woo;Park, Si-Sung
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.1
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    • pp.134-141
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    • 1999
  • Objects : Cancer patients receiving radiotherapy have many psychological problems. Those problems depend on clinical factors of cancer and the characteristics of patients. This study was designed to estimate the morbidity of psychiatric disorder and to investigate the relationship between psychiatric disorders and clinical variables. Methods : The subjects were 47 patients who had been treated by radiotherapy. Psychiatric disorder was diagnosed according to DSM-IV. The authors assessed the relation between psychiatric disorder and demographic features, clinical features of cancer such as site, duration, frequency of recurrence of cancer, and patients' awareness of disease and expectation of outcome of radiotherapy. Results : 21 patients(44.7%) had a psychiatric disorder. The most common psychiatric disorder were adjustment disorder(66.7%), and the next major depressive disorder(23.8%). There was a significant positive relationship between psychiatric disorder and recurrence of cancer, patients' expectation of poor outcome after radiotherapy. Psychiatric morbidity was significantly low in those who had no evidence of recurrence and who considered radiation treatment as curative. However, site and duration of cancer, patients' awareness about serious illness were not related with psychiatric disorder. Conclusion : Psychiatric disorders are common among cancer patients on radiotherapy. Further clinical attention and effective treatment of psychiatric complication in cancer patients are needed not only for reducing symptoms but for better adjustment.

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Meaning of Work for Individuals with Mental Illness - Focused on Cultural Differences Between Asians and white Americans - (정신장애인의 직업의 의미 - 아시아인과 미국인의 문화적 차이를 중심으로 -)

  • Kim, Min;Millner, Uma
    • Korean Journal of Social Welfare
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    • v.67 no.4
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    • pp.227-249
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    • 2015
  • The purpose of this study was to explore the meaning of work between Asian Americans and white Americans living with mental illness. Employment is important for recovery of Asian Americans with mental illness. However, little is known about reasons of low participation and completion rates on recovery and employment services for Asian Americans with mental illness. Although few studies have suggested that exploring cultural difference is a key to understand these issues, no study have explored how their culture influences a viewpoint on work. Therefore, a study to explore the meaning of work and influences of culture on work is required. This study used both quantitative and qualitative methods. An Internet version of world of work survey was developed based on results of study by Millner(2015) and cognitive interview. The survey was conducted from May to August 2015 and 91 people living with mental illness completed the survey. T-test was used for analyzing qualitative data and researchers analyzed qualitative data. Asian Americans showed higher preference for employment and have more difficulty at workplace and in receiving recovery and vocational services. The findings from this study can inform the development of recovery-oriented employment for people living with mental illness from diverse ethnic groups.

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Effects of Mental health clinical practice on the attitude toward the mental illness, social distance, psychiatry nurses' image of Nursing Students (정신간호학 실습이 간호대학생의 정신 장애인에 대한 태도, 사회적 거리감, 정신간호사 이미지에 미치는 영향)

  • Cho, Young-Hee
    • Journal of the Korea Convergence Society
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    • v.9 no.11
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    • pp.371-378
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    • 2018
  • The purpose of this study was to identify the effects of mental clinical practice on attitude toward the mental illness, social distance, psychiatry nurses' image in nursing students. After experiencing mental health clinical practices, social distance(t=-4,29, p<.001), psychiatry nurses' image.(t=-5.89, p<.001) are increased, but their attitude toward the mental illness (t=-1.02, p=.305) is not changed. Significant positive correlation were found between social distance and attitude toward the mental illness(r=.316, p<.001), psychiatry nurses' image(r=.378, p<.001). Based on the outcome of this study, implications for developing further psychiatry nursing teaching curriculum and psychiatry clinical practice program of nursing students.

Employment Needs of People with Mental Disabilities - Centering on Economic Status and Occupational Ability Variables (정신적 장애인의 경제수준, 직업능력 및 취업욕구관련 분석)

  • Lee, Hyun-Kyung;Park, Hyo-Eun;Choi, Mankyu
    • The Journal of the Korea Contents Association
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    • v.13 no.7
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    • pp.265-277
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    • 2013
  • The study aimed to figure factors affecting employment needs of people with mental disabilities as the employment needs may differ according to income and occupational ability among people with mental disabilities who are classified economically inactive population. Study subjects included 298 economically inactive populations among registered people with mental disability. And the data from 2008-2010 Panel Data of Employment of Person with Disability were analyzed with logistic regression analysis. The result of the study is as follows. It has been found that interested in vocational education of mentally disabled when the graduated from junior high school, the types of intellectual disability, hope education participation rate was high. And then, Mental disabilities with employment needs, male, head of household, when the graduated from junior high school, when ability to increase physical activity and mental disabilities type of autism spectrum disorder when employment desires were. Based on these results, to increase the economic participation of people with mental disabilities, provide vocational rehabilitation services that reflect the needs of people with mental disabilities and employer-driven professional activity is proposed.

Judgment on the Criminal Responsibility of Perpetrators with Mental Disorders and Their Mental Examination (정신장애 범죄인의 책임능력 판단과 정신감정)

  • Choi, Min-Young
    • The Korean Society of Law and Medicine
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    • v.20 no.2
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    • pp.83-107
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    • 2019
  • This article focuses on §10 of Criminal Act of the Republic of Korea to discuss how to determine criminal responsibility of a perpetrator suffering from mental disorders, while reviewing existing process and standards of mental examination at each stage of the criminal procedure as well as exploring suggestions regarding how they should be complied. The determination of the sanity or criminal responsibility of the mentally ill as defined in the §10 of Criminal Act, by its nature, cannot be approached with a traditional, clear-cut dichotomy of biology by medical practitioner and psychology·normative science by lawyer. Looking into the actual procedure of determining mental and physical disorder with special consideration of mental illness reveals the inevitability of collaboration between lawyers and psychiatrists. In the meantime, the process and standards of mental examination at each stage of the criminal procedure must be definitive and clear. First of all, during the investigation stage, examination prior to prosecution should be more actively encouraged, considering that judging sanity of the perpetrator at the time of committing a criminal act is important. During the trial stage, the mandatory examination must be conducted depending on the sensitivity and gravity of the case. Next, medical examination to determine criminal responsibility and the one to order treatment and custody must be separately conducted in order to properly execute medical treatment and custody. Obligatory mental examination could be considered both during the stage of request for and execution of the treatment and custody. Lastly, the procedure of examination and format of examination documents need to be standardized for better objectivity and reliability.