• Title/Summary/Keyword: 정신 장애인

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A Research on Value Structure on Use Behavior about Social Service of the Mentally ill elderly (노인정신장애인의 사회복지서비스 이용행위의 가치 사슬 구조 연구)

  • Kim, Sun-Joo;Kwon, Sunae;Bak, Mi-Ok
    • The Journal of the Korea Contents Association
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    • v.16 no.3
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    • pp.667-675
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    • 2016
  • The aim of this study is to predict use behavior for social welfare service of the elderly mentally ill through means-end chain theory. Means-end chain theory explains cognitive structure related to the consumer's preference to various products and services. Although the elderly mentally ill begin to emerge as new client population, social welfare services for them do not seem to be enough in the community. Based on this awareness, this study tried to analyse service use behavior of the elderly mentally ill through means-end chain theory to develop new social welfare services. The data were collected from 15 elderly mentally ill and found 5 attributes, 10 consequences, and 11 values. Hierarchical Value Map was composed of 'disease management, rehabilitation preparation, hobby leisure ${\rightarrow}$ health maintenance, energy of life ${\rightarrow}$ social reintegration, life satisfaction, harmonious family life'. To activate the social service for the elderly mentally ill, it should be developed various programs such as disease management, rehabilitation preparation, hobby leisure for the elderly mentally ill. The ultimate value of these programs will be improve life satisfaction and integrated into society.

COMPARISON OF CARIES EXPERIENCE BETWEEN THE MENIALLY RETARDED AND THE NORMAL (정신지체장애인과 정상인의 우식경험도 비교 조사 연구)

  • Maeng, Jun-Nam;Lee, Kwang-Hee;Kim, Dae-Eop;Bae, Sang-Man
    • Journal of the korean academy of Pediatric Dentistry
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    • v.27 no.2
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    • pp.202-207
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    • 2000
  • The purpose of study was to compare the caries experience between the mentally retarded(MR) and the normal(N) children and adolescents and to survey the dental visit frequency. preventive dental care, and tooth-brushing behavior of the mentally retarded. Two hundred and fifty MR and two hundred and ten N subjects were selected for the study. 1. The number of teeth which had experienced caries was 3.28 in MR and 4.66 in N. The number of decayed teeth was 2.24 in MR and 1.50 in N. The number of filled teeth was 0.71 in MR and 3.06 in N Filled teeth rate was 19.78% in MR and 58.89% in N The differences between MR and N were all significant(P<0.01). 2. Dental visit frequency of MR was 1.15 per year, and the 51.2% of MR did not visit the dental clinic for the last one year. 38.0% of MR had received the preventive dental care. 3. Toothbrushing frequency per day was 2.16 and the toothbrushing time for 78.3% of MR was less than two minutes. 51.2% of MR brushed their teeth by themselves, 13.3% did with the help of the carers, and 35.5% totally depended on the carers. In conclusion, MR experienced less dental caries than N, had more untreated caries than N, and had need for regular preventive dental care.

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Factors Effected on Program Needs of the Elderly People with Mental Illness -Focused on the Nursing Home in Busan- (노인정신장애인의 프로그램 욕구에 미치는 영향 요인 -부산지역 정신요양원을 중심으로-)

  • Kim, Sun-Joo
    • The Journal of the Korea Contents Association
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    • v.8 no.10
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    • pp.198-207
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    • 2008
  • The purpose of this study supplies the basic data to plan the optimum mental health service that is reflected needs of the elderly people with mental illness by checking how their demographic-sociological distinctive feature and function level have an effect on their needs of mental health service by being absent situation of a study of the elderly people with mental illness. As results of analysis, the residental type, the disease period, and the decision person of admission-discharge control of demographic-sociological distinctive feature is much effect on needs of programs and also effect commonly on the needs of the health promotion program and the discharge support program. Generally, the function level of the elderly people with mental illness is favorable and the order of function level is the group activity program, the counseling program, and the resource network program.

Difference of Somatic Symptoms between Anxiety Disorder and Major Depressive Disorder and Their Domainal Association with Suicidal Idealization, Plan and Attempts (불안 장애와 주요우울장애에서 나타나는 신체 증상과 증상군에 따른 자살 사고, 계획, 행동과의 관계 고찰)

  • Ahn, Jun Seok;Kim, Eun young;Cho, Maeng Je;Hong, Jin Pyo;Hahm, Bong-Jin;Chung, In-Won;Ahn, Joon-Ho;Jeon, Hong Jin;Seong, Su Jeong;Lee, Dong-Woo
    • Korean Journal of Psychosomatic Medicine
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    • v.24 no.2
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    • pp.174-183
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    • 2016
  • Objectives : The aim of this study is to evaluate difference of somatic symptoms of anxiety disorder and major depressive disorder and domainal association with suicidal idealization, plan, and attempts. Methods : A total of 359 adults diagnosed with major depressive disorder and anxiety disorder of last one year participated. Participants interviewed with certain sections of Korean version of Composite International Diagnostic interview of CIDI. Sections of interests includes questionnaires regarding somatic symptoms and suicidal idea, plan and attempts of last one year. Results : Chest pain shows more prevalence in major depressive disorder. Symptoms of Headache and loose stool are more prevalent in anxiety disorder. Difficulty in equilibrium and fainting spells are more common somatic complaints of co-diagnosis states of anxiety disorder and major depressive disorder. Comparing 3 domains of pain symptoms, gastrointestinal symptoms and pseudo-neurological symptoms, pain symptom domains, gastrointestinal symptoms domain shows significant statistic difference between diagnosis. Average somatic symptom numbers of each symptom domains increase through suicidal idealization, plan and attempt, accordingly. Conclusions : Our finding shows some of somatic symptoms are more prevalent at certain diagnosis. Since increasing numbers of somatic complaints of each symptom domains goes with the suicidal idealization to suicidal attempts, proper psychiatric evaluation and consultations are crucial for patients with numerous somatic complaints in non-psychiatric clinical settings.

Ten-year Longitudinal Examination of the Effects of Psychosocial Rehabilitation Services on the Quality of Life for the Mentally Ill (정신사회재활서비스가 정신장애인의 삶의 질에 미치는 효과의 10년간 종단적 검증)

  • Bae, Sung Woo;Park, Byung Sun;Kim, Yi Young
    • 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.

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장애인 창업자의 기회인식이 창업의지에 미치는 영향에 관한 연구: 기업가정신의 매개효과를 중심으로

  • O, Yeong-Geun;Kim, Jong-Seong
    • 한국벤처창업학회:학술대회논문집
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    • 2020.06a
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    • pp.135-139
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    • 2020
  • 2019년 장애인경제활동실태조사에 따르면 장애인의 고용률은 35%, 실업률은 6.6%로 우리나라 전체 경제 활동 인구의 고용률 61.5%, 실업률 4.4%와 비교할 때 매우 낮은 수준을 보여주고 있다. 상대적으로 저조한 장애인의 취업 및 고용 상황을 개선하기 위하여 정부 주요 부처에서 활발한 노력을 하고 있으나, 장애인의 고용환경은 여전히 열악하여 장애인의 낮은 경제활동 참가율, 직종 선택의 제한, 지원 고용에 비해 낮은 일반고용률, 비정규직 치중 등 열악한 고용 형태의 질적 개선 등 장애인고용에 대한 정책적 지원이 더 개선되고 발전되어야 함을 내포하고 있다. 그에 따른 대안으로 장애인 창업이 주목을 받고 있다. 그러나 창업은 비장애인조차도 성공하기가 어렵고 실패할 확률이 높다. 장애인 창업의 경우 장애라는 특성으로 인해 실패할 경우 재기하기 어려운 상황에 처해질 가능성이 비장애인보다 높다. 따라서 장애인 창업의 특성을 고려하여 성공 창업 요소를 파악할 필요가 있으며, 그에 영향을 미치는 요인들에 관한 연구는 시급한 상황이다. 본 연구의 목적은 비장애인들을 대상으로 이루어진 기회 인식, 창업 의도, 기업가정신에 관한 선행 연구의 연구 결과를 바탕으로 장애인 창업자의 창업의지에 미치는 영향요인을 규명해 보고자 한다. 특히 장애인 창업자의 기회인식과 창업의지 사이에서 기업가 정신(혁신성, 위험 감수성, 진취성)의 매개효과를 검증하며, 이 과정에서 창업자의 창업 의도를 고취시킬 수 방안에 관해 논의해 보고자 한다.

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Development and Validation Study of the Korean Version of Working Relationship Scale (한국형 실천관계 척도 정신장애인 용 개발 연구)

  • Kwon, Jayoung
    • Korean Journal of Social Welfare
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    • v.65 no.3
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    • pp.239-263
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    • 2013
  • This research was carried out in order to develop and validate the Korean Version of Working Relationship Scale for Mentally Disabled Persons, which measures the working relationship between a mentally disabled person and his or her case manager. The first step taken to develop this scale was to construct sample items for the Working Relationship Scale using literature research and three focus group interviews of mentally disabled persons who use local mental health services. Secondly, mentally disabled people were surveyed with these sample items and two professors from the department of social work who specialize in mental health social work and two licensed mental health social workers working in the community mental health field reviewed these sample items to select and compile a final version of the scale. Lastly, the scale's reliability and validity was verified through an empirical study of 569 mentally disabled persons who surveyed the final selection of items. An explanatory factor analysis showed that the sample items can be grouped into three factors. Factor 1 is 'Professional Contribution Factor,' which is related to the professional practice of the case manager; Factor 2 is 'Negative Working Relationship Factor'; and Factor 3 is 'Emotional Bond Factor,' which measures the intimacy between the case manager and the mentally disabled person. A confirmatory analysis of the three-factor format that was discovered in the explanatory factor analysis was carried out with the rest of the randomly divided data, which showed that the model demonstrated a goodness-of-fit. The convergence validity between similar concepts appeared to be appropriate as well. Based on these results, the Korean Version of Working Relationship Scale for Mentally Disabled Persons consisting of a final 33 items is developed and proposed and its implications in social work are discussed.

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A Case of Atrophy of Bilateral Frontal lobe Which Showed Negative Symptoms of Schizophrenia (정신분열증의 음성증상소견을 보인 양측 전두엽 위축환자 1례)

  • Rho, Tae-Yong;Kim, Jin-Sung
    • Journal of Yeungnam Medical Science
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    • v.10 no.2
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    • pp.544-549
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    • 1993
  • The authors have experienced a case of organic mental disorder with bilateral frontal lobe atrophy in a 36-year-old man. He showed negative symptoms of schizophrenia such as anhedonia, social withdrawal, flat affect, poverty of thought.

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Premenstrual Dysphoric Disorder : A Clinical Review (월경전 불쾌기분 장애에 대한 임상적 고찰)

  • Hwang, Gul
    • Korean Journal of Psychosomatic Medicine
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    • v.15 no.1
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    • pp.14-21
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    • 2007
  • Premenstural dysphoric disorder(PMDD) imposing 4-5% of women is possibly caused by an enhanced responsiveness to the changes of sex steroid hormones and the decrease of serotonin, melatonin and GABA. The common clinical features between PMDD and depression, seasonal affective disorder, panic disorder and anorexia nervosa suggest a relatedness between PMDD and each of them. The diagnostic criteria of DSM-IV-Tr for PMDD requires psychological symptoms, that commonly include irritability, anger, depression, mood swing, affect lability, tension, anxiety, fatigue and food craving. As of today, the best pharmacological treatment for PMDD is the selective serotonin reuptake inhibiter, and leuprolide, danazol, estradiol, spironolactone and bromocriptine are possible alternatives. Nonpharmacological treatments for patients with mild to moderate symptom severity are diet, exercise, light therapy, psychotherapy and keeping a diary.

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