Purpose: The study was performed to identify factors influencing suicidal ideation in patients with chronic mental health problems and who live in the community. Methods: Data were collected using questionnaires and participants were 140 people with mental illness living in Y-si, Gyeonggi-do. The study was carried out from May 15 to September 30, 2014. Data were analyzed using descriptive statistics, Pearson Correlation Coefficients, and Logistic Regression with the SPSS/WIN 18.0 statistical program. Results: The number of persons who attempted suicide was 47(33.6%) and the number who had suicide ideation was 22(15.7%). The mean score for depression was $6.4{\pm}6.45$. The mean score for life satisfaction was $16.5{\pm}8.21$. Depression had a significant negative correlation with life satisfaction. Odds ratio of suicide ideation was 1.19. The significant factor influencing suicidal ideation was depression. Conclusion: The results of this study can be used in the development and practice of programs to decrease suicide in people with mental illness.
This systematic review aimed to evaluate the effects of wet cupping on the treatment of mental illness. A total of 2,670 studies were retrieved using PubMed, Cochrane Library, Web of Science, Google Scholar, and Science Direct databases, and of these, 2,661 were excluded due to not meeting the inclusion criteria. There were 9 articles included in this review including 1,124 individuals who received wet cupping. Mental health was explored in, those who had migraines, metabolic syndrome, smoking addiction, post-traumatic stress, chronic medical disease, and depression. As an intervention procedure, the triple S technique was used in all studies. Only 3 studies reported that none of the participants complained of adverse events during or after the cupping therapy. In all studies, wet cupping was reported to be effective in reducing psychological symptoms. However, there are few randomized controlled trials testing the e?ectiveness of wet cupping in the treatment of mental health, and most are of poor quality. Therefore, more rigorous studies are required before the effectiveness of wet cupping for the treatment of mental illness can be determined.
Objectives: This study examined the effects of residential proximity to adult children on the mental and physical health of middle-aged and older parents. The study also evaluated whether the parental age and gender of the adult child in closest proximity to the parent might moderate the association. Method: Data were drawn from five waves of the Korean Longitudinal Study of Aging(2006-2014). The analytic sample consisted of 7,359 parents aged 45 or older who had at least one non-coresidential adult child aged 19 or older. The analyses were conducted by estimating a series of fixed effects models while adjusting for the nested structure of the data. Results: The results showed that first, a closer distance between an adult child and the parent was generally associated with the parent experiencing a decrease in depressive symptoms. Yet, the mental health benefit was smaller for parents aged 65 years or older whose closest living adult child was a son. Second, a closer distance was observed to affect chronic illness only among middle-aged parents (aged 45 to 64). When the closest living adult child was a daughter, the middle-aged parent experienced deterioration in their chronic illness. On the other hand, the opposite pattern was observed when the closest living adult child was a son. Conclusions: The parental age and gender of the adult child in closest proximity to the parent might have varying effects on parents' health. A closer distance between an adult child and their parent has a positive impact on the mental health of the parent as a whole, whereas the effect of living closer was mixed in relation to the parental physical health.
The study was done to identify factors influencing the health risk behavior of the chronic mental illness in the community. A cross-sectional study design was used in this study. The sample was 255 chronic mentally ill persons from D city and C province and who agreed to participate in the study. Data were collected on August-september, 2011 and analyzed using the SPSS/WIN 20. Stress event, insight and depression had significant correlations with health risk behavior. Hierarchial regression analysis showed gender (men), diagnosis (schizophrenia), stress event, insight and depression together explained 24% of variance in health risk behavior. Findings of this study allow a comprehensive understanding of health risk behavior of the chronic mentally ill persons in community. It is necessary to integrated health promotion programs designed for this population should focus on these factors for effective behavioral modification.
This study was designed to identify the relation between the perceived family support and social adjustment of discharged patients with chronic mental illnesses. The subjects for this study were 50 patients with chronic mental illnesses receiving out-patient treatment at one general hospital and one private hospital in Seoul. The data were collected during the period from April 25, 1991 to May 27, 1991. The perceived family support was measured by the Family Support Scale developed by Hyun Sook Kang. A questionnaire which was developed by Weissman was modified by the author of this study to measure the Social Adjustment. The data were analyzed by descriptive statistics and Pearson Correlation Coefficients, using the SPSS program. The results of this study can be summarized as following ; 1) For the perceived family support, the mean was 2.63 points and the source of family support was almost always the mother. 2) For the social adjustment level, the mean was 2.62 points, and the results showed the best social adjustment was in the area of parental role and family adjustment, and the poorer adjustment was in the area of work and leisure. 3) The relationship between the perceived family support and social adjustment revealed a significant correlation.(r=.38, p<.05) Therefore the hypothesis “the higher the level of perceived family support, the higher the social adjustment level” was accepted. In conclusion, the study revealed that family support is an important factor related to the social adjustment level in patients with chronic mental illnesses.
Purpose: This study was conducted to explore the degree of depression, perceived health status, chronic disease and quality of life(QOL) among rural elderly and to determine the factors related to their QOL. Method: The design of this study was a correlational study. The subjects were 423 elderly consisted of 157(37.1%) men and 266(62.9%) women dwelling in a rural area of N City. Data were collected from May to December, 2003 using a structured questionnaire. A stepwise multiple regression analysis was performed to identify the factors related to the QOL. Result: It was found that the mean score of QOL was in total with 2.15 out of 5.00 and women elderly's score was significantly lower than men(t=2.20, p=.028). Perceived health status showed statistically significant positive relationship with QOL(r=.608, p<.05), while depression(r=-.751, p<.01) and chronic illness(r=-.336, p<.01) showed statistically significant negative relationship. Depression was found to have the highest correlation with QOL among the subjects. Depression score explained QOL at the most, accounting for 36.8% of the variability, followed by perceived health(8.2%) and the number of chronic illness(.7%). Other factors related to the QOL were economic status and absence of spouse. Conclusion: In order to increase the QOL of rural elderly, it is necessary to decrease the depression, to increase their perceived health status and to decrease the number of chronic illness. We suggest the implementation of a program not only to promote physical health status and self-care ability but to take care of mental health for the rural elderly.
Objectives: This study investigated the gender and age differential effect of major chronic diseases on activity of daily living (ADL) disability. Methods: Surveyfreq and Surveylogistic regression analyses were employed on the 2005 Korean National Health and Nutrition Examination Survey (KNHANES) with a sample of 3,609 persons aged 65 - 89. Results: After adjusting for potential covariates, stroke, among elderly men more so than women, had a 2-3 times greater odds of engendering ADL disability in the 65-69 (p < 0.05) and 70-79 age groups (p < 0.01). In comparison to elderly women, cancer, diabetes, and incontinence in elderly men was associated with a higher risk of ADL disability in the 70 - 79 age group (p < 0.05), and this association was also observed for pulmonary disease in the 80-89 age group. Among elderly women, however, a significant association between incontinence and ADL disability was identified in all three age groups. In addition, this association was found in pulmonary disease and diabetes in elderly women aged 70 - 79 years. Significant gender differences were observed in the association between stroke in the 60 - 79 age group and cancer in the 70 - 79 age group. Conclusions: Age and gender differences were observed in the effect of chronic diseases on ADL disability.
Journal of The Korean Society of Integrative Medicine
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v.10
no.2
/
pp.49-59
/
2022
Purpose : The purpose of this study is to directly understand the health condition of residents of mental health sanatoriums nationwide, which has been difficult to ascertain in surveys conducted to date. The study presents specific measures for improving the health of these residents. Methods : A "physical examination questionnaire for residents of mental health sanatoriums" was developed to check the basic physical condition of residents, and 20 out of 59 mental health sanatoriums nationwide were randomly selected. Medical personnel visited the sanatoriums, interviewing and examining the residents in person. A total of 396 health surveys were completed. Results : Many of the residents were underweight but had abdominal obesity. It was confirmed that chronic diseases among the residents were not diagnosed early or were not properly managed. Among the subjective symptoms complained of by the residents, musculoskeletal symptoms were the most common. Oral examinations revealed a serious level of oral health problems among the residents, including dental caries and missing teeth. Basic physical examinations found health problems that required additional examination or medical treatment. Blood pressure abnormalities made up the highest percentage of the health problems. Conclusion : Regular health surveys are needed to determine the health condition of residents of mental health sanatoriums. Access to and quality of primary medical services within the sanatoriums need to be dramatically improved. A delivery system for severe diseases and emergency medical care in the sanatoriums should also be specifically presented. The residents should be notified upon admission and during their stay that they have the right to the enjoyment of the highest attainable standard of mental and physical health. The issue of health rights should be addressed within a larger framework of reorganizing management plans for people in the community - not only residents - with chronic mental illness.
Purpose: This study was aimed at understanding the nature of the suffering of families with patients in mental health nursing homes and hoped to contribute to the rehabilitation process of those with a chronic mental disorder. Method: Research methodology was based upon Parse's human becoming research methodology. Results: a) Despite the despair the family feels by the violence caused by their now-institutionalized relative, they also realize anew the importance of their role as protectors b) Although they fear social stigmatization they also try to be supportive, out of guilt feelings; c) They regret their severe rearing style and wish to be more sympathetic, d) They find courage and hope through family therapy, which leads to a better understanding of the illness, e) With hopes of rehabilitation, the family members feel happy and go through an emotional release, by sharing the pain with each other. Conclusion: Families of nursing home residents share a focus on the process of human-health-universe. This is a positive,'human-becoming' process with which, based on past feelings of despair, fear, resignation, and pain, one can render meaning into his or her experiences in the present in the pursuit of love, conquest, hope, liberty and success.
Kim, Mina;Jhon, Min;Lee, Ju-Yeon;Kim, Seon-Young;Kim, Jae-Min;Yoon, Jin-Sang;Kim, Soo-Jin;Kim, Sung-Wan
Korean Journal of Schizophrenia Research
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v.22
no.1
/
pp.14-20
/
2019
Objectives: To identify factors related to physical health monitoring of patients with schizophrenia spectrum disorder. Methods: A total of 172 patients with schizophrenia spectrum disorder registered in mental health welfare centers and rehabilitation facilities in Gwangju were recruited. Physical health monitoring was defined by two health behaviors; fasting blood tests within recent 2 years in all participants and routine medical check-ups covered by national insurance within recent 5 years in participants aged 40 years or older. Demographic and clinical characteristics including overweight, metabolic syndrome and knowledge about physical illness were compared according to physical health monitoring. Results: Prevalence of overweight and metabolic syndrome were 62.8% and 40.1%, respectively. The rates of fasting blood tests and routine medical check-ups were 34.9% and 67.9%, respectively. The rates of fasting blood tests were significantly higher in general hospital and university hospital compared to mental hospital or private clinic. Rates of routine medical check-ups were significantly lower in individuals using daily rehabilitation service and smokers. Knowledge about cancer and chronic illness were significantly better in individuals receiving routine medical check-ups compared with those not receiving it. Conclusion: Education about physical health should be integrated to mental health service in community mental health center.
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