• Journal of East-West Nursing Research
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• v.30 no.2
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• pp.159-167
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• 2024

Purpose: This study aimed to examine the effects of self-stigma related to depression, depression literacy, and professional help-seeking attitudes on medication adherence among older adult patients with chronic diseases who have experienced depression. Methods: A cross-sectional survey was conducted involving a total of 163 patients with chronic diseases who had been taking medication for more than six months. Data were analyzed by independent t-test, ANOVA, Pearson's correlation coefficients, and multiple regression analysis using SPSS/WIN 27.0 program. Results: The mean score for medication adherence was 14.86±2.27. Medication adherence showed a significant correlation with self-stigma of depression and depression literacy. Factors influencing medication adherence in older adults with chronic diseases who have experienced depression included self-stigma of depression, depression literacy, and age. Specifically, patients under 70 years of age, and patients between 70 and 79 years of age. The explanatory power of these variables was 11%. Conclusion: To improve medication adherence among older adult patients with chronic diseases who have experienced depression, it is essential to reduce self-stigma related to depression. Additionally, because depression self-stigma has a negative impact on proactive depression interventions, it is necessary to implement intervention activities aimed at raising awareness and reducing self-stigma.

• Research in Community and Public Health Nursing
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• v.23 no.3
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• pp.276-285
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• 2012

Purpose: The purpose of this study was to understand levels of both mental health literacy of depression and intention of help-seeking, and then to identify the relationship of them in Korean older adults. Methods: Participants in this cross-sectional survey were 395 persons over 65 years old receiving customized home visiting health care services at Chungnam province. Data were collected through interviews by visiting nurses in 2011. Results: The proportion of participants with depression was 61.8% ($6.7{\pm}3.6$). 78.2% of subjects appeared to have help-seeking intention for solving depression. The proportions of participants with ability to recognize depression was 69.1%. Although the level about knowledge and belief in self-help interventions were varied according to questionnaires, subjects understood self-help intervention of smoking accurately (86.3%) and physical activity (85.5%). Ability to recognize depression, knowledge and belief about self-help managements, and opinion of medication for treatment among health literacy variables measured in this study were related to help-seeking intention. In addition, women, visual impairment, and lower depression scores were related to help-seeking intention. Conclusion: Results demonstrate that it is necessary to improve depression health literacy to manage effectively depression of vulnerable elderly in communities. These results could be used in developing mental health literacy programs.

• The Korean Journal of Food & Health Convergence
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• v.10 no.5
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• pp.37-44
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• 2024

This study investigates the increasing prevalence of depression among Korean college students, examining its multifaceted causes, impacts, and potential interventions. Through an extensive literature review, we analyze personal, academic, socioeconomic, and cultural factors contributing to this growing mental health crisis. Our findings reveal a significant upward trend in depression rates, particularly exacerbated by the COVID-19 pandemic, with unique manifestations including somatic symptoms and achievemen-toriented depression. The research highlights the complex interplay of factors such as academic stress, career anxiety, economic pressures, and cultural expectations that contribute to the high prevalence of depression in this population. We also identify a concerning low rate of help-seeking behavior among affected students, attributed to stigma and limited access to mental health services. The study critically evaluates current support systems, revealing inadequacies in both preventive and reactive measures. In response, we propose innovative intervention strategies, including enhancing mental health literacy, implementing comprehensive stress management programs, integrating career support systems, leveraging technology for improved access to mental health resources. The research emphasizes the urgent need for preventive approaches and early intervention, suggesting policy changes at institutional and societal levels. This study aims to inform effective strategies for improving mental health support, fostering resilience, and promoting overall well-being among young adults.

• Korean Journal of Social Welfare Studies
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• v.47 no.1
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• pp.123-149
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• 2016

Purpose of this study is to find the way to improve older people's life satisfaction from identifying factors, which were derived from exploring several variables (perceived health, mental health, health literacy, and mental health literacy), affecting perception on ageing positively and negatively. This study used data (400 people age 65 and over) from survey on ageism and age integration conducted by 'supporting project of enhancing humanities and social capacity' of National Research Foundation of Korea. The results are as followed; 1) older people negatively perceived psycho-social ageing; 2) older people had high level of depression; 3) showing slightly low level of health literacy and mental health literacy; 4) depression, perceived health and mental health literacy were significant factors influence on perceived psycho-social aging. With these results, the ways were suggested to improve positive psycho-social ageing and quality of life.

• Journal of Digital Convergence
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• v.11 no.10
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• pp.17-29
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• 2013

The major aim of this research is to examine the effect of computer and internet literacy and cellular phone possession on depression and suicidal ideation among elderly. This study used data of 2011 national survey results on the elderly life conditions. To determine the effectiveness of computer and internet literacy and cellular phone possession, a total of 6,774 respondents over 60 years of age was selected. The SPSS package was used to analyze the data. Multiple linear regression and logit analysis was run to verify influence of information conditions(computer and internet literacy and cellular phone possession) on depression and suicidal ideation. The results are as follows. First, the elder who is male, younger, has higher education and economic level and lives with spouce is in good information conditions. On the contrary to this, the elder who is female, older, low level of education and economic, single and lives with grandchildren is in information minority group. They have high level of depression and rate of suicidal ideation. Second, computer and internet literacy and cellular phone possession associate with level of depression significantly. Third, computer and internet literacy do not associate with suicidal ideation significantly. The results of this study provide significant source to plan informatization policy and welfare services for socially isolated older people.

• Korean Journal of Social Welfare Studies
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• v.41 no.2
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• pp.127-158
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• 2010

The purpose of the study was to identify the level of mental health literacy of the Korean public and to suggest implications of prevention and early intervention for depression and schizophrenia. A household survey was conducted on a stratified sample of community residents from 80 survey clusters in Seoul and the surrounding province who were 18-74 years of age (N=1,653). The data analysis revealed that the percentages of respondents who correctly identified symptoms of depression or schizophrenia were similar, 35.2% and 33.5% respectively. On the other hand, there were differences between the two illnesses in terms of respondents' perceptions of beliefs on causes and usefulness of various methods to address respective symptoms, and sources of mental health information. The authors compared the findings with the results found in other countries, and suggested policy and practice implications for community mental health prevention in Korea.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.2
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• pp.275-285
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• 2019

The purpose of the present study was to investigate perceptions of mental health literacy and mental health services of local public officials in Korea. The participants were 273 civil servants working in three Gangwondo provinces. Data were collected from July 1, 2018 to August 15, 2018 using structured questionnaires, and SPSS Ver. 22.0 was used for data analysis. Results showed mental health literacy of public officials was 101.45 points (range 35-160). Mental health literacy level was found to be significantly dependent on occupation and levels of mental health education, mental health treatment experience, and family mental health treatment experience. Only 39.9% of respondents stated they were aware of mental health welfare centers. The most common condition that caused respondents to seek mental health services was depression (35.9%). In addition, 44.7% of the respondents opined that mental health care was improving due to community changes. An analysis of the relationship between perceptions of mental health welfare centers and mental health literacy scores showed a positive relationship between participant prior knowledge about mental health welfare centers and investment in mental health management (p=.012), suggesting a need for further development of educational programs using mental health nurses to improve mental health literacy among community officials.

• Journal of Korean Public Health Nursing
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• v.35 no.1
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• pp.149-164
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• 2021

Purpose: To identify the factors associated with poor self-rated health in individuals with acquired visual impairment through classification of such individuals into severe and mild visual impairment groups. Methods: This descriptive, cross-sectional, survey-based study analyzed data from 563 individuals with visual impairment due to acquired causes who had been recruited in the 2017 Korean National Survey on Persons with Disabilities. Results: Individuals with severe visual impairment reported poorer self-rated health. Mild depression (p=.003), and low smartphone use (p=.045) were associated with poorer self-rated health in those with severe visual impairment. The factors associated with poor self-rated health in those with mild visual impairment were comorbidities, low smartphone use (p=.006), needed health information (p=.020), unbalanced diet (p<.001), low weight (p=.024), and lack of health checkups (p=.001). Conclusion: Depression was found to be a predictor of poor self-rated health in individuals with severe visual impairment, which highlights the need for nursing and related healthcare intervention to lower depression in this specific population. Further, promoting social network building and providing health information using smartphones may serve to encourage appropriate health behavior in people with severe visual impairment who have reduced mobility and health literacy.

• Korean Journal of Social Welfare
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• v.65 no.2
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• pp.313-334
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• 2013

A study aims to assess Korean mental health literacy and analyze the characteristics of vulnerable population. This study presented typical vignettes of schizophrenia, depression and alcoholism to 1,197 adults randomly. All respondents were asked for recognition of mental illness, beliefs about causes, professional help and self-help, stigma for receiving psychiatric treatment for the person described. The results showed that the recognition of mental health problem in a vignette was very poor and that personal causes were seen by public as more important than environmental and bio-genetic causes. When the public were asked about various professional therapies and self-help activities, psychotherapy was favored while other professional help were considered to be less helpful than self-help activities. Among professionals, psychiatrist were viewed as most helpful. We used cluster analysis to compare high mental health literacy group with low mental health literacy group(vulnerable population). Vulnerable population were found to be more aged and to live in county area. We proposed government initiated program for enhancing public mental health literacy.

• Journal of Digital Convergence
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• v.12 no.8
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• pp.19-27
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• 2014

Traditionally, Anderson model is recognized as suitable for analysis of predictive factors for the use of medical and social services. Therefore, the present study was aimed to investigate the predictors of the elderly's use of the social service based on previous studies by configuring Anderson model's predisposing factors(gender, age, education level, place of residence, marital status), enabling factors(economic status, health literacy, use of welfare center or not), and need factors(whether held chronic disease, IADL and depression). To this aim, SPSS 18.0 was used for the subject of 329 elderly living in Chungbuk region. The main findings of this study are as follows. The most influential factor on the social service use of the elderly turned out to be whether to use the welfare centers and health literacy of enabling factors. Next, the depressed levels showed the most significant impact among the need factors, and gender was the most influential among the predisposing factors. Based on the results of these studies, some measures were suggested to activate the elderly's use of social services.