• 동서간호학연구지
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• 제30권2호
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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.

• 한국학교보건학회지
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• 제33권2호
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• pp.97-105
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• 2020

Purpose: The study was done to identify the mediating effect of self-esteem and ego-resiliency on the relationship between social stigma and depression in out-of-school adolescents. Methods: The participants were 318 out-of-school adolescents, with data taken from the 5th out-of-school youth panel survey (2017). The data were analyzed using hierarchical multiple linear regression with the IBM SPSS statistics 24.0 program. In addition, bootstrapping was used to verify the mediating effects. Results: Stigma was positively correlated with depression and self-esteem and ego-resiliency were negatively correlated with depression respectively. Also, self-esteem and ego-resiliency had a partial mediating effect on the relationship between social stigma and depression. Conclusion: The findings indicate that self-esteem and ego-resiliency are important factors related to depression in out-of-school adolescents. It is also expected that self-esteem and ego-resiliency can further decrease depression in out-of-school adolescents.

• 한국학교보건학회지
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• 제34권2호
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• pp.123-132
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• 2021

Purpose: Adolescents are vulnerable to depression; however, many health policies for adolescents tend to target students in schools. This study aims to identify factors related to depression according to gender among adolescents who have ceased attending school either temporarily or permanently. Methods: The data were generated from the 5th Dropout Youth Panel Survey (2017), and this study included 318 students in the survey that had dropped out of school. The data were analyzed using hierarchical multiple linear regression to identify related factors in depression among the participants. The analyses were performed by SPSS 25.0 program. Results: The depression scores of the students who had ceased attending school were: 20.28±5.47 for boys; 21.23±5.88 for girls. Their depression scores are significantly associated with self-esteem (p<.001 for boys; p=.001 for girls) and social stigma (p=.002 for boys; p=.002 for girls). Among those, peer attachment (p=.050), community integration (p=.004), and community disorder (p<.001) were significantly associated with depression only in boys. Conclusion: The findings of this study suggest that strategies for managing depression in adolescents who have dropped out of school should address the differences in contributing factors according to gender. This study also suggests a basis for approaching such a strategy.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제35권2호
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• pp.107-118
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• 2024

Objectives: This study aims to extract and summarize the literature on the mental health status of patients with monkeypox. Methods: This review was carried out according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines using different databases and publishers such as Scopus, Sage, ScienceDirect, PubMed, BMJ, Wiley Online Library, Wolters Kluwer OVID-SP, and Google Scholar. The literature review was based on monkeypox and mental health. The year of publication was 2021-2023, during the monkeypox disease period. Data were extracted from opinions, editorials, empirical studies, and surveys. Results: Based on the literature related to the mental status of patients with monkeypox, the following themes and subthemes were identified: anxiety and depression, self-harm and suicidal tendencies, neuropsychiatric symptoms, mental health, social stigma, sex workers, vaccination, and stress-related diseases. Conclusion: A review of monkeypox virus infection studies reveals that 25%-50% of patients experience anxiety and depression due to isolation, boredom, and loneliness. Factors such as infected people, a lack of competence among healthcare professionals, and shame over physical symptoms exacerbate mental insults. The implications of society include increased self-harm, suicide, low productivity, fear of stigmatization, and transmission of infection.

• 대한간호학회지
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• 제47권5호
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• pp.624-637
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• 2017

Purpose: This study aimed to identify variables influencing the health-related quality of life (HRQoL) of adults with epilepsy in order to establish a structural model and design an intervention strategy to improve patients' HRQoL. Methods: The selected subjects were 212 patients with epilepsy aged between 18 and 70 years who were currently receiving treatment from hospital, general hospital, and clinic. They were surveyed using a structured questionnaire. Results: The goodness of fit measures of the final hypothetical model were as follows: ${\chi}^2/df=2.51$, GFI=.91, AGFI=.90, CFI=.96, SRMR=.04, NFI=.93, and RMSEA=.08. The major variables influencing the HRQoL of adults with epilepsy were epilepsy self-efficacy, depression, social support, and side effects of anti-epileptic drugs (AEDs), which were significant in the mentioned order, whereas the duration of AEDs use and perceived stigma did not show any effects. Six variables accounted for 75.6% of HRQoL. Variables having a direct and total effect on the HRQoL of adults with epilepsy were the side effects of AEDs, social support, epilepsy self-efficacy, and depression, and those with an indirect effect were the side effects of AEDs and social support. Conclusion: It is necessary to accurately identify the side effects of AEDs in adults with epilepsy and accurately observe the physical changes caused by depression. In addition, it is imperative to establish an active and effective nursing intervention program to strengthen the self-efficacy of the patients and to improve their quality of life through social support provided by family members and medical professionals.

• 한국사회복지학
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• 제65권2호
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• pp.313-334
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• 2013

본 연구는 한국인의 정신건강이해력(MHL)을 평가하고 취약집단을 분석하기 위한 목적을 가지고 있다. 이를 위해 전국의 연령별, 지역별 인구비례에 따라 표집 된 성인 1,197명을 대상으로 정신분열병, 우울증, 알코올중독 사례를 무작위로 배정하여 각 사례의 정신질환 인식률, 원인에 대한 이해, 치료법과 치료자원에 대한 이해, 정신과치료에 대한 낙인을 조사하였다. 그 결과 우리나라의 MHL은 매우 낮음을 알 수 있다. 전반적인 인식률도 낮지만 특히 정신분열병에 대한 인식률이 매우 낮았다. 원인 또한 사회적, 생물학적 원인보다 개인적 원인을 선호하였고, 심리상담을 제외한 전문적 치료의 유용성을 자가 치료보다 낮게 인식하였다. 전문가 중에서는 정신과전문의의 유용성을 가장 높게 인식하였지만 이것 역시 가족보다 낮은 수준이다. MHL 취약집단을 분석하기 위해 군집분석을 실시한 결과 MHL이 높은 집단과 낮은 집단의 차이는 원인에 대한 이해와 치료방법과 자원에 대한 이해에서 나타났다. 낮은 집단의 특성은 남성이 많고, 60대 이상이며, 군 이하 지역에 거주하는 사람으로 분석되었다. 이러한 결과를 바탕으로 연구자들은 정부 주도하의 대중매체를 활용한 MHL 향상 프로그램을 제안하고 취약집단에 대한 우선적 개입의 필요성을 주장하였다.