• Title/Summary/Keyword: Mental

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Comparative Research of the Medical Cost, The Quality of Life, The Family burden of the Mentally III before and after the Community Mental Health Service (지역사회 정신보건서비스 제공 전$\cdot$후 정신장애인의 의료비용, 삶의 질, 가족 부담감 비교연구)

  • Noh In Young
    • Journal of Korean Public Health Nursing
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    • v.15 no.1
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    • pp.56-72
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    • 2001
  • Community mental health management system emphasizing on the rehabilitation and the return to the community has been established and carried out for many years. The study has been demanded to prove that the decreasing rate of the recurrence of the mentally ill resulted to lower their medical costs, to enrich the quality of life, and to reduce the psychological burden of their family. This study tried to prove that the mental health services to the mentally ill which were registered in community mental health center of A city have an influence on the medical cost, the quality of their lives. the family burden. The subject group of this study were 39 home-based mentally ill patients and their 37 family members, totally 76 people registered in mental health center of A city and participated in its program. This research had been measured twice, the first before the intervention and the second after at least a year. The measuring tools in the research were the medical cost measurment tools developed by the researcher, the quality of life index by Yoo ja, Noh(1988) and the family burden by Montgonery(1985). The methods were modified and supplemented in this study. This research made use of SPSS Win 10.0. The results of this study are the same as followings. 1) There were the significant difference in the medical cost before and after the mental health service delivery. 2) The quality of lives of the mentally ill, after the mental health services delivered were significantly higher than before. 3) The family burden were significantly reduced after the delivery of community mental health services. Community mental health services brought out efficient results to the social return and rehabilitation. And these results means that the mentally ill changed highly the quality of life and their burden of family and medical cost were reduced. So the public organization and the private society should help positively the mentally ill and their family through mental health policy and social service agency to live healthy lives and to be valuable member of society.

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A Study on the Management System and the Facility Type of Mental Health and Welfare Center in Japan (1) (일본 정신보건복지센터의 운영체계 및 시설유형 분석연구 (1))

  • Lim, Yenjung;Chai, Choul-Gyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.20 no.4
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    • pp.57-65
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    • 2014
  • Purpose : Mental health service desire has been diversified according to the increase of economic level and rapid social change. Mental Health and Welfare Center(MHWC) is a provider of mental health services in Japan. This is a basic stage study which will suggest the architectural planning guidelines for MHWC. Methods : Data were collected through literature research, field surveys, and expert interviews to 69 MHWC in Japan. 1) Research for the policy and legal aspects of mental health support system. 2) Research for structural aspects of MHWC: Characteristics of establishment, management, and regional factors. 3) Research for the physical environment aspects of MHWC: Classification and evaluation of MHWC's Type by locational characteristics in Japan. Results : The result of this study can be summarized into three points. The first one, Mental Health and Welfare Center's service has being expanded to suicide, depression and stress from chronic mental illness, to reflect social needs. The second one, The average population of area installed at Mental Health and Welfare Center was 2,307,570 person, and average area of the regions were $5,745m^2$. The third one, Mental Health and Welfare Center is divided into single-structure type and combine-structure type. And combine-structure type is divided into medical-combine type, welfare-combine type, and public-combine type.

Understanding Students' Conceptions in the Research on Conceptual Change in Science: from Misconception to Mental Model (과학개념변화 연구에서 학생의 개념에 대한 이해: 오개념(misconception)에서 정신모형(mental model)까지)

  • Park, Ji-Yeon;Lee, Gyoung-Ho
    • Journal of The Korean Association For Science Education
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    • v.24 no.3
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    • pp.621-637
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    • 2004
  • In science education, the research on students' conceptions has been started in early 1970. From the early 1980, the research on students' conceptions stimulated the research on conceptual change. Recently, mental model has been a theoretical background in concrete arguments on "how students' conceptions are constructed or created?" Mental model has been studied early in cognitive psychology, and several researchers have studied it partially in science education area. In this study, we compared different theories that explained students' conceptions in, mainly, physics. Further we discussed the possibility of mental model as a theory that could integrate different explanations about students' conceptions from different theory.

Relationship between Job Stress Contents, Psychosocial Factors and Mental Health Status among University Hospital Nurses in Korea (대학병원 간호사의 직무 스트레스 및 사회심리적 요인과 정신건강과의 관련성)

  • Yoon, Hyun-Suk;Cho, Young-Chae
    • Journal of Preventive Medicine and Public Health
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    • v.40 no.5
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    • pp.351-362
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    • 2007
  • Objectives: The present study was intended to assess the mental health of nurses working for university hospitals and to establish which factors determine their mental health. Methods: Self-administered questionnaires were given to 1,486 nurses employed in six participating hospitals located in Daejeon City and Chungnam Province between July 1 st and August 31st, 2006. The questionnaire items included sociodemographic, job-related, and psychosocial factors, with job stress factors (JCQ) as independent variables and indices of mental health status (PWI, SDS and MFS) as dependent variables. For statistical analysis, the Chi-square test was used for categorical variables, with hierarchical multiple regression used for determining the factors effecting mental health. The influence of psychosocial and job-related factors on mental health status was assessed by covariance structure analysis. The statistical significance was set at p<0.05. Results: The factors influencing mental health status among subject nurses included sociodemographic characteristics such as age, number of hours of sleep, number of hours of leisure, and subjective health status; job-related characteristics such as status, job satisfaction, job suitability, stresses such as demands of the job, autonomy, and coworker support; and psychosocial factors such as self-esteem, locus of control and type A behavior patterns. Psychosocial factors had the greatest impact on mental health. Covariance structure analysis determined that psychosocial factors affected job stress levels and mental health status, and that the lower job stress levels were associated with better mental health. Conclusions: Based on the study results, improvement of mental health status among nurses requires the development and application of programs to manage job stress factors and/or psychosocial factors as well as sociodemographic and job-related characteristics.

Contextual and Individual Determinants of Mental Health: A Cross-sectional Multilevel Study in Tehran, Iran

  • Sajjadi, Homeira;Harouni, Gholamreza Ghaedamini;Rafiey, Hassan;Vaez-Mahdavi, Mohammadreza;Vamegh, Meroe;Kamal, Seyed Hossein Mohaqeqi
    • Journal of Preventive Medicine and Public Health
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    • v.53 no.3
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    • pp.189-197
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    • 2020
  • Objectives: Our aim was to answer the following questions: (1) Can mental health variance be partitioned to individual and higher levels (e.g., neighborhood and district); (2) How much (as a percentage) do individual-level determinants explain the variability of mental health at the individual-level; and (3) How much do determinants at the neighborhood- or district-level explain the variability of mental health at the neighborhood- or district-level? Methods: We used raw data from the second round of the Urban Health Equity Assessment and Response Tool in Tehran (in 2012-2013, n=34 700 samples nested in 368 neighborhoods nested in 22 districts) and the results of the official report of Tehran's Center of Studies and Planning (in 2012-2013, n=22 districts). Multilevel linear regression models were used to answer the study questions. Results: Approximately 40% of Tehran residents provided responses suggestive of having mental health disorders (30-52%). According to estimates of residual variance, 7% of mental health variance was determined to be at the neighborhood-level and 93% at the individual-level. Approximately 21% of mental health variance at the individual-level and 49% of the remaining mental health variance at the neighborhood-level were determined by determinants at the individual-level and neighborhood-level, respectively. Conclusions: If we want to make the most effective decisions about the determinants of mental health, in addition to considering the therapeutic perspective, we should have a systemic or contextual view of the determinants of mental health.

A Status and Associated Factors of Mental Health on Girls' High School Students (여고생의 정신건강 실태와 관련요인)

  • Lee, Young-Eun;Choi, Eun-Joung
    • The Journal of Korean Society for School & Community Health Education
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    • v.11 no.2
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    • pp.103-114
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    • 2010
  • Purpose: The aim of this study was to describe the status and associated factors of mental health on girls' high school students. Methods: The participants were 446 academic girls' high school students and 240 vocational girls' high school students of the 1st graders in Busan. The data were collected from April 28, 2009 to May 30, 2009. Survey was developed in the form of self-report five-point likert scale(1-5) using Lees Instrument of mental health(1986) that revised from Derogatis et al's Symptom Check List-90(1976). The higher score of this scale means worse status of mental health. Result: The score of mental health of subjects was low and the mean was $1.69{\pm}.50.$ The depression mean was the highest among mental health sub-variables. The mental health of the vocational girls' high school students was worse than the academics. As for subjects in mental health by their various characteristics, there are significant by school type(p<0.001), economic status(p<0.001), father's job(p<0.001), parent's marrital status(p<0.001), cognitive health status(p<0.001), record(p<0.05), character(p<0.001), satisfaction of life(p<0.001), needs for help on mental health(p<0.001). Conclusion: The intervention program needs to improve mental health of vocational high school girls' students as well as academic high school girls' students, and need to establish depression relieving nursing intervention program for girls' high school students.

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On the Teaching of Mental Arithmetic in Primary Mathematics (초등학교에서의 암산 지도에 관한 논의)

  • 정영옥
    • School Mathematics
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    • v.5 no.2
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    • pp.167-189
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    • 2003
  • Mental arithmetic has recently gained a higher profile in primary school mathematics. The study aims to reflect didactical background of mental arithmetic in number and operations curriculum for primary school mathematics. In order to attain these purposes, the present paper describes the meaning of mathematical literacy and didactical background of mental arithmetic on which have been laid emphasis in relation to mathematical literacy in many countries. Also it shows current suggestions for mental arithmetic instruction in Everyday Mathematics Project in USA, Numeracy Number Project in Great Britain, TAL project based on Realistic Mathematics Education in the Netherlands, and mathe 2000 project in German in order to gain practical ideas for teaching mental arithmetic. Furthermore, it discusses mental strategies of students and didactical models for improving mental arithmetic instruction based on the results of many researches. Under these theoretical foundations, it is analyzed how mental arithmetic is developed in our number and operations curriculum, focused on mental strategies and didactical models. Finally, implications for improving our mental arithmetic instruction are discussed.

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Observation of the anterior loop and mental foramen of the mandibular canal using cone beam computed tomograph (Cone beam형 전산화단층영상을 이용한 하악관의 전방고리 및 이공에 관한 연구)

  • Koh, Kwang-Joon;Kim, Kyoung-A
    • Imaging Science in Dentistry
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    • v.39 no.2
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    • pp.81-87
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    • 2009
  • Purpose: To evaluate the anteroposterior length and buccal angle of the anterior loop, and the size and location of the mental foramen using cone beam computed tomography (CBCT). Materials and Methods: 100 CBCT images from 87 adults (43 males and 44 females) ranging in age from 20 to 73 years (average 50 years) with edentulous ridge of the mandibular premolar region were obtained. Axial, sagittal, coronal images were reconstructed from Dental and Block Images of CBCT. The anteroposterior length, shape and buccal angle of the anterior loop, and the size and location of the mental foramen were calculated from reconstructed images of axial, sagittal and coronal CBCT. Results: The anteroposterior length and buccal angle of the mental canal was 4.0${\pm}$1.2mm, 37.8${\pm}$11.60$^{\circ}$respectively. The loop type with straight course was the most common shape of the mental canal. The location of the mental foramen below the apex of the lower second premolar (78%) was the most common. The maximum size of the mental foramen was 4.6${\pm}$1.0 mm in width and 3.0${\pm}$0.6 mm in height. The inner size of the mental canal was 2.6${\pm}$0.6 mm in width and 2.1 mm${\pm}$0.4 mm in height. Conclusion: CBCT is useful to evaluate the anterior loop and mental foramen of the mandibular canal. Safe guideline of 4 mm from the most anterior point of the mental foramen is recommended for implant and surgical treatment. (Korean J Oral Maxillofac Radiol 2009; 39: 81-7)

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A Study on the Development of Mental Healthcare Facilities - Focused on European Situation before 19th Century - (정신의료시설의 발전과정에 관한 연구 - 19세기 이전 유럽의 상황을 중심으로 -)

  • Moon, Hani;Lee, Haekyung;Chai, Choul Gyun
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.20 no.1
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    • pp.35-43
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    • 2014
  • Purpose: Globally, Paradigm and corresponding awareness of mental health and mental illness is changing. At this point, social policy and cultural consciousness must also be changed. Medical facilities to contain the recognition of the people of that period and the social, cultural background. Social situation changes, science has developed and facility changes. So, awareness of people for the facility also changes. Thus, this study consider the meaning and features of the facility with change of psychiatry and the concept of disease in each period. Finally, the purpose of this study is to analyze the development of Mental Healthcare Facilities before 19th Century. Methods: In this study, focusing on the literature study, it investigated the developmental process of mental healthcare facilities. Results: As the result of this study can be summarized as followings. In ancient times, facility for the harmony of body and mental appeared by means of supernaturalism and rationalism. In the middle ages, facility for restraint and control appeared by means of religious absolutism and mysticism. In the early modern period, facility for therapy appeared by means of humanism and enlightenment. Implications: Unlike other healthcare facilities, Mental healthcare facilities have a unique history. Based on the point of view of each period, it appears form and characteristics of mental healthcare facilities are different.

Improving Work Functioning and Mental Health of Health Care Employees Using an E-Mental Health Approach to Workers' Health Surveillance: Pretest-Posttest Study

  • Ketelaar, Sarah M.;Nieuwenhuijsen, Karen;Bolier, Linda;Smeets, Odile;Sluiter, Judith K.
    • Safety and Health at Work
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    • v.5 no.4
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    • pp.216-221
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    • 2014
  • Background: Mental health complaints are quite common in health care employees and can have adverse effects on work functioning. The aim of this study was to evaluate an e-mental health (EMH) approach to workers' health surveillance (WHS) for nurses and allied health professionals. Using the waiting-list group of a previous randomized controlled trial with high dropout and low compliance to the intervention, we studied the pre- and posteffects of the EMH approach in a larger group of participants. Methods: We applied a pretest-posttest study design. The WHS consisted of online screening on impaired work functioning and mental health followed by online automatically generated personalized feedback, online tailored advice, and access to self-help EMH interventions. The effects on work functioning, stress, and work-related fatigue after 3 months were analyzed using paired t tests and effect sizes. Results: One hundred and twenty-eight nurses and allied health professionals participated at pretest as well as posttest. Significant improvements were found on work functioning (p = 0.01) and work-related fatigue (p < 0.01). Work functioning had relevantly improved in 30% of participants. A small meaningful effect on stress was found (Cohen d = .23) in the participants who had logged onto an EMH intervention (20%, n = 26). Conclusion: The EMH approach to WHS improves the work functioning and mental health of nurses and allied health professionals. However, because we found small effects and participation in the offered EMH interventions was low, there is ample room for improvement.