• Journal of The Korean Society of Integrative Medicine
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• v.6 no.4
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• pp.47-61
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• 2018

Purpose : The aim of this study was to test the mediating effect of resilience, self-esteem, and social support on the relationship between the mental health and well-being of high school students. Methods : This structured questionnaire survey was conducted with 409 high school students in G province. The collected data were analyzed using SPSS 20.0 program with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, regression analysis and sobel test. Results : As a result, there were significant correlations among mental health, resilience, self-esteem, social support, and well-being. Resilience and social support showed partial mediating effects on the relationship between the mental health and well-being of high school students. Self-esteem showed a fully mediating effect. Conclusion : Therefore, to reduce mental health problems among high school students and to enhance their well-being, it is necessary for schools to develop mental health education programs and to apply effective mental health improvement strategies using resilience, self-esteem, and social support as mediators.

• Psychiatry investigation
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• v.15 no.11
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• pp.1030-1036
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• 2018

Objective In this study, we aimed to develop a model predicting individuals with suicide ideation within a general population using a machine learning algorithm. Methods Among 35,116 individuals aged over 19 years from the Korea National Health & Nutrition Examination Survey, we selected 11,628 individuals via random down-sampling. This included 5,814 suicide ideators and the same number of non-suicide ideators. We randomly assigned the subjects to a training set (n=10,466) and a test set (n=1,162). In the training set, a random forest model was trained with 15 features selected with recursive feature elimination via 10-fold cross validation. Subsequently, the fitted model was used to predict suicide ideators in the test set and among the total of 35,116 subjects. All analyses were conducted in R. Results The prediction model achieved a good performance [area under receiver operating characteristic curve (AUC)=0.85] in the test set and predicted suicide ideators among the total samples with an accuracy of 0.821, sensitivity of 0.836, and specificity of 0.807. Conclusion This study shows the possibility that a machine learning approach can enable screening for suicide risk in the general population. Further work is warranted to increase the accuracy of prediction.

• Korean Medical Education Review
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• v.24 no.3
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• pp.180-192
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• 2022

Research suggests that medical students frequently experience mental health problems such as stress, burnout, and depression, which may, in turn, affect suicidal ideation and behaviors. Since mental health problems profoundly impact academic achievement and professionalism, it is vital to understand factors influencing students' mental health and identify strategies to provide the necessary support. Some relevant influencing factors range from the personal level, including gender, personality traits, perfectionism, and social support, to the environmental level, including the grading system, educational phases, exposure to patients' death, mistreatment, and culture of medicine. In this regard, a comprehensive mental health support system that encompasses environmental interventions, as well as personal-level support, is needed. Simultaneously, proactive approaches that address the improvement of self-care and alleviation of systemic burdens are essential, together with the predominant reactive approaches focusing on problems and deficits. Altogether, we proposed a framework for enhancing mental health constructed by four categories (personal-reactive, environmental-reactive, personal-proactive, environmental-proactive) based on the intervention level and goal of support. All four categories have important implications, and one cannot replace the other, but expanding environmental-proactive support will allow more students to learn how to pursue health independently. We expect that this comprehensive framework for enhancing mental health could expand support systems for medical students' personal and professional development.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.34 no.1
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• pp.21-29
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• 2023

This paper reviews the global effect of the coronavirus disease 2019 (COVID-19) pandemic on the mental health of children and adolescents in South Korea, the U.S., Japan, and China. We reviewed research on deteriorated mental health, including increased suicide, suicidal thoughts, and self-harm. Various studies have shown that students' mental health issues, such as depression and anxiety, have worsened during the COVID-19 pandemic. Furthermore, the number of students who committed suicide has significantly increased in the U.S. and Japan. Factors such as prior mental health status, change in daily routine, reduced physical activity, excessive screen time, overuse of electronic devices, and reduced social support have been reported to have a significant effect. The chain of deteriorating mental health among the youth began at the onset of COVID-19, social distancing, and school closure. As youths began to stay at home instead of going to school, they lost opportunities to connect with their friends or teachers, who could provide support outside of their homes. Young people spent less time on physical activity and more time online, which damaged their sleeping schedule and daily routine. In preparing for the post-pandemic phase, we should thoroughly analyze the long-term effects of the pandemic on youth mental health, while simultaneously tackling current imminent issues.

• Korean Journal of Social Welfare
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• v.43
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• pp.106-130
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• 2000

When parents as primary care takers to the mentally disabled adult are no longer taking care of their care-needed offsprings because of their own death or illness, instead themselves. who take care of their offsprings with the mental disability? Therefore, 'permanency planning' is very important for reduction of parents' care burden and social integration of mentally disabled adults. Accordingly, this study aims to find out factors which are related to permanency planning for adults with the mentally disability For the purpose of the study, 192 parents of the adult with the mental illness and mental retardation were conducted a survey regarding type of permanency planning, and its related factors including social functioning level of the mentally disabled, care burden, parents' self-perception of being aged, help from offspring without mental disability, social support, and financial ability. Furthermore, this study examined correlation between these factors and residential planning. Results obtained by the study were as follows: 1) 51% of the parents are having a plan for institution and most parents want other family member to take care for financial planning for their mentally disabled offsprings. 2) As a result of multiple regression for finding out factors which affect parents' permanency planning, social functioning level of the mentally disabled, parents' self-perception of being aged, help from offspring without mental disability, social support, and financial ability were statistically significant influenced factors, which has 23.3% of explanatory power. 3) As a result of step-wise multiple regression, financial ability, parents' self-perception of being aged, and help from offspring without mental disability were the most powerful influenced factors for permanency planning. 4) In case of having a plan for residential types-which are institution and community living-, parents who have a plan for the mentally disabled offsprings' future residence as community living than institution have the offsprings with more social functioning and also have more help from offspring without mental disability. Therefore, this study concluded that welfare policy for mental health and the handicapped which secure various types of community living facilities and income security is strongly needed. At the same time, mental health profession is needed to have more active interest and intervention for permanency planning for their adult clients and parents.

• The Korean Journal of Health Service Management
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• v.7 no.2
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• pp.23-35
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• 2013

A study of the factors influencing the quality of life and social support of people suffering with mental disabilities, who use mental health centers. The purpose of the study includes the general characteristics of subjects, characteristics of the mental health center, the mean score of social support and quality of life of people living with mental disabilities. The 132 questionnaires were administered by meeting directly with subjects and personal visits. 112 Questionnaires were returned(85% response rate). Data was collected from mentally disabled patients in Chungnam Mental Health Center. difference in quality of life by using t-test, one way ANOVA table, the relationship between social support, quality of life by pearson correlation coefficients, and relevant factors affecting quality of life by multiple regression with the SPSS 19.0 program. This study revealed that the group that participated regularly in the day time rehabilitation program showed better social support and positive attitude to a better quality of life than the other group that participated irregularly. This result is directly proportional to the participation frequency to the program during the recent 3-month duration. Another correlation with religion was found in the study due to the fact that a buddhist group showed positive significance in quality of life than non-religious groups. The results show positive correlation between the improvement of the quality of life of patients living with mental disabilities and the social support they receive.

• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.21 no.3
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• pp.146-155
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• 2011

Objectives: This study was conducted to investigate the association between job stress and mental health among male and female workers in a large electric manufacture company. Methods: A cross-sectional study was carried out on 3,228 employees who participated in annual medical check-up working in a large electric manufacture company in Gyeonggi Province. Medical check-up and self-administrated questionnaire were performed at the same time. Korean Occupational Stress Scale Short Form (KOSS-SF) and Psychosocial Wellbeing Index Short Form (PWI-SF) were applied to assess occupational stress and mental health. Hierarchical multiple linear regression and multiple logistic regression were performed to estimate the association between job stress and mental health. Results: The proportion of high risk of mental health was 17.1% in male, and 46.9% in women. Job stress had a greater effect on mental health than other general and work characteristics. All subscales of job stress were revealed to affect mental health. Bad occupational climate and lack of reward are the strongest risk factors in mental health of male and female respectively. Conclusions: Our results suggest that job stress could affect mental health among large electronic manufacture workers.

• Journal of the Korean Society of School Health
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• v.21 no.2
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• pp.35-46
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• 2008

Purpose: This study was a part of preliminary survey for establishing Korean HPS(Health Promoting School) model which was originally suggested by WHO. Methods: Three elementary and middle schools were sampled in urban and rural area across three level of social-economic status, and survey was conducted on one class in each grade by random selection. To measure mental health and social and familial factors, self-esteem scale, self-efficacy scale, depression scale, family cohesion scale, parent-child communication scale, adolescent's mental health and problem behavior questionnaire(AMPQ), and other question items about family status and economic level were conducted. Students' mental health level was compared by region, sex, grade, and other familial and economic factors. Results: Familial and social factors such as economical and educational level of parents, number of family members were different between rural and urban area. Also, students of rural area got lower scores at self-esteem, self-efficacy, but higher scores at extroverted problem behavior than their urban counterparts. In pre-school students, high grade students' self-esteem, and family cohesion scores were lower than low grade students. And sexual differences were found across problem behavior domain and region in middle school students. Especially, the students of single-parent family and lower economic family got insistently low scores at various mental health related scales. Conclusion: These results should be considered, when the HPS model is designed and applied in Korea.

• Journal of the Korean Society of School Health
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• v.26 no.1
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• pp.26-33
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• 2013

Purpose: The mental health during the elementary school years is important to develop overall healthy behaviors and well adapt to society. So as to provide basic data for comprehensive health education programs, we investigated the state of mental health problems and health promotion behaviors among rural elementary school students, along with the relationship between the two factors. Methods: In total, 421 5th and 6th grade students were recruited to answer a self-administered questionnaire. The questionnaire was composed of questions about general demographic characteristics, 4 items over mental health-interpersonal vulnerability, depression, anxiety, hostility-, and 5 items over health behaviors-general health habits, computer addiction, accident prevention, infection prevention, and mental health-. The participation rate was 96%(407/421). Results: 1) The mean and the standard deviation of mental health problems were as follows; interpersonal sensitivity $2.06{\pm}0.70$, hostility $1.88{\pm}0.73$, depression $1.74{\pm}0.69$, anxiety $1.72{\pm}0.66$. 2) The mean and the standard deviation of health-promoting behaviors were as follows; prevention of infectious diseases $3.37{\pm}0.47$, hygiene and daily-life habit $3.09{\pm}0.41$, mental health $2.81{\pm}0.51$, accident prevention $2.79{\pm}0.57$, computer usage and health $2.61{\pm}0.56$. 3) Students with high academic performance, good relationships with friends and teachers, high household economic status, and good family relation, showed higher scores in health-promoting behaviors. 4) Higher scores in mental health problems were significantly correlated with lower scores in health-promoting behaviors. Conclusion: In developing comprehensive school health programs, it is necessary to find ways to improve both health promoting behaviors and mental health problems.

• The Journal of the Korea Contents Association
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• v.14 no.12
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• pp.764-774
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• 2014

The purpose of the study is that which has to do with changes that are inherent in life or mental health of the local population, which appears as a subjective aspect of social capital of local residents. To examine factors that affect the mental health of the residents of a social capital accumulation and changes, as described a positive relationship between social capital in several previous studies related to the quality of life of local residents. The results showed that affect the mental health is the only community consciousness in 2010, higher community consciousness and higher network capacity of 2011 residents, but higher mental health scores, lower mental health scores were greater participation in social participation. Also score high in the mental health component of the group of the high number of people in all social capital and more social capital were higher than residents in low mental health score group. The indirect effects on mental health of the residents of social capital accumulation and changes.