• Title/Summary/Keyword: Mental

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Determinants of Mental Health Care Utilization in a Suicide High-risk Group With Suicidal Ideation

  • Kim, Hyun-Soo;Lee, Moo-Sik;Hong, Jee-Young
    • Journal of Preventive Medicine and Public Health
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    • v.49 no.1
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    • pp.69-78
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    • 2016
  • Objectives: The suicide rate in Korea is increasing every year, and is the highest among the Organization for Economic Cooperation and Development countries. Psychiatric patients in particular have a higher risk of suicide than other patients. This study was performed to evaluate determinants of mental health care utilization among individuals at high risk for suicide. Methods: Korea Health Panel data from 2009 to 2011 were used. Subjects were individuals at high risk of suicide who had suicidal ideation, a past history of psychiatric illness, or had utilized outpatient services for a psychiatric disorder associated with suicidal ideation within the past year. The chi-square test and hierarchical logistic regression were used to identify significant determinants of mental health care utilization. Results: The total number of subjects with complete data on the variables in our model was 989. Individuals suffering from three or more chronic diseases used mental health care more frequently. Mental health care utilization was higher in subjects who had middle or high levels of educational attainment, were receiving Medical Aid, or had a large family size. Conclusions: It is important to control risk factors in high-risk groups as part of suicide prevention strategies. The clinical approach, which includes community-based intervention, entails the management of reduction of suicidal risk. Our study identified demographic characteristics that have a significant impact on mental health care utilization and should be considered in the development of suicide prevention strategies. Further studies should examine the effect of mental health care utilization on reducing suicidal ideation.

The Relationship among Job stress, Emotional labor, Resilience and Mental Health in Firefighters (소방공무원의 정신건강과 직무스트레스, 감정노동, 회복탄력성간의 융합관계)

  • Kim, Yeon-Jung;Kim, Jin-Hyeon;Shim, Gyu-Sik
    • Journal of the Korea Convergence Society
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    • v.8 no.12
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    • pp.379-389
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    • 2017
  • The purposes of this study were to identify the relationships among job stress, emotional labor, resilience, mental health and to determine the influences on mental health in firefighters. The participants were 391 firefighters in Chung-Nam and some variables related to job stress, emotional labor, resilience, mental health were measured using reliable instruments. There showed significant positive relationships of mental health with job stress, emotional labor and negative relationships with resilience. Among predictors, job stress(job insecurity, lack of reward, occupational climate), emotional labor, resilience had statistically significant influence on mental health. Mental health programs to decrease job stress and emotional labor, and to enhance resilience are essential to improve the mental health of firefighters.

Factors influencing the mental health in college nursing students (간호대학생의 정신건강에 영향을 미치는 관련 요인)

  • Park, Sung-Hee;Byun, Eun Kyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.12
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    • pp.8284-8291
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    • 2015
  • The purpose of this study is to explore degree of nursing student's mental health and the factors influencing mental health of those surveyed. A total of 186 nursing student B, C city were surveyed. All of this data is analyzed by using t-test, ANOVA, Pearson's correlation coefficients, multiple regression analysis with SPSS WIN/18.0. The results were as fallows. The mean score for Mental health was $2.25{\pm}0.65$. There were negative correlation between Mental health and self-efficacy(r=-434, p<.001), social support(r=-.393, p<.001). Regression analysis showed 24.7% of variance in nursing student's mental health can by experience of dating with self-efficacy and social support. The fallow-up survey about various factors influencing nursing student's mental health is needed and mental health increasing education and program developing are required.

A Study on the Spatial Accessibility to the Psychiatry Department in General Hospital and Its Relationship with the Visit of Mental Patients (종합병원 정신건강의학과에 대한 공간적 접근성과 외래 의료이용 분석)

  • Dong, Jae Yong;Lee, Kwang-Soo
    • Health Policy and Management
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    • v.27 no.4
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    • pp.315-323
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    • 2017
  • Background: This study was purposed to analyze the effect of spatial accessibility to the psychiatry department in general hospital on the outpatient visit of mental patients. Methods: Data was provided from the Statistics Korea and Statistical Geographic Information Service, National Health Insurance Service, Health Insurance Review and Assessment Service, and Korea Transport Institute in 2015. The study regions were 103 administrative regions such as Si and Gu. The 103 regions had at least one general hospitals with a psychiatry department. The number of outpatient visit of mental patients in regions was used as the dependent variable. Spatial accessibility to mental general hospital was used as the independent variable. Control variables included such as demographic, economic, and health medical factors. This study used network analysis and multi-variate regression analysis. Network analysis by ArcGIS ver. 10.0 (ESRI, Redlands, CA, USA) was used to evaluate the average travel time and travel distance in Korea. Multi-variate regression analysis was conducted by SAS ver. 9.4 (SAS Institute Inc., Cary, NC, USA). Results: Travel distance and time had significant effects on the number of outpatient visits in mental patients in general hospital. Average travel time and travel distance had negative effects on the number of visits. Variables such as (number of total population, percentage of aged population over 65, and number of mental general hospital) had significant effects on the number of visit in mental patients. Conclusion: Health policy makers will need to consider the spatial accessibility to the mental healthcare organization in conducting regional health planning.

Factors Influencing Mental Health among Nursing students (간호대학생의 정신건강에 영향을 주는 요인)

  • Jee, Youngju;Lee, Yun-Bok;Lee, A Reum;Jeon, Jeong Won
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.8
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    • pp.3866-3875
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    • 2013
  • The purpose of this study was to investigate the degree of mental health among nursing students in Korea and identify factors influencing the tendency to mental health. A self-report survey was conducted with South Korean nursing students who were from 19 to 23 years old. 269 nursing students were included in the study. The instruments utilized in the study were Symptom Checklist-90-Revision, Stress and multidimensional coping. Data were analyzed using descriptive statistics, Pearson correlation and Simultaneous multiple regression with SPSS WIN 20.0. The average mental health score of the participants was 0.57. Significant predictors for mental health 'College-level stress', 'Self-criticism', 'Passive withdrawal', 'Nursing satisfaction' and 'Health state'. The study findings suggest that nursing students require special concern regarding the risk of mental health. Multi and interdisciplinary mental health promotion program will enhance the mental health of nursing students.

Evaluation of the mental and physical health status of university woman students using the Cornell Medical Index (CMI에 의한 여대생의 건강문제 평가)

  • 모경빈
    • Journal of Korean Academy of Nursing
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    • v.12 no.2
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    • pp.45-56
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    • 1982
  • This study was carried out during the month of september 1982 to analyse and evaluate of the mental and physical health status of University woman students using the Cornell Medical index. The purpose of the study was to provide basic data required by the University health program for planning related health need of woman students. The study sample is consisted of 486 students living in the dormitory enrolled for the fall semester 1982 in a Women's University in Seoul. The instrument used for the collection of data was an abridged version of a modified Cornell Medical Index. The questionarre includes 35 items related to physical health complaints and 22 items related to mental health complaints. The data was treated by a computer(SPSS) using one way analysis, and The Fishers' ratio and Chi-square test at the 5% level were also adjusted for the test for statistical significance. The interpretation of this study is limited due to the sample which was restricted to one University and not randomly selected. The followings are the results of the foundings so far achieved. 1. More than 60% of the Woman students have physical health problems in digestive system, cardiovascular system, nervous system, respiratory system, and musculo skeletal system in the order named. 2. More than 50% of the woman students have mental problems because of anger inadequacy sensitivity tension, depression and anxiety in the order named. 3. There were no statistically significant differences among woman students in mental and physical health problems caused by year groups, major groups, growing regional groups. 4. There were significant differences caused by the number of brothers and sisters in the aspect of appealing mental and physical problems. 5. There were significant differences caused by the rate of satisfaction in the living cost, and the lower the rate of the satisfaction in the living cost goes, the higher tile frequency rate of the appealing mental and physical health problems is. 6. There were significant differences caused by the rate of satisfaction of the living in the aspect of appealing mental and physical health problems. There fore, the lower the rate of the satisfaction of the living goes, the higher the frequency rate of the appealing mental and physical health problems is, and the more the complaints are, the more frequent the appealing of the problems of digestive system, circulating system and fatigue is.

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Effect of School-Based Social Skills Training Program on Peer Relationships: Preliminary Study

  • Roh, Hong-Shik;Shin, Jung-Uk;Lee, Jae-Woo;Lee, Yeon-Woo;Kim, Tae-Won;Kim, Ji-Young;Park, Mi-Ri;Song, Gang-Sik;Seo, Sang Soo
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.29 no.1
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    • pp.14-25
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    • 2018
  • Objectives: The aim of this study was to evaluate the effect of a school-based social skills training program on peer relationships in children and adolescents and to assess the plan for effective school-based mental health services. Methods: The Child and Adolescent Mental Health Promotion Team of Bugok National Hospital conducted 7-sessioned school-based social skills training for elementary and middle school students (n=90). Changes in peer relationships were evaluated before and after application of the program using a name generator question. Results: The social skills training program increased peer relations, indicating significant changes in social network indices. Conclusion: The social skills training program positively influenced peer relationships. The school-based social skills training program can be expected to have positive effects on school-based mental health services. Future investigation is needed to validate the long term effects of this program.

The Impact of Acculturation and Social Support on Mental Health among Korean-American Registered Nurses (재미한인간호사의 문화적응과 사회적 지지가 정신건강에 미치는 영향)

  • Seo, Kumsook;Kim, Miyoung;Lee, Gunjeong;Park, Jinhwa;Yoon, Jungmin
    • Korean Journal of Adult Nursing
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    • v.25 no.2
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    • pp.157-169
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    • 2013
  • Purpose: This study was to examine the impact of acculturation and social support on the mental health among Korean-American registered nurses. Methods: Data were collected with a convenience sample of 203 Korean-American registered nurses living in New York state and New Jersey state from 8th May to 25th August in 2012. The structured questionnaires measured the degree of acculturation, social support, and mental health. Data analysis was conducted using t-test, ANOVA, Pearson correlation efficient, and Stepwise multiple regression. Results: Lower level of integration and higher level of marginalization were associated with the lower mental health. Social support was also positively related to mental health and had mediating effect on the relationship between acculturation and mental health. The five variables, including participants' educational background, work shift, integration, marginalization, and social support were significant to predict the level of mental health among Korean-American registered nurses, accounting for 41% of the variability. Conclusion: The results imply that higher level of social support and strong identity of both home and host culture will enable Korean-American registered nurses to maintain sound mental health.

Convergent Influence of Self-esteem and Empathy Ability on Attitude toward Mental Illness of Nursing College Students in a City (일개 도시 간호대학생의 자아존중감, 공감능력이 정신질환에 대한 태도에 미치는 융복합적 영향)

  • Ha, Tae-Hi
    • Journal of Digital Convergence
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    • v.18 no.5
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    • pp.357-365
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    • 2020
  • This study was examined the influence of self-esteem and empathy ability on attitude toward mental illness of nursing college students. The subjects were 256 nursing students who recruited from one college. Data collected from August 29 to September 9, 2019. Data were analyzed using IBM SPSS 25.0 program. The major findings were as follow; 1) There were significant differences in attitude toward mental illness according to grade, satisfaction for major and mental health volunteer experiences. 2) The attitude toward mental illness was positively correlated with self-esteem, cognitive empathy ability and emotional empathy ability. 3) Factors significantly influencing attitude toward mental illness were grade and cognitive empathy ability and these factors accounted for 23% of attitude toward mental illness. Through this study, cognitive empathy ability was confirmed as a factor affecting the attitude toward mental illness of nursing college students.

Awareness and Attitude Toward Suicide in Community Mental Health Professionals and Hospital Workers (지역사회 정신보건관련 센터 근무자와 병원 근무자들의 자살에 대한 인식 및 태도)

  • Kim, Soung-Nam;Lee, Kang-Sook;Lee, Seon-Young;Yu, Jae-Hee;Hong, A-Rum
    • Journal of Preventive Medicine and Public Health
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    • v.42 no.3
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    • pp.183-189
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    • 2009
  • Objectives : The purpose of this study was to evaluate community mental health professionals and hospital workers attitude and awareness towards suicide. Methods : This study investigated 264 community mental health professionals and 228 hospital workers. SOQs (Suicidal Opinion Questionnaires) were used from July 2007 to September 2007. After a factor analysis for the attitude towards suicide, the items on ethics, mental illness, religion, risk, and motivation were included in the subsequent analysis. Results : There were significant differences in the attitude towards suicide according to religion, age, educational background, the marriage status, the economic position, and different professional licenses. Hospital workers' view was different from the community workers'. The hospital workers judged that suicide was due to mental illness, and suicide was high for the people in a special environment and who lacked motivation, which caused them to fall in a dangerous situation. For the lower educational group, they thought that suicide was attributable to mental illness. The awareness for suicide was significantly higher in the group with a postgraduate education, unmarried people, mental health professionals and the persons who had concern and experience with suicide. The factors that had an influence on the awareness of suicide were the items of mental illness, religion, risk and motivational factors. Conclusions : This study suggested that the factors to increase the awareness and attitude for suicide were the experience of increased education and case management of suicide. Therefore, education dealing with suicide and reinforcement of crisis management programs should be developed.