• 제목/요약/키워드: Mental

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정신장애인의 정신질환 증상 대처 경험에 관한 연구 (A Study on the Coping Experience of Mental Disorder Symptoms)

  • 김낭희;송승연;김효정
    • 융합정보논문지
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    • 제11권5호
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    • pp.158-167
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    • 2021
  • 본 연구는 정신건강서비스 패러다임을 의료적 모델에서 인권적 모델로 전환하기 위한 경험적 근거기반을 마련하고자 당사자의 관점에서 정신장애 증상에 대한 개인적 대처와 통찰경험을 탐색하는 데 목적이 있다. 이를 위해 정신장애인 당사자 8명을 대상으로 심층인터뷰를 진행하였고 근거이론 방법을 활용하여 분석하였다. 연구결과 132개의 개념, 23개의 하위범주, 그리고 11개의 상위범주로 유목화할 수 있었다. 연구 결과 정신장애인들은 증상에 대한 깊은 통찰을 통해 증상에 대한 자신만의 관점을 갖게 되는 한편 증상에 대한 대처방법을 찾고자 노력하고 발견함으로써 증상과 함께, 증상을 관리하며 일상생활을 영위하고 있었다. 따라서 우리 사회에 맞는 정신장애인에 대한 대안적 모델을 개발함에 있어 정신장애인 스스로 통찰의 기회를 통해 자신만의 대처방안을 찾도록 여건을 마련하는 것이 필요할 것이다.

정신요양시설 거주인의 건강 실태 및 정책 대안 (Health Condition of Residents of Mental Health Sanatoriums and Policy Options)

  • 조한진;이승홍
    • 대한통합의학회지
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    • 제10권2호
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    • pp.49-59
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    • 2022
  • Purpose : The purpose of this study is to directly understand the health condition of residents of mental health sanatoriums nationwide, which has been difficult to ascertain in surveys conducted to date. The study presents specific measures for improving the health of these residents. Methods : A "physical examination questionnaire for residents of mental health sanatoriums" was developed to check the basic physical condition of residents, and 20 out of 59 mental health sanatoriums nationwide were randomly selected. Medical personnel visited the sanatoriums, interviewing and examining the residents in person. A total of 396 health surveys were completed. Results : Many of the residents were underweight but had abdominal obesity. It was confirmed that chronic diseases among the residents were not diagnosed early or were not properly managed. Among the subjective symptoms complained of by the residents, musculoskeletal symptoms were the most common. Oral examinations revealed a serious level of oral health problems among the residents, including dental caries and missing teeth. Basic physical examinations found health problems that required additional examination or medical treatment. Blood pressure abnormalities made up the highest percentage of the health problems. Conclusion : Regular health surveys are needed to determine the health condition of residents of mental health sanatoriums. Access to and quality of primary medical services within the sanatoriums need to be dramatically improved. A delivery system for severe diseases and emergency medical care in the sanatoriums should also be specifically presented. The residents should be notified upon admission and during their stay that they have the right to the enjoyment of the highest attainable standard of mental and physical health. The issue of health rights should be addressed within a larger framework of reorganizing management plans for people in the community - not only residents - with chronic mental illness.

COVID-19 격리 해제 이후 농촌 여중생의 정신건강 영향요인 (Factors Influencing the Mental Health of Female Middle School Students Living in Rural Area After COVID-19 Quarantine Lifts)

  • 한숙희;강문희
    • 산업융합연구
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    • 제20권10호
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    • pp.71-77
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    • 2022
  • 본 연구는 농촌에 거주하는 여자 중학생을 대상으로 정신건강에 영향을 미치는 요인을 파악하고자 하였다. 연구 기간은 2022년 3월 14일에서 25일까지로 G 군에 소재한 3개 중학교에 재학 중인 여중생 239명을 대상으로 실시하였다. 수집된 자료는 descriptive statistics, t-test, Pearson's correlation과 다중회귀분석을 이용하여 분석하였다. 연구결과, 대상자의 정신건강에 대한 유의한 영향요인은 양부모와의 거주 (β=.12, t=2.50, p =.013), 과거 주관적 정신건강상태 (β=.15, t=2.83, p =.005), 주관적 신체 건강 상태 (β=-.21, t=-3.94, p<.001), 외로움(β=.22, t=4.23, p <.001), 불면증 중증도(β=.36, t=6.55, p<.001)이었으며, 이들 변수는 정신건강에 대해 46%의 설명력을 나타냈다. 본 연구를 통해 양부모와 거주, 과거 정신건강상태, 신체건강상태, 외로움, 불면증 중증도를 고려한 여자 중학생의 정신건강을 위한 중재 전략과 변수 간 인과 관계를 구체화할 수 있는 추후 연구가 필요하다.

클로닌저의 생리심리사회 모델에서 위험회피-자율성 프로파일에 따른 다면적 정신건강 특성 (Multi-Phasic Mental Health Characteristics according to Harm-Avoidance and Self-Directedness Profile of Cloninger's Biopsychosocial Model)

  • 채한;이수진
    • 동의신경정신과학회지
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    • 제33권3호
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    • pp.259-266
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    • 2022
  • Objectives: The combination of Harm-Avoidance (HA) and Self-Directedness (SD) of Temperament and Character Inventory (TCI) has been reported pivotal for mental health; however its clinical usefulness in integrative medicine has not sufficiently reported. The purpose of this study was to illustrate multi-phasic mental health of subjective satisfaction with life, emotional well-being, and psychopathology, following the HA-SD profile groups. Methods: A total of 527 Korean university students reported HA and SD scores as to render their HA-SD profile, and multi-phasic mental health characteristics using Satisfaction with Life Scale (SWLS), Positive Affect and Negative Affect Schedule (PANAS), and Beck Depression Inventory (BDI) with composite well-being scales of SC (Sum of Self-Directedness and Cooperativeness score) and HI (Happiness Index, subtraction of Negative Affect (NA) score from Positive Affect (PA) score) as standardized. Pearson's correlation was used to report correlation coefficient, and the ANCOVA with age and sex as covariates, to show significant differences in mental health and well-being between the HA-SD profile groups. Results: The HA-SD profile groups showed distinctive multi-phasic mental health characteristics; health related scores of SWLS, PA, SC and HI decreased following the order of hS (low HA and high SD), HS (high HA and high SD), hs (low HA and low SD) and Hs (high HA and low SD) profile groups; however the non-health related scores of NA and BDI showed contrasting order. Conclusions: The HA-SD profile was found to be clinically useful for examining multi-phasic mental health and well-being status, and the TCI may be an imperative personality inventory for integrative medicine.

고객응대 근로자의 고객 폭력 경험과 정신건강과의 관계에서 동료지지의 조절효과 (Moderating Effect of Support on the Relationship between Customer Violence Experience and Mental Health of Customer Service Workers)

  • 이미영;이복임
    • 한국직업건강간호학회지
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    • 제32권3호
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    • pp.121-129
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    • 2023
  • Purpose: The purpose of this study was to examine the impact of encounters with customer violence on the mental health of customer service workers, and to verify the moderating effect of coworker support. Methods: Workers who indicated that they engaged directly with individuals other than coworkers for more than 25% of their working hours, such as customers, passengers, students, and patients, were the focus of the 6th Korean Working Conditions Survey in 2020. A total of 13,682 people were chosen as the final research subjects, responses from dishonest respondents who had picked "don't know/no answer" or indicated "reject" to pertinent topics such mental health level, were discarded. After adjusting for socio-demographic and vocational characteristics that influence mental health in customer service workers, a hierarchical regression analysis was executed, which incorporated input on customer violence experiences, coworker support, and interaction terms on a step-by-step basis. Results: It transpired that interactions with customer violence had a negative impact on workers' mental health. Additionally, it was shown that workers' mental health status as coworker support increased. Conclusion: This study's limitations include differences in the period the questions were posed, and limitations in interpretation to all workers. And it is difficult to determine the relationship between the frequency of customer violence, occupational characteristics and mental health. Despite its limitations, this study makes an important contribution toward fostering an environment where coworkers can continue to help one another.

갱년기 중년의 알코올과 정신건강의 연관성 : 젠더 차이를 중심으로 (Association between alcohol and mental health in menopause and andropause middle-aged : Focusing on gender difference)

  • 이경희;황지은
    • 한국학교ㆍ지역보건교육학회지
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    • 제24권3호
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    • pp.13-22
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    • 2023
  • Objectives: The purpose of this study was to provide baseline data for management policies by exploring the association between alcohol and mental health in menopause and andropause middle-aged Methods: This study used the data from from the 8th National Health and Nutrition Examination Survey (2019-2021). Adults between the ages of 40 and 64 were considered menopause and andropause middle-aged and 7,704 of the total number of 8,549 subjects were selected as the final study subjects without missing data. Mental health was defined as depression diagnosis and suicidal thoughts, and drinking was defined as current drinking and high-risk drinking. SAS 9.4 was used for all statistical analyses. Results: There were significant differences between menopause middle-aged men and women in current drinking (83.4% for men and 66.6% for women) and in high-risk drinking (24.2% for men and 4.9% for women). The significant factors affecting the depression diagnosis were identified as economic activity, income level, and subjective health status for men and economic activity, income level, subjective health status, and smoking for women (p < .05). The significant factors affecting suicidal ideation included economic activity, income level, and subjective health status for men and economic activity, high-risk drinking, current smoking, and subjective health status for women (p < .05). Conclusion: As a result of analyzing the association between alcohol and mental health in menopause and andropause middle-aged adults, Drinking alcohol and high-risk drinking in women were associated with mental health, but insignificantly in men. Based on this study, it is necessary to program development and health education for the physical and mental health of menopausal middle-aged women exposed to alcohol, and to develop menopausal mental health management policies that take into account the gender differences.

음주자의 결혼상태에 따른 정신건강과의 관련성 (The Relationship Between Marital Status of Alcohol Drinkers and Mental Health)

  • 정현정;김석환
    • 한국학교ㆍ지역보건교육학회지
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    • 제24권3호
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    • pp.23-35
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    • 2023
  • Objectives: The purpose of this study is to examine the marital status, drinking behavior, and mental health characteristics of alcohol consumers, and to explore the relationship between marital status and mental health among alcohol consumers. Methods: The research data utilized raw data from the 8th Korea National Health and Nutrition Examination Survey (2020), Second Round. A total of 3,713 participants were included in the final analysis. Data analysis was performed using the statistical software SPSS version 26.0. Results: The relationship between the study participants and mental health revealed that compared to those with a spouse, individuals who were divorced or separated had an odds ratio (OR) of 2.598 for 'depression' and an OR of 2.142 for 'suicidal thoughts'. In the case of 'stress perception', individuals who were divorced or separated had an OR of 3.434. In terms of gender, females had an OR of 4.867 for 'depression', an OR of 2.510 for 'suicidal thoughts', and an OR of 1.847 for 'stress perception', compared to males. Regarding age, the odds of 'depression' were 1.801 times higher in the 60 to 79 age group compared to the 18 to 39 age group. For smoking status, smokers had an OR of 2.812 for 'depression' compared to non-smokers. The OR for 'suicidal thoughts' was 3.047, and the OR for 'stress perception' was 1.463. However, the relationship between mental health and binge drinking frequency and quantity of alcohol consumed in a single session was not significant. Conclusion: The divorced, separated, or bereaved groups may be vulnerable to 'depression,' 'suicidal ideation,' and 'stress.' Therefore, there is an expectation to explore strategies for the development and enhancement of community-based mental counseling and health education support programs, aiming to improve the mental well-being and quality of life of individuals and the local community.

대사를 생명력 있게 만드는 멘탈 이미지의 하위양식 (Sub-modality of Mental Images to Make lines Alive)

  • 최정선
    • 한국엔터테인먼트산업학회논문지
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    • 제13권4호
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    • pp.119-129
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    • 2019
  • 연기교육에서 기존의 화술교육은 장단음 찾기, 자음과 모음의 조음연습, 딕션연습 등 대사를 표현하는 기술적인 측면에 치중되어 있었으며, 이러한 교육으로 대사가 말처럼 살아나기에는 한계가 있었다. 대사가 살아나는 순간은 배우가 대사를 말하는 사이 단어 이면의 멘탈 이미지를 구체적으로 보는 순간이다. 필자는 뇌과학 분야에서 인지뇌과학과 NLP (Neural Linguistic Programing)의 지식을 빌려와 멘탈 이미지가 무엇인지, 왜 멘탈 이미지가 생각과 감정의 기본 요소인지를 추적한다. 또한, 멘탈 이미지를 섬세하게 떠올리는 과정(하위양식)에서 신체의 근육들이 어떻게 반응하게 되고, 그 반응하는 근육들을 이용해 어떻게 강세, 사이, 피치, 억양 등의 말하기 재료들(강세, 사이, 피치, 억양 등)이 살아나는지를 살펴본다. 이러한 연구를 바탕으로 화술교육에서 왜 멘탈 이미지 교육이 선행되어야 하는지를 증명한다. 결론에서는 멘탈 이미지를 공부하는 과정에서 배우가 만나게 되는 장애물에 대해 열거하고, 장애물을 제거하는 방법 중 하나로 '호흡의 활성화'를 후속논문으로 계획한다.

Physiological Data Monitoring of Physical Exertion of Construction Workers Using Exoskeleton in Varied Temperatures

  • Ibrahim, Abdullahi;Okpala, Ifeanyi;Nnaji, Chukwuma
    • 국제학술발표논문집
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    • The 9th International Conference on Construction Engineering and Project Management
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    • pp.1242-1242
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    • 2022
  • Annually, several construction workers fall ill, are injured, or die due to heat-related exposure. The prevalence of work-related heat illness may rise and become an issue for workers operating in temperate climates, given the increase in frequency and intensity of heatwaves in the US. An increase in temperature negatively impacts physical exertion levels and mental state, thereby increasing the potential of accidents on the job site. To reduce the impact of heat stress on workers, it is critical to develop and implement measures for monitoring physical exertion levels and mental state in hot conditions. For this, limited studies have evaluated the utility of wearable biosensors in measuring physical exertion and mental workload in hot conditions. In addition, most studies focus solely on male participants, with little to no reference to female workers who may be exposed to greater heat stress risk. Therefore, this study aims to develop a process for objective and continuous assessment of worker physical exertion and mental workload using wearable biosensors. Physiological data were collected from eight (four male and four female) participants performing a simulated drilling task at 92oF and about 50% humidity level. After removing signal artifacts from the data using multiple filtering processes, the data was compared to a perceived muscle exertion scale and mental workload scale. Results indicate that biosensors' features can effectively detect the change in worker physical and mental state in hot conditions. Therefore, wearable biosensors provide a feasible and effective opportunity to continuously assess worker physical exertion and mental workload.

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국립법무병원에 입원 중인 정신장애 범죄자의 정신 건강 회복에 대한 인식: 내용 분석 (Perception of Mental Health Recovery of Mentally Disordered Offenders Hospitalized at the National Forensic Psychiatric Hospital : Contents Analysis)

  • 강문희;곽동현
    • 산업융합연구
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    • 제21권3호
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    • pp.83-97
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    • 2023
  • 본 연구의 목적은 국립법무병원에 입원 중인 정신장애 범죄자의 정신 건강 회복에 대한 인식을 파악하는 것이다. 연구 대상자는 C 지역에 있는 국립법무병원에 입원 중인 정신장애 범죄자 91명이다. 자료수집은 정신 건강 회복에 대한 서면 질문지를 제공하여 자유롭게 기술하도록 하였으며 수집된 자료는 연구자 2인이 Krippendorff의 내용 분석 방법에 따라 분석하였다. 연구 결과, 정신 건강 회복에 대한 의미는 4개의 범주, 17개의 주제가 도출되었으며 4개의 범주는 '정신과적 증상으로부터 해방', '안정적으로 일상생활과 사회생활이 이루어짐', '희망적이고 의미 있는 삶을 살아감' 그리고 '퇴원 후 범죄 없이 살아가는 상태'이었다. 정신 건강 회복에 대한 촉진 요인 및 장애요인은 각각 4개의 범주, 14개의 주제가 도출되었으며 '치료적 요인', '개인적 요인', '대인관계 요인' 그리고 '환경요인'이었다. 본 연구 결과는 국립법무병원에 입원 중인 정신장애 범죄자의 정신 건강 회복을 위한 교육 및 중재 개발을 위한 기초자료로 사용될 수 있다.