• Title/Summary/Keyword: Mental Health Problem

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Mediating Effect of Depression on the Relationship between Gambling Severity and Cognitive Distortion: Secondary Data Analysis of Korea Center on Gambling Problems (도박문제 심각도와 도박인지오류 간 우울의 매개효과: 도박문제치료 지역센터 자료 이차분석)

  • Lee, Keelyong;Hong, Jungah
    • Journal of Korean Academy of Psychiatric and Mental Health Nursing
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    • v.27 no.4
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    • pp.370-379
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    • 2018
  • Purpose: The purpose of this study was to test the mediating effect of depression on the relationship between gambling severity and cognitive distortion in Koreans with a gambling disorder. Methods: Secondary data from a comprehensive assessment of problematic gambling between 2015 and 2017 on Korea Center on Gambling Problems were used. The subjects in this study were 254 Koreans with that gambling disorder. Data were collected with self-report structured questionnaires which included individual characteristics, the Korean version of Problem Gambling Severity Index, the Center for the Epidemiologic Studies Depression, and the Gambling Related Cognitions Scale. Data were analyzed by using descriptive statistics, independent t-test, one-way ANOVA with the $Scheff{\acute{e}}$ test, Pearson's correlation coefficients, and a mediation analysis of the Baron and Kenny method with the SPSS 22.0 program. Results: Significant correlations emerged among the three variables, gambling severity, depression, and cognitive distortion. Depression exerted a partial mediating effect (${\beta}=.20$, p<.001) on the relationship between gambling severity and cognitive distortion (Sobel test: z=2.33, p=.012). Conclusion: Based on this study's findings, nursing intervention programs focused on managing gambling severity and decreasing depression are highly recommended to alleviate cognitive distortion in people with a gambling disorder.

An Urgent Problem and Challenge of Rural Healing Tourism (농촌 치유관광의 당면과제)

  • Kim, Kyung-Hee;Hwang, Dae-Yong
    • Journal of Agricultural Extension & Community Development
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    • v.26 no.2
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    • pp.69-84
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    • 2019
  • Recently rural healing tourism has been attracting tourists' interest in relieving mental stress and restoring physical daily life with nature-friendly experience. The purpose of this study is to explore the urgent problems and challenges of rural healing tourism by conducting focus group interview(FGI) with experts. Fourteen experts were interviewed with a semi-structured questionnaire. From the interview data, six themes were identified for direction of healing tourism development. The results of the study are as follows; The area of rural healing tourism can be explained within the framework of health tourism. As for the difference between rural tourism and healing tourism, rural tourism is expected to enhance physical and mental relaxation, daily restoration, and health promotion if rural tourism expects the understanding and experience of agricultural and rural life, and educational effect. The core components of rural healing tourism were operators' expertise, program with rurality, ecological environment, and storytelling. The findings of this paper implicate the underlying dimension of rural healing tourism from a experts' perspective.

Prevalence and Risk Factors of Mood Disorders among One University Freshmen (일 대학 신입생들의 기분장애 유병률과 위험요인)

  • Song, Jung-Hee;Min, Kyung-Jun;Park, Jung-Duck;Choi, Byung-Sun
    • Journal of the Korean Society of School Health
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    • v.22 no.2
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    • pp.169-181
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    • 2009
  • Purpose: Mood disorders such as depression and bipolar disorder are a major mental health problem in college students. We investigate the prevalence of depression and bipolar disorder and the relevance of risk factors for these mood disorders among one college freshmen. Methods: The subjects were 2,865 college students who entered one university located in Seoul and Ansung in 2009. We used BDI (Beck Depression Inventory) for depression assessment and K-MDQ (Mood Disorder Questionnaire) for bipolar disorder assessment. Demographic and socioeconomic factors were measured by questionnaire. Height, weight, blood pressure, total cholesterol, complete blood cell count, and liver function test data were obtained by physical examination for freshmen. Chi-square test and multiple logistic regression were performed to analyze the possible risk factors for depression and bipolar disorder. Results: With different BDI cutoff value, 16 and 21, the prevalence of depression was 8.7% (male: 7.6%, female: 10.1%) and 2.4% (male: 2.5%, female: 2.3%), separately. 'Low economic status', 'urban birth place', and 'low grade at entrance' were significantly associated with depression. Using the original cutoff criterion, defined as clustering of 7 or more symptoms that caused moderate or severe problems, the prevalence of bipolar disorder was 1.3% (male: 1.4%, female: 1.1%). The risk factor of bipolar disorder was academic fields (art fields). Conclusion: Depression and bipolar disorder are common disease in college freshmen. Therefore, Campus-based mental health service program is needed to help with prevention of and early intervention of these mood disorders.

Development of the Korean Practice Parameter for Adult Attention-Deficit/Hyperactivity Disorder

  • Bahn, Geon Ho;Lee, Young Sik;Yoo, Hanik K.;Kim, Eui-Jung;Park, Subin;Han, Doug Hyun;Hong, Minha;Kim, Bongseog;Lee, Soyoung Irene;Bhang, Soo Young;Lee, Seung Yup;Hong, Jin Pyo;Joung, Yoo-Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.31 no.1
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    • pp.5-25
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    • 2020
  • Objectives: Adult attention-deficit/hyperactivity disorder (ADHD) is an important mental health problem that needs resolution, especially considering the high rates of ADHD continuation from childhood to adolescence/adulthood and the high prevalence of ADHD in adults. Adults with ADHD have lifelong negative impacts and require close monitoring with long-term follow-up. Hence, the establishment of a Korean practice parameter for adult ADHD is necessary to minimize discontinuation of treatment and enable information sharing among Korean mental health professionals. Methods: The Korean practice parameter was developed using an evidence-based approach consisting of expert consensus survey coupled with literature review. Results: According to the expert consensus survey, the most commonly used diagnostic methods were clinical psychiatric interview (20.66%) and self-report scales (19.25%) followed by attention (14.71%) and psychological tests (14.24%). Key evaluation instruments currently available in Korea are the World Health Organization Adult ADHD Self-Report Rating Scale, Korean Adult ADHD Rating Scale, Diagnostic Interview for ADHD in Adults, Barkley Deficits in Executive Functioning Scale for adults, Comprehensive Attention Test, Conners' Continuous Performance Test, and the subtests of Wechsler Adult Intelligence Scale, Digit Span and Letter-Number Sequencing. Although pharmacotherapy is recommended as the first-line of treatment for adult ADHD, we recommend that it be followed by a multimodal and multidisciplinary approach including psychoeducation, pharmacotherapy, cognitive behavior therapy and coaching. Conclusion: The Korean practice parameter introduces not only general information for the diagnosis and treatment of adult ADHD on a global scale, but also the process of diagnosis and treatment options tailored to the Korean population.

Cases and Legal Issues For 119paramedics in Mental Emergency Situations (정신응급상황에서 119구급대원 대응사례와 법적쟁점)

  • Young Pyo Hong
    • The Korean Society of Law and Medicine
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    • v.25 no.1
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    • pp.87-115
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    • 2024
  • In Korea, exposure to stress has been accompanied by mental pain in the process of achieving many growth along with rapid development, various social problems, and the frequency of emergency hospitalization is increasing.. In the case of mentally ill patients, "unwanted hospitalization" is a problem, and police and 119 paramedics try to suppress the body of mentally ill patients, and many problems are exposed This is because the constituent requirements of the provisions of emergency hospitalization under the Mental Health and Welfare Act do not reflect reality, and each institution has a different position on one mentally ill person, and emergency hospitalization does not proceed smoothly or leads to friction between related organizations, and the safety of the mentally ill or others is not secured. Emergency hospitalization is defined as "a person who finds a person who is presumed to be mentally ill and is at high risk of harming his or her health or safety or others," and if the situation is so urgent that he or she cannot afford time to go through the hospitalization procedure to decide on his or her own hospitalization, he or she can request emergency hospitalization with the consent of a doctor and a police officer. In this case, 119 paramedics are escorted to a psychiatric institution. This provision of emergency hospitalization poses many problems in the process of transferring to psychiatric institutions. If a police officer or 119 paramedics in charge of practice use "physical force" during the emergency hospitalization process, side effects will inevitably occur, and professional negligence can be a problem. Specifically, when exercising physical force, the minimum necessary physical restraint based on laws and regulations and proportional principles is required, and the lack of the duty of care of 119 paramedics or police officers under the laws and regulations will eventually be resolved by applying other laws and regulations. Accordingly, it will be an opportunity for mentally ill patients to be transferred to psychiatric institutions in a safe environment by changing the subject of emergency hospitalization provisions under the Mental Health Welfare Act, defining and prescribing the use of physical protection guards as the enforcement regulations of the Mental Health Act, setting the duty of care for 119 paramedics and police officers, and creating an environment for transportation so that mentally ill patients can be treated safely.

A Study on the Health Condition according to Sasang Constitution (THI에 의한 사상체질별 건강상태에 관한 연구)

  • Jang, Eun-Su;Baek, Young-Hwa;Kim, Ho-Seok;Lee, Si-Woo
    • Korean Journal of Oriental Medicine
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    • v.13 no.3
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    • pp.133-141
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    • 2007
  • Objectives: We intended to know the total health state and suggest basic result for good health management of oriental medical university student by examining Sasang constitution and health degree(THI: Todai Health Index). Methods: We diagnosed Sasang constitution using QSCC II and also estimated health degree using THI. We recruited the student of 9 universities and analyzed. Results 1. The score of psychiatric health was higher than physical one. 2. Degree of health state of Soeumin was worse than Taeumin in category of Digestive(p=0.015) and Irregular life (p=0.002) and worse than Taeumin and Soyangin in Nervousness(p=0.000), Mental Irritability(p=0.000) and Depression(p=0.007). 3. Soyangin was worse than Soeumin and Taeumin in Fiction(p=0.000). 4. Aggressiveness showed a tendence of increase in order Taeumin, Soyangin, and Soeumin. Conclusions : The oriental medical student of university needed health management focusing on psychiatric health aspect rather than physical one. And there exist the difference of health problem according to Sasang constitution. So the student should have deal with health management efficiently according to that.

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Relationship between oral health status and depressive symptoms in middle-aged women : The sixth Korea National Health and Nutrition Examination Survey (KNHANES VI) (중·장년 여성의 주관적 구강건강상태와 우울감의 관련성: 제6기 국민건강영양조사)

  • Lee, Hye-Jin;Kim, Young-Suk
    • Journal of Korean society of Dental Hygiene
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    • v.19 no.6
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    • pp.941-950
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    • 2019
  • Objectives: The aim of this study was to evaluate the relationship between depressive symptoms and oral health status in Korean middle-aged women. Methods: We analyzed data from the sixth Korea National Health and Nutrition Examination Survey (KNHANES VI). The final sample consisted of 2,691 adults aged 40-64 years. The Chi-squared test was used to assess the rate of depressive symptoms, oral health status, and relationship between oral health status and depressive symptoms. Moreover, logistic regression analysis was used to examine the association between depressive symptoms and oral health status. Data were analyzed using SPSS 20.0 program. Results: Overall, 15.1% of subjects experienced depressive symptoms. The rate of depressive symptoms in self-aware oral health, toothache, and mastication problem groups were 19.6%, 19.9%, and 25.3%, respectively. Compared to other groups, the likelihood (odds ratio) of having depressive symptoms was 1.47 (95% confidence interval [CI] : 1.16-1.88), 1.58 (95% CI: 1.22-2.04), and 1.73 (95% CI: 1.32-2.28) higher in self-aware bad oral health, toothache, and mastication problem groups, respectively. Conclusions: We found an association between depressive symptoms and oral health status. Thus, oral health status should be evaluated as a potential risk factor for depressive symptoms.

A Study on the Level of Perception of the Effect on Women's Health of the Artificial Abortion - Centered on Female and Male Adults - (인공유산이 여성건강에 미치는 영향에 관한 인식정도연구 - 성인 남녀 중심으로 -)

  • Kim, Sung-Hee;Yoo, Eun-Kwang
    • Women's Health Nursing
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    • v.6 no.1
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    • pp.166-180
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    • 2000
  • This study sought to find out the level of perception of the effect on women's physical, mental, socio-culture health of the artificial abortion. The research design was a descriptive correlational study and selected by convenient sampling. The subjects were 510 female and male adults who live in Seoul, Korea. Data were collected from 20th September, 1999 to 28th October, 1999. The data were analyzed through the SPSS program by use of frequency, percentage, t-test, ANOVA and Scheffe test as a post hoc contrast, $x^2$-test, Pearson correlation coefficient and stepwise multiple regression. The results of the study are as follows. 1. The subject who experienced artificial abortion was 24.3% and 468% of these had experienced repeated artificial abortion. 54.4% was using the contraceptives and there was a significant difference in the contraceptives between that women wish to use and that women are really using. 2. For the opinion on the artificial abortion, 77.3% of respondents was pro-abortionists and the most acceptable reasons of pro-choice were" In case of unmarried" and "For the women's health". 3. On the whole, the subjects perceived that artificial abortion had a negative effect on the women's health, especially, on the women's mental health. Among the items, 'guilty feeling about the baby' was the highest. 4. The related factors to the level of perception of the effect on women's health of the artificial abortion were in sex, age, occupational status, marital status, educational level, the number of children, abortion history, contraceptives women use, the frequency of the consideration on the problem of artificial abortion and the position toward abortion such as pro or anti. The main influencing factors on the level o0f perception were artificial abortion history, occupational status and the frequency of the consideration on the problem of artificial abortion. Theses factors explained 35% of total variance of the level of perception 5. The variables related to the experience of artificial abortion were age, occupational status, marital status, religion, educational level, the number of children and whether women practice contraceptives or not.

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The Effect of Substance Abuse Prevention Program on High School Students - focused on alcohol and smoking (고등학생을 대상으로 한 약물남용 예방 프로그램의 효과 -음주와 흡연을 중심으로-)

  • 홍정이;강희숙
    • Korean Journal of Health Education and Promotion
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    • v.20 no.3
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    • pp.61-76
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    • 2003
  • Substance abuse among teenagers has been spreading widely and become a serious social problem. However, teachers hardly realize its importance. Recently, substance abuse prevention programs show a tendency towards one time education. This study aims to research the effect of substance abuse prevention on high school students using the Life Skills Training Program. Two classes(36 students in the experimental group, 35 in the control group) at W High School in Daejeon were randomly sampled for this study from May to June 2002. Substance knowledge and attitude, problem solving, and assertiveness were examined as Pre and Post-Tests. The data was analyzed using frequencies, t-test, means, and covariance(ANCOVA). The results of this study were as follows; 1. Compared with the control group, substance knowledge in the experimental group was significantly improved(F=176.317, P=.000). And compared with the control group, substance attitudes in the experimental group were improved significantly.(F=207.682, P=.000). 2. Compared with the control group, cognitions to problem solving in the experimental group was significantly improved(F=100.937, P=.000). 3. Compared with the control group, assertiveness behaviors in the experimental group were increased significantly(F=207.255, P=.000). The study showed that Substance Abuse Prevention of High School Students was effective in improving substance knowledge and attitude, cognition to problem solving, and assertiveness behavior. Some suggestions based on the result are as follows; 1. Substance abuse preventive programs must be practiced properly and systematically with high school students in their regular classes. 2. Various preventive education programs must be developed for substance abuse where high school students can join in a community center, such as Community Welfare Center, Alcoholic Counseling Center, and Mental Health Center. 3. For the furthering of substance abuse preventive education, there must be continued research about not only students with problems of substance misuse and abuse, but also students without them. 4. There must be early determination of students with problems of substance misuse to be able provide school social workers with the opportunity for intervention.

Relevance between Geriatric Oral health Assessment (GOHAI) and Falls : Using KLoSA 2018 7th Data (노인구강건강평가지수(GOHAI)와 낙상 경험의 관련성: 고령화연구패널조사(KLoSA) 2018년도 제7차 자료를 이용하여)

  • Kim, SeYeon;Kim, Jae Hyun
    • Korea Journal of Hospital Management
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    • v.26 no.4
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    • pp.51-58
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    • 2021
  • Purpose: This study is based on the results of previous studies that falls, which is a frequent social problem, causes physical, mental and social health problems in the elderly. In order to identify risk factors for falls in the elderly, this study derives a relationship with oral health and proposes the necessity of oral health care as part of countermeasures to prevent falls in the elderly. Methodology: The final 6,936 people were analysed using the 2018 Korean Longitudinal Study of Ageing(KLoSA) survey data, and the analysis was conducted using the multiple logistic and multiple regression analysis to investigate the relationship between Geriatric Oral Health Assessment Index (GOHAI) and falls experience. Findings: As a result of the analysis in this study, the number of falls experiences and whether or not falls were higher in the elderly female group than in the male group. The likelihood of falls experience has been statistically reduced as Geriatric Oral Health Assessment Index increases by one unit.(OR : 0.991) The number of falls has also been statistically reduced as Geriatric Oral Health Assessment Index increase by one unit.(B : -0.001) Practical Implications: The results of this study, which showed that higher Geriatric Oral Health Assessment Index was lower risk of falls, explained by the connection that oral health may affect nutritional intake, which leads to sarcopenia and physical loss, which in turn increases the risk of falls. As a way to solve the fall problem, efforts should be made to improve the oral health of the elderly, and furthermore, the importance of nutrition management thorugh oral health care of the elderly is increasd.