• 제목/요약/키워드: Mental function

검색결과 735건 처리시간 0.078초

정신보건사회복지사들의 서비스 연계실태 및 연계관련 요인 (A Study of Influencing Factors on Linking Services among Mental Health Social Workers)

  • 박미은
    • 한국사회복지학
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    • 제51권
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    • pp.63-91
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    • 2002
  • 본 연구는 정신보건기관에 근무하는 정신보건사회복지사 170명을 대상으로 서비스 연계실태 및 연계관련요인을 조사하였다. 조사결과, 첫째로 연계정도는 정보교환과 클라이언트 의뢰에서 높았으며, 자금동원과 공동협의는 상대적으로 낮았다. 기관유형별로는 정신의료기관과 정신보건센터 및 사회복귀시설에서 일하는 사회복지사들의 연계가 가장 빈번하였다. 또한 접촉은 전화로, 연계경로는 기관 홍보물과 친분에 의해, 접촉대상은 일선 담당자인 경우가 많았다. 둘째, 대부분의 응답자들이 연계의 필요성을 인식하고 있었고, 그 주요 이유를 클라이언트를 위한 다양한 서비스제공이라고 하였다. 또한 연계활성화를 위해서는 정보체계의 구축 및 연계대상기관의 확대, 기관의 지원이 필요하다고 하였다. 셋째, 개인요인과 조직요인에 따른 연계의 차이에서는 여성보다 남성이, 학력이 높을수록, 관리자급인 경우, 정신보건경력이 높을수록, 자격증이 있는 경우(이상 개인요인), 그리고 소재지가 농어촌이고, 사회복귀시설과 정신보건센터인 경우, 주요대상이 만성 정신장애인인 경우(기관요인)에 연계가 높았다. 넷째, 연계에 미치는 요인을 분석한 결과, 개인요인으로 정신보건경력 및 현 기관경력, 학력이, 그리고 조직요인으로 기관소재지 및 기관유형, 기관연도가 의미 있는 영향을 주는 것으로 나타났다. 이러한 결과를 바탕으로, 정신보건서비스 연계를 위한 공식적 협의체 및 정보망을 마련하고, 연계를 정신보건 사회복지사의 공식업무로 인정하며, 나아가 연계내용과 대상을 확대할 뿐 아니라, 정부지원 하에 시범적 연계사업을 계획하는 방안을 강구할 것을 제안하였다.

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fMRI STUDTY ON HUMAN BRAIN'S ACTIVATION BY THE BRAIN STIMULATOR

  • Jeong, Hee-Chang;Choe, Bo-Young;Chung, Sung-Taek;Lee, Hyoung-Koo;Suh, Tae-Suk
    • 한국의학물리학회:학술대회논문집
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    • 한국의학물리학회 2002년도 Proceedings
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    • pp.359-359
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    • 2002
  • Brain Stimulator processes both visual and audible stimulus and send them human sensory organ. The stimulus was accepted by our sensory organ effect upon human mental function. In this study, we examine the actual effect of commercial brain stimulator using tMRI system.

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장기요양 인정자의 신체적 및 정신적 기능 상태와 삶의 질과의 관계 (Relationship Between Status of Physical and Mental Function and Quality of Life Among the Elderly People Admitted from Long-Term Care Insurance)

  • 김형선;배남규;권인선;조영채
    • Journal of Preventive Medicine and Public Health
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    • 제43권4호
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    • pp.319-329
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    • 2010
  • Objectives: This study was performed to determine the levels of quality of life (QOL) according to the grade of long-term care service for the elderly people who were admitted from long-term care insurance, and to reveal its association with the physical and mental functioning such as the Activity of Daily Living (ADL), the Instrumental Activity of Daily Living (IADL), the Center for Epidemiologic Studies Depression Scale (CES-D), and the Mini-Mental State Examination-Korean version (MMSE-K). Methods: The interviews were performed during the period from March 1 to May 31, 2009, for 958 elderly people in urban and rural areas. The questionnaire items included various indices such as the ADL, IADL, CES-D, and MMSE-K, as independent variables and the index of QOL, as the dependent ones. For statistical analysis, t-tests were used for the mean scores of QOL according to gender and the grade of long-term care services, and Spearman's correlation was used for each variable. The effects of physical and mental functioning for QOL were assessed by covariance structure analysis. The statistical significance was set at p<0.05. Results: The mean scores of QOL among all the subjects was $55.4{\pm}15.62$ (Grade I: $49.7{\pm}14.17$, Grade II: $56.8{\pm}14.62$, Grade III: $59.4{\pm}16.36$), and it was lower according to the higher grade of long-term care insurance. In terms of the correlation matrix of the QOL and the physical and mental function factors, the QOL showed positive correlation with the ADL, IADL and MMSE-K, while it had negative correlation with depression. On the analysis of covariance, mental functioning (depression and the MMSE-K) had a greater influence on the level of QOL than the physical functioning (ADL and IADL). Conclusions: The level of the QOL in the elderly people who were admitted from long-term care insurance was lower according to higher the grade of long-term care insurance. Also, the mental functioning (depression and MMSE-K) was more influential on the level of the QOL than the physical functioning (ADL and IADL).

Mental Image의 평가를 위한 추론 -연상이미지에 의한 제품평가를 중심으로- (Ratiocination for evaluation of mental image -Evaluation leafing to characteristic position of associate image and product elements-)

  • 송창호
    • 디자인학연구
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    • 제16권3호
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    • pp.59-70
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    • 2003
  • 소비자가 제품을 대할때의 감정은 제각기 다르게 평가되어 나타난다. 즉, '무엇인가 재미있는 기능이 있을 것 같다', '직접 만져보고 촉감을 느끼고 싶다' 등 구매를 결정하는 다양한 동기가 존재한다. 이와같은 동기를 유발시키는 제품 이미지는 어떻게 '은유(metaphor)'되고 평가되어 인간의 'Mental Image'에 존재하는가? 본 연구에서는 이러한 측면에 문제의식을 제기하여 제품에 대한 '연상 이미지', '제품요소의 특징적 위치' 및 '제품평가' 등을 주요 골자로 하여 고찰을 실시하였다. 명쾌한 결론 도출을 위해 먼저 3개의 가설(hypothesis)을 설정하고, 이를 검증(verification)하기 위하여 종결적 조사(conclusive research)의 일환으로 사례연구를 실시하였다. 수집된 데이터는 단순집계(simple tabulation)에 의하여 전체적인 흐름을 파악하였고, 이를 토대로 3개의 조사항목에 대한 구체적인 분석을 실시하였다. 분석방법은 소비자의 심리적인 측면을 고려하여 정량적 분석(quantitative analysis)에 중점을 두었다. 그 결과 'Mental Image의 평가를 위한 추론'에 관해 중요한 3가지 결론을 얻었다.

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지역 정신보건센터에 등록된 조현병 환자의 삶의 질 및 관련 정신사회적 요인 (The Quality of Life and Related Psychosocial Factors of Schizophrenia Patients Registered in Community Mental Health Center)

  • 장창현;안동현;이정임
    • 생물정신의학
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    • 제21권1호
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    • pp.28-35
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    • 2014
  • Objectives This study aimed to identify the relationship between quality of life (QoL) and psychosocial factors of schizophrenia patients registered in a community mental health center. Methods The ninety patients with schizophrenia, diagnosed by Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition-Text Revision, registered in a community mental health center were studied cross-sectionally. Four trained personnels interviewed each subject individually for the assessment of QoL, psychopathology, severity of depressed mood, insight of illness, attitude toward drugs, social function, degree of social supports and conflicts. Results QoL was significantly related to the psychopathology, depressed mood, social conflict, social support; and other aspects of QoL were slightly differently related to depressed mood, social conflict, social support and attitude toward drug by scales. In multiple regression analysis, depressed mood (20.0%) and social conflict (10.3%) were contributed to QoL assessed by Korean version of 4th revision of Schizophrenia Quality of Life. Social support (21.4%), social conflict (20.9%) and depressed mood (3.1%) were contributed to QoL assessed by Korean modification of the Scale to measure Subjective Well-being under Neuroleptic treatment. Conclusions These findings demonstrated that QoL of schizophrenia patients in a community is affected by depressed mood, social support and conflict rather than psychotic symptoms, insight and attitude toward drugs. And this result suggests the necessity of approaching not only to the psychotic symptoms but also to the psychosocial characteristics in caring schizophrenia patients in the community.

한국 청소년의 정신건강 요인과 구강 증상 경험의 관련성 (A Study on the relationship between oral health factors and mental health factors in Korean adolescents)

  • 배정희;최다예;홍민희
    • 구강회복응용과학지
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    • 제39권1호
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    • pp.21-31
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    • 2023
  • 목적: 본 연구에서는 한국 청소년을 대상으로 구강 증상 경험별로 정신건강 요인과의 관련성을 파악하고, 정신 건강 요인이 구강 증상 경험에 미치는 영향에 대해 살펴보았다. 연구 재료 및 방법: 질병관리청에서 2021년 수행한 제17차 청소년건강행태조사의 원시자료를 이용하여 54,948명을 분석하였다. 정신건강 요인은 슬픔과 절망감, 자살생각, 자살시도, 외로움, 스트레스, 우울감, 불안으로 구성하였다. 결과: 모든 정신건강 요인은 구강 증상 경험과 관련성이 있었다. 구강 증상 경험에 영향을 미치는 정신건강 요인은 치아파절 경험에서는 슬픔과 절망감, 자살시도, 불안, 스트레스였고, 치아통증 경험에서는 자살생각, 스트레스, 불안, 외로움, 우울감, 슬픔과 절망감이었다. 잇몸출혈 경험에서는 모든 정신건강 요인이 영향을 미쳤다. 결론: 따라서, 각 구강 증상 경험에 영향을 미치는 주요한 정신건강 요인을 중재하여 청소년들의 건강을 증진시킬 수 있는 프로그램이 개발되길 기대한다.

만성 정신분열병 환자들의 인지 기능과 정서 인식 능력의 관련성 (The Relationship between Neurocognitive Functioning and Emotional Recognition in Chronic Schizophrenic Patients)

  • 황혜리;황태연;이우경;한은선
    • 생물정신의학
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    • 제11권2호
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    • pp.155-164
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    • 2004
  • Objective:The present study examined the association between basic neurocognitive functions and emotional recognition in chronic schizophrenia. Furthermore, to Investigate cognitive variable related to emotion recognition in Schizophrenia. Methods:Forty eight patients from the Yongin Psychiatric Rehabilitation Center were evaluated for neurocognitive function, and Emotional Recognition Test which has four subscales finding emotional clue, discriminating emotions, understanding emotional context and emotional capacity. Measures of neurocognitive functioning were selected based on hypothesized relationships to perception of emotion. These measures included:1) Letter Number Sequencing Test, a measure of working memory;2) Word Fluency and Block Design, a measure of executive function;3) Hopkins Verbal Learning Test-Korean version, a measure of verbal memory;4) Digit Span, a measure of immediate memory;5) Span of Apprehension Task, a measure of early visual processing, visual scanning;6) Continuous Performance Test, a measure of sustained attention functioning. Correlation analyses between specific neurocognitive measures and emotional recognition test were made. To examine the degree to which neurocognitive performance predicting emotional recognition, hierarchical regression analyses were also made. Results:Working memory, and verbal memory were closely related with emotional discrimination. Working memory, Span of Apprehension and Digit Span were closely related with contextual recognition. Among cognitive measures, Span of Apprehension, Working memory, Digit Span were most important variables in predicting emotional capacity. Conclusion:These results are relevant considering that emotional information processing depends, in part, on the abilities to scan the context and to use immediate working memory. These results indicated that mul- tifaceted cognitive training program added with Emotional Recognition Task(Cognitive Behavioral Rehabilitation Therapy added with Emotional Management Program) are promising.

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한의 난임 치료에 활용되는 평가지표와 평가도구 사용 현황 조사 및 고찰 (Review of Indicators and Tools used to Assess Korean Medicine Infertility Treatment)

  • 이수진;김동일;최수지
    • 대한한방부인과학회지
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    • 제36권3호
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    • pp.173-195
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    • 2023
  • Objectives: To investigate and analyze the assessment indicators and tools used in clinical practice to assess Korean medicine (KM) treatment for infertility, and to establish a basis for assessment tools to diagnose and assess infertility. Methods: Relevant studies published until March 2023 were extracted from Pubmed, Research Information Sharing Service, and National Digital Science Library databases. Results: Sixty-four studies comprising 4,105 patients were included. We investigated pregnancy outcomes, and assessed pregnancy- and childbirth-related factors, overall health, reproductive health, and mental health. Pregnancy result was most common primary outcome. Ongoing pregnancy, stillbirth, miscarriage, and ectopic pregnancy rates were suggested as indicators of pregnancy and childbirth-related assessment. Overall health was most commonly assessed with Likert and Visual analogue scale (VAS). Among reproductive health variables, menstrual history was most frequently assessed. Moreover, indicators such as reproductive function, sexual intercourse, and gynecological disease were assessed. The Infertility Stress Scale and the Fertility Quality of Life tool (FertiQoL) were used to assess mental health. Conclusions: Subjective scales and objective assessment tools, such as the Likert scale and blood tests/ultrasonography, respectively, are used to assess KM infertility treatment. Inconsistent assessment tools make quantitative analyses more challenging. The development of a standardized mental and physical function assessment questionnaire with confirmed reliability and validity ensure the effectiveness of KM infertility treatment, and promote future studies on infertility treatment.

우리나라 고령자의 HINT-8 (한국형 건강 관련 삶의 질 측정도구)에 따른 건강습관 및 근력, 만성질환, 정신건강, 영양소 섭취상태 분석: 2019 국민건강영양조사자료 (Factors Associated with HINT-8 Index (Korean Health-Related Quality of Life Instrument with Eight Items), Focusing on Health Habits, Hand Grip Strength, Chronic Diseases, Mental Health, and Nutrient Intake Status in Korean Older Adults: Based on Korea National Health and Nutrition Examination Survey 2019 Data)

  • 이혜상
    • 대한영양사협회학술지
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    • 제30권2호
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    • pp.112-124
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    • 2024
  • This study investigated the factors associated with HINT-8 (Korean health-related quality of life instrument with eight items), including health habits, hand grip strength, chronic disease, chewing function, mental health, and nutrient intake. In this study, the health-related quality of life (HRQoL; HINT-8) was assessed using the data from the 2019 Korea National Health and Nutrition Examination Survey (KNHANES VIII) among Koreans aged over 65, with HINT-8 being evaluated based on the general characteristics. Of the participants from KNHANES VIII, 1,455 subjects were analyzed using SPSS statistics complex samples (Windows ver. 27.0). The HINT-8 score was significantly lower in females and in those aged 75 years or older, lowest educational level, lowest income level, and single households. Logistic regression analysis, adjusted for the general characteristics, revealed a significant association between a lower HINT-8 group and various factors: low aerobic physical activity (OR=1.71, 95% CI=1.25~2.35), low hand grip strength (OR=1.34, 95% CI=1.02~1.78), chewing difficulties (OR=2.17, 95% CI=1.62~2.92), poor self-rated health status (OR=6.11, 95% CI=4.42~8.45), stressful mental status (OR=3.57, 95% CI=2.27~5.63) and poor calcium status (OR=1.45, 95% CI=1.11~1.88). On the other hand, this study could not reveal a significant association between a lower HINT-8 group and factors such as smoking, drinking, chronic disease, and nutrient intake status, except for calcium intake. This study suggests that HINT-8 is associated with aerobic physical activity, hand grip strength, chewing function, mental health, and calcium intake, but not with smoking, drinking, chronic disease, and nutrient intake.

노인 요양시설의 위계적 공간구성에 관한 연구 (A Study on the Hierarchical Space Organization of Elderly Care Facilities)

  • 권순정
    • 한국실내디자인학회논문집
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    • 제34호
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    • pp.96-105
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    • 2002
  • Elderly care services are health, mental health, social health, and residential services provided to temporarily or chronically disabled older persons over an extended period of time with a goal of enabling them to function as independently as possible. And elderly care facilities such as nursing homes are places in which elderly care services have to be delivered effectively. It is, therefore, desirable to compose the space of elderly care facilities to meet the mental and physical abilities of frail elder people. This study has proposed the hierarchical space organization of elderly care facilities with an aim to fulfill the goals of them. Frail older people in hierarchically designed homes are anticipated to use the inner and outer spaces of care facilities as independently as possible in accordance with their physical and mental abilities.