• 한국학교보건학회지
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• 제28권3호
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• pp.139-149
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• 2015

Purpose: This study aims to analyze the factors affecting the agenda-setting process and the formation process of school-based mental health policies by applying a policy stream model. Methods: For this purpose, Kingdon's policy stream model was used as the analytical framework. Results: First, when establishing a school-based mental health policy, the agenda was set going through unpredictable and nonlinear changes. Second, for the school-based mental health policy to be selected onto the agenda and to be developed and implemented as an actual policy, the role of policy makers was considered most important in the process. Third, the policy window for school-based mental health policy was closed around the year 2013. Finally, an analysis of the school-based mental health policy stream identified two key features. One is that the school-based mental health policy first emerged when school violence prevention policy expanded its scope into relevant neighboring policies. The other is that the school-based mental health policy has taken shape through a linear decision-making process (being put on the government's agenda, searching for an alternative, selection, and implementation) during the policy implementation period after it has been selected as an alternative policy. Conclusion: Conclusions can be summed up as follows. The school-based mental health policy needs continuous development and improvement in case the window for the policy may open in the coming future. The government's support is needed to draw policy makers' interest and participation who play the biggest role in establishing policies.

• 보건교육건강증진학회지
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• 제27권1호
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• pp.71-80
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• 2010

Objectives: This study furthers the currents understanding of mental health status and stress level among Seoul citizens and to identify differences according to socio-demographic variables for developing mental health programs. Methods: The study subjects using cluster-stratified sampling method were 1234 adults over 19 years old from 17 dong, S-Ku in Seoul City. A cross-sectional study with face-to-face interview was used to collect data. A questionnaire measuring socio-demographic variables, Symptom Checklist-90-Revised (SCL-90-R) and psychosocial wellbeing index-short form (PWI-SF) was utilized. Results: Three findings in this study were discussed: (1) The rate of clinical mental health was low in contrary to that of border group which was high and the rate of high risk group of stress was 68.1% (men 67.0%, women 69.0%); (2) The mental health and the stress level was significantly higher among female, elderly, lower education level, divorced, and lower family income; and (3) In Pearson correlation analysis, stress were correlated to all 9 symptoms of SCL-R. Conclusion: The findings suggest that the future intervention of Mental Health programs should be carefully designed and tailored by socio-demographic variables.

• 한국학교보건학회지
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• 제22권1호
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• pp.33-48
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• 2009

Purpose: The purpose of the study was to find the strategies of mental health screening in school. Based on the literature review, we discuss the importance of screening students in schools for mental health problems. Methods: Data from the 2008 Korean Mental Health Screening in Schools(2008-KMHSS) are used to estimate the outline of this screening. We administered the questionnaire for satisfaction of 2008-KMHSS for students(N=1,280), parents(N=2,672), school nurses(N=75), teachers(N=685), district personnels(N=6), and mental health center staffs(N=37). Also we interviewed a part of them by telephone and e-mail. And we reviewed the tools and methods for screening students for emotional/behavioral problems. Results: Mental health screening in schools is a very important, yet worrisome, agenda that is in its very early stages. From the 2008 Korean Mental Health Screening in Schools, 9,588 students(12.9%) needed more evaluation in the first stage. Of these, 6,910(72.1%) completed the second stage screening. In this sample, 1,975(28.6%) utilized the mental health services in school or community. 38.3% of students and 43.7% of their parents notified the 2008-KMHSS. But only 12.1% of students and 10.9% of their parents dissatisfied with the screening. 9.9% of teachers and 22.7% of school nurses dissatisfied with the screening. Among them the school nurses were mostly dissatisfied, and they complained work burden from KMHSS. Mental health center staffs complained similar issues. The Children's Problem-behavior Screening Questionnaire(CPSQ) and Adolescents' Mental-health & Problem-behavior Screening Questionnaire(AMPQ) were compatible to screen students in schools for mental health problems in first stage. Conclusion: Mental health screening in schools needs careful planning and implementation. For successful mental health screening in schools, several elements need to be considered: careful planning, collaboration, staff training, and integrative mental health programs and services in community or schools.

• 보건교육건강증진학회지
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• 제8권2호
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• pp.52-60
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• 1991

The purpose of this study were to recognize the status of state-anxiety and mental health of the middle-aged women and effects of the state-anxiety upon the mental health of the their. This data on which the analysis was based come from a survey of 466 middle-aged women is Seoul. The questionaire consisted of the 20 questions of the state-anxiety inventory by Spielberger and Lee, Hoon Koo's 47 questions dervied from the SCL-90 by Derogatis and the others. The data was analyzed using percentage, T-Test, ANOVA, Pearson's Correlation Coefficient. The results are as follows: 1. The state-anxiety status showed that 16.9% of the total respondents had badness state-anxiety. 2. The mental health assessment scale (SCL-90) showed that 3.4% of the total respondents had mental health problems. The most prevalent one was somatization, the 2nd and 3rd were depression and obsessive-compulsive. 3. The test of relationship between the individual background and the status of state-anxiety revealved that, there seemed to be staistically significant correlation between the state-anxiety and the academic background (P<0.01), family in come(P<0.05), physical health status(P<0.001) and marital satisfaction(＜0.001). 4. The test of relationship between the individual background and the status of mental health revealved that, there seemed to be staistically significant correlation between the mental health and the academic backgroung(P<0.001), marriage status(P<0.05), husband's occupation(P<0.05), number of family live with(P<0.05), physical health status(P<0.001) and marital satisfaction(P<0.001). 5. Between the state-anxiety and the mental health of the subjects, there was a correlation that the lower score of state-anxiety was, the lower score of the mental health(r=0.57, P<0.001).

• 정신간호학회지
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• 제27권4호
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• pp.303-312
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• 2018

Purpose: The purpose of this study was to examine the effects of self-efficacy, health attitudes and healthy lifestyles on recovery of people with mental disorders in the community. Methods: Participants were 188 people with mental disorders receiving mental health services at community mental health welfare centers in the J province. The data were collected from May to June, 2018. Self-report questionnaires were used to measure general self-efficacy, health attitude scale, healthy lifestyles and recovery. Data were analyzed with descriptive statistics, independent t-test, one-way ANOVA with $Scheff{\acute{e}}$ test, Pearson's correlation coefficients, and stepwise regression using the SPSS/WIN 23.0 program. Results: Self-efficacy, health attitudes, and healthy lifestyle of people with mental disorders were significant factors, explained about 72% of the variance on recovery. Conclusion: These findings suggest that education programs and health promotion programs focused on healthy lifestyles, improving health attitudes, and self-efficacy should be developed for people with mental disorders to promote their recovery.

• 보건교육건강증진학회지
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• 제30권2호
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• pp.1-10
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• 2013

Objectives: The objective of this study was to assess the relationship between internet addiction and health behaviors & mental health among Korean adolescents. Methods: Data from the 2010 Korean Youth Risk Behavior Web-based Survey was analyzed. Using the Korean Internet Addiction Proneness Scale for Youth-Short Form: Self Report developed by the Korean National Information Society Agency in 2008, subjects were classified into 3 groups for internet addiction including general user, potential-risk group, and high-risk group. The health behaviors and mental health were compared among the groups for internet addiction by gender. Results: There was significantly higher prevalence of internet addiction including potential-risk group and high-risk group in boys(14.1%) than in girls(8.8%). There were significant odds ratios of perceived stress, perceived depression, perceived health and happiness, and satisfaction of sleeping in both genders at potential-risk group and high-risk group compared to general user for the internet addiction. The odds ratios of smoking at high risk group, alcohol drinking at potential risk group, eating breakfast at high risk group, and moderate physical activity at both risk groups among boys were significant. Among girls at both risk group, the odds ratios of smoking, alcohol drinking, and eating breakfast were significant. Conclusions: This study reveals a significant association among internet addiction, and health behaviors, and mental health in Korean adolescents.

• 보건교육건강증진학회지
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• 제13권2호
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• pp.24-34
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• 1996

This study had been carried out to analyze the relationship among the personal variables, the variales of life style and physical and mental health status of workers. In order to analyze the influence of industrial worker's life-style on physical and mental health status of workers, explore the relaionship between healh status and their life-style. Special interest in this study was the assesment of worker's physical and mental health status measured by the Todai Health Index(THI)-a self-adminstered health stutus screening instrument developed by a University of and Gumma research team. Data were collected from an industry of 1,495 workers at city of Chang Won in Korea. 1. The young age group especially the group who had short work duraion less than two years had high THI scores which were statistically significant. 2. A worker who followed 6∼7 good life style scores were found to be associated with better health status than those who followed 0-3 bad life style scores in most of all dimensions of physical and mental health scales of THI. 3. According to the multiple regression analysis, the variable of life style scores had the greatest influence on physical and mental health status of industrial workers. The variable of age, duration of work, and life style were included in the regression model(R²= 18.8).

• 한국학교보건학회지
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• 제17권2호
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• pp.47-61
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• 2004

Purpose: The goal of this paper is to offer practical suggestions for developing, implementing, and maintaining a successful school mental health program based on the model of a school mental health program for middle school students at the Namgu Hyosarang adolescent Mental Health Center. The model will be divided into six areas and the challenges and future direction of this program: creative approach to funding, creative staffing, education, training, needs assessment & resource mapping, collaboration and partnerships in a school mental health program, and developing an outcome evaluation research. Method: This is a descriptive study of the school mental health program model for middle school students of Namgu Hyosarang Adolescent Mental Health Center implemented over a four year period. Conclusion: Within this paper, a blueprint that can guide the development and implementation of school mental health programs has been offered. The actual application of this model will vary depending on the structure and goals of individual programs and schools. This model of our center has been identified as an effective school mental health program and the actual application program in regular learning times to middle school students. Establishing guidelines about the types of activities necessary for the successful implementation and sustainability of a school mental health program constitutes the first step in standardizing this process, and the school mental health movement continues to receive national recognition as a viable services delivery model for adolescents in need of mental health services. The recommendations outlined indicate that a school mental health program is more effective and necessary than the clinical service of a psychiatric hospital for adolescents' emotional/behavioral problems.

• 한국보건간호학회지
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• 제11권1호
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• pp.66-81
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• 1997

This study examined the experience of health education and assessed the needs for health education in the students attending a university located in Inchon. The primary subjects were 749. who were selected from each college by using systematic random sampling. Of these students. 457 subjects responded to the self-reported questionnaire. revealing the response rate of $61.01\%$. As for the analysis of the data. percentages. chi-square test. and correlation and regression analyses were adopted. The experience rate of health education was 39.02% and the rate was higher in women than in men. The students experienced the education about smoking and first-aid most frequently. whereas they experienced stress management much less frequently. Stress management was given the highest priority among the subjects of health education which they proposed to need. Physical health states of the students were better than their mental health states. The women tended to eat meals irregularly compared to men. Those students living not with their family nor with their relatives were more likely to eat meals twice a day compared to those who live at their homes. Those who recognized the need for health education showed the willingness to join health education to be given. The willingness was, also observed in those who had better self-evaluated mental health. regardless of the recognition of the need for health education. These findings revealed both objective and subjective needs for educating management of mental health. Education on healthy eating habit should be given particularly to woman students and those who do not live with family nor with relatives. When educating for the management of mental health. there should be strategies to facilitate the participation of the students who do not have good mental health.

• 한국학교ㆍ지역보건교육학회지
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• 제13권1호
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• pp.77-87
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• 2012

This study is a descriptive paper addressing the relationship between test anxiety, self-esteem and the mental health levels of freshmen and third year students of Dental Hygienics. In late 2011, we received a total of 298 questionnaires from freshmen and third year Dental Hygienics students of three South Korean universities, located specifically in Seoul and Gyeonggi-do. The timing of this questionnaire was significant because it was one week prior to midterm examinations. The results were as follows:1. There was a statistically significant relationship between age (t=3.017, p<.001) and grade(t=2.665, p<0.05), subjective health status(t=27.513, p<.001). 2. The lower the participants' reported mental health in general, the higher their level of test anxiety (r=.565, p<.001), broken down into two subdivisions: cognitive text anxiety (r=526, p<.001) and emotional test anxiety (r=.534, p<.001). 3. When considering the factors that influence the general mental health of participants, there were age differences. For first year students, their subjeetive health status (${\ss}$=-.300, p<.001) and test anxiety (${\ss}$=.530, p<.001) were significant. For third year students, this was also true (subjective mental condition: ${\ss}$=-.242, p<.001 and test anxiety: ${\ss}$=.350, p<.001) but self-worth was also significant (${\ss}$=.377, p<.001). The results of this study suggest that the key factors that influence the mental health level of students Dental Hygienics are test anxiety, subjective appraisal of health level, and general self-worth. A systematic approach is therefore needed to improve students' mental health and reduce test anxiety. Health management programs which address and test students' physical health will also be important in improving student performance and welfare.