• 서비스연구
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• 제11권1호
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• pp.31-44
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• 2021

국내의 의료보험 제도의 순기능은 높이 평가받지만 불완전한 보장성의 문제로 인해 국민들은 민영의료보험 가입을 통해 보장성을 확보하고자 한다. 이로 인해 최근 민영의료보험의 가입률이 높아지게 되었고, 청구율 또한 높아지게 되었다. 이처럼 민영의료보험을 찾는 사람이 늘어남에 따라 민영의료보험사의 근로자는 직무 부담이 가중되었으며, 특히 보험금 지급을 담당하는 보험심사 근무직의 경우 보험금을 고객과의 소통, 회사의 수익 상출에 기여 등 다양한 이유로 직무스트레스가 나날이 증가하고 있으며 그로 인한 부작용을 경험하고 있다. 이에 본 연구는 보험심사 근무직의 직무스트레스가 정신건강에 미치는 영향에 대해 분석하여 보험심사 근무직의 직무스트레스를 감소시키고 정신건강을 증진하고자 서술적 조사 연구를 실시하였다. 분석 결과, 보험심사 근무직의 직무스트레스는 정신건강에 유의한 정(+)의 영향을 미치는 것으로 나타났다. 세부적으로는 직무스트레스가 역할수행능력·자기신뢰도, 우울, 수면장애·불안, 일반건강·생명력의 정신건강 4가지 요인 모두에 유의한 영향을 미치는 것으로 나타났다. 본 연구를 통해 보험심사 근무직의 직무스트레스가 정신건강에 유의한 정(+)의 영향을 미친다는 사실을 알 수 있었다. 직무스트레스는 근로자로 하여금 직무수행에 대한 열의를 감소시키고 이직률, 퇴사율을 높이는 등 조직적인 측면에서의 부작용을 초래하기도 하지만 개인의 신체 건강을 악화시키고 우울, 불안 등과 같은 질환을 유발하여 정신건강을 피폐하게 만들기도 한다. 따라서 이를 예방하기 위하여 대상자의 특성에 맞는 적절한 직무스트레스 예방법과 대처법을 제공하여 직무스트레스를 감소시키고 정신건강을 증진할 수 있도록 지원하여야 할 것이다.

• 보건의료산업학회지
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• 제10권4호
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• pp.239-248
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• 2016

Objectives : The purpose of this study was to examine the mediation effects of self-efficacy on the relationship between life stress and depression in university students to provide a basis for planning nursing interventions to improve the mental health of university students. Methods : Data were collected from September 1 to September 30, 2015 by giving a questionnaire to 272 university students. The instruments for this study were life stress, self-efficacy, and depression. The data were analyzed with descriptive statistics, Pearson's correlation coefficients, and multiple linear regression with the SPSS/WIN 18.0 program. Results : There were significant correlations among life stress, self-efficacy, and depression. Additionally, self-efficacy had a mediating effect on the relationship between life stress and depression. Conclusions : Based on the findings of this study, health management programs focusing on stress management and self-efficacy improvement are highly recommended to promote good mental health in university students.

• 한국환경보건학회지
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• 제49권6호
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• pp.353-361
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• 2023

Background: Noise has been linked to an increased risk of various health issues, including stress, anxiety, insomnia, and cardiovascular disorders. However, research on the relationship between residential traffic noise and mental health in South Korea is limited. Objectives: This study aims to examine the correlation between regional traffic noise levels and mental health using an ecological study design. Methods: In this ecological study, all data were collected from the Korean Statistical Information Service. Traffic noise data in residential areas and the prevalence of mental health indices in 44 cities with noise monitoring stations were obtained. Pearson correlation coefficients were calculated to assess the relationship between regional traffic noise levels and mental health indices. Results: Daytime traffic noise levels were found to have a positive correlation with stress perception (r=0.428, p=0.004) and showed a borderline positive correlation with depressive symptom prevalence (r=0.273, p=0.073). In cities with airports, significant correlations was observed between 24-hour average noise levels and depressive symptoms (r=0.604, p=0.010), whereas this relationship was not observed in cities without airports (r=0.048, p=0.813). Multiple regression analysis, which adjusted for factors such as age, gender ratio, smoking, obesity, unemployment, urban size, and the presence of an airport, confirmed the relationship between 24-hour average noise levels and stress perception (beta=0.287, p=0.024). Conclusions: This study identified correlations between regional traffic noise levels and depressive symptoms or stress perception in adults, with a more pronounced effect in areas with airports. These findings suggest a potential impact of residential traffic noise on mental health, highlighting the importance of preventive measures like noise management in urban planning to promote mental well-being.

• 대한불안의학회지
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• 제6권2호
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• pp.115-118
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• 2010

Objective : The purpose of this study was to survey the degree to which people use the Internet prior to joining the army and mental health. Methods : The author assessed Internet addiction and mental health using an Internet addiction diagnostic scale for soldiers and the Symptoms Check-list-90. A total of 508 subjects were included in the final analysis. Collected data were analyzed by independent t-test. Results : The Internet addiction risk group (n=19, 3.7%) had significantly higher mean scores for obsessive-compulsion (t=-2.43, p=0.02) and interpersonal-sensitivity subscales (t=-2.30, p=0.03) than the control group. Conclusion : Internet addiction was related to soldiers' mental health. An assessment focused on internet use would be useful in the evaluation of a person potential adaptation to the military.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제34권1호
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• pp.4-14
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• 2023

This study aimed to discuss mental health services for children and adolescents that are being implemented as initiatives of the Korean government and to review the functions and roles of these projects during the COVID-19 pandemic. Three government departments are in charge of providing mental health services for children and adolescents: Ministry of Education, Ministry of Gender Equality and Family, and Ministry of Health and Welfare. The Ministry of Education has implemented several policies to facilitate the early detection of mental health issues among school students (from preventive interventions to selective interventions for high-risk students). The Ministry of Gender Equality and Family additionally serves out-of-school children and adolescents by facilitating early identification of adolescents in crises and providing temporary protection or emergency assistance (as required) through the Community Youth Safety-Net Project. Furthermore, the Ministry of Health and Welfare operates relevant mental health agencies for individuals of all ages including children and adolescents. Any high-risk students who have been screened through the projects of the Ministry of Education are supported through referrals to the following institutions for appropriate treatment of their symptoms: specialized hospitals, the Youth Counseling and Welfare Center operated by the Ministry of Gender Equality and Family, the National Youth Healing Center, the Mental Health Welfare Center operated by the Ministry of Health and Welfare, the Suicide Prevention Center, and the Child Welfare Center. To assist students who are facing any psychological difficulties because of the COVID-19 pandemic, the Ministry of Education has established a psychiatric support group for providing emergency mental health care; furthermore, schools are promoting psychological surveillance (e.g., provision of non-face-to-face counseling services that are centered around the Wee Center). The Ministry of Education, Ministry of Gender Equality and Family, and Ministry of Health and Welfare have provided varied mental health support services in order to address the challenges faced by children and adolescents during the pandemic. Nevertheless, the mental health services operated by each ministry do show some limitations because their service provision system is insufficiently collaborative. The present study discussed the positive effects of each initiative as well as its limitations; furthermore, it suggested improvements for facilitating the healthy development of children and adolescents' mental health.

• 보건행정학회지
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• 제11권2호
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• pp.58-84
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• 2001

This study was conducted to explore the relationship between the efficiency and its organizational determinants of tile Community Mental Health Centers(CMHCs). Data are obtained from 81 personnel of 27 CMHCs from Sept. to Oct. in 1999(19 in Kyunggi province, 7 in Seoul City and 1 in Chunchon, Kangwon province). Major findings of this study are as follows. 1. DEA is a mathematical programming technique that optimizes the relative efficiency ratio of inputs over outputs for each decision-making unit(DMU). It produces a summary scalar efficiency ratio for each DMU of CMHCs. It assessed multiple inputs and multiple outputs simultaneously, and compared to specific peer group of CMHCs. 2. Organizational determinants of DEA efficiency of CMHCs we proved as advertisement(＋), location of CMHCs(in public facility)(＋), area of facility(＋), period of operation(＋), job satisfaction(＋), clarity of work-role(vague), cohesion(－), rate of certified personnel(＋), number of referral(＋), and voluntary service time(－).

• 대한불안의학회지
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• 제13권2호
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• pp.123-131
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• 2017

Objective : The PTSD Checklist (PCL) is a self-report screen for posttraumatic stress disorder (PTSD) that can be scored for both diagnostic assessment and symptom severity measurement. The most recent revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) contains a number of changes to the definition of PTSD, and the aim of this study was to assess the psychometric properties of the Korean version of the PCL for the DSM-5 (PCL-5-K). Methods : The participants were 204 Korean veterans of the Vietnam War who completed the PCL-5-K, the Mini Mental Status Examination (MMSE), PTSD module of Structured Clinical Interview for DSM-5, Research Version (SCID5-RV PTSD module), Korean version of Impact of Event Scale-Revised (IES-R-K) and Combat Exposure Scale (CES-K). Results : The PCL-5-K demonstrated good internal consistency (${\alpha}=0.972$) and test-retest reliability (r=0.96); the suggested cut-off score for PTSD diagnosis was ${\geq}37$ with 0.88 sensitivity and 0.96 specificity. The PCL-5-K scale correlated highly with the IES-R-K and CES-K. Factor analysis identified only one factor. Conclusion : Among elderly Korean veterans of the Vietnam War, the PCL-5-K demonstrated similar psychometric qualities to those of both the original PCL and subsequent versions. It is expected that the PCL-5-K will be a useful PTSD screening tool.

• 한국콘텐츠학회논문지
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• 제9권11호
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• pp.297-308
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• 2009

환자의 간병과 수발을 제공하는 간병인들은 신분의 불안정성과 업무로 인하여 직무스트레스가 높다. 따라서 본 연구는 간병인들의 직무스트레스가 정신건강에 어떠한 영향을 주는지를 알아봄으로서, 간병인들의 직무스트레스가 정신건강에 부정적인 영향을 주는 요인들을 예견하여 환자들에게 양질의 서비스를 제공할 수 있는 기초자료를 제공하고자 한다. 간병인 247명을 대상으로 구조화된 설문지와 간이정신진단검사를 이용하여 측정하였으며, 대인관계, 환자, 경제, 상해에 대한 직무스트레스로 요인을 분류하였다. 그 결과는 다음과 같다. 첫째, 간병인들의 정신건강상태와 직무스트레스 정도는 별로 없거나 보통인 것으로 나타났다. 둘째, 간병인들의 직무 스트레스 중 보수의 상응성이 제일 큰 스트레스 요인으로 나타났다. 셋째, 간병인의 직무스트레스와 정신건강은 양의 관계를 나타내었고, 정신건강에 가장 많은 영향을 미치는 요인은 대인관련 직무스트레스로 나타났다. 넷째, 간병인은 직무스트레스로 인하여 정신건강이 나빠질 수 있다고 할 수 있다. 따라서 간병인들의 직무스트레스 관리를 위한 교육 및 프로그램 개발이 필요하다.

• 보건교육건강증진학회지
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• 제25권5호
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• pp.21-38
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• 2008

목적: 이 연구는 한국 대학생의 정신건강 원조체계 활용을 고찰하는데 일차적 목적을 두곤 보건의료서비스 이용에 관한 모델을 적용하여 다양한 정신건강 원조체계의 활용에 영향을 미치는 요인들을 파악하고자 했다. 방법: 수도권에 위치한 4년제 대학 4곳에서 총 454명의 학생들이 본 연구를 위한 설문에 참여했다. 자기응답식 설문지를 사용하여 공식적 보건의료 및 정신보건서비스, 비공식적 원조체계, 동년배 집단, 가족지지로 구분되는 다양한 원조체계와 관련된 도움요청 행위(help-seeking behavior)에 관한 자료를 수집했다. 결과: 조사 응답자들은 심리정신적 어려움에 처했을 때 흔히 도움을 요청하는 대상으로 가족이나 동년배 집단에 속하는 다양한 유형의 대상을 꼽았으며, 이들 다양한 유형의 자원에 도움을 구하는데 영향을 미치는 요인으로 나이, 성별, 심리정신적 증상, 정신질환에 대한 지식, 태도가 유의미하게 나타났다. 나이와 심리정신적 증상이 높을수록 공식적 서비스를 활용할 가능성이 높았으며, 증상이 심한 경우 비공식적 자원(종교인, 교수 등)에 도움을 요청할 가능성이 낮았다. 남학생의 경우와 정신질환에 대해 부정적 지식과 태도를 갖고 있는 경우는 동년배(선후배, 동성 및 이성친구 등)에게 도움을 요청할 가능성이 낮았다. 결론: 비공식적 자원이나 동년배 집단은 발달적으로 청소년후기 및 청년전기에 속하는 대학생 집단에 있어 사회적 지지로서, 전문적 도움의 관문으로서 중요한 역할을 할 수 있음에도 불구하고 그 역할이 제한적이므로, 동년배상담자 훈련이나 자조집단 육성 등을 비롯한 대학 상담부서의 적극적인 정신건강 아웃리치(outreach) 노력이 필요하다.

• 보건의료산업학회지
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• 제9권2호
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• pp.47-56
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• 2015

The purpose of this study was to observe the health status of the elderly, and to investigate the correlation between their health status and quality of life. Data from the years 2010 and 2011 were used which are from the fifth edition of the 'Survey of the Korean National Health and Nutrition'. According to multiple regression analysis, perceived health status, chronic illness, stress, depression, and suicidal thoughts were important factors in quality of life. Above all, the most important factor was perceived health status (its explanatory power was 36.5%). In conclusion, perceived health status has strong effects on the quality of life in the elderly, and it is necessary to provide more extensive welfare projects to improve the quality of life in Korean elderly.