• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제34권1호
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• pp.21-29
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• 2023

This paper reviews the global effect of the coronavirus disease 2019 (COVID-19) pandemic on the mental health of children and adolescents in South Korea, the U.S., Japan, and China. We reviewed research on deteriorated mental health, including increased suicide, suicidal thoughts, and self-harm. Various studies have shown that students' mental health issues, such as depression and anxiety, have worsened during the COVID-19 pandemic. Furthermore, the number of students who committed suicide has significantly increased in the U.S. and Japan. Factors such as prior mental health status, change in daily routine, reduced physical activity, excessive screen time, overuse of electronic devices, and reduced social support have been reported to have a significant effect. The chain of deteriorating mental health among the youth began at the onset of COVID-19, social distancing, and school closure. As youths began to stay at home instead of going to school, they lost opportunities to connect with their friends or teachers, who could provide support outside of their homes. Young people spent less time on physical activity and more time online, which damaged their sleeping schedule and daily routine. In preparing for the post-pandemic phase, we should thoroughly analyze the long-term effects of the pandemic on youth mental health, while simultaneously tackling current imminent issues.

• 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.

• 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.

• 사회복지연구
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• 제37호
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• pp.369-397
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• 2008

본 연구는 정신장애인의 정신의료기관 입 퇴원 과정을 이해관계자들의 행위양상과 행위가 드러나는 맥락을 중심으로 분석함으로써, 국가관리의 문제점들을 노정하여 보다 실효성이 있는 정책대안을 구축하기 위한 기초자료를 제공하고자 한다. 연구의 참여자는 각 정신보건영역에 근무하는 사회복지사와 간호사 중 6명을 선정하고, 이들의 심층면접을 토대로 자료를 수집하고 분석하였다. 연구결과, 공공관리의 바깥에서 이루어지는 입원형태, 정신장애인 입원에 대한 국가관리의 공백, 정신의료기관의 입원치료에 대한 형식적 국가관리, 장기입원의 구조화, 공공퇴원관리체계의 무기력과 기능의 전치현상 등의 5개 주제가 발견되었다. 정신의료기관의 입 퇴원의 국가관리가 정신보건법상의 제도적 장치에도 불구하고 이를 다시 민간의료기관에 위탁 가능케 함으로써, 관리의 공백과 이 과정에서의 인권침해 현상이 나타나고 있었다. 또한 퇴원후 관리에서도 국가관리는 무기력함을 드러내고 있었으며, 이는 공공기관들의 기능전치현상이 한 원인으로 자리잡고 있었다. 이러한 연구결과를 토대로 하여, 우리나라 정신장애인의 입원과정, 퇴원과정에서의 인권침해를 방지하기 위한 법적 제도적 보완과 지역사회 지지기반 확충을 위한 적극적인 정책을 제언하였다.

• 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).

• Safety and Health at Work
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• 제14권3호
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• pp.250-258
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• 2023

The effectiveness of mindfulness techniques in addressing mental health conditions in workers is uncertain. However, it could represent a therapeutic tool for workers presenting with such conditions. Our objective was to assess the effects of mindfulness-based practices for workers diagnosed with mental health conditions. We conducted a systematic review of randomized controlled trials. Participants included were workers with a mental health condition. Interventions included any mindfulness technique, compared to any nonmindfulness interventions. Outcomes were scores on validated psychiatric rating scales. A total of 4,407 records were screened; 202 were included for full-text analysis; 2 studies were included. The first study (Finnes et al., 2017) used Acceptance and Commitment Therapy (ACT) associated or not with Workplace Dialogue Intervention (WDI), compared to treatment as usual. At 9 months follow-up, for the ACT group, depression scores improved marginally (standardized mean difference [SMD]: -0.06, p = 0.021), but anxiety scores were worse (SMD: 0.15, p = 0.036). Changes in mental health outcomes were not statistically significant for the ACT + WDI group. In the second study (Grensman et al., 2018), no statistically significant change in mental health scales has been observed after completion of mindfulness-based cognitive therapy compared to cognitive behavioral therapy. Substantial heterogeneity precluded meta-analysis. This systematic review did not find evidence that mindfulness-based practices provide a durable and substantial improvement of mental health outcomes in workers diagnosed with mental health conditions.

• 지역사회간호학회지
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• 제24권4호
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• pp.407-418
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• 2013

Purpose: The purpose of this study is to clarify mediating effects of self-concept on mental health of children and adolescents who fell victim to violence. Methods: A survey was conducted on 4th, 5th, and 6th graders from 2 elementary schools and 1st, 2nd, and 3rd year students from 3 middle schools (n=2,391). Data were analyzed using descriptive statistics and AMOS. Results: The mean scores of mental health and self-concept in the subjects were 4.5 and 184.9 respectively. The rate of poor mental health in students who had fallen victim to violence was more than twice as high as that in students who had never experienced it. The self-concept of students who experienced violence had a tendency to decline. Violence experience and self-concept accounted for 47.7%(43.0% for boys and 53.4% for girls) of the changes in mental health. The indirect mediating effects of self-concept were significant. Conclusion: Based on the findings, the following is suggested. Schools should offer a self-concept improvement program for students with a distorted self-concept caused by falling victim to violence. It could help such adolescents have a positive self image and improve their mental health.

• 지역사회간호학회지
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• 제18권3호
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• pp.460-468
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• 2007

Purpose: The purpose of this study was to investigate the relation between adolescents' internet addiction and mental health. Methods: The Internet addiction level was measured with K-Scale developed for Korean adolescents by Korea Agency Digital Opportunity & Promotion (2006) and the mental health level was measured with SCL-90-R developed by Derogatis (1977) and adapted for Korean adolescents by Kim, Kim. & Won (1984). Collected data was analyzed by the mean${\pm}$SD, t-test, ANOVA, Scheffe and Pearson correlation coefficient (SPSS 12.0) Results: 1. The Internet addiction level appeared to be 'Addiction' in 19%, 'Latency addiction' in 27% and 'Normal' in 54%. 2. The Internet addiction level was different according to sex, use, frequency and using time per day. The mental health level was different according to grade, sex, the father's education, the mother's education, frequency and using time per day. 3. The correlation between Internet addiction and mental health was found significant. Conclusion: The Internet addiction level was confirmed to have an influence on mental health. We offered basis data for preventing and treating Internet addiction in adolescents.

• 한국학교ㆍ지역보건교육학회지
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• 제22권2호
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• pp.93-104
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• 2021

Objectives: This study aims to understand the mediating effects of self-efficacy on the effects of social support on mental health and career preparation behavior of academic high school students. Methods: A survey was conducted targeting total 297 respondents from May 27 to May 30th 2019. The collected data was analyzed by using the PASW Statistics Ver. 18.0. Results: When the school life satisfaction was lower, and when the personality was more introverted, the students with lower school grade showed significantly low scores of mental health and career preparation behavior. In the effects of social support on mental health, the self-efficacy showed mediating roles. In the effects of social support on career preparation behavior, the self-efficacy showed mediating roles. Conclusion: If the education for strengthening social support is preferentially performed, the self-efficacy could be increased, which would have more positive effects on mental health and career preparation behavior. Regarding the subjects of education, t would be more effective to provide selective and concentrative education to the group with significantly low scores of mental health and career preparation behavior.

• Child Health Nursing Research
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• 제29권1호
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• pp.60-71
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• 2023

Purpose: This study aimed to identify factors affecting the mental health status of children from multicultural families in South Korea. Methods: This study was based on Dahlgren and Whitehead's (1991) rainbow model as a conceptual framework and used data from the second phase of the multicultural adolescents panel study conducted by the National Youth Policy Institute. Multiple logistic regression analysis was performed using SPSS version 26.0, with p<.05 considered to indicate statistical significance. Results: In the final model, stress (odds ratio [OR]=0.53, p<.001), life satisfaction (OR=2.09, p=.004), self-esteem (OR=1.73, p=.032), and peer support (OR=1.46, p=.019) affected the mental health status of children from multicultural families. The living and working conditions and general socioeconomic, cultural, and environmental conditions did not significantly influence the mental health status of children from multicultural families in the final model. Conclusion: As components of Dahlgren and Whitehead's model, individual hereditary and lifestyle factors, as well as social and community networks, affected the mental health status of children from multicultural families. Therefore, in order to improve the mental health of children from multicultural families, efforts are needed to alleviate their stress, increase life satisfaction and self-esteem, and strengthen their social support.