# 시설거주 정신장애인의 삶의 만족에 영향을 미치는 요인

• Accepted : 2015.03.20
• Published : 2015.03.28
• 70 39

#### Abstract

The purpose of this study was to identify the factors affecting the life satisfaction of the mentally ill people in mental care facilities. The data were collected by a self-reported questionnaire form 215 mentally ill people in mental care facilities from July 1 to 28, 2014. The instruments for this study were depression, self-esteem, social support, insight and life satisfaction. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and hierarchial multiple linear regression with the SPSS/WIN 18.0 program. According to results, the significant factors influencing life satisfaction were social support (${\beta}=.518$, p=.000), go out (${\beta}=.155$, p=.001), self-esteem (${\beta}=.155$, p=.013), depression (${\beta}=-.147$, p=.015), gender (${\beta}=-.125$, p=.011). The study reveals that it is necessary to develop a program that increases social support and self-esteem and decreases depression.

#### Keywords

Depression;Self-esteem;Social support;Insight;Life satisfaction;Convergence

#### Acknowledgement

Supported by : 공주대학교

#### References

1. S. H. You, H. C. Choi, A study on self-esteem and life satisfaction of the people with mental illness influenced by their spiritual wellbeing. Mental Health & Social Work, Vol. 24, No. 12, pp. 36-63, 2006.
2. S. H. Cho, A study on the impact of social stigma perceived by the mentally ill on their satisfaction of life. Master's thesis, Nambu University, pp. 1-17, 2012.
3. O. K. Yang, A study on development of the quality of life scale. Korean Journal of Social Welfare, Vol. 24, pp. 157-198, 1994.
4. I. S. Choi, K. S. Ko, Effects of service utilization, family and social support on the quality of life of the mental recuperation institutions. Mental Health & Social Work, Vol. 27, pp. 331-359, 2007.
5. Ministry of Health and Welfare, 2014 mental health business guide, pp. 9-21, 2014.
6. S. Y. Kim, S. K. Kahng, Effects of management styles on self-stigma of individuals with mental illnesses : Implications for rehabilitation. Journal of Rehabilitation Research, Vol. 16. No. 4, pp. 173-198, 2012.
7. J. S. Lee, S. Y. Lee, A study on the quality of life and recovery for a mental disorder. Journal of Digital Convergence, Vol. 12. No. 6, pp. 457-465, 2014.
8. J. H. Lee, M. K. Seo, Effects of involvement in the program and program environments on social adjustment and life satisfaction of the mental illness. Korean journal of social welfare studies, Vol. 35, pp. 67-92, 2007.
9. S. Y. Lee, A study on the factors affecting quality of life of the mentally ill from the perspective of ecosystem. Ph.D. dissertation, Seoul Women's University, pp. 85-97. 2004.
10. H. Murphy, E. K. Murphy, Comparing quality of life using the world health organization quality of life measure (WHOQOL-100) in a clinical and non-clinical sample: Exploring the role of self-esteem, self-efficacy and social functioning. Journal of Mental Health, Vol. 15, No. 3, pp. 289-300, 2006. https://doi.org/10.1080/09638230600700771
11. M. S. Chung, S. I. Kang, Determinants of quality of life in mentally disabled residents of social welfare institutions. Korean Journal of Social Welfare Research, Vol. 24, pp. 81-108, 2010.
12. W. K. Kang, A study on relationship life satisfaction according to the family support and family function the mentally handicapped perceives. Master's thesis, Ewha Womans University, pp. 1-66, 2002.
13. J. Y. Woo, H. S. Kim, Ego-states and quality of life among pPersons with mental disorders, J Korean Acad Psych Mental Health Nurs, Vol. 13, No. 1, pp. 14-22, 2004.
14. Y. H. Huh, A study on life satisfaction of mental disorders in residential facilities. Master's thesis, Ewha Womans University, pp. 1-87, 2003.
15. M. A. Kim, S. H. Kim, The effect of residence on the life satisfaction of mentally disabled : Comparison of facility and home. Korean Journal of Care Management, Vol. 11, pp. 101-120, 2014.
16. S. Y. Kim, A study about influential factors for life satisfaction - mental healthcare hospital patients -. Ph.D. dissertation, Daejeon University, pp. 1-73, 2014.
17. M. K. Seo, C. N. Kim, Effects of perceived stigma on life satisfaction and self-esteem of the mental illness. Korean Journal of Social Welfare, Vol. 56, No. 4, pp. 173-194, 2004.
18. M. J. Cho, K. H. Kim, Diagnostic validity of the CES-D(Korean Version) in the assessment of DSM-III-R major depression. Journal of The Korean Neuropsychiatric Association, Vol. 32, No. 3, pp. 381-399, 1993.
19. M. Rosenberg, Society and the adolescents self-image. Princeton, NJ: Princeton: Princeton University Press, p. 347, 1965.
20. B. J. Jon, Self-esteem: A test of it's measurability. Yonsei Journal, Vol. 11, No. 1, pp. 107-130, 1974.
21. J. W. Park, (A) Study for the social support scale development. Ph.D. Dissertation, Yonsei University, p. 127, 1985.
22. A. S. David, Insight and psychosis. The British Journal of Psychiatry, Vol. 156, No. 6, pp. 798-808, 1990. https://doi.org/10.1192/bjp.156.6.798
23. Y. J. Choi, S. S. Choi, A study on the recovery attitude and factors affecting the recovery attitude in mentally disabled. Mental Health & Social Work, Vol. 26, pp. 111-143, 2007.
24. L. Hansson, Determinants of quality of life in people with severe mental illness. Acta Psychiatrica Scandinavica, Vol. 113, pp. 46-50, 2006. https://doi.org/10.1111/j.1600-0447.2005.00717.x
25. P. B. Fitzgerald, C. L. Williams, N. Corteling, S. L. Filia, K. Brewer, A. Adams, A. R. A. De Castella, T. Rolfe, P. Davey, J. Kulkarni, Subject and observer-rated quality of life in schizophrenia. Acta Psychiatrica Scandinavica, Vol. 103, No. 5, pp. 387-392, 2001. https://doi.org/10.1034/j.1600-0447.2001.00254.x
26. R. Ghubach, O. El-Rufaie, T. Zoubeidi, S. Sabri, S. Yousif, H. F. Moselhy, Subjective life satisfaction and mental disorders among older adults in UAE in general population. International Journal of Geriatric Psychiatry, Vol. 25, No. 5, pp. 458-465, 2010. https://doi.org/10.1002/gps.2360
27. E. H. Kim, Y. H. Kim, A comparison of social support, self-esteem, and social adjustment of mentally disabled living at residential facilities and home. J Korean Acad Psychiatr Ment Health Nurs, Vol. 18, No. 1, pp. 78-86, 2009.
28. K. S. Han, P. S. Lee, E. Y. Park, Influencing factors on quality of life of chronic mental illness. J Korean Acad Psychiatr Ment Health Nurs, Vol. 10, No. 3, pp. 265-275, 2001.
29. Y. Y. Kim, H. S. Park, The effects of insight and empowerment on function and quality of life for patients with schizophrenia. J Korean Acad Psychiatr Ment Health Nurs, Vol. 19, No. 1, pp. 11-21, 2010. https://doi.org/10.12934/jkpmhn.2010.19.1.11
30. M. A. Alexander, L. N. Francisco, G. K. Harold, Religiousness and mental health: a review, Revista Brasileira de Psiquiatria, Vol. 28, No. 3, pp. 242-250, 2006. https://doi.org/10.1590/S1516-44462006005000006