웰빙융합연구 (Journal of Wellbeing Management and Applied Psychology)

한국웰빙융합학회 (Korea Wellbeing Convergence Association)
권호 표지
DOI QR코드

DOI QR Code

Mental Health Counseling in 2022: Insights and Policy Recommendations from NHANES Data

  • Ae-Jun PARK (Department of Health Care Management, Catholic Kwandong University) ;
  • Ae-Hee HA (Memory Therapy Lab, Memory Therapeutics Lab)
  • 투고 : 2024.07.16
  • 심사 : 2024.08.19
  • 발행 : 2024.09.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: This study aims to analyze the status and realities of mental health counseling experiences among adults using the 2022 National Health and Nutrition Examination Survey(NHNES) data. The goal is to provide policy recommendations for enhancing mental health services. Research Methods: Utilizing secondary data analysis of the 2022 survey conducted by the Korea Disease Control and Prevention Agency(KDCPA), this study applied statistical techniques including descriptive statistics, chi-square tests, and logistic regression to evaluate counseling experiences based on age, gender, residential area, and income levels. Results: The study included 5,256 participants, with the highest proportion being those aged 60-69 (21.3%) and the lowest aged 19-29 (11.7%). Females constituted 56.5% of the sample, while males made up 43.5%. Older adults (60-69 and 70+) had significantly lower counseling experience rates compared to younger adults (19-29). Females had higher counseling experience rates than males, indicating gender differences in mental health service utilization. Urban residents had higher counseling experience rates than rural residents, suggesting better access to mental health services in urban areas. Lower income levels were associated with higher counseling experience rates, highlighting the need for targeted mental health support for economically disadvantaged groups. Conclusions: The study recommends developing age-specific, gender-sensitive, and regionally tailored mental health programs to improve accessibility and effectiveness. Additionally, policies should focus on enhancing mental health support for low-income individuals to address the socioeconomic disparities in mental health service utilization.

키워드

참고문헌

  1. Bakkum, L., Paalman, C., Muller, A., Eeghen, A., & Schuengel, C. (2024). Accessibility and feasibility of experience sampling methods for mental health research with people with intellectual disability: Scoping of research and stakeholder views. Journal of Applied Research in Intellectual Disabilities, 37(2), e13190, https://doi.org/10.1111/jar.13190.
  2. Barnett, P., Oshinowo, I., Cooper, C., Taylor, C., Smith, S., & Pilling, S. (2023). The association between social class and the impact of treatment for mental health problems: a systematic review and narrative synthesis. Social Psychiatry and Psychiatric Epidemiology, 58, 581-603. https://doi.org/10.1007/s00127-022-02378-9
  3. Cho, M. S., & Lee, S. J. (2023). Dietary Behavior, Nutrient Intake, and Mental Health of Middle-aged Single- and Multi-person Households in Korea: Using Data from the Korea National Health and Nutrition Examination Survey 2015-2019. Journal of the Korean Society of Food Culture, 38(5), 283-292. https://doi.org/10.7318/KJFC/2023.38.5.283
  4. Choi, B. M. (2023). The effect of domestic violence co-counseling on improving dysfunctional family culture. The Journal of Welfare and Counselling Education, 12(1), 245-267.
  5. Choi, J., & Lee, S. (2021). Convergence Study on the Relationship between Mental Health and Oral Health Problems in Korean Elderly. Journal of The Korea Convergence Society. 12(10), 121-128. https://doi.org/10.15207/JKCS.2021.12.10.121
  6. Craig, F., Servidio, R., Calomino, M., Candreva, F., Nardi, L., Palermo, A., Polito, A., Spina, M., Tenuta, F., & Costabile, A. (2023). Adverse Childhood Experiences and Mental Health among Students Seeking Psychological Counseling Services. International Journal of Environmental Research and Public Health, 20(10), 5906, https://doi.org/10.3390/ijerph20105906.
  7. Dupree, L. W., Herrera, J. R., Tyson, D. M., Jang, Y., & King-Kallimanis, B. L. (2010). Age Group Differences in Mental Health Care Preferences and Barriers among Latinos. Best Practices in Mental Health, 1, 47-59.
  8. Farrer, L., Leach, L., Griffiths, K., Christensen, H., & Jorm, A. (2008). Age differences in mental health literacy. BMC Public Health, 8, 125.
  9. Hum, E., & Falci, C. (2016). Gender Differences in Social Support, Self-Salience, and Mental Health. Undergraduate Creative Activities & Research Experiences, Summer 8.
  10. Johansen, R., Espetvedt, M., Lyshol, H., Clench-Aas, J., & Myklestad, I. (2021). Mental distress among young adults - gender differences in the role of social support. BMC Public Health, 21, 2152.
  11. Jung, K., Kim, M., & Kim, J. (2024). A meta-analysis on the effect of group counseling programs on emotions. Journal of Rehabilitation Psychology, 31(2), 157-178.
  12. Jung, K. H., & Chun, N. (2019). Influence of Stress, Social Support and Lifestyle on Health-related Quality of Life in Middle Aged Women. Journal of Korean Biological Nursing Science, 21(1), 62-69. https://doi.org/10.7586/jkbns.2019.21.1.62
  13. Jung, S. W. (2018). International Comparison and Cause Analysis of Low Birth Rates. KDB Industrial Bank Research Monthly, 753, 3-27.
  14. Imig, A. (2014). Small but Mighty: Perspectives of Rural Mental Health Counselors. The Professional Counselor, 4(4), 404-412. https://doi.org/10.15241/aii.4.4.404
  15. Kang, J. A., & Choi, H. L. (2024). A Study on the Experiences of Married Immigrant Women Who Participated in Domestic and Sexual Violence Counselor Training. Family and Family Therapy, 32(2), 303-324.
  16. Kim, H., & Kim, E. J. (2021). Association between Exposure to Alcohol's Harm to Others and Mental Health in Korean Adults. Journal of the Korea Academia-Industrial Cooperation Society 22(7), 543-550. https://doi.org/10.5762/KAIS.2021.22.7.543
  17. Kim, H. S. (2019). A Study on Examination of Health Inequality among Dying Alone Cases. Journal of the Convergence on Culture Technology, 5(1), 311-318. https://doi.org/10.17703/JCCT.2019.5.1.311
  18. Kim, J., & Kwon, K. (2024). A Systematic Literature Review on Non-face-to-face Video Group Counseling. The Journal of Learner-Centered Curriculum and Instruction, 24(10), 103-118.
  19. Kim, J. S., & Kim, Y. (2024). Exploring the Meaning of Multicultural Family Youth' Experience of Participating in a Career Group Counseling Program: Focusing on the Psychology of Work Theory. Korean Journal of Career Education, 37(1), 137-162.
  20. Kim, J. Y., Kang, E. H., Baek, Y. A., Ahn, J. Y., & Lee, S. H. (2024). Development of the Telephone Triage Guidelines and Computerized Application for Symptom Management in Cancer Patients. Asian Oncology Nursing, 24(1), 1-10. https://doi.org/10.5388/aon.2024.24.1.1
  21. Kim, S., Kim, H., & Hwang, M. (2023a). Analysis of factors related to adolescent suicidal thoughts typology. The Korea Journal of Youth Counseling, 31(2), 1-24.
  22. Kim, S. J., & Han, Y. J. (2023b). Qualitative Study on Early Development Process of Multi-Cultural Counselors. Korean Journal of Women Psychology, 28(2), 277-300.
  23. Kim, Y., Lee, J. W., & Song, K. (2023c). Gender Comparison on the Effect of Suicide Risk in Adolescents on Smoking: Focusing on the 17th (2021) Korean Youth Risk Behavior Survey. Korean Journal of Youth Studies, 30(9), 1-20.
  24. Kim, Y. M. (2020). Factors Affecting Mental Problem Counseling in Adults with Anxiety and Depression Symptoms. The Journal of Learner-Centered Curriculum and Instruction, 20(14), 861-877. https://doi.org/10.22251/jlcci.2020.20.14.861
  25. Ko, S., Ahn, Y., Hwang, N., Lee, A., & Choi, H. (2023). 2022 Survey on the prevention of solitary death. Ministry of Health and Welfare, Korea Institute for Health and Social Affairs.
  26. Korea Disease Control and Prevention Agency. (2024). The 9th National Health and Nutrition Examination Survey data, consent form. Korea Disease Control and Prevention Agency. (https://www.kdca.go.kr).
  27. Kwon, N., Park, S. H., Park, J. S., Lee, S. J., & Shin, N. Y. (2024). The Effects of Brief Individual Positive Psychotherapy for Delinquent Youth: A Pilot Study. Asian Correction Forum, 18(1), 47-75.
  28. Lee, G., & Kim, C. (2024). Social isolation and mental well-being among Korean older adults: a focus on living arrangements. Frontiers in Public Health, 24 April, Sec. Aging and Public Health, 12, https://doi.org/10.3389/fpubh.2024.1390459.
  29. Lee, K., Shin, Y., Jung, S., Park, M., & Kim, R. (2009). Understanding Psychological Variables of Low Birth Rates in Korean University Students and Middle-aged Married Women. Korean Journal of Infant Mental Health, 2(1), 45-64. https://doi.org/10.47801/KJIMH.02.1.4
  30. Lee, S. (2023). Perceived by Counselors of the Functional Elements of the Online Psychological Counseling Platform. Journal of the Korea Academia-Industrial Cooperation Society, 24(1), 71-82. https://doi.org/10.5762/KAIS.2023.24.1.71
  31. Lee, S. H., Park, J. H., Kim, J. H., & Cho, S. H. (2022). Development of a Training Curriculum for Professional Counselors Specializing in Pregnancy and Childbirth Conflicts. Health and Social Welfare Review, 42(2), 43-64. https://doi.org/10.15709/HSWR.2022.42.2.43
  32. Li, C., Ning, G., WangLin, L., & Chen, F. (2022). More income, less depression? Revisiting the nonlinear and heterogeneous relationship between income and mental health. Frontier in Psychology, 14, Sec. Health Psychology, 13, https://doi.org/10.3389/fpsyg.2022.1016286.
  33. Lowther-Payne, H., Ushakova, A., Beckwith, A., Liberty, C., Edge, R., & Lobban, F. (2023). Understanding inequalities in access to adult mental health services in the UK: a systematic mapping review. BMC Health Services Research, 23, 1042.
  34. Moudatsou, M., Stavropoulou, A., Rovithis, M., & Koukouli, S. (2024). Evaluation of Online Counseling through the Working Experiences of Mental Health Therapists Amidst the COVID-19 Pandemic. Healthcare, 12(4), 495, https://doi.org/10.3390/healthcare12040495.
  35. Park, G., Kim, M. Y., & Kang, C. (2021). Relationship between Mental Health and Quality of Life in Single Adult Households. Journal of The Korean Data Analysis Society, 23(6), 2787-2800. https://doi.org/10.37727/jkdas.2021.23.6.2787
  36. Sanghvi, P., Mehrotra, S., & Sharma, M. (2024). "ReachOut": Pilot Evaluation of a Help-Seeking Intervention for Common Mental Health Concerns Among Distressed Non-Treatment-Seeking Young Adults. Cureus, 16(2), e54324.
  37. Sixsmith, A., & Cosco, T. D. (2024). Technology, aging, and mental health: opportunities and challenges. Aging & Mental Health, 28, Issue 4, 1-3. https://doi.org/10.1080/13607863.2024.2320132
  38. Simmons, M., Cartner, S., MacDonald, R., Whitson, S., Bailey, A., & Brown, E. (2023). The effectiveness of peer support from a person with lived experience of mental health challenges for young people with anxiety and depression: a systematic review. BMC Psychiatry, 23, 194.
  39. Stringer, H. (2024). Mental health care is in high demand. Psychologists are leveraging tech and peers to meet the need. American Psychological Association, 55(1), 60.
  40. Thurston, C., Murray, A., Franchino-Olsen, H., & Meinck, F. (2023). Prospective longitudinal associations between adverse childhood experiences and adult mental health outcomes: a protocol for a systematic review and meta-analysis. Systematic Reviews, 12, 81.
  41. Tibber, M., Walji, F., Kirkbride, J., & Huddy, V. (2022). The association between income inequality and adult mental health at the subnational level-a systematic review. Social Psychiatry and Psychiatric Epidemiology, 57(1), 24, https://doi.org/10.1007/s00127-021-02159-w.
  42. Tuna, B., & Avci, O. (2023). Qualitative analysis of university counselors' online counseling experiences during the COVID-19 pandemic. Current Psychology, 42, 8489-8503. https://doi.org/10.1007/s12144-023-04358-x
  43. Woo, D., Kim, T., Han, Y., Lee, S., & Park, K. (2024). The Impact of Juvenile Delinquency on Depressive Symptoms in Adolescents: The Moderating Effect of Social Support. Health and Welfare, 26(2), 93-114. https://doi.org/10.23948/kshw.2024.06.23.2.93
  44. Yang, H., Zheng, X., Zhou, R., Shen, Z., & Huang, X. (2020). Fertility Behavior and Depression Among Women: Evidence from China. Frontiers in Psychology, 13 November, Sec. Health Psychology, 11, https://doi.org/10.3389/fpsyg.2020.565508.