• Korean Journal of Psychosomatic Medicine
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• v.31 no.2
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• pp.79-88
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• 2023

Objectives : Cancer diagnosis causes significant distress while it may also bring positive change: post-traumatic growth. This study was conducted to analyze factors that affect post-traumatic growth. Methods : Medical records of 52 cancer patients who received psychiatric treatment at a university hospital in Seoul were reviewed and the correlation between post-traumatic growth and following factors were analyzed: Resilience, Anxious thoughts and tendencies, Mindful attention awareness, Acceptance attitude Results : Using Multiple Generalized Linear model, a positive correlation was found between post-traumatic growth and resilience (B=1.45, p<0.0001), mindful attention awareness (B=0.58, p=0.0030) and acceptance attitude (B=1.29, p=0.0003), while anxious thoughts and tendencies (B=-0.84, p<0.0001) had negative association. Conclusions : Factors that have a positive impact on post-traumatic growth were resilience, mindful attention awareness, acceptance attitude and a factor with a negative impact was anxious thoughts and tendencies; Factors that impact post-traumatic growth need to be taken into account, when approaching the treatment of cancer patients.

• Sleep Medicine and Psychophysiology
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• v.29 no.1
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• pp.21-28
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• 2022

Objectives: Our study aimed to investigate the relationship between the anxiety at first year and chronotype and sleep quality at third year in medical students. We also investigated the association between sleep quality, chronotype, depression and resilience at third year. Methods: Fifty two medical students (36 males, 69%, aged 21 ± 0.93) in first year, and forty four medical students (31 males, 70.5%, aged 23.05 ± 0.99) at third year answered Beck Depression Inventory 2, Beck anxiety inventory, Insomnia severity index-K, Composite scale of morningness and Conner-Davidson Resilience scale-10. Multiple linear regression analysises were performed to identify predictors of chronotype, sleep quality and resilience. Results: Higher anxiety (β = -0.434, p = 0.006) at first year was significant predictor of eveningness at third year, while lower anxiety score (β = 0.606, p < 0.001) at first year was significant predictor of sleep quality at third year. Lower sleep quality (β = -0.314, p = 0.042) and eveningness (β = 0.315, p = 0.041) were associated with low resilience at third year. Also, Lesser depression (β = -0.717, p < 0.001) was associated with higher resilience at third year. Conclusion: Our study showed that higher anxiety in first year had significantly related with eveningness and poor sleep quality at third year. In addition, higher sleep quality, morningness and less depression had significantly associated with better resilience at third year.

• Korean Journal of Psychosomatic Medicine
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• v.24 no.2
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• pp.217-226
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• 2016

Objectives : To investigate changes in, and predictors of, metabolic syndrome(MetS) status over a 5-year period in chronic schizophrenic patients and to identify factors associated with the prevention of or recovery from MetS. Methods : In total, 107 patients, all of whom provided written informed consent, were followed from 2011 to 2016 at Naju National Hospital for this study. MetS was defined according to the revised National Cholesterol Education Program-Adult Treatment Panel III guidelines. Results : During follow-up period, 22(20.5%) patients were newly diagnosed to MetS, 14(13.1%) were disappeared, 77(66.4%) were not changed[MetS : 34(31.8%), No MetS 37(34.6%)]. Common significant factors in the two changed groups were triglyceride and waist circumference, not dose and type of antipsychotic medication. Multiple logistic regression analysis revealed that female gender(odds ratio[OR]=2.846, 95% confidence interval[CI] : 1.020-7.942), attending two or more outpatient visits per month(OR=3.155, 95% CI : 1.188-8.379) and taking antidepressant medication(OR=3.991, 95% CI : 1.048-15.205) were significantly associated with MetS after controlling for other confounding variables. Type and dose of antipsychotic medication were not significantly associated with MetS. Conclusions : Triglyceride and waist circumference were important manageable indicator of MetS. Adoption of a healthy lifestyle is more important than adjusting the dose or type of antipsychotic medication in the treatment of chronic schizophrenia patients with MetS.

• The Journal of the Korea Contents Association
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• v.14 no.10
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• pp.628-638
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• 2014

The aim of this study was to explore the reliability and validity of the Korean version of the Recovery Assessment Scale in psychiatric patients. The original RAS was translated into Korean and the content was verified through back-translation procedures. This study included 142 patients who had chronic mental illness and were aged 18 or older. The subjects were assessed by using RAS-K, the 12-item Dispositional Hope Scale(DHS), the 28-item Mental Health Recovery Measure(MHRM), the 32-item Behavior and Symptom Identification Scale (BASIS-32). In the reliability test, Crobach's a coefficient and test-retest reliabilities were 0.92 and 0.79, respectively, indicating that the RAS-K has good internal consistency. In the analysis of the concurrent validity of the RAS-K, there were significant correlations between the RAS-K and DHS(r=.675, p<0.01), and between the RAS-K and MHRM(r=.816, p<0.01), but lower correlations with symptoms and clinician-related measures of psychiatric functioning. Factor analysis resulted in a five factor solution accounting for 62.476% of the common variance. Our study indicates that the RAS-K is an appropriate instrument to assess recovery in Korean psychiatric patients.

• Korean Journal of Social Welfare Studies
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• v.42 no.4
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• pp.5-34
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• 2011

There have been increasing incidents of natural and social disasters that claimed many lives and caused financial calamities worldwide, which call for an attention to mental health issues affecting disaster victims. This study reviewed the findings of the empirical research on the effects of disaster on the victims, the prevalence and determinants of the mental health problems. The disaster tends to disproportionately affect the socio-economically disadvantaged population and their mental health problems and recovery seemed to be heavily influenced by post-disaster experiences such as restoration of physical environment, prospect of economic recovery and resumption of normalcy in their lives, opportunities for participation in decision-making that affect their lives. Such findings suggest that the disaster mental health should shift from its traditional approach that focuses on short-term clinical interventions to alleviate acute mental distress for the victims to a public health approach that involve medical, social and economic interventions as well as community empowerment to prevent chronicity of the mental health problems and to improve the general quality of life of the individuals and the community adversely affected by the disaster. Implications for the social work research, policy making, education and practice were discussed.

• Research in Community and Public Health Nursing
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• v.30 no.1
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• pp.69-78
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• 2019

Purpose: This study tries to test mediating effects of hope and therapeutic relationship in the relation between general social functions and mental health recovery of community people with mental illness. Methods: This study was carried out in a cross-sectional research design. The participants included 217 people with mental illnesses who were enrolled at eight Mental Health Welfare Centers in the Gyeonggi Province. Data were collected from February to May, 2018. The collected data were analyzed using a regression analysis, and SPSS PROCESS macro was used to test the mediating effects. Results: This study analyzed the direct effects of general social functions on the hope, therapeutic relationship and mental health recovery. And general social functions had indirect effects on their mental health recovery via hope and therapeutic relationship. Both hope and therapeutic relationship had dual mediating effects in the influence of general social functions on mental health recovery. Conclusion: The role of hope and therapeutic relationship in the mental health recovery of community people with mental illness is important, and it is confirmed that hope is a powerful factor influencing mental health recovery.

• Journal of Home Health Care Nursing
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• v.26 no.2
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• pp.189-198
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• 2019

Purpose: The purpose of this study was to investigate the associations of mental health recovery to internalized stigma and meaning in life of community-dwelling people with mental disorder. Methods: Participants were 150 people with mental disorder who were enrolled at one of the community mental health institutions in D, S, and U cities, South Korea. Data analyses included a descriptive analysis, t-tests, ANOVA, Pearson's correlation coefficients, and stepwise multiple regression using SPSS 25.0 software. Results: There were significant mean differences in mental health recovery according to education, religion, residential status, diagnosis, and day program use status of people with mental disorder living in the community. The significant predictors of mental health recovery included presence of meaning, stigma resistance, diagnosis (Major depressive disorder), and search for meaning. The regression model explained 58.7% of mental health recovery. Conclusion: Improving meaning in life and stigma resistance will increase the chances of mental health recovery among community- dwelling people with mental disorder.

• Journal of Dental Rehabilitation and Applied Science
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• v.39 no.1
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• pp.21-31
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• 2023

Purpose: This study aimed to investigate the effects of mental health factors on oral symptoms and the relationship between the two in Korean adolescents. Materials and Methods: Raw data of 54,948 Korean adolescents among the participants of the 17^th Korean Youth Health Behavior Survey conducted in 2021 by the Korea Disease Control and Prevention Agency were analyzed in this study. Results: Mental health factors evaluated in this study included sadness and despair, suicidal thoughts, suicide attempt, loneliness, stress, depression, and anxiety. Our findings showed that all mental health factors were associated with oral symptoms. Particularly, factors affecting dental pain were suicidal thoughts, stress, anxiety, loneliness, depression, sadness, and despair. Further, all mental health factors affected ulorrhagia. Conclusion: In conclusion, the findings in this study are expected to contribute to the development of programs for the intervention of key mental health factors affecting oral symptoms to improve overall health in Korean adolescents.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.7
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• pp.694-703
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• 2016

This study was designed to investigate the factors that influence soldiers' military adjustment in the rear air force. The data were collected through a survey of 160 soldiers in N city from Nov. 16th to Dec. 11th, 2015, using appropriate instruments to assess their military adjustment, type of communication, resilience and mental health, and analyzed using IBM SPSS WIN 21. The mean scores for military adjustment, resilience, mental well-being and disorder were $1.25{\pm}0.33$, $3.69{\pm}0.56$, $2.98{\pm}0.94$ and $1.24{\pm}0.36$, respectively. In the analysis of their general characteristics, there were significant differences in age, perceived health and future career. Significantly positive correlations were found between adjustment and placating, blaming and irrelevant communication and mental disorder and significantly negative correlations were found between adjustment and resilience and mental well-being. Mental disorder and blaming communication accounted for 41% of the variance in the military adjustment. The result of this study shows that soldiers' military adjustment is related to mental disorder and blaming communication.

• The Journal of the Korea Contents Association
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• v.17 no.7
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• pp.579-591
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• 2017

The Illness Management and Recovery(IMR) Program was designed to improve self-management and recovery of people with mental illness. The purpose of this study was to identify the effects of the Korean version of the IMR program on recovery, knowledge against mental illness, hope among inpatients with severe mental illness. 92 participants diagnosed with schizophrenia, bipolar disorder and schizoaffective disorder were assigned to either an IMR group(n=51) or the control group(n=41) without randomization. Data collection had been conducted from June 2015 to December 2016. Mental Health Recovery Scale, Knowledge Scale, and Hope Scale was administered to participants before and after the intervention. Participants in the IMR program showed significant improvement in progress toward their recovery and knowledge about their mental illness compared with those receiving treatment as usual. However, changes in hope were not significant in both groups. This is the first evaluation of the effects of the Korean version of the IMR program. Our findings support potential benefits of implementing the Korean version of the IMR program.