• Title/Summary/Keyword: 학교정신건강

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School Based Intervention with Mental Health Problem in the Elementary School : Systematic Review (정신건강 어려움이 있는 국내 초등학생의 학교-기반 중재 : 체계적 고찰)

  • Kim, Ki-Woong;Cho, Sun-Young
    • The Journal of the Korea Contents Association
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    • v.18 no.10
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    • pp.335-347
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    • 2018
  • The purpose of this study was to find more effective mental health intervention for school based intervention with mental health problem in an elementary school. A systematic review was conducted according to the PRISMA checklist. We accessed databases including RISS, KISS, and the National Assembly Library of Korea. Subject studies were classified according to type of intervention, subject characteristic, and evaluation. Finally, twenty-five studies matched the inclusion criteria. According to types of intervention, it was classified into four types which are psychoeducation(self-management skills, social skills, social emotional learn ing), behavior intervention(positive behavior support, modeling), psychotherapy(art therapy, counseling and parent coaching), and recreation intervention(robot intervention, horticultural therapy). The most of subjects were intellectual disability, the following subjects were ADHD. The most areas of evaluation were emotional change and attention. The findings of this review support school based intervention and provide evidence. And it can be used as an important basic data for preparing more effective mental health-related school-based interventions.

Melatonin for Treatment of Delirium in Hospitalized Patients : Retrospective Trial (입원 환자의 섬망 치료에서 멜라토닌의 효과에 관한 후향적 연구)

  • Yang, Jung Woo;Kim, Jong Woo;Kang, Won Sub;Lee, Sang Min;Kim, Young Jong;Paik, Jong-Woo
    • Korean Journal of Psychosomatic Medicine
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    • v.26 no.2
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    • pp.112-118
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    • 2018
  • Objectives : Delirium is one of the most common mental illnesses that can affect cognitive function. Melatonin has been shown to be effective in the treatment of insomnia, and recent studies have shown a protective effect to prevent delirium. This study was conducted to investigate the efficacy of melatonin in delirium patients. Methods : All patients were referred to psychiatric department for insomnia and symptoms of delirium, and were diagnosed delirium by the DSM-5 diagnostic criteria. We compared base line severity of delirium with K-DRS-R-98-R (Korean version of Delirium Rating Scale revised 98) and after taking 2mg of melatonin, retrospectively. The side effects were also identified by referring to the medical records. Results : A total 21 patients had taken melatonin for insomnia and delirious symptoms. The K-DRS-R-98 scores were decreased from $15.24{\pm}2.64$ before treatment to $6.57{\pm}5.42$ after treatment. And CGI-S scores were also decreased from $4.14{\pm}0.48$ before treatment to $2.81{\pm}0.93$ after treatment (p<0.05). Conclusions : This study illustrates the possibility of melatonin as an effective treatment option for delirious symptoms such as disorientation, motor agitation, lability of affect and hallucinations as well as insomnia, with less concerns of drug side effect. Further study with a larger sample and prospective design will be required to confirm these results.

Factors Associated With Post-Traumatic Growth in Patients With Cancer (암환자의 외상 후 성장에 영향을 미치는 요인)

  • Nam Pyo Lee;Jong Woo Kim;Myungjae Baik;Mi Ae Oh;A Ra Lee;Won Sub Kang
    • 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.

The Therapeutic Effect of Mindfulness-Based Interventions on Depressive Symptoms in Patients With Major Depressive Disorder: A Meta-Analysis (주요우울장애 환자의 우울증상에 대한 마음챙김 기반의 치료적 개입의 효과에 관한 메타분석)

  • Hannui Park;Seyeon Hong;Euihyeon Na;Myoung-Nam Lim;Kanguk Lee
    • Korean Journal of Biological Psychiatry
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    • v.31 no.1
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    • pp.7-14
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    • 2024
  • Objectives We conducted a meta-analysis of randomized controlled trials to investigate the therapeutic effects of mindfulness-based interventions on depressive symptoms in patients with major depressive disorder. Methods In February 2021, we searched Embase, MEDLINE, Cochrane Library, PsycINFO, CINAHL, and AMED. Under the guidance of the corresponding author, two evaluators independently reviewed and selected articles based on predetermined selection criteria. Results Based on the selection criteria, we systematically screened and included a total of 12 randomized controlled trials comprising 720 cases for the final analysis. Utilizing a random-effects model for data analysis, we determined the Hedges' g value to be 0.787, indicating a medium-sized effect according to Cohen's interpretation. The 95% confidence interval for the effect size ranged from 0.414 to 1.160 (p-value < 0.0001). Conclusions This study reveals the potential effectiveness of mindfulness-based interventions in treating depressive symptoms among patients with major depressive disorder.

Bibliotherapy Programs for Promoting the Mental Health of Adolescents : Focused on the Bibliotherapy Program for Teacher Use (청소년의 정신건강 증진을 위한 독서치료 프로그램 - 교사용 독서치료 프로그램을 중심으로 -)

  • Kim, Soo-Kyoung
    • Journal of Korean Library and Information Science Society
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    • v.38 no.1
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    • pp.277-298
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    • 2007
  • Adolescence is a critical period of mental disorder. A teacher, as a significant other, is an important social supporter for adolescents. The purpose of this study is to develop bibliotherapy programs for teachers as a school-based prevention program which helps improve the mental health of adolescents. Two programs are designed for teachers. One is for a teacher as an ordinary person in his/her daily life and the other is for a teacher as a significant other of adolescents.

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TEACHERS' PERCEPTIONS OF MENTAL HEALTH PROBLEMS IN STUDENTS AND PSYCHIATRIC CONSULTATIONS (학생들의 정신건강문제와 정신과 의뢰에 대한 교사의 인식도 조사)

  • Kwak, Young-Sook;Chun, Ja-Sung
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.9 no.1
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    • pp.82-90
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    • 1998
  • This study is attempted to examine Korean teachers’ perceptions of mental health problems in students and their attitudes towards psychiatric consultations through a questionnaire survey. The results of this study are as follows. 1) Teachers thought that 5.3% of their students had mental health problems, 1.9% of students required psychiatric evaluation, and 1.2% of students were referred or recommended psychiatric evaluation by their teachers. 2) The most frequent mental health problems in students discovered by teachers were distractibility and inattention, lack of academic skills, and language difficulties in elementary schools;distractibility and inattention, conduct problems, and lack of academic skills in middle schools;and conduct problems, distractibility and inattention, physical symptoms, and substance abuse in high schools. 3) Teachers thought the mental health problems in students were caused by the family environment, psychological factors, the educational system, and a lack of mental health services. 4) Teachers desired smaller classes, improvement of the school environment, more time, regular mental health education, a special program for students with mental health problems, and the counseling staffs or consultants for the school mental health. 5) Teachers consulted with other teachers, the parents of the students, the counseling teachers, the health care teachers, the counseling institutes, the psychiatric clinics, and the principals in descending order to handle the hard case problems. The frequent reasons for failing in psychiatric consultations were the prejudice of parents against psychiatric services, the teachers’ sense of superiority in dealing with the problems of students, the prejudice of teachers themselves against psychiatric practice, and inaccessible professional consultation. 6) About 20.4% of teachers reported they had proposed psychiatric consultations or had recommended their students to receive psychiatric evaluations.

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Harmonica Music Therapy and Its Potential Healing Program for School Health

  • Yun, Sung-Hee Victor
    • The Journal of Korean Society for School & Community Health Education
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    • v.9 no.2
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    • pp.119-124
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    • 2008
  • 1821년 독일에서 발명된 하모니카는 유럽, 아시아, 미 대륙으로 확산되면서 각 나라와 지역의 기호 및 전통에 따라 수용, 변화되었으며 현재는 약 150여종의 서로 다른 모습으로 그 장점을 따라 활용되고 있다. 하모니카는 인간의 생활에 여러가지 유익을 주는데 다만 심폐기능을 중심으로 하는 신체적 건강뿐만 아니라 정신적, 정서적 건강에 유익한 영향을 미친다. 특히 이러한 하모니카를 활용한 여가생활과 인간관계의 형성은 학령기 어린이와 청소년들에게 더 없이 유익하다. 학령기 어린이와 청소년들의 건강증진과 삶의 질에 미치는 유익한 영향은 구체적으로 학교 자퇴율의 감소, 학습능력의 향상, 수업집중도의 향상, 정신건강수준 향상, 사회관계 형성, 음주, 흡연, 폭력 등 건강위험행위 예방, 신체적, 정서적 안정 등을 들 수 있다. 따라서 하모니카 불기와 감상하기를 학교 재량수업시간에 도입하는 것은 위와 같은 다양한 유익을 확대하는데 의미있는 방법이므로 신중하게 검토할 필요가 있다.

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The Effects of School Forests on Mental Health and Cognition of Elementary Students (초등학교 내 학교숲 조성이 아동의 인지·정신건강에 미치는 효과)

  • Choi, Seon Hye;Lee, Yeonhee;Lee, Yoon Joo
    • Journal of Korean Society of Forest Science
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    • v.108 no.4
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    • pp.655-662
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    • 2019
  • The aim of the present study was to examine the effects of school forests on the cognition and mental health of elementary school students. Data were obtained through the surveys of sixth graders in an elementary school in Seoul that took part in the School Forest Project run by Korea Post, the Korea Forest Welfare Institute, and the Seoul Metropolitan Office of Education. Students were surveyed before and after the creation of green spaces in their schools, and changes in their environmental sensitivity, attitude toward forests, depression, anxiety, and aggression were analyzed. The findings indicated that the creation of green spaces showed significant effects on the students in terms of encouraging them to strengthen their environmental sensitivity, helping them develop more positive attitudes toward forests, and reducing anxiety and physical aggression, which are the subfactors of aggressive behavior. In other words, creating school forests had positive effects on cognition and mental health, reduced bad behavior, and improved attitudes toward nature in children. The findings of this study are significant in that they reinforce the requirement of school forests by indicating the positive effects of school forests on children's cognition and mental health.

Psychosocial Pre-Transplant Assessment of Living Kidney Donors (생체 신장 이식 공여자에 대한 정신사회적 평가)

  • Ah Rah Lee;Myungjae Baik;Sang Min Lee;Won Sub Kang;Jin Kyung Park
    • Korean Journal of Psychosomatic Medicine
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    • v.31 no.2
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    • pp.43-49
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    • 2023
  • In Korea, the dependence on living donations is high due to the shortage of organs available for donation compared to the number of people waiting for transplants and the number of living organ donations continues to increase. In particular, the number of living-donor transplantations is high worldwide, highlighting the importance of pre-transplant psychosocial evaluation of living kidney donors. According to previous studies, when evaluating living organ donors before transplantation, it is crucial to determine whether the donor can give informed consent and be aware of the risks after surgery. Pre-transplant evaluation tests such as ELPAT living organ donor Psychological Assessment Tool (EPAT), Live Donor Assessment Tool (LDAT), Living Donation Expectancies Questionnaire (LDEQ), Minnesota Multiphasic Personality Inventory-2 questionnaire (MMPI-2) and Temperament and Character Inventory (TCI) are conducted for donors. After reviewing the literature on these pre-transplant psychosocial assessment tools, we will also look at legal considerations for living kidney donors in Korea and suggest an effective and essential pre-transplant screening evaluation method for living kidney transplant donors.

The Effect of Students' Mental Health School-Community Cooperative Model on the School Mental Health Awareness (학생 정신건강 지역협력모델이 학교 정신건강 인식에 미치는 영향)

  • Ha, Kyung Hee;Kim, Jin A;Kim, Woo Sik;Hong, Hyun Ju;Kim, Seon Yeon
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.27 no.2
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    • pp.100-108
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    • 2016
  • Objectives: The purpose of this study was to examine the effect of the Students' Mental Health School-Community Cooperative Model on the school mental health awareness of the participants (school administrators, teachers, students). Methods: Data were collected from 140 schools that participated in the project. The questionnaires were composed of items about the school mental health policy, climate and capacity. The data was analyzed through paired t-tests between pre and post, and a comparison was made between the 1st and 2nd phase regions. Results: The total scores of the teacher and student groups increased significantly, whereas those of the school administrators did not. The awareness of the teachers showed more changes in the 1st phase regions, while those of the students changed more at the 2nd phase. Conclusion: Based on the results, the expansion of the Students' Mental Health School-Community Cooperative Model was proposed.