• Title/Summary/Keyword: 학교정신건강

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From the Onset of Panic Symptoms to Getting to a Psychiatric Treatment : The Change by Improved Public Awareness of Panic Disorder in Korea (증상의 발현부터 치료의 시작까지 : 한국인의 공황장애 인식도 변화가 치료적 접근에 미친 영향)

  • Choi, Yong-Won;Seo, Ho-Jun;Han, Sang-Woo;Hong, Jin-Pyo;Lee, Kyoung-Uk;Kim, Se-Joo;Lim, Se-Won;Lee, Sang-Hyuk;Yang, Jong-Chul;Lee, Seung-Jae;Park, Seon-Cheol;Gim, Min-Sook;Chae, Jeong-Ho
    • Anxiety and mood
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    • v.15 no.2
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    • pp.61-67
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    • 2019
  • Objective : This study aimed to investigate the general process from the symptom onset to the psychiatric treatment in Korean panic patients and the effect of improved public awareness on it. Methods : This study has a retrospective design. The subjects were the new patients with panic disorder who visited the psychiatric outpatient clinic in twelve university-affiliated hospitals all across Korea. The medical chart was reviewed retrospectively and the data were collected including chief complaints of symptoms, recent stressors, the time to visit the psychiatric outpatient clinic, and visit of other departments and diagnostic approaches for their symptoms. Results : A total of 814 participants were included in the study. The most common department other than psychiatry the panic patients visited were cardiology (28.3%), general internal medicine (16.0%) and neurology (11.4%). The most frequently used diagnostic tests were a echocardiography (17.9%), 24-hour Holter monitoring (11.2%), and brain MRI (8.2%). Only 37.3% of participants visited psychiatric clinic directly. About 80% of participants visited psychiatric department within 1 year after their first panic symptoms and it took $13.8{\pm}13.7weeks$ on average. Comparing before and after 2012, the number of participants increased who visit directly the psychiatric clinic without visiting other departments (p=0.002) and without visiting emergency room (p<0.001). Conclusions : Our results suggest that a substantial number of patients visit departments other than psychiatry when they experience first panic symptoms. However, most patients begin psychiatric treatment within 1 year after their first symptoms and the number of patient are increasing who visit psychiatric department directly without visiting other departments.

Status and Challenges of Korean Out of School Children Health Check-up (한국 학교 밖 청소년 건강검진의 현황과 과제)

  • Kim, YangHee
    • The Journal of the Korea Contents Association
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    • v.19 no.7
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    • pp.546-558
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    • 2019
  • Health inequality means health gaps that can be affected adverse effects to the vulnerable groups in a society. Many scholars argue that it is needed social interventions to reduce health gaps between the vulnerable and the privileged in a society, because social inequalities can be caused and resulted health inequality among them. In this context, this article introduces Korean out of school children health check-up as part of the policies to reduce health inequality in the society. For a long time, many out of school children have been alienated from the national health checkup systems. That means they are not only marginalized groups in Korean society, but also excluded from the benefits of health promotion and health management. Many runaway youths are struggling to live by themselves, who are escaped from their families and they don't have enough resources to keep their health. They are also young and low waged workers who are expelled to the streets, while they don't have any support and protection from the communities. Out of school children health checkup has been conducted to the adolescents who stay in the shelters or study in alternative schools. To get meaningful results as the health inequality reduction policy, it is needed to expand out of children health checkup to the runaway teenagers.

Factors Influencing Sexuality Knowledge and Gender Sensitivity During Adolescents and Early Adulthoods (청소년기 및 초기 성인기의 성지식과 성인지 감수성에 영향을 미치는 요인)

  • Hae Su Na;Sun Goo Lee;Kang Min Baek;Woo Young Im;Seung-Gul Kang;Seong-Jin Cho;Kyoung-Sae Na;Jae Myeong Kang;Seo-Eun Cho;Seung Min Bae
    • Korean Journal of Psychosomatic Medicine
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    • v.31 no.1
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    • pp.25-32
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    • 2023
  • Objectives : This study investigated the level of sexuality knowledge and gender sensitivity and factors influencing on them among Korean high school and college students. Methods : 129 questionnaires from high school and college students with consent forms, collected from July to December of 2022, were analyzed. After identification of participants' gender, age, major, their report of the practicality of sex education, and their experience of violence or sexual assaults, participants' level of sexuality knowledge and gender sensitivity were compared. Results : Females showed higher gender sensitivity, regardless of age and group (p=0.004). The early adulthood group (≥19 years old) showed higher sexuality knowledge and gender sensitivity, compared to those adolescents (<19 years old). Among college students, those who majored in health science were identified with higher sexuality knowledge and gender sensitivity, compared to non-health science major students(p<0.001; p=0.005). Conclusions : This study revealed the significant differences in sexuality knowledge and gender sensitivity according to sex, age, and majors in adolescents and early adults. Therefore, it seems to be necessary to consider the differences in sexuality knowledge and gender sensitivity among age, sex, and majors when establishing public policy or legislation for sex crimes, including digital sex crimes.

Factors influencing the consumption of convenience foods among Korean adolescents: analysis of data from the 15th (2019) Korea Youth Risk Behavior Web-based Survey (한국 청소년의 편의식품 섭취 경험에 영향을 미치는 요인: 제15차 (2019년) 청소년건강행태온라인조사를 이용하여)

  • Park, Seul Ki;Lee, Ji Hyun
    • Journal of Nutrition and Health
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    • v.53 no.3
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    • pp.255-270
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    • 2020
  • Purpose: The purpose of this study was to identify the factors that influence the consumption of convenience foods among Korean adolescents. Methods: This study had a descriptive cross-sectional study. Data were obtained from the 15th (2019) Korea Youth Risk Behavior Web-based Survey, which involved a nationwide representative sample of 57,303 middle- and high-school students. Convenience-food consumption was defined by frequency of adolescents consuming convenience foods obtained from convenience stores, supermarkets, and cafeterias over the previous 7 days. The analyzed variables were related to sociodemographic, mental health, and health behavior. The Rao-Scott χ2 test was applied to examine the difference in the rate of consuming convenience foods obtained from convenience stores according to each factor. Hierarchical logistic regression was conducted to examine the factors that influence convenience-food consumption among Korean adolescents. Results: It was found that 29.1% of Korean adolescents consumed convenience foods obtained from convenience store more than three times per week. The significant influencing factors were female sex; low subjective academic achievement, and subjective household economic status; high perceived stress; low subjective sleep sufficiency; experience of depression; suicidal ideation; lower physical activity; skipping breakfast; lower consumptions of fruit, milk, and vegetables; higher consumptions of soda drinks, sweet drinks, caffeine, and fast food; lower water intake; current smoking and drinking; drug use; and experience of violence. Conclusion: These findings provide a better understanding of the sociodemographic, mental-health, and health-behavior factors that influence the consumption of convenience foods among Korean adolescents. We suggest that differentiated policies, strategies, and nutrition education need to be developed and implemented, in order to address the above-mentioned factors and thereby reduce such behaviors among Korean adolescents.

A Study on Adults' Self-Compassion, Anxiety, Depression, and Color Preference Based on Sasang Constitution (일반 성인의 사상체질에 따른 자기자비와 불안, 우울 및 색선호도에 대한 연구)

  • Lee, Eun-Hea;Chang, Seok-Hwan
    • The Journal of the Korea Contents Association
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    • v.19 no.5
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    • pp.578-587
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    • 2019
  • The purpose of this study is to examine differences in mental health indices such as self-compassion, trait anxiety, and depression, and color preference based on Sasang Constitution type. This study also explored the relationships among self-compassion, trait anxiety, and depression. 205 adults were surveyed for participants of this study. A Two-Step Questionnaire (TS-QSCD) was conducted to diagnose Sasang Constitution such as Tae-yangin, Tae-yinin, So-yangin, and So-yinin. Also, scales for self-compassion, trait anxiety, depression level, and color preference were utilized for measures. The results showed that among Sasang Constitutional groups, Ta-yangin had a higher level of self-compassion and lower trait anxiety than So-yinin. Furthermore, in relationships among mental health indices, trait anxiety and depression tendency were lower with higher self-compassion. No significant differences were revealed in depression level and color preference based on Sasang constitution. Finally, implications of this study for mental health were suggested and limitations were discussed.

The Changing Patterns and Predisposing Factors of Delirium at End of Life in Palliative Care Unit (완화 병동에서 임종기 섬망의 변화 양상과 선행 요인)

  • Rim, Mi-Roo;Kang, Sang-Gu;Choi, Seo-Hyeon;Cho, Jinhyun;Lee, Moon-Hee;Kim, Hye-Young;Bae, Jae-Nam;Lee, Jeong-Seop;Kim, Won-Hyoung
    • Korean Journal of Psychosomatic Medicine
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    • v.26 no.2
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    • pp.94-101
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    • 2018
  • Objectives : The purpose of this study is to investigate the change pattern and the leading factors of delirium in the palliative ward from 2 weeks before to the end of life. Methods : From October 2015 to August 2017, a retrospective chart review was conducted on the final 180 patients of 207 patients with terminal cancer patients at the Inha University Hospital. Clinical records were collected during palliative care hospitalization. Patients were diagnosed with three subtypes of delirium through the Richmond Agitation Sedation Scale and the Nursing Delirium Screening Scale, which were evaluated daily. Results : The prevalence of delirium 13 days before death was 46%, of which 18.3% were hyperactive subtypes, 13.8% were hypoactive subtypes, and mixed subtypes were 13.8%. And hyperactive delirium gradually decreased with the approach to the end of the day, and the mixed subtype gradually increased until 4 days before the end of life. Of the patients, the day before death, 86.9% were diagnosed with delirium. In multivariate analysis, hematologic malignancy was associated with a lower rate of delirium at the end of life than gastrointestinal cancer. Overweight was associated with hyperactive, mixed, and hypoactive delirium. Conclusions : Most palliative care patients experienced delirium at the end of life. Overweight was considered as a protective factor that reduced the all subtypes of delirium at the end of life. Further prospective studies are needed to reveal the prevalence of terminal delirium, and their risk factors.

An Integrative Review of Intervention for School-bullying Perpetrators (학교폭력 가해 아동·청소년을 위한 중재의 통합적 문헌고찰)

  • Song, Yul-mai;Song, Moonju;Kim, Sunah
    • Journal of Korean Academy of Psychiatric and Mental Health Nursing
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    • v.27 no.4
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    • pp.355-369
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    • 2018
  • Purpose: This study was intended to integrate the evidence of intervention for child and adolescent perpetrators of school violence through an integrative literature review. Methods: Using combinations of the terms 'bullying', 'school violence', and 'intervention' as key words, the researchers searched eight electronic databases for relevant studies. Fifteen studies were selected through full-text screening of related research published in academic journals before June 2018. The framework was used to identify the selected studies' intervention patterns and classify the various intervention components. The extracted intervention components were grouped into potential themes to determine whether the researchers clearly showed the interventions in the studies. Results: The intervention components of 15 selected studies were categorized into five themes: 1) Utilizing intervention techniques for voluntary participation, 2) Enhancing self-awareness, 3) Strategies to improve emotional intelligence, 4) Promoting interpersonal skills, and 5) Emphasis on responsibility through future vision experience. Conclusion: As a result of analyzing interventions for children and adolescent perpetrators of school violence, five components were derived. It is suggested that these components should be considered in the field, and intervention programs development and research using them are needed.

An Influence of Academic Stress on the Life-Style Behaviors and Mental Health of Junior High School Students (중학생의 학업스트레스 정도에 따른 건강관련 생활습관 및 정신건강 비교)

  • Chang, Hyo-Won;Kim, Jung-Hyun;Auh, Seong-Yeon;Jung, In-Kyung
    • Journal of Korean Home Economics Education Association
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    • v.24 no.3
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    • pp.57-72
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    • 2012
  • The purpose of this study was to investigate effects of academic stress levels on life-style behaviors and mental health among the junior high school students in Korea. A convenient sample drawn from the 842 students from 8 junior high schools in Seoul and Kyunggi-Do area was investigated with a survey instrument. Female students showed higher academic stress levels compared to male students, especially in terms of the stress related to teachers, class time, and peer relationships. For the male students, higher stress levels were related to the higher risk factors of smoking, drinking and inhaling drug abuse. Students who had higher academic stress levels spent more time in using computer and playing digital games compared to those who had lower academic stress. In addition, higher academic stress levels were significantly related to risk of mental health, especially depression. These results suggest the urgent needs of preventive or educational program to support students with academic stress resolve in healthy manners such as playing sports or music or club activities.

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Relationship between academic stress, sleep quality and depression in nursing college students (간호대학생의 학업스트레스, 수면의 질과 우울과의 관계)

  • Jeon, Misoon
    • Journal of Convergence for Information Technology
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    • v.11 no.9
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    • pp.58-64
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    • 2021
  • This study identifies the relationship between academic stress, sleep quality and depression of nursing college students. The data was collected from 155 nursing students by the online survey. Data were analyzed using SPSS 18.0. As a result of analyzing the differences in academic stress, sleep quality, and depression according to general characteristics. It was confirmed that academic stress had a significant difference from physical health (F=6.326, p<.001) and mental health (F=11.630, p<.001). Sleep quality was different from physical health (F=8.834, p<.001), and depression was found to be different from physical health (F=9.619, p<.001) and mental health (F=28.625, p<.001). The results of analyzing the correlation between academic stress, sleep quality, and depression were found to have a positive correlation between academic stress and depression (r=.242, p<.01). Therefore, identifying the relationship between academic stress, sleep quality and depression among nursing college students is necessary to devise a plan to maintain and improve their physical and mental health

Survey Study of Current Status of and Need for Mental Health Education Enhancing Protective Factors in the Elementary Schools (보건교사와 초등학교 고학년 학생을 대상으로 한 정신건강교육 실태 및 보호요인 강화 교육 요구도 조사)

  • Lee, Ji-Hyun;Park, Hyeoun-Ae
    • Research in Community and Public Health Nursing
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    • v.27 no.1
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    • pp.9-20
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    • 2016
  • Purpose: The purpose of this study was to survey the current status of mental health education and need for mental health education enhancing protective factors in the elementary schools. Methods: We surveyed 10 school health teachers and 328 fifth- and sixth-grade students using 19- and 20-item questionnaires, respectively. Results: All of the teachers and 65.2% of the students replied that they were either teaching or being taught mental health in school. Topics covered suicide, depression, school violence, and Internet addiction. All of the teachers and 84.1% of the students expressed the need for mental health education enhancing protective factors in school. Both groups replied that two sessions are enough. The teachers preferred role play and discussion as teaching methods, and audiovisual materials and computer as instructional media. The students preferred lecture and role play as teaching methods, and audiovisual materials and smartphone as instructional media. Both groups ranked self-esteem, parent-child relationship, peer relationship, and emotional regulation as the most important topics to be covered in the education. Conclusion: There is a high demand for mental health education enhancing protective factors. Therefore, it is recommended to develop educational programs enhancing protective factors by enabling formal and informal learning using smartphone.