• 제목/요약/키워드: Mental Health Problem

검색결과 319건 처리시간 0.025초

빈곤지위의 변화에 정신건강이 미치는 영향 - 우울과 자아존중감의 영향을 중심으로 - (Poverty Status Transition and Mental Health: The Effect of Mental Health on the Poverty Status Transition)

  • 이상록;이순아
    • 사회복지연구
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    • 제41권4호
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    • pp.277-311
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    • 2010
  • 빈곤에는 인적자본 및 가족구조 등의 물질적 결핍 뿐 아니라 심리사회적 측면이 주요하게 관련되어 있음이 널리 제기됨에도 불구하고, 국내에서는 이에 대한 관련 연구성과들은 미흡한 실정이다. 이에 주목하여, 본 연구에서는 빈곤층의 심리사회적 측면이 빈곤지위의 결정 및 이의 변화에 어떠한 관련성을 지니는지를 정신건강 변수들을 중심으로 분석하고자 하였다. 분석에서는 한국복지패널 1~4차년도 자료를 활용하여, 우울 및 자아존중감 등의 정신건강 요인과 빈곤지위의 관계를 다양한 측면에서 분석하였는데, 주요 분석결과들은 다음과 같다. 첫째, 빈곤층과 비빈곤층의 정신건강 수준은 유의미한 차이가 있었다. 빈곤층 내부에서도 빈곤이 심각할수록 정신건강이 좋지 못한 것으로 나타나, 빈곤과 정신건강의 부적(-) 관계를 확인할 수 있었다. 둘째, 빈곤탈출 집단과 빈곤지속 집단의 정신건강 수준도 유의미한 차이를 보여, 정신건강이 빈곤지위 변화와도 밀접한 관련성을 지니고 있음을 확인할 수 있었다. 셋째, 빈곤경험 양상은 정신건강에 따라 상당한 차이가 있는 것으로 분석되었는데, 정신건강수준이 양호하지 못할수록 빈곤 경험율 및 빈곤지속의 경험이 높고, 빈곤경험기간도 긴 것으로 확인되었다. 또한, 이들의 빈곤 탈출율은 낮은 반면 빈곤 지속율은 높은 것으로 나타났다. 넷째, 여타 관련 변수들을 통제한 모델에 대한 분석에서는 정신건강이 빈곤지위 및 빈곤지위 변화에의 주요 결정 요인의 하나로 확인되었다. 본 연구 결과는 빈곤지위 및 이의 변화에 정신건강의 주요한 영향을 보여주는 바로, 우리사회의 빈곤문제에 효과적으로 대처하기 위해서는 물질적 결핍에 대한 지원에만 치중된 정책적 접근에서 벗어나 빈곤층의 정신건강 문제에 대한 적극적인 개입 및 지원이 요청됨을 정책적 함의로 시사하여 준다.

전문대학생(專門大學生)의 정신건강(精神健康)과 사회적(社會的) 지지(支持)와의 관련성(關聯性) (Relationship between Mental health and Social Support of Junior College Students)

  • 김성영;차병준;박재용;감신
    • 한국학교보건학회지
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    • 제8권2호
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    • pp.277-291
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    • 1995
  • The study was designed to grasp the mental health of junior college students and identify the relation between mental health and social support. The subjects for this study were 781 sophomores attending T junior college in Taegu. The data were collected through questionnaire during the period from september 10,1993 to september 24, 1993. The results of this can be summarized as follows: In mental health the average mark was 1.94 on the basis of 5 marks. Those whose mark was more than 75% (low) had Depression(8.7%),Obsessive compulsive reaction(5.2%) Anxiety(3.6%). In social support, the average mark was 3.03 on the basis of 4 marks, which showed comparatively high support; relationship with friends was 75.4%, companionship was 75.4%, and mutual understanding was 72.3%. Many students got more than 75% in total marks. In the state of mental health, there was a significant difference depending on sex, total income, the character and the attitude toward his parents. There is also an unusual difference in social support depending on the major subjects, the character, the problem at present and the attitude toward his parents. In mental health, both male and female students got higher marks in Depression, Obsessive compulsive reaction than in any other item. In social support level all students had a high support in the relationship with friends and mutual understanding. Those who are affectionate to and dependent on their parents had a tendency to have better mental health. The simple correlation modules between social support mark and mental health one was -0.5555 and the partial correlation modules of controlling sex, age, growth place was -0.5557. There was little difference between them. In mental health items Interpersonal sensitivity was highest correlated with social support and Somatinization was lowest correlated. There was a significant correlation between mental health and social support: the higher social support were, the better mental health was. In conclusion, the study showed that the relationship between the social support and the mental health level revealed a significant correlation. In social support Expressive support (companionship support, mutual understanding support) showed a higher degree of support than instrumental support(monetary support, demand support). Therefore, in the guidance of students, it is necessary to expand expressive support considering these respects. Further multidimensional study is needed on how to improve the mental health of junior students through the social support.

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한국 여성 근로자의 식사문제와 관련된 직무 스트레스 요인 (Occupational Stress Associated with Disordered Eating Problem in Korean Female Employees)

  • 김진우;전상원;김은진;신동원;오강섭;신영철;임세원
    • 대한불안의학회지
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    • 제14권1호
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    • pp.7-13
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    • 2018
  • Objective : To determine the association between occupational stress and disordered eating problem in Korean female employees. Methods : We studied 1,452 female employees who attended mental health screenings. Using the Korean Occupational Stress Scale-Short Form (KOSS-SF) and 26-item Korean version of Eating Attitude Test, occupational stress and disordered eating problem were evaluated, respectively. Sociodemographic and clinical characteristics of those with disordered eating problem were examined. Multiple logistic regression analysis was performed to determine which subscale of KOSS-SF was associated with disordered eating problem. Results : Disordered eating problem was associated with interpersonal conflict [odds ratio (OR) 1.882, 95% confidence interval (CI) 1.138-3.112] among various kinds of job stresses. Lack of reward (OR 7.164, 95% CI 1.139-45.043) and insufficient job control (OR 1.953, 95% CI 1.119-3.411) were associated with disordered eating problem in the underweight and normal weight group, respectively. Conclusion : There is an association between occupational stress and disordered eating problem among Korean female employees.

주제전문사서로서의 정신보건사서 양성 교육과정 개발 (Developmental of Curriculum for Training Professional Librarians Specializing in the Field of Mental Health)

  • 임성관
    • 한국도서관정보학회지
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    • 제48권4호
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    • pp.259-282
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    • 2017
  • 본 연구는 사회구조의 변화 및 새로운 도서관 서비스의 출현에 대한 대응기제로서 정신보건사서라는 전문 인력 양성 교육과정을 개발하여 제시하는데 목적이 있다. 이를 위해 문헌 조사를 통해 독서치료의 특징, 정신보건사서의 역할, 자격요건과 양성제도를 살펴보고, 이에 따른 계속 교육의 필요성과 실제 교육과정 개발 시 고려해야 할 일련의 단계를 고찰하였다. 나아가 정신보건사서 양성을 위하여 문헌정보학과 교과목에 독서치료 영역에 해당하는 교과목을 개설하고, 향후 교과과정 편성에 있어서 주제전문화를 강화하기 위한 방안의 필요성, 그리고 우리나라 현실에서 정신보건사서의 양성을 위한 바람직한 방안으로 문헌정보학과 대학원에 '정신보건사서' 과정을 설치할 것을 제안하였다. 본 연구의 결과는 주제전문사서의 자질 개발과 확충을 위한 지침으로서, 주제전문사서의 역할 확립과 우리나라 도서관 현장과 학계의 당면 문제를 해결할 수 있는 기초 자료를 제공하게 될 것이다.

아동의 정서.행동발달에 관한 연구 (Study of Emotional Behavior Development of Children)

  • 박경민;양윤경;장순양
    • 한국학교보건학회지
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    • 제23권2호
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    • pp.256-265
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    • 2010
  • Purpose: The purpose of this study was to identify the psychological problems of the children in early stage and provide basic data for develop the children's mental health promotion programs. Methods: There were 270 subjects who were fist and forth grade of elementary school and the data was collected through their parents. This study use Child Problem-Behavior Screening Questionnaire that was divided into five sub-scales, including internal problems, external problems, cognitive problems, abuse problems and psychosomatic problems. Each sub-scales have one cutting points, children whose scores above the cutting points means abnormal in correspond subscale. Results: 1) The most appearing problems was psychosomatic problems with 10.8% of subjects and next internal problems with 8.6% of subjects in elementary school student. 2) For distribution of mental behavior development according to gender, there was significant difference in psychosomatic problems between male and female (p =.009). 3) For distribution of mental behavior development according to grade, the results showed that significant difference in internal problems (p =.000) and total scores of CPSQ (p =.012) between first grade and forth grade. Conclusion: When we develop children's mental health promotion program, it is necessary to considerate the gender and grade characteristics.

대입 준비생의 입시스트레스가 정신건강에 미치는 영향 (The Influence of High School Students' Entrance Exam Stress on Their Mental Health)

  • 이희자;박영수
    • 한국학교ㆍ지역보건교육학회지
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    • 제8권1호
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    • pp.43-54
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    • 2007
  • This study aimed at investigating the level of high school students' entrance exam stress and mental health first and also investigating if the entrance exam stress and mental health are related to gender, grade, character type, parenting style and economic status. This is expected to be used as a fundamental data for the development of health education program on high school students' stress and diagnosis of their mental health. To achieve those goals above, the questionnaire was used and the sample consisted of 600 students from general high schools in a large city, C and in a smaller city, A in Chungnam province through questionnaire and the conclusion, which was based on 582 proper questionnaires from the 600 questionnaires, through variable analysis, correlation analysis and multi-regression, is below. First, according to the information provided by respondents, the result showed the relationship between those background variables and the entrance exam stress and mental health level. As the students are more introverted and the parenting style is more authoritative, the entrance exam stress is higher and the mental health level is higher as the parenting style is more authoritative and the economic status is lower. In gender, the entrance exam stress level was high for male students in regard to parents pressure. For female students, it was due to the insufficient free time. In test performance, the good grade group showed high stress level when they don't have enough free time and the poor grade group showed high stress level when they have test tension and poor test performance. In character style, the introverted group showed high stress level in future uncertainty. In parenting style, the authoritative group showed significantly high level in all four sub-factors and there is no significant relationship with the stress level and economic statue. Female students reported higher mental health level than male students in somatization and depression. In academic achievement, the poor grade group showed high level in obsession, fear-anxiety and psychotism. In character style, the introverted group showed high level in sensitivity towards others and depression. And in parenting style, the authoritative group is higher in 9 sub-factors than the other two groups in the factor, economic status. The lower economic status group showed high mental health problem level in this order; in obsession, sensitivity towards others, depression, paranonia and psychotism. Second, the results revealed that there is a significant difference among the groups after comparing and analyzing the relationship between the mental health level according to the three groups, the first, second and third group divided by the degree of entrance exam stress. And the higher the entrance exam stress is, the higher the mental health problem level is. Verification showed that there was obvious difference among the groups. the entrance exam stress was positively correlated with the mental health level. The lack of free time, future uncertainty, test anxiety/poor test performance and parents pressure, these factors, in that order, were correlated with the mental health level. when the prediction variables which influenced on mental health are analyzed, test-anxiety/poor test performance was found to be related to mental health most. And after the factor, test-anxiety, future uncertainty and the lack of free time were listed(ranked), however results did not show any correlation with parents' pressure.

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

  • 김기웅;조선영
    • 한국콘텐츠학회논문지
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    • 제18권10호
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    • pp.335-347
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    • 2018
  • 본 연구는 정신 건강에 어려움을 가진 국내 초등학생의 학교기반 중재를 체계적으로 고찰하여 추후 더욱 효과적인 정신건강 관련 학교 기반 중재를 모색하고자 하였다. PRISMA 체크리스트와 흐름도를 통해 체계적 고찰을 시행하였고, 데이터베이스는 한국교육학술정보원, 국가과학기술센터, 국회도서관을 이용하였다. 대상 연구의 중재 특성, 대상자 특징, 평가도구로 분석하였다. 최종적으로 25개의 연구를 선정하였으며, 학교 기반 중재 특징에 따라 심리교육 중재(자기관리기술, 사회기술, 사회정서학습), 행동 중재(긍정적 행동지원, 모델링), 심리치료 중재(미술치료, 상담치료 및 부모교육), 레크리에이션 중재(로봇 중재, 원예치료)로 분류하였다. 연구의 대상자로는 지적장애가 가장 많았고, 주의력 결핍 과잉행동장애가 그 다음으로 많았다. 평가 영역은 주로 정서의 변화, 주의력의 변화를 알아보는 도구가 사용 되었다. 본 연구를 통해 학교기반 중재의 연구 분야, 대상자, 평가도구의 근거를 마련하였다. 이는 추후 더욱 효과적인 정신건강 관련 학교기반 중재를 마련하는데 있어 중요한 기본 자료로 활용 할 수 있을 것이다.

학령기 아동 정서.행동문제에 대한 부모-교사 평가 일치도 (Agreement between Parents and Teachers on School Children's Emotional/Behavioral Problems)

  • 박효인;김진미;박용천;김석현;안동현
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제21권3호
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    • pp.161-167
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    • 2010
  • Objectives: In assessing behavioral/emotional problems in school-aged children, the importance of multi-informant reporting has been well documented. However, in clinical settings obtaining multiple informants' opinions has proven difficult. For that reason, we researched the agreement and predictive validity of the Child Problem-Behavior Screening Questionnaire (CPSQ) in order to reveal how accurate parents' assessments reflected teachers'opinions. Methods: We conducted the first screening for second- and third-grade children from 3 elementary schools in Seoul from 2003 to 2007 using the CPSQ. There were 1178 children included in the analysis. We then administered the Korean version of the Child Behavior Checklist (K-CBCL) as a second screening tool and subsequently, the ADHD Diagnostic System (ADS) and the Korean Educational Development Institute version of the Wechsler Intelligence Scale for Children (KEDI-WISC) was administered by a psychiatrist. We examined each item on the CPSQ and the subscale's agreement between parent and teacher as well as the predictive validity of the CPSQ in children diagnosed with emotional/behavioral problems. Results: The agreement rates between parents and teachers appeared high for questions 18 (0.433), 1 (0.385), and 2 (0.325). Among the subscales, a relatively high correlation was found for externalizing problems, attention deficit hyperactivity disorder, and cognitive problems. For all diagnosed children, their parents revealed a higher sensitivity and lower specificity than teachers. Conclusion: From these results, we confirmed that the CPSQ can be useful for sorting out externalizing and cognitive problems. There is a need for further study, however, with a larger sample size.

다문화가정 아동·청소년 자아개념의 구조모형: 생태체계모형을 기반으로 (A Structural Model of Self-Concept among Children and Adolescents from Multicultural Families Based on the Ecological Systems Model)

  • 오은진;성경미
    • 동서간호학연구지
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    • 제24권2호
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    • pp.171-181
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    • 2018
  • Purpose: The study aimed to validate a structural model of self-concept among children and adolescents from multicultural families. Methods: Data were collected from 325 mothers of multicultural families and their 417 children. Confirmatory factor analysis, path analysis and multiple mediation analysis with a phantom variable approach were used to assess construct validity and relations between model variables. Results: Goodness of fit indices of the modified theoretical model, the standardized ${\chi}^2$ (2.75), RMR (.02), RMSEA (.07), NFI (.90), TLI (.92), CFI (.94), GFI (.89), and AGFI (.87), met criteria. Social support and mental health problem had significant direct effects on self-concept, whereas residential environment and school adjustment had significant indirect effects, accounting in combination for 53% of the variance in self-concept. Conclusion: Based on the results, mental health problem mediated the relationships of self-concept and parenting stress.

요양보호사의 직무스트레스와 정신건강의 관계에서 정서조절곤란의 매개효과 (The Mediating Effects of Emotional Dysregulation on the Relationship between Care Worker's Job Stress and Mental Health)

  • 고진경
    • 디지털융복합연구
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    • 제17권6호
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    • pp.307-314
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    • 2019
  • 본 연구는 요양보호사의 직무스트레스와 정신건강과의 관계에서 정서조절곤란의 매개효과를 검증하였다. 노인요양기관에서 근무하는 요양보호사 154명을 대상으로 요양보호사 직무스트레스척도, 한국판 정서조절곤란 질문지, 간이정신진단검사를 시행하였다. 위계적 회귀분석을 통해 직무스트레스, 정서조절곤란, 정신건강 간의 직접 효과를 검증하고, 부트스트랩 검증을 통해 직무스트레스와 정신건강에 대한 정서조절곤란의 매개효과 유의성을 검증하였다. 분석결과, 직무스트레스와 정신건강과의 관계에서 정서조절곤란의 하위요인 중 전략적 접근 제한과 명료성의 부족은 완전매개역할을 하는 것으로 나타났다. 이는 요양보호사의 정신건강을 위해서는 직무스트레스를 경감시키는 것만으로는 부족하고, 요양보호사들이 자신의 부정적인 정서를 다룰 수 있는 조절능력을 기를 수 있는 방안이 필요함을 시사한다.