• Title/Summary/Keyword: Mental-health

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Resilience and Mental Health among Migrant Workers in Busan, Korea (이주노동자의 레질리언스와 정신건강)

  • Im, Hyuk;Lee, Hyo Young
    • Korean Journal of Health Education and Promotion
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    • v.29 no.5
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    • pp.13-26
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    • 2012
  • Objectives: The purpose of this study was to identify the relationship between resilience of migrant workers and their mental health for improving their quality of life and adaptation in Korean society. Methods: Data were collected from March 21 to May 7, 2011. The participants included 488 migrant workers who lived in Busan Metropolitan City or Gyoungnam province. Results: First, heavy working burdens and lack of rests, low wages, poor living environments, low economic status & deficiency of living necessities, hard physical labors, and conflicts with Korean workers had negative effects on mental health. Second, high perceived stress caused by usual 'living difficulties', high 'cutural shock', high feeling of 'social isolation', and high discomfort from 'lack of Korean language proficiency' gave negative effects on migrant worker's mental health. Third, the most important factor on the mental health was the 'cultural shock' among stressors. Even though many stressors existed among migrant workers, these negative effects on mental health were lessened by their high resilience level. Conclusions: This study highlights the importance of migrant workers in Busan, Korea. To improve their mental health, social support including financial supports and educational programs that foster resilience needed.

Physical, Mental and Social Health of Korean Rural Elderly with a Focus on Gender and Age-group Differences (농촌노인의 성과 연령에 따른 신체적.정신적.사회적 건강의 상호관계)

  • Lee Jeong-Hwa
    • The Korean Journal of Community Living Science
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    • v.17 no.2
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    • pp.15-30
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    • 2006
  • The purpose of this study is to examine how the rural elderly assess the multi-dimensions of health. This includes the physical, mental and social dimensions of health, correlations among them, and whether there are gender differences and age-group (60's, 70's, 80 and over) differences. For this purpose, survey data was gathered from 881 rural elderly who live in a village. The statistical methods used for data analysis were descriptive statistics, t-test, ANOVA and correlations. The major findings of this study are as follows: Physical health was measured by self-rated health, ADL, IADL, and farmer symptoms. The respondents classified as 80 and over and female perceived their physical health more negatively. Mental health was perceived somewhat positively in general but female participants perceived their mental health more negatively than males. Social health of the rural elderly was relatively positive in comparison to the other dimensions of health. The rural elderly engaged in many social activities, and the majority of them had many social support networks composed of more than 12 persons. Relationships among the physical, mental and social health dimensions were different. The correlation of physical and mental health and the correlation of social and psychological health were statistically significant. However, the correlation of physical and social health had no significant meanings.

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A Survey for Mental Health of Children Whose Parents Have Psychiatric Disorders: A Preliminary Study for Mental Health Screening of High Risk Children (정신질환을 가진 부모의 자녀들의 정신건강 상태 조사 연구: 고위험군 선별을 위한 예비 연구)

  • Seo, Hwo Yeon;Park, Su Mi;Kim, Yeni;Yang, Young Hui;Lee, Ji Yeuon;Lee, Hae Woo;Jung, Hee Yeon
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.28 no.4
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    • pp.235-243
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    • 2017
  • Objectives: This study aimed to evaluate the mental health status of the children of psychiatric patients in order to plan for the resources that may be necessary to help these children achieve their full potential. Methods: Forty-eight children (age 9-18) whose parents were registered in 5 community mental health centers located in Seoul were recruited. Tests assessing 3 psychological domains were conducted: 1) cognition: Korean version of Learning Disability Evaluation Scale, Comprehensive Attention Test, 2) parent reported emotion and behavior: Korean Child Behavior Checklist, Korean attention-deficit hyperactivity disorder Rating Scale, and 3) self-reported emotion and behavior: Korean Beck's Depression Inventory-II/Children's Depression Inventory-II, Korean Youth Self Report). We defined the children as having a high risk of developing mental health problems if their test scores were over the cut-off levels in 2 or more of the 3 domains assessed. Results: Twelve (25%) children were classified as having a high risk of developing mental health issues. 20 (41.6%) children scored above the cut-off in only one of the domains. Conclusion: Our results suggest that the children of psychiatric patients might be vulnerable to mental illness and need early prevention or interven-tions for the sake of their mental health.

Moderating Effects of Public Health Service Utilization Rate between Public Health Resources and Community Mental Health (지역사회 공공보건자원과 지역사회 정신건강의 관계에서 공공보건서비스 이용률의 조절효과)

  • Kim, Jae-Hee
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.2
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    • pp.268-278
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    • 2020
  • This study aimed to identify the moderating effect of public health service utilization rate between public health resources and community mental health. The subjects included 144 local communities, from the data of 6th Community Health Plan and the 2015 Community Health Survey. Public health resources were measured by public health budget, public mental health budget and public mental health personnel; and mental health was measured by rate of perceived stress, rate of depressive mood and suicide rate. The hierarchical regression analysis was used to identify the moderating effects. The results were as followed. First, the effect of public mental health budget on rate of depressive mood was moderated by public health service utilization rate. Second, the effect of public mental health personnel on rate of depressive mood was moderated by public health service utilization rate. Third, the effect of public mental health personnel on suicide rate was also moderated by public health service utilization rate. Fourth, the effect of public health resources on mental health differed between the groups with high and low public health service utilization rate. In improving community mental health, the measures to improve the public health service utilization rate should be considered to ensure that reinforcing public health resources leads to the improvement of community mental health.

Analysis on the Spatial Accessibility of Mental Health Institutions Using GIS in Gangwon-Do (GIS를 이용한 정신의료기관의 공간적 접근성 분석 - 강원도지역을 대상으로)

  • Park, Ju Hyun;Park, Young Yong;Lee, Kwang-Soo
    • Korea Journal of Hospital Management
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    • v.23 no.2
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    • pp.28-41
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    • 2018
  • Purpose: This study purposed to analyze the spatial accessibility of mental health institutions in Ganwon-Do using Geographic Information System and to suggest policy implications. Methodology: Network analysis was applied to assess the spatial accessibility of mental health institutions in Gangwon-Do. To perform the network analysis, network data set was built using administrative district map, road network, address of mental health institutions in Gangwon-Do. After building network data set, Two network analysis methods, 1) Service area analysis, 2) Origin Destination cost matrix were applied. Service area analysis calculated accessive areas that were within specified time. And using Origin Destination cost matrix, travel time and road travel distance were calculated between centroids of Eup, Myeon, Dong and the nearest mental health institutions. Result: After the service area analysis, it is estimated that 19.63% of the total areas in Gangwon-Do takes more than 60 minutes to get to clinic institutions. For hospital institutions, 23.08% of the total areas takes more than 60 minutes to get there. And 59.96% of Gangwon-do takes more than 30 minutes to get to general hospitals. The result of Origin-Destination cost matrix showed that most Eup Myeon Dong in Gangwon-Do was connected to the institutions in Wonju-si, Chuncheon-si, Gangneung-si. And it showed that there were large regional variation in time and distance to reach the institutions. Implication: Results showed that there were regional variations of spatial accessibility to the mental health institutions in Gangwon-Do. To solve this problem, Several policy interventions could be applied such as mental health resources allocation plan, telemedicine, providing more closely coordinated services between mental health institutions and community mental health centers to enhance the accessibility.

Factors Influencing Use of de Facto Mental Health Service Systems in Persons with Chronic Mental Illnesses (대리(de Facto) 정신보건 서비스체계의 이용에 영향을 미치는 요인에 관한 분석)

  • Lee, Sun-Hae
    • Korean Journal of Social Welfare
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    • v.42
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    • pp.340-371
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    • 2000
  • The paradigm of care for persons with chronic mental illnesses has recently been shifted in Korea from institutionalization to community integration. Numerous changes in the service environment tend to target clients of mental health care organizations while a considerable proportion of people with similar clinical conditions have been institutionalized in various types of organizations whose auspices are other than mental health care. Under the current circumstances in which the subgroup of people, who tend to be socio-economically disadvantaged, has no viable alternative in the community to using such de facto mental health organizations, their chances of deinstitutionalization may decrease. This study thus aims at providing an increased understanding of the characteristics of the users and their service utilization, which in turn enables us to establish differentiated strategies within the current service context. In this study, a survey is conducted on the residential history of those with chronic mental illnesses both in the community and in institutions. Major characteristics of the users of de facto services are investigated along with the extent of their use of various existing mental and non-mental health services. Included is also an examination of the subjects' clinical and individual factors that may influence their use of de facto services. The study findings demonstrate relative disadvantages in deinstitutionalization in a subgroup of the population with chronic mental illnesses under the current mental health policies, and the author suggests intervening strategies specific to this population.

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The Effects of Working Conditions and Job Satisfaction on the Mental Health and Presenteeism of Early Childhood Teachers (영유아 교사의 근무여건 및 직업만족도가 정신건강과 프리젠티즘에 미치는 영향)

  • Kim, Jaehee
    • Korean Journal of Occupational Health Nursing
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    • v.27 no.3
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    • pp.171-179
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    • 2018
  • Purpose: The purpose of this study was to examine the mental health and presenteeism of early childhood teachers and to explore the effects of working conditions and job satisfaction on these. Methods: Data from the 4thKorean Work Environment Survey were used. The sample consisted of 474 female early-childhood teachers from private facilities. Mental health was measured using the WHO-Wellbeing Index. Presenteeism was attributed to a participant upon indication that, during the past 12 months, she had ever attended work, despite being sick. The data by complex sample design were analyzed through the Rao-Scott $x^2$ test and logistic regression analysis. Results: 37.9% of early childhood teachers reported poor mental health and 34.2% had experienced presenteeism. Early childhood teachers in permanent employment, who did not work evening shifts, and with sustainable jobs, were more likely to have better mental health. Moreover, those in permanent employment and remunerated appropriately were less likely to experience presenteeism. Conclusion: Type of employment, number of days working in the evening, and job sustainability affect mental health. Further, type of employment, number of workers, and being well paid have an effect on presenteeism. We suggest that improved working conditions should precede the improvement of early-childhood teachers' mental health.

The Effects of Customer Contact Service to the Mental Health among Korean Taxi Drivers (택시운전원의 고객응대 노동이 정신건강에 미치는 영향)

  • Lee, Bokim
    • Korean Journal of Occupational Health Nursing
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    • v.25 no.2
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    • pp.108-117
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    • 2016
  • Purpose: The purpose of this study was to determine the relationship between customer contact service and mental health among Korean taxi drivers. Methods: This was a secondary analysis of data collected from the 2015 Korean Working Conditions Survey. The sample included 496 taxi drivers in South Korea. The effect of customer contact service on mental health was analyzed using logistic regression analysis. The independent variables were general characteristics, working conditions, and hazardous factors in interactive service. Results: The prevalence of poor mental health was 56.3%. Taxi drivers experienced emotional involvement (17.2%), hiding feeling (32.0%), and contact with angry clients (18.3%) in their job. During the first month of their work, 33.7% experienced verbal abuse and 12.3% threats/humiliating behaviors. In bivariate analysis, verbal abuse, threats/humiliating behaviors, and physical violence were associated with mental health of taxi drivers. Multiple logistic regression analysis revealed 'emotional involvement' and 'contact with angry clients' were significant predictors of mental health. Conclusion: The findings of this study may be useful in developing intervention programs to improve the mental health of taxi drivers in South Korea.

Effects of Psychosocial Work Environment on Stress, Depression, Sleep Disorder, and Burnout of General Hospital Nurses (일개 종합병원 간호사의 스트레스, 우울, 수면장애, 소진에 대한 사회심리적 업무환경의 효과)

  • Lee, Yangsun;Choi, Eunsuk
    • Korean Journal of Occupational Health Nursing
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    • v.24 no.2
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    • pp.114-121
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    • 2015
  • Purpose: The purpose of this study was to assess the psychosocial work environment of hospital nurses to identify influences of psychosocial work environment on stress, depression, sleep disorder, and burnout. Methods: A total of 219 nurses working in one hospital were surveyed by using the Korean version of the Copenhagen Psychosocial Questionnaire (COPSOQ-K) mental health and psychosocial work environment. The impact of the psychosocial work environment on mental health was analyzed using multiple regression. Results: Mental health variables are correlated with each other. The psychosocial work environment variables and mental health variables are mostly correlated. To assess the psychosocial work environment that affects mental health the most, multiple regression was used. Work-family conflict was the most powerful explanation of all the mental health variables. Work pace, social community at work, mutual trust among employees, predictability, and influence were found to be affecting some mental health variables. Conclusion: To improve the mental health of nurses, it is necessary to consider work pace, social community at work, mutual trust among employees, predictability, influence focus on work-family conflict.

Use of a Machine Learning Algorithm to Predict Individuals with Suicide Ideation in the General Population

  • Ryu, Seunghyong;Lee, Hyeongrae;Lee, Dong-Kyun;Park, Kyeongwoo
    • Psychiatry investigation
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    • v.15 no.11
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    • pp.1030-1036
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    • 2018
  • Objective In this study, we aimed to develop a model predicting individuals with suicide ideation within a general population using a machine learning algorithm. Methods Among 35,116 individuals aged over 19 years from the Korea National Health & Nutrition Examination Survey, we selected 11,628 individuals via random down-sampling. This included 5,814 suicide ideators and the same number of non-suicide ideators. We randomly assigned the subjects to a training set (n=10,466) and a test set (n=1,162). In the training set, a random forest model was trained with 15 features selected with recursive feature elimination via 10-fold cross validation. Subsequently, the fitted model was used to predict suicide ideators in the test set and among the total of 35,116 subjects. All analyses were conducted in R. Results The prediction model achieved a good performance [area under receiver operating characteristic curve (AUC)=0.85] in the test set and predicted suicide ideators among the total samples with an accuracy of 0.821, sensitivity of 0.836, and specificity of 0.807. Conclusion This study shows the possibility that a machine learning approach can enable screening for suicide risk in the general population. Further work is warranted to increase the accuracy of prediction.