• Clinical Psychopharmacology and Neuroscience
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• 제16권4호
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• pp.505-507
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• 2018

Clozapine may be associated with cardiovascular adverse effects including QTc prolongation and, more rarely, with myocarditis and pericarditis. Although rare, these latter cardiovascular adverse effects may be life-threatening and must be immediately recognized and treated. Several cases of clozapine related-pericarditis have been described and often it has a subtle and insidious onset with symptoms that may be often misdiagnosed with psychiatric manifestations (e.g. anxiety, panic or somatization) leading to a delayed correct diagnosis with potential fatal consequences. In the present report we describe the case of a 27-year-old girl with schizoaffective disorder taking long acting aripiprazole and valproate who developed a sudden onset clozapine-related pericarditis during titration phase that resolved with immediate clozapine discontinuation and indomethacin administration. We underline the importance of an early diagnosis of clozapine-related pericarditis and the need to have monitoring protocols to prevent this potentially fatal adverse effect especially when polypharmacy is administered to patients taking clozapine.

• 생물정신의학
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• 제20권4호
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• pp.144-150
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• 2013

Objectives The number of marriage immigrant women has been increasing in the past several years in Korea and their adaptations to the new environment have been an important social issue. The aims of this study were to evaluate the psychosocial and mental health statuses of Vietnamese marriage immigrant women (VMIW). We intended to compare the mental health of VMIW with married Vietnamese women living in Vietnam and reveal the demographic or psychosocial factors affecting their mental health. Method Subjects comprised one-hundred-forty-three VMIW who enrolled in multiculture family support centers in Chungbuk Province and forty-eight women from Vinh Phuc province in Vietnam. Marital satisfaction, domestic violence and social support were evaluated as psychosocial factors, and the Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI) and General Health Questionnaire (GHQ) were used to evaluate mental health. Results VMIW had a larger age gap with their husbands but better psychosocial statuses. BDI (p = 0.20), BAI (p = 0.08), GHQ (p = 0.13) scores of VMIW were not significantly different compared to Vietnamese residents. Marriage duration of VMIW affects significantly their marital satisfaction, social support and depressive levels (p < 0.01). The level of domestic violence showed a significant difference according to the educational levels of their husbands, composition of family members and marriage process (p < 0.05). VMIW with older husbands and jobless VMIW had low levels of anxiety (p < 0.01). Conclusion The results suggest that VMIW have no difference in mental health compared to Vietnamese women living in Vietnam which is contrary to general expectations. However, various environmental factors, such as marriage duration, have an effect on the mental health of VMIW. As marriage duration is proven to be important factor on mental health of VMIW, more extended duration of care and interventions are needed to maintain good mental health. Networking system connecting mental health screenings by the multiculture family support center to the local mental healthcare center is needed to care those with poor screening outcomes.

• 한국산학기술학회논문지
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• 제21권4호
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• pp.109-116
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• 2020

본 연구는 간호대학생의 진로동기, 유머감각, 문제해결능력이 정신건강에 미치는 영향을 확인하여 정신건강을 향상시키기 위한 기초자료를 제공하기 위하여 시도되었다. 연구대상자는 B, Y시의 간호대학생 253명을 대상으로 하였다. 자료수집은 2018년 10월 22일부터 10월 31일까지 였다. 수집된 자료는 SPSS 22.0 program을 이용하여 실수, 백분율, 평균, 표준편차, t-검증, 일원분산분석, 피어슨 상관계수, 다중회귀분석으로 분석하였다. 연구결과 대상자의 정신건강은 평균 2.19±0.77점으로 나타났다. 대상자의 일반적 특성에 따른 정신건강의 차이는 성별(F=2.219, p=.027), 학년(F=7.142, p<.001), 용돈(F=5.055, p=.007), 학교 성적(F=4.322, p=.014), 동료와의 관계(F=23.561, p<.001), 건강상태(F=21.555, p<.001)에서 유의한 차이가 나타났다. 대상자의 정신건강은 진로동기(r=-.443, p<.001), 유머감각(r=-.400, p<.001), 문제해결능력(r=-.465, p<.001)와 부적 상관관계를 나타냈다. 대상자의 정신건강에 영향을 미치는 요인은 성별(β=-.121, p=.033), 용돈(β=.123, p=.028), 동료와의 관계(β=.165, p=.004), 유머감각(β=-.168, p=.012), 문제해결능력(β=-.186, p=.006)으로 나타났고, 설명력은 33.6%로 나타났다. 본 연구결과를 통하여 간호대학생의 정신건강에 영향을 미치는 다양한 요인을 확인하는 연구가 필요하다. 또한 일반적 특성, 자신을 조절할 수 있는 심리적 요인, 학습을 통해 획득할 수 있는 기술적인 요인을 확인하는 반복연구를 통해 정신건강을 향상시킬 수 있는 중재방안을 개발하는 것이 필요하다.

• 대한불안의학회지
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• 제14권2호
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• pp.88-98
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• 2018

Objective : The purpose of this study was to establish a school-based mental health intervention. The success of which was indexed by its effects on the social anxiety symptoms of the enrolled adolescents. Methods : This program for promoting mental health among adolescents in the community was adopted by three middle schools that volunteered to participate in the project. The program included screening for emotional problems related to social anxiety, depression, suicide, and post-traumatic stress disorder. Case management was provided for groups considered high-risk for depression, suicide, or post-traumatic stress disorder; cognitive-behavior therapy was provided for those at high-risk of developing social anxiety. Additionally, educational programs for the prevention of suicide, a "loving life" module, and mental health promotional campaigns were also included. In total, 1,100 middle school students completed self-report questionnaires. Twenty-five students in the high-risk group for social anxiety participated in a cognitive-behavior therapy program, comprising eight sessions, and conducted by two clinical psychologists. Results : Following the suicide prevention education program, suicide awareness among students increased and coping strategies were improved. In addition, the loving life program was associated with positive self-perceptions by many students. Furthermore, social anxiety symptoms showed a statistically significant difference after the cognitive-behavior therapy program. After the therapy, not only did social anxiety symptoms improve, depressive symptoms and suicidal ideation decreased significantly, while self-esteem and psychological resilience significantly increased. Conclusion : A school-based mental health intervention was successfully implemented in three middle schools and improved the mental health of the participating students. Therefore, this intervention could be widely implemented to promote positive mental health among middle school students.

• 대한간호학회지
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• 제37권3호
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• pp.381-390
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• 2007

Purpose: The purpose of this study was to understand the experiences of mental health hospital workers. Methods: Participants in the study were a total of 8 mental health hospital workers who consisted of nurses, social welfare workers and health managers. To prevent them from being omitted, the interviews were all recorded under the participants prior agreement. The method was analysis using the phenomenological method proposed by Colaizzi(1978). Results: The experiences of the participants of this study were classified into 15 significant areas, from which 10 subjects hard work, conflicts, heavy feeling, irritability, getting familiar, changes of recognition, aptitude determination, feeling of achievement and sense of pride were drawn out. These subjects were then grouped into 5 themes. These five themes were finally grouped into 5 categories, negative emotion, depressive emotion, changes of thinking, delight and value discovery. Conclusions: The study tried to analyze the experiences of key informants like nurses, social welfare workers and health managers all of whom were serving at mental health hospitals, contribute to social recognition about the special medical establishment, promote qualitative mental health nursing and further provide educational information necessary for understanding mental health hospital workers.

• 디지털융복합연구
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• 제18권2호
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• pp.489-498
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• 2020

본 연구의 목적은 대학생의 취업스트레스, 진로결정 자기효능감 및 사회적 지지가 정신건강에 미치는 영향을 파악하기 위한 서술적 조사연구이다. 자료 수집은 J도에 소재한 3개 대학의 대학생 429명을 대상으로 구조화된 설문지를 이용하여 실시하였다. 수집된 자료는 SPSS 24.0 프로그램을 이용하여, t-test, ANOVA, 피어슨 상관분석, 회귀분석을 실시하였다. 본 연구의 결과 정신건강은 취업스트레스와 양의 상관관계를 보였으며, 진로결정 자기효능감 및 사회적 지지와 통계적으로 유의한 음의 상관관계를 보였다. 정신건강에 영향을 미치는 변인은 취업스트레스, 사회적 지지 순으로 나타났으며, 설명력은 48.9%이었다. 대학생의 정신건강을 증진시키기 위하여 영향요인인 취업스트레스를 고려한 정신건강 증진 방안을 개발하고 적용할 필요가 있다고 사료된다. 또한, 정신건강을 위한 지원체계를 확립하고 유지하는 것이 중요하다.

• 한국치위생학회지
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• 제20권5호
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• pp.697-706
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• 2020

Objectives: The purpose of this study was to analyze the factors that affect the test anxiety among dental hygiene students, including mental health and academic self-efficacy. Methods: A self-administered questionnaire survey was conducted among dental hygiene students in a metropolitan area from July 21 to July 31, 2020, and finally, 196 copies were statistically analyzed using SPSS 21.0. Results: The mean values of mental health, academic self-efficacy, and test anxiety among the dental hygiene students were 1.47±0.41, 2.99±0.46, and 2.76±0.74, respectively. Mental health was negatively correlated with self-efficacy (r=-0.346, p<0.01) and positively correlated with test anxiety (r=0.405, p<0.01), while academic self-efficacy was negatively correlated with test anxiety (r=-0.424, p<0.001). The factors that affect test anxiety were somatization (p<0.05), anxiety (p<0.05), paranoia (p<0.05), task preference (p<0.05), and confidence (p<0.001), which are the detailed items of academic self-efficacy. Conclusions: It is necessary to develop and apply customized health programs suitable for individual students to improve their mental health, as well as develop teaching and learning methods that can improve academic selfefficacy, as mental health and academic self-efficacy are influential factors in test anxiety among dental hygiene students.

• 대한지역사회영양학회지
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• 제20권1호
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• pp.30-40
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• 2015

Objectives: This study was performed to investigate the associations of food security with socio-demographic characteristics, nutrient intakes and mental health status among older Korean adults. Methods: This study was conducted using data from the 2008-2010 Korea National Health and Nutrition Examination Survey (KNHANES). Subjects were 4,451 adults aged 65~98 years. Food security was measured using a self-reported question on food sufficiency of subjects' household. Based on the answers, study subjects were classified into secure, mildly insecure, moderately insecure, and severely insecure groups. Dietary intake was estimated by 24-hour dietary recall. Nutrient intake was assessed by dietary reference intakes (DRI). As for mental health status, the data on mental stress, depression, and suicide ideation were used. Results: Rate of food insecurity in older adults was 14.3%. Old age, being female, low education, low income level, living alone, and discomfort in daily living were more related to food insecurity. Means of nutrient intakes were significantly different according to food security status. Intakes of calcium, potassium, and vitamin $B_2$ were lower than recommended intakes in all groups. Consumption amounts of soy and soybean products, vegetables, mushrooms, fruits, vegetable oils, meats, eggs, seafood, and dairy products were lower in food insecure groups. Mental stress, depression, and suicide ideation were higher in food insecure groups independent of the gender and income level. Conclusions: These present findings suggested that food security is related to mental health as well as nutrition status in older Korean adults. A national system that include food and psychosocial support programs for the elderly should be considered in order to improve the overall health of older Korean adults.

• 디지털융복합연구
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• 제20권4호
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• pp.679-688
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• 2022

본 논문은 정보통신 기술의 발전에 기반한 스마트헬스케어의 가능성에 주목하여, 스마트헬스케어와 관련한 개념 및 현황을 간략하게 소개하고, 국내외 스마트헬스케어 사례의 고찰을 통하여 코로나19 시대 정신건강 사회복지 영역에서 스마트헬스케어의 적용 전략과 향후 과제를 논의하고자 한다. 이를 위해 본 논문은 첫째, 한국 정신건강사회복지 영역에서 기존에 시도되어왔던 국립정신건강센터와 서울시 정신건강복지센터의 프로그램을 소개하였다. 둘째, 코로나19 환경의 독일, 중국, 미국, 호주의 실제 스마트헬스케어 프로그램을 소개하고 적용 사례를 고찰하여 공공 및 민간 차원의 다양한 대응을 검토하였다. 마지막으로 한국의 정신건강사회복지에서의 활용 가능성을 논의하였으며 향후 과제를 검토하며 마무리하였다. 본 논문에서 소개된 해외 사례들을 토대로 한국 사회에 실천·정책, 연구영역의 스마트헬스케어가 적극적으로 논의된다면 세계적인 수준의 정신건강사회복지 서비스 성장에 기여할 수 있을 것이다.

• 보건의료산업학회지
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• 제12권3호
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• pp.95-106
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• 2018

Objectives: The purpose of this study was to analyze the recent research trends in health and mental health literacy and suggest their implications for future research. Methods: Ninety six articles on the topics of health literacy and mental health literacy that were published in journals in Korea during the last 10 years analyzed. Results: The majority of articles were published in medical journals, whereas the articles published in social and natural sciences journals were conducted by multidisciplinary research teams and seemed to be increasing generally. The participants studied in the selected articles were mostly older adults followed by adults aged 18 and over, and other various groups including health professionals and immigrant groups. More than 97% of the articles used quantitative research methods. Conclusions: Health literacy mirrors other health inequalities. To increase the level of understanding of health information, studies should be conducted using various variables. It is also necessary to develop a community education program that can be implemented in the community. Futher, the results highlighted the importance of interdisciplinary research. It is hoped that this effort will help solve t health inequality.