Purpose: The purpose of the study was to find the strategies of mental health screening in school. Based on the literature review, we discuss the importance of screening students in schools for mental health problems. Methods: Data from the 2008 Korean Mental Health Screening in Schools(2008-KMHSS) are used to estimate the outline of this screening. We administered the questionnaire for satisfaction of 2008-KMHSS for students(N=1,280), parents(N=2,672), school nurses(N=75), teachers(N=685), district personnels(N=6), and mental health center staffs(N=37). Also we interviewed a part of them by telephone and e-mail. And we reviewed the tools and methods for screening students for emotional/behavioral problems. Results: Mental health screening in schools is a very important, yet worrisome, agenda that is in its very early stages. From the 2008 Korean Mental Health Screening in Schools, 9,588 students(12.9%) needed more evaluation in the first stage. Of these, 6,910(72.1%) completed the second stage screening. In this sample, 1,975(28.6%) utilized the mental health services in school or community. 38.3% of students and 43.7% of their parents notified the 2008-KMHSS. But only 12.1% of students and 10.9% of their parents dissatisfied with the screening. 9.9% of teachers and 22.7% of school nurses dissatisfied with the screening. Among them the school nurses were mostly dissatisfied, and they complained work burden from KMHSS. Mental health center staffs complained similar issues. The Children's Problem-behavior Screening Questionnaire(CPSQ) and Adolescents' Mental-health & Problem-behavior Screening Questionnaire(AMPQ) were compatible to screen students in schools for mental health problems in first stage. Conclusion: Mental health screening in schools needs careful planning and implementation. For successful mental health screening in schools, several elements need to be considered: careful planning, collaboration, staff training, and integrative mental health programs and services in community or schools.
The purpose of this study was to identify mental health level, way of stress coping and its influencing factors among undergraduate students using SNS. Data were collected using Korean Mental Health Continuum Short Form scale, and the ways of coping checklist modified from 301 undergraduate students in 4 universities in Busan and through online, and analyzed using descriptive statistics, ${\chi}^2$ test, t-test, ANOVA, and Pearson correlation coefficients with SPSS/WIN 21.0. On average, mental health level was 35.6 out of 70 points, and the students using SNS use more active coping than passive coping as way of stress coping. The factors showed significant relationships with mental health were gender, and number of person contacted on offline within online counterparts, and with problem-focused coping were gender, preferred types of SNS, period of use, and hours per day on SNS, with social support seeking were preferred types of SNS, hours per day on SNS, and number of online counterparts, with emotion-focused coping were grade, instruments types for using SNS, and hours per day on SNS and with wishful thought were instruments types for using SNS, and hours per day on SNS. There was a positive correlation between mental health and stress coping type. Based on the results, future research needs to develop positive SNS usage strategies to improve the mental well-being and ways of coping in undergraduate students.
Research suggests that medical students frequently experience mental health problems such as stress, burnout, and depression, which may, in turn, affect suicidal ideation and behaviors. Since mental health problems profoundly impact academic achievement and professionalism, it is vital to understand factors influencing students' mental health and identify strategies to provide the necessary support. Some relevant influencing factors range from the personal level, including gender, personality traits, perfectionism, and social support, to the environmental level, including the grading system, educational phases, exposure to patients' death, mistreatment, and culture of medicine. In this regard, a comprehensive mental health support system that encompasses environmental interventions, as well as personal-level support, is needed. Simultaneously, proactive approaches that address the improvement of self-care and alleviation of systemic burdens are essential, together with the predominant reactive approaches focusing on problems and deficits. Altogether, we proposed a framework for enhancing mental health constructed by four categories (personal-reactive, environmental-reactive, personal-proactive, environmental-proactive) based on the intervention level and goal of support. All four categories have important implications, and one cannot replace the other, but expanding environmental-proactive support will allow more students to learn how to pursue health independently. We expect that this comprehensive framework for enhancing mental health could expand support systems for medical students' personal and professional development.
Purpose: The mental health during the elementary school years is important to develop overall healthy behaviors and well adapt to society. So as to provide basic data for comprehensive health education programs, we investigated the state of mental health problems and health promotion behaviors among rural elementary school students, along with the relationship between the two factors. Methods: In total, 421 5th and 6th grade students were recruited to answer a self-administered questionnaire. The questionnaire was composed of questions about general demographic characteristics, 4 items over mental health-interpersonal vulnerability, depression, anxiety, hostility-, and 5 items over health behaviors-general health habits, computer addiction, accident prevention, infection prevention, and mental health-. The participation rate was 96%(407/421). Results: 1) The mean and the standard deviation of mental health problems were as follows; interpersonal sensitivity $2.06{\pm}0.70$, hostility $1.88{\pm}0.73$, depression $1.74{\pm}0.69$, anxiety $1.72{\pm}0.66$. 2) The mean and the standard deviation of health-promoting behaviors were as follows; prevention of infectious diseases $3.37{\pm}0.47$, hygiene and daily-life habit $3.09{\pm}0.41$, mental health $2.81{\pm}0.51$, accident prevention $2.79{\pm}0.57$, computer usage and health $2.61{\pm}0.56$. 3) Students with high academic performance, good relationships with friends and teachers, high household economic status, and good family relation, showed higher scores in health-promoting behaviors. 4) Higher scores in mental health problems were significantly correlated with lower scores in health-promoting behaviors. Conclusion: In developing comprehensive school health programs, it is necessary to find ways to improve both health promoting behaviors and mental health problems.
Purpose: In an attempt to investigate the differences in the level of stress & mental health between extracurricular learning group and non-extracurricular learning group and level of stress and mental health by the extracurricular learning-related characteristics, this study was carried out in upper grade elementary students. Method: The subjects were 241 students living in 4 small towns in 4th, 5th and 6th grade elementary students. The data were collected by using the questionnaires, and analyzed by SPSS/WIN 12.0 program. Results: First, 64.7% of subjects were receiving extra-curricular learning, and extracurricular learning contents were the main curriculum and foreign language classes in many cases. Second, there were no differences in the level of stress and mental health between extracurricular learning group and non-extracurricular learning group, but also in the area of stress as physical, mental, emotional and behavioral stress. Third, extra-curricular learning satisfaction and learning effects are the major factor affecting mental and emotional stress and mental health. In other words, the group with high satisfaction and effectiveness by extra-curricular learning was less mentally and emotionally stressed and better for mental health than low group. Also, days per week for extracurricular learning affected physical stress and intention to continue extracurricular learning affected mental stress. Fourth, factors affecting whether the intention to continue extracurricular learning were the sex, decision-makers about whether they receive extracurricular learning, extracurricular learning satisfaction and duration of extracurricular learning. Conclusion: From the above results, The fact that the upper grade elementary school students receiving the extracurricular learning did not affect on the stress and mental health. In case of extracurricular group, the effectiveness and satisfaction about extra-curricular learning were major factors affecting mental and emotional stress as well as mental health.
Journal of the Korean Academy of Child and Adolescent Psychiatry
/
제27권3호
/
pp.173-180
/
2016
Objectives: The purpose of this study was to explore the influence of high school students' mental health on their academic achievement and school dropout rate by using longitudinal data. Methods: For this study, 153 high schools were randomly sampled on a nationwide scale. The descriptive data was collected from a school information internet site which is organized by the Korean Ministry of Education. We used the schools' mean scores on the Adolescent Mental Health Problem-Behavior Questionnaire-II (AMPQ-II) scale which was used for estimating students' mental health in the 2013 school-based mental health screening test. The data analysis was conducted by using hierarchical regression analysis. Results: The results of this study showed that the AMPQ-II scale's mean scores have significant effects on the following year's academic achievement and annual dropout rates. Especially, the AMPQ-II scale's mean scores tend to increase the school dropout rate in vocational schools. Conclusion: The finding of this study is that Korean high school students' mental health states significantly influence their academic achievement and school dropout rate.
Purpose: The purpose of this study was to investigate the effect of stress, social support and self-efficacy on the mental health of female undergraduate students. Method: Three hundred ninety-nine undergraduate students were conveniently selected from a university in Seoul. The instruments used in this study were stress, social support, self-efficacy, and mental health scales. ANOVA, t-test, Pearson correlation coefficients, and stepwise multiple regression with SPSS Win 16.0 Version were used to analyze the data. Results: Mental health was significantly influenced by stress, social support, self-efficacy, and monthly expenditures. These variables accounted for 44.2% of the variance in mental health. Conclusion: The important factor that was found to affect the mental health of undergraduate female students was stress. Therefore, future studies need to be pursued to develop various strategies, such as stress relief programs, for mental health promotion of female undergraduate students.
Purpose: The purpose of this study was to investigate the effects of a positive psychology-based mental health promotion program for high school students. Methods: This study used a randomized control group pretest-posttest design. A total of 47 high school students participated from two high schools in Gyeonggi Province. They were randomly assigned to an experimental group (n=24), which participated in the 8-session program, or to a control group (n=23). Psychological well-being, depression, and self-esteem were measured. Results: A significant difference in psychological well-being was observed between the two groups after the program. However, there were no significant between-group differences in depression or self-esteem. Conclusion: The positive psychology-based mental program was effective at increasing psychological well-being in adolescents, especially high school students. This study suggests that a school curriculum could incorporate positive psychology-based mental programs for high school students to promote their mental health.
Purpose : The aim of this study was to test the mediating effect of resilience, self-esteem, and social support on the relationship between the mental health and well-being of high school students. Methods : This structured questionnaire survey was conducted with 409 high school students in G province. The collected data were analyzed using SPSS 20.0 program with descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, regression analysis and sobel test. Results : As a result, there were significant correlations among mental health, resilience, self-esteem, social support, and well-being. Resilience and social support showed partial mediating effects on the relationship between the mental health and well-being of high school students. Self-esteem showed a fully mediating effect. Conclusion : Therefore, to reduce mental health problems among high school students and to enhance their well-being, it is necessary for schools to develop mental health education programs and to apply effective mental health improvement strategies using resilience, self-esteem, and social support as mediators.
Purpose: The purpose of this study was to investigate levels of health promotion behavior and mental well-being and to analyze the factors affecting mental well-being in nursing students. Methods: A total of 164 nursing students participated in the study. Data were analyzed by frequencies, t-tests, ANOVA, Pearson correlation coefficients, and stepwise multiple regression with SPSS 25.0 software. Results: The mean scores for health promotion behavior and mental well-being were found to be above and below average, respectively. There were significant mean differences in health promotion behavior and mental well-being according to satisfaction with major and perceived physical health status. Health promotion behavior positively correlated with mental well-being. The significant predictors of mental well-being included self-actualization, stress management, and exercise of health promotion behavior. The regression model explained 49.1% of mental well-being. Conclusion: Improving self-actualization capability and stress management skills and developing a habit of regular exercise will increase mental well-being among nursing students.
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