노인 부양의식에 영향을 미치는 요인: 청년세대와 중년세대 비교를 중심으로

임정숙 ( Lim Jeungsuk ),정순둘 ( Chung Soondool ) 한국가족사회복지학회 2017 한국가족복지학 Vol.58 No.-

본 연구는 청년세대와 중년세대를 중심으로 노인에 대한 세대공감과 가족친밀감, 고령친화환경이 부양의식에 미치는 영향을 살펴보고, 이들 관계에서의 세대간 차이를 확인하는 것을 목적으로 하고 있다. 이를 위해 한국연구재단의 인문사회역량강화지원사업에서 진행된 ‘2017 연령통합 설문조사’자료를 사용하였다. 자료의 분석은 전체 1017명 중에서 18세 이상 64세 이하에 해당하는 640명을 대상으로 하였으며, 집단간 차이를 확인하기 위해 구조방정식을 활용하여 분석하였다. 연구 결과 첫째, 전체 연구 대상자에서는 노인세대공감과 가족친밀감에서 부양의식에 유의미한 정적인 영향을 미치는 것으로 나타났다. 둘째, 본 연구에서 제시한 부양의식과 영향요인의 관계는 세대간에 유의미한 차이가 있는 것으로 나타났다. 셋째, 청년세대는 노인세대공감과 가족친밀감에서 부양의식에 유의미한 정적 영향을 미치는 것으로 나타났다. 중년세대에서는 노인세대공감과 가족친밀감은 유의미한 정적 영향을 미치는 반면, 고령친화환경은 유의미한 부적영향을 미치는 것으로 나타났다. 본 연구의 결과에 기반하여 세대간 부양의식 향상을 위한 정책적·실천적 제언을 제시하였다. The purpose of this study was to investigate the effects of elderly generation sympathy, family intimacy and age-friendly environment of young and middle-aged generations on supporting the older adults, and to identify differences of influencing factors among generations. With these purpose, we used data of the ‘2017 Age Integration Survey’ provided by the Humanities and Social Capacity Enhancement Project in Korea Research Foundation. The analysis of the data was performed on 640 participants who were between 18 and 64 years old, and they were selected from total 1017 study population. The analysis method was the Structural Equation Model(SEM). The results of this study were as follow. Firstly, elderly generation sympathy and family intimacy were significant statistically significant effect on the notion of supporting the older adults positively to all generations. Secondly, the relationship between the notion of supporting the older adults and the influential factors suggested in this study was found to be significant among the generations. Thirdly, the young generation showed a statistically significant effect on the notion of supporting the older elderly generation sympathy and family intimacy. Elderly generation sympathy and family intimacy had a significant statistical impact in the middle aged generation, however, age-friendly environment significant statistically significant effect on notion of supporting the older adults negatively. With these results, we presented practical and policy suggestions to enhance the notion of supporting the older adults.

한국형 정신건강 통합서비스 평가척도 개발을 위한 정신건강전문요원 인식도 조사

임정숙(Jeungsuk Lim),김성남(Soungnam Kim),이미경(Mikyung Lee),이해국(Hae-Kook Lee),박한선(Hanson Park),현진희(Jinhee Hyun),김혜수(Hyesoo Kim),이상민(Sang Min Lee),백종우(Jong-Woo Paik) 대한사회정신의학회 2018 사회정신의학 Vol.23 No.2

목 적 : 정신질환자의 인권보장과 탈수용화를 위한 치료환경 변화에 대한 사회적 요구가 높아지고 있다. 이에 따라 정신건강 기관에서는 정신질환자에게 포괄적인 서비스를 제공하기 위한 평가도구가 필요한 상황이다. 이에 본 연구에서는 지역사회 정신건강기관에서 근무하는 정신건강 전문요원을 대상으로 한국형 정신건강 통합서비스 평가척도 개발을 위해 치료요구도 및 배치를 위한 평가도구 사용에 대한 인식을 조사하였다. 방 법 : 연구 참여자는 지역정신건강복지센터에서 정신건강서비스를 제공하기 위해 정신건강사례관리시스템을 활용하고 있는 정신건강 전문요원 5명을 대상으로 포커스그룹인터뷰를 하였다. 인터뷰 내용은 녹음 후 전사하여 조사내용을 중심으로 내용분석을 하였다. 결 과 : 본 연구의 결과 지역사회정신보건 현장에서 근무하는 정신건강전문요원들은 정신질환자에게 서비스 제공을 위한 서비스 요구도를 측정하기 위한 통합적 평가도구 개발과 사용에 있어 도구의 활용가능성, 개인적 역량 및 동기부여, 유지관리 등 3개의 상위범주와 10개의 하위 범주가 고려되어야 한다고 인식하고 있는 것으로 나타났다. 결 론 : 본 연구는 한국형 정신건강 통합서비스 평가척도 개발에 고려해야 할 점을 제시하였다는 점에서 의의가 있으며, 평가도구개발에 주요한 기초자료로 활용될 수 있을 것이다. Purpose : A variety of mental health service providers now need an assessment tool to provide service to their patients, as it is required to protect the human rights of people with mental illnesses and change treatment environments with the introduction of the Mental Health Act, which was overhauled in 2016. This study surveyed mental health professionals working in the Community mental health welfare center, about their perceptions about the Korean assessment tool for mentally ill people’s treatment needs and placement. Methods : The participants in this study were five mental health professionals in the Community mental health welfare center, which uses the assessment tool to provide service to people with mental illnesses, and focus group interviews were conducted with these subjects. The interviews were recorded and transcribed, and then a content analysis was performed for this study’s investigation. Results : This study’s results demonstrated that mental health specialists, who served in the Community mental health field, perceived 3 categories-tool usability, personal competency and motivation, and maintenance-and 10 sub-categories need to be considered for the use of the assessment tool, which measures mental health service needs. Conclusion : This study holds significance as it presented the findings that should be considered to develop a Korean mental health service needs assessment tool, and would be used as one of the most important basic references to develop such a tool.

Hospital-Based Case Management for Suicide High-Risk Group Using Delphi Survey

Hwan Lee,Jeungsuk Lim,Sang Min Lee,Soung Nam Kim,Haewoo Lee,Kyoung-Uk Lee,Boung Chul Lee,Hwa-Young Lee,Jong-Woo Paik 대한신경정신의학회 2021 PSYCHIATRY INVESTIGATION Vol.18 No.10

Objective As of 2019, suicide is serious problem in Korea, with the highest suicide rate among OECD countries. To reduce suicide rates Emergency Department Based Post-Suicide Attempt Case Management carried out with government funding in South Korea, but it is insufficient to address the issue. Aim of this study is to prevent suicide attempts through continuous provision of mental health services even after discharge from acute care. Methods We selected 15 mental health specialists who are multidisciplinary experts in Suicide Prevention. Two-round Delphi survey was conducted on them to reach an agreement for hospital-based case management. Results The first Delphi survey consisted of 8 areas and 39 questions. Among them, 30 questions draw agreement above the reference value. The second Delphi survey, consisted of 37 questions, resulted in 32 above-standard questions. Conclusion Consensus was reached in most category of the Hospital Based Case Management for Suicide High-Risk Group. Core of the developed plan was to provide services to patients who visited the hospital, pursue the stability and universalization of services through a medical insurance fee system. In the future, hospital-based case management service will be implemented as a new model contributing to the reduction of suicide rates in Korea.

The Relationship between Type D Personality and Heart Rate Variability in Community Mental Health Center Users

Noeul Kang,JeungSuk Lim,TaikGun Hwang,SookHaeng Joe,MoonSoo Lee 대한신경정신의학회 2015 PSYCHIATRY INVESTIGATION Vol.12 No.2

Objective-Type D personality can be regarded as a promising cardiovascular risk marker that has been repeatedly linked to relevant indicators of mental health, quality of life, morbidity, and mortality in cardiac patients. Heart rate variability (HRV) is a non-invasive technology that can provide information regarding a patient’s sympathetic/parasympathetic balance and the control mechanisms of the autonomic systems in the cardiovascular system. As both type D personality and HRV are parameters related to the cardiovascular system, we assumed a relationship between type D personality and HRV. This study set out to identify the relationship between type D and HRV and the differences in HRV variables between type D and non-type D personalities. Methods-Patients who visited Guro Community Mental Health Center from January 2011 to December 2012 were surveyed. They were evaluated using both the Korean version of the Type D Personality-14 for type D personality and HRV. During the survey, those who reported major cardiovascular disease that can affect heart rate variability were excluded from the study. Results-Our analysis included 559 participants, 249 of whom were classified as type D personality. No significant differences were found in the HRV variables between the type D group and the non-type D group. There were also no clinically meaningful correlations between HRV variables and type D total/subscale scores when controlled for patient age. Conclusion-A relationship between HRV and type D personality was not identified using short-term HRV measurements in non-clinical patients with no definitive cardiovascular disease. Further studies using long-term HRV measurements in patients with cardiovascular disease are necessary to conclude an association between HRV and type D personality.

신체장애인 부부의 자녀양육경험에 관한 현상학적 연구: 어머니를 중심으로

이송희 ( Songhee Lee ),임정숙 ( Jeungsuk Lim ),이미우 ( Miwoo Lee ),정세미 ( Semi Chung ) 한국가족관계학회 2016 한국가족관계학회지 Vol.21 No.1

Objective: The purpose of this study was to explore the essence of disabled parents`` experiences of raising children. Method: Five families, which were composed with parents with physical disabilities and children, were participated into this study. One-time interview was conducted with mother of each family and it was recorded, coded, and analysed using method of Giorgi``s phenomenological study. Result: Three superordinate themes, nine subordinate themes, and 22 concepts were derived. The essence of disabled parents`` experiences of raising children was “disabled parents`` growth with their children despite of prejudice.” This represented that even though disabled parents faced with diverse kinds of difficulties, they put their heart and soul into raising their children and they encouraged their children to have their feet on the ground firmly. Finally, disabled parents went out into the world with their children. Conclusion: The current study illustrated how those stories about raising children could be interpreted from the perspective of the family relation, and suggested possible ways to support disabled parents for raising children.

노인의 심리사회적 노화인식에 영향을 미치는 요인: 주관적 건강상태 및 정신건강변수와 건강정보이해력 및 정신건강정보이해력을 중심으로

정순둘 ( Soondool Chung ),임정숙 ( Jeungsuk Lim ),이미우 ( Miwoo Lee ),정세미 ( Semi Chung ) 한국사회복지연구회 2016 사회복지연구 Vol.47 No.1

본 연구의 목적은 주관적 건강상태 및 정신건강(우울), 그리고 건강정보이해력 및 정신건강정보이해력이 노인의 심리사회적 노화인식에 미치는 영향을 확인하고, 향후 이들의 노후에 주는 시사점을 찾는데 있다. 이를 위해서 한국연구재단의 인문사회역량강화 지원사업의 ``연령주의 및 연령통합에 대한 조사`` 자료를 활용하여 65세 이상 노인 400명을 추출하여 분석에 사용하였다. 연구결과 노인들의 심리사회적 노화인식은 부정적인 것으로 나타났으며, 정신건강변수인 우울이 높고, 건강정보이해력과 정신건강정보이해력이 다소 낮은 수준인 것으로 나타났다. 회귀분석결과 우울과 주관적 건강상태, 정신건강정보이해력이 심리사회적 노화인식에 영향을 미치는 요인으로 확인되었다. 그러나 건강정보이해력은 노인의 심리사회적 노화인식에 유의미한 영향을 미치지 못하는 것으로 나타났다. 이러한 연구의 결과를 바탕으로 노인의 긍정적인 심리사회적 노화인식을 증진시키기 위한 정책적ㆍ실천적 방안을 모색해 보았다. Purpose of this study is to find the way to improve older people`s life satisfaction from identifying factors, which were derived from exploring several variables (perceived health, mental health, health literacy, and mental health literacy), affecting perception on ageing positively and negatively. This study used data (400 people age 65 and over) from survey on ageism and age integration conducted by ``supporting project of enhancing humanities and social capacity`` of National Research Foundation of Korea. The results are as followed; 1) older people negatively perceived psycho-social ageing; 2) older people had high level of depression; 3) showing slightly low level of health literacy and mental health literacy; 4) depression, perceived health and mental health literacy were significant factors influence on perceived psycho-social aging. With these results, the ways were suggested to improve positive psycho-social ageing and quality of life.

노인의 상담경험과 상담욕구가 상담기대감에 미치는 영향 : 노인복지관 이용자를 중심으로

정순둘(Chung, Soondool),임정숙(Lim, Jeungsuk),박나리(Park, Nari) 韓國老年學會 2015 한국노년학 Vol.35 No.3

본 연구의 목적은 노인의 상담현황을 파악하고, 노인의 상담경험과 상담욕구가 상담기대감에 미치는 영향을 살펴보고 노인상담에 대한 시사점을 도출하는 것이다. 연구대상은 서울시 지역의 21개 노인종합복지관을 이용하는 노인들로 연구 참여에 동의한 467명을 임의추출방법에 의해 표본 추출하였다. 자료 수집은 2008년 8월말부터 9월말까지 사회복지 석사과정학생들이 설문지를 배포하고 수거하는 방식으로 이루어졌다. 연구결과 노인의 상담경험과 상담욕구가 비교적 높게 나타났으며, 상담형태는 내방상담, 상담방법은 개별상담을 선호하는 것을 나타났다. 주요상담내용은 건강과 취업 등으로 나타났다. 상담기대감도 비교적 높게 나타났으며, 상담경험과 상담욕구는 상담기대감에 유의미하게 영향을 미치는 요인으로 확인되었다. 또한 인구사회학적 요인 중 동거여부도 상담기대감에 영향을 미치는 유의미한 변수로 나타났다. 이러한 결과는 내담자기대감과 상담자기대감에서도 비슷하게 나타났다. 연구 결과를 바탕으로 향후 노인상담의 방향에 대해 논의하였다. The purposes of this study were to observe the expectation about counseling for the elderly, to analyze the relationship between experience and desire for counseling and expectation about counseling, and to suggest the ways for improving the areas of counseling for the elderly. The subject of this study was elderly people who are the users of senior welfare centers in Seoul metropolitan area. A total of 21 elderly welfare centers were agreed to participate in this study and a total of 467 elderly people were selected by purposive sampling method among the users of senior welfare centers. Data were collected by trained social work master student from August, 2008 to September, 2008. Results showed that experience and desire for the counseling of the elderly were relatively high and the elderly people were to prefer the office based and individual based counseling. The areas of counseling were health and finding a job. Expectation about counseling was appeared relatively high and factors affecting expectation about counseling were experience of counseling, desire for counseling, and living arrangement. Further discussions for improving counseling for the elderly were provided.