학생정신건강검진 시범운영사업에 따른 추진방안

김현정,김윤영,이혜숙,현미나,남동현,김상원,안동현 韓國學校保健學會 2009 韓國學校保健學會誌 Vol.22 No.1

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 the2008-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.

대학생의 정신건강정보이해능력과 사회적지지가 정신건강에 미치는 영향

김난이(Nan-i Kim),권영란(Young-Ran Kweon) 전남대학교 간호과학연구소 2024 Nursing and Health Issues(NHI) Vol.29 No.2

Purpose: This study aimed to examine the impact of mental health literacy and social support on university students' mental health. Methods: A total of 229 students from eight universities in the G and J regions participated in a descriptive survey conducted from April 23, 2024, to May 22, 2024. Data were collected using structured questionnaires measuring mental health literacy, social support, and mental health status. Multiple regression analysis was performed to determine the factors affecting mental health. Results: Significant differences in mental health were found based on sex (t=2.40, p =.017), age (F=3.22, p =.042) and support resources (t=2.35, p =.020). Mental health literacy, specifically help-seeking self efficacy (r=.23, p <.001) and knowledge about mental illnesses and services (r=.20, p =.002), showed positive correlations with mental health. Social support from significant others (r=.42, p <.001), family (r=.47, p <.001), and friends (r=.50, p <.001) also demonstrated significant positive correlations. Multiple regression analysis identified help-seeking self efficacy (β=.19, p <.001), knowledge about mental illnesses and services (β=.17, p =.040), and social support from significant others (β=.19, p =.011), family (β=.19, p =.018), and friends (β=.18, p =.039) as significant predictors of mental health, explaining 34.7% of the variance. Conclusion: The findings suggest that enhancing mental health literacy and social support systems is crucial for improving university students' mental health. It is recommended that regular mental health education programs be implemented, social support networks strengthened, and age-specific mental health support programs developed. Future research should consider diverse demographic factors and use longitudinal designs to clarify causal relationships.

Development of Mental Health Indicators in Korea

Hyeree Han,안동현,송진희,Tae Yeon Hwang,노성원 대한신경정신의학회 2012 PSYCHIATRY INVESTIGATION Vol.9 No.4

Objective Promoting mental health and preventing mental health problems are important tasks for international organizations and nations. Such goals entail the establishment of active information networks and effective systems and indicators to assess the mental health of populations. This being said, there is a need in Korea develop ways to measure the state of mental health in Korea. Methods This paper reviews the mental health indicator development policies and practices of seven organizations, countries, and regions:WHO, OECD, EU, United States, Australia, UK, and Scotland. Using Delphi method, we conducted two surveys of mental health indicators for experts in the field of mental health. The survey questionnaire included 5 domains: mental health status, mental health factor, mental health system, mental health service, and quality of mental health services. We considered 124 potential mental health indicators out of more than 600 from indicators of international organizations and foreign countries. ResultsaaWe obtained the top 30 mental health indicators from the surveys. Among them, 10 indicators belong to the mental health system. The most important five mental health indicators are suicide rate, rate of increase in mental disorder treatment, burden caused by mental disorders, adequacy of identifying problems of mental health projects and deriving solutions, and annual prevalence of mental disorders. Conclusion Our study provides information about the process for indicator development and the use of survey results to measure the mental health status of the Korean population. The aim of mental health indicator development is to improve the mental health system by better grasping the current situation. We suggest these mental health indicators can monitor progress in efforts to implement reform policies, provide community services, and involve users, families and other stakeholders in mental health promotion, prevention, care and rehabilitation.

지역 정신건강서비스의 데이터 활용기반 마련을 위한 고찰 -미국 애리조나주 정신보건시스템을 중심으로-

배유진,오현성 사회복지법제학회 2023 사회복지법제연구 Vol.14 No.3

이 논문은 정신장애에 대한 관심이 높아지고 있는 시점에 지역 정신건강서비스에 대한 데이터 활용현황을 점검하고, 미국의 애리조나주의 데이터 수집 및 활용과 공유 사례들을 살펴보면서 우리나라의 정신건강서비스의 데이터 활용을 강화하기 위한 기반조성에 관한 방안을 모색하려는 것이다. 우리나라의 지역 정신건강서비스의 데이터 활용의 한계와 미국 애리조나주의 사례를 고찰하면서 다음과 같은 방안을 제시하였다. 첫째, 우리나라의 지역 정신건강/약물중독 서비스와 관련하여 이용자 중심의 성과측정 및 보고서 작성이 필요하다. 둘째, 이해관계자들이 정신건강/약물중독 서비스의 개선을 논의하는 과정에서 실증 데이터를 쉽게 인용할 수 있는 정책 환경을 만들도록 노력해야 한다. 예컨대, 대상자 특성별 지역사회서비스 및 프로그램을 얼마만큼, 언제, 어느 지역에서 받고 있는지,그리고 그 효과성을 연령별, 지역별, 성별, 정신질환별 등으로 구분하여 분석결과로써 제공할 수 있는 데이터 구조화 관리체계가 필요하다. 마지막으로, 광역 및 기초 정신건강복지센터들이 제공하는 정신건강/약물중독 치료 서비스들의 운영비 일부만을 보건복지부 내 정신정책실로 일반예산 보조금으로 받고있고 정신정책실과 전국에 약 350개가 넘는 광역 및 기초정신건강복지센터들이 자료를 수집하고 분석할 수 있는 인력을 운영할 수 있는 자원이 없다. 따라서, 서비스 공급자들과 대부분의 지역사회 정신건강/약물중독 치료 예산을 제공하는 보건복지부의 정신정책실을 대리한 평가 전문조직의 지원이 불가결하다. This study examines the status of data utilization for local mental health services at a time when interest in mental disorders is increasing, and seeks ways to create a foundation to strengthen the use cases of data on the mental health services in Korea by examining data collection, utilization, and sharing cases in Arizona, USA, Considering the limitations of data utilization in Korea's local mental health services and the case of Arizona, USA, the following measures were suggested. First, user-centered performance measurement and reporting should be implemented in relation to Korea's local mental health/drug addiction services. Second, efforts should be made to create a policy environment in which stakeholders can easily cite empirical data in the process of discussing improvements in mental health/substance addiction services. For example, there is a need for a data structured management that can provide analysis results by classifying how much, when, and in what region the target audience receives community services and programs by characteristics, and their effectiveness by age, region, gender, mental illness, etc. Lastly, only a portion of the operating costs of mental health/substance addiction treatment services provided by metropolitan and basic mental health welfare centers are subsidized by the Mental Policy Office within the Ministry of Health and Welfare. In addition, the Mental Policy Office with more than 350 metropolitan and basic mental health centers across the country do not have the resources to operate personnel to collect and analyze data. Therefore, support from professional organizations that only conduct assessments on behalf of service providers and the Department of Health and Human Services' Office of Mental Policy, which provides most of the community mental health/substance addiction treatment budget, is essential.

포항시 지역주민의 정신질환자에 대한 요구도 연구

정철,사공정규 東國大學校醫學硏究所 2004 東國醫學 Vol.11 No.1

연구목적: 포항시 지역사회 정신보건사업을 수행함에 있어, 포항시 지역주민의 정신질환자에 대한 태도를 평가하고 이를 결정하는 요인과의 상관관계를 밝혀서 향후 포항시에 적합한 지역사회 정신보건사업의 기초 자료로 활용하고자 한다. 연구대상 및 방법: 2003년 4월 1일부터 동년 5월 3일까지 포항시에 거주하는 포항시민 693명을 대상으로 설문조사를 시행하였다. 설문의 내용은 성별, 연령, 결혼상태, 학력, 종교, 경제상태, 주거형태, 정신질환자 접촉 경험, 가족 및 본인의 정신과 치료경험, 지역주거기간, 지역에 대한 안전도, 지역에 대한 만족도 등 14문항과, 정신보건시설에 대한 태도를 질문하는 내용 5문항을 포함하였다. 연구결과: 본 조사대상 중 여성이 전체의 59.5%(412명)를 차지하였고 연령별로는 20세에서 49세에 해당하는 수가 611명(88.2%)으로 조사되었다. 포항시 거주기간은 6년 이상이라고 응답한 수가 548명(79.1%)이었다. 주거지역 내에 정신보건시설(정신병원 제외)이 설치와 관련하여 일반시민은 133명(54.7%)이 찬성하였으며 정신보건관련요원은 242(53.8'/,)가 찬성한다고 응답하였다. 지역 내 정신보건센터에 대해 일반시민 중 들어본 적이 있거나 잘 알고 있는 수는 108명(44.4%)이었으며, 정신보건관련요원 중 한번도 들어본 적이 없는 수가 132명(29.3%)으로 나타나 홍보의 필요성을 시사하였다. 정신보건센터에서 일반인을 위한 정신건강 프로그램을 운영할 경우 그 필요성에 대한 설문에서 필요하다는 응답이 일반시민은 202명(83.1%)이었던 반면 정신보건관련요원은 346명(76.9%)으로 나타났다. 앞으로 정신질환자를 위한 자원봉사활동을 할 의향이 있는지에 대해서는 일반시민 중 158명(65.0%), 정신보건관련요원 중 253명(56.2%)이 있다고 응답하였다. 결론: 정신질환자에 대해 부정적인 태도를 가지고 있는 대상에게 정신보건문제에 대한 합리적이고 적절한 정보를 제공하고 정신질환자에 대한 홍보와 계몽이 필요하리라 생각되며, 긍정적인 태도를 가지고 있는 대상들을 자원으로 활용하여 효율적인 정신보건사업이 될 수 있도록 사업계획을 수립하는 것이 필요할 것으로 생각된다. Purpose: To execute the mental health project in Pohang city, we would assess the attitude of citizen to mentally ill person and establish the correlation between factors. With these data, we could make an appropriate local community mental health project. Methods: We executed questionnaire survey to 693 citizens from April 1 to May 3, 2003. The questionnaire contain 14 questions (sex, age, marriage status, educational level, religion, economic status, housing tenure, experience for contacting mentally ill persons and their family, resident duration, security of residency, satisfaction of residency) and 5 additional questions on attitudes of the mental health facility. Results: Among the subjects, female were 412 (59.5%) and 611 (88.2%) persons were at the age of 20-49. The number of residents in Pohang City over 6 years were 548 (79.l%). Total of 133(54.7%) citizens and 242 (53.8%) mental health-related persons agreed to establish mental health facility in their village. Recognition status about Mental Health Center were 44.4% (108 persons) in citizens and 29.3% (132 persons) in mental health related-related persons. These data strongly suggest the need of public information for both citizens and mental health-related persons. In addition, both 202 (83.l%) citizens and 346 (76.9%) mental health-related persons required mental health programs. The intention of volunteering service for Mental Health Center were 158 (65.0%) in citizen, 253 (56.2%) in mental health related person. Conclusion: It should serve the appropriate information of mental health and be necessary to educate the negative attitude persons. We should establish the plan for the effective mental health project by making the best use of positive attitude person.

사격 스포츠 참여 노인의 정신건강과 생활만족에 관한 연구

배상운 ( Sang Woon Bae ),강성웅 ( Sung Woong Kang ),홍지은 ( Ji Eun Hong ),김규호 ( Gyu Ho Kim ) 고려대학교 스포츠과학연구소 2010 스포츠科學論叢 Vol.17 No.-

본 연구는 사격 스포츠 참여집단과 다른 스포츠 참여집단 그리고 스포츠 비 참여집단간의 정신건강 및 생활만족의 차이를 규명함으로써 노인의 정신건강과 생활만족에 사격 스포츠가 부합되는지를 밝히는데 목적이 있다. 본 연구의 조사대상은 사격 스포츠 참여 노인 85명과 다른 생활체육 참여자 또는 비참여자 160명 등 총 245명을 표집하였으며, 누락된 자료와 불성실한 자료로 판단되는 데이터를 제외한 227명의 자료를 최종 분석 자료로 사용하여 다음과 같은 결과를 도출하였다. 첫째, 정신건강 차이검증에 있어서, 사격 스포츠 참여 집단이 다른 스포츠 참여 집단과 스포츠 비 참여 집단보다 긍정적 정신건강이 더 높은 것으로 나타났으며 부정적 정신건강에서는 집단 간 차이가 없는 것으로 나타났다. 둘째, 생활만족 차이검증에 있어서, 사격 스포츠 참여 집단이 가장 높은 긍정적 생활만족을 나타냈으며, 스포츠 비 참여집단이 가장 낮은 긍정적 생활만족을 나타냈다. 그러나 부정적 생활만족에서는 차이가 없는 것으로 나타났다. 셋째, 정신건강과 생활만족의 관계 검증에 있어서, 긍정적 생활만족에 대하여 긍정적 정신건강이 정(+)적 영향을 미치는 것으로 나타났으며, 부정적 생활만족에 대하여 긍정적 정신건강은 부(-)적 영향을 미치는 것으로 나타났고 부정적 정신건강은 정(+)적 영향을 미치는 것으로 나타났다. 그러므로 이상의 결과를 종합하여, 사격 스포츠 참여는 신체적 부담이 적고 정신집중을 많이 요구하는 스포츠라는 특성 때문에 다른 종목의 생활체육 참여나 생활체육 비 참여보다 사격 스포츠 참여는 노인의 긍정적 정신건강에 큰 도움을 주며, 이러한 긍정적 정신건강은 결국 긍정적 생활만족에 영향을 미쳐 노년기에 윤택한 삶을 누릴 수 있도록 하는데 부합하는 스포츠라고 결론 내린다. The purpose of the study is to investigate the relation between elder`s mental health and life satisfaction through the shooting leisure sports. The study involved a group of shooting sports and other sports groups, and non-participating group. The study examined mental health and life satisfaction differences among those groups to clarify the match The subjects of the study involved 85 shooting sports participating and 160 other sports participating and non-sports-participating elderly. The data have been sampled in total of 245, the data which is missing and judged as insincere, omitted and used 227 questionnaires in the final analysis. The study conducts following results: First, the differences in mental health, shooting sports participating group have positive mental health than other sports participating group and non-participating group, and there were no significant differences in negative mental health Second, the differences in life satisfaction, the shooting sports participating group appeared concretely the highest and non-participating group appeared the lowest among the participants. However, there were no significant differences in negative mental health Third, the relationship between mental health and life satisfaction appeared as the positive mental health affect to positive life satisfaction. And negative life satisfaction for the positive mental health was negatively affected and negative mental health was positively affected. Therefore, the results suggest that the shooing sports which is fewer physical and mental burden compare to other sports is great for elderly to practice mental focus and assist them to have positive mental health. The study conclude that participating sports impact positively to participant`s mental health, and mental health of old age eventually lead elderly to live a comfortable life.

The Researches of Mental Health Education on the College Students in China

Rui Xue,Lei Songlin 서울행정학회 2007 서울행정학회 학술대회 발표논문집 Vol.- No.-

The college students are at the youth period of their life, and their physical growth is almost complete. However, their mental development has not hit the mature state yet. A series of problems is destined to emerge in the college students' mental health field due to the conflicts arising from the unbalanced mental development and physical growth. The college student's mental health's education was paid attention to over a long period of time by scholars. Since 80's in 20 centuries, the researches on college student's mental health education had already got into a booming development period. In recent ten years, there were some results of college students' mental health standard, mental health status, method and mode of mental health education. However, there were also some problems in research on Chinese college students' mental health education. Theoretical level was too low to instruct practice; the difference of district was distinctly and the whole level was on the low side; the professional level was relative low and operation was short of criterion; the passive trend was distinctly and the research couldn't develop roundly. From now on, the researches on college student's mental health education will carry out more widely, completely and will set up perfect theories systems to guide empirical exploration. The researches will carry out more deeply to push forward the researches on college student's mental health education roundly and the scholars will summarize results of the researches on college students' mental health to carry on the pointed education. The researchers will adopt multi ways and continue exploring the developmental education mode; establishing education system and innovate Long Acting mechanism of college student's mental health's education.

기후변화와 정신건강에 대한 국내 연구 동향: 스코핑 리뷰

신지영,백주하,채수미 한국기후변화학회 2023 한국기후변화학회지 Vol.14 No.6

Climate change can affect mental health as well as physical health. A number of studies have recently been reported in Korea to investigate the association between climate change and mental health indicators. Research conducted in Korea reflects specific environments and climate conditions in Korea, contributing to the preparation of appropriate policies suitable for the domestic environment. However, few studies have systematically reviewed studies on climate change and mental health in Korea. Therefore, this study aims to identify the existing evidence regarding the association of climate change with mental health on domestic population groups by using a scoping review and suggests the direction of future studies on climate change and mental health. The result of this scoping review showed that research on climate change and mental health has increased since 2015 compared to before 2015, and mental health issues related to temperature, natural disasters, and air pollution have been largely investigated. Considering the recent trend of rising temperatures, the effects of heat waves on physical and mental health would be even greater, and the importance of research between temperature and mental health is likely to increase. In addition, many studies have been performed to investigate the relationship of natural disasters with trauma in Korea. Since natural disasters tend to be relatively limited to specific areas, future studies should be conducted to study the mental difficulties experienced by residents in certain disaster areas and to suggest policies for recovery. Climate factors, including rising sea levels, could cause migration, geopolitical changes, and food instability, and these changes could also impact various physical and mental health. Therefore, considering various factors caused by climate change, it will be necessary to explore mediating factors that could eventually affect mental health. Finally, a follow-up study including government reports is needed to identify trends in research on climate change and mental health and to review the policies proposed in the report.

기초정신건강증진센터의 부문구성 및 이용특성에 관한 연구 - 서울시 기초정신건강증진센터를 중심으로

임은정 ( Yen Jung Lim ),채철균 ( Choul Gyun Chai ) 한국의료복지건축학회(구 한국의료복지시설학회) 2013 의료·복지 건축 Vol.19 No.4

Purpose: With the rapid development of technology and individual life styles, Korea faces ever-increasing mental diseases caused by divorce, suicide, alconhol, drug addiction, and internet addiction. To reflect this, the quantitative expansion of mental health centers that make up is time. The purpose of this study is to understand the current situation of standard mental health centers by analysing Seoul`s cases of mental health. First, this study presents the direction of mental health policy through specific examples about the function of public and private sectors. Second, advantages and disadvantages of the facilities will be delineated through in-depth comparisons and analyses, ultimately providing architectural quidelines for establishing future standard mental health center. Methods: Data were collected through literature research, field surveys, and expert interviews to standard mental health centers in Seoul. In the field investigation, we collected various data(archittectural plan, dimension, photos) by visiting standard mental health centers. Data were analysed by content analysis. Results: The result of this study can be summarized into three points. The first one is that Mental health environment changing role of the mental health center is derived the spatial variations. The second one is that Standard Mental Health Center is divided into four sectors. Implications: It is necessary to give and architectural suggestion of mental health center in response to the proposal of the system.

청소년의 자아분화와 정신건강과의 관계 : 서울 지역 남ㆍ녀 고등학생을 중심으로

이혜숙 대한간호학회정신간호학회 1992 정신간호학회지 Vol.1 No.-

The purpose of this study was to test Bowen's family theory. Adolescents are in a vulnerable stage of mental health and have many mental health problems and psychosis. In Bowen's theory differentiation of self is related to mental health suatus. So this study was designed to identify the relation between differentiation of self and mental health in adoleescents. Therefore the point of this study was to contribute to the theoretical understanding of the relationship between these two concepts and eventually to the enhancement of theoretically directed nursing care. The subjects for this study were 299 high school students attending a high school in Seoul : the number of first year, second year and third year students included was 101, 100 and 98 students respectively. The data were collected during the period form from March 31, 1992 to April 4, 1992. For measuring the differentiation of self as described by Bowen a questionnaire by Je (1989) was used. A simplified Mental Diagnostic Test adapted for Koreans from Derogatis, et al(1976) by Lee(1986) was used to measure the level of mental health. The data were analyzed with the SPSS Program using descriptive statistics, Pearson Correlation Cofficients, ANOVA and Stepwise Multiple Regression. The results of this study can be summarized as follows : 1. The mean score for the differentiation of self scale was 101.88. 2. The mean score for the level of mental health was 99.06, which was higher than the results from other age-groups for which this tool has been used. 3. Hypothesis 1) "the higher the level of cognitive function vs emotional function, the higher the level of mental health" was supported(r=.53 p<.001). Hypothesis 2) "the higher the level of integration of self, the higher the level of mental health" was not supported (r=.08 P>.05). Hypothesis 3) "the lower the level of family projection process, the higher the level of mental health" was supported(r=-.30 p<.001). Hypothesis 4) "the lower the level of emotional cutoff, the higher the level of mental health" was supported(r=-.36 p<.001). Hypothesis 5) "the lower family regression, the higher the level of mental health" was supported(r=-.41 p<.001). 4. By using Stepwise Multiple Regression Analysis, the main influencing factors for the five different categories of differentiation of self were identified, as follows : 1) For the first subcale of differentiation of self the "Cognitive function vs Emotional function" ; three main variables : hostility, depression, and paranoid ideation explained 41.5%( p<.001) of the varance. 2) For the second subcale "Integration of self" ; two main variables; depression and hostility explained 9%(p<0.001) of the variance. 3) For the third subcale "Family projection process" ; three main variables hostility, paranoid ideation, and psychosis explained 15%(p p<.001) of the variance. 4) For the fourth subcale "Emotional cutoff"; four main variables hostility, depression, obscession, and paranoid ideation explained 21%( p<.001) of the variance. 5) For the fifth subcale "Family regression ; two main variables hostility and paranoid ideation explained 18%( p<.001) of the variance. 5. 1) The results from the test for the differentiation of self in the area of demographic variables showed that there were significant differences related to sex(F=6.88 p<.001), school year(F=6.08 p<.001). and educational level of parents(F=8.87, F=5.01 p<.001). 2) The results from the tests for the level of mental health in the area of demographic variables showed that there was significant difference related to school year(F=6.70 p<.001). 6. The relationship of differentiation of self to the nine different categories of mental health status were as follows : The higher the degree of differentiation of self was, the higher the results of the nine different categories of mental health status were (p<.001). 7. By using Stepwise Multiple Regression Analysis ; the main infuencing factors on mental health status were found to be congnitive function vs emotional function, family projection process and emotional cutoff. These factors accounted for 41%( p<.001) of the variance. In conclusion, this study revealed that differentiation of self is an important factor influencing mental health status. Further multidimensional study is needed to identify ways to improve the mental health of adolescents through the differentiation of self. Future research of these conceptual relationships is essential for the development of theoretical nursing that will give direction to the planning of scientifically sound nursing care. Key words : Adolescent, Differentiation of self, Mental health status.