마음건강수준과 사회적 지지, 심리적 고통이 지역사회 정신보건 서비스를 이용하는 만성 조현병 환자의 자살사고에 미치는 영향
The Effects of Mental Fitness, Social Support and Psychological Distress on Suicidal Idea of People with Schizophrenia Using Community Mental Health Services
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초록
본 연구에서 만성 조현병 환자의 자살사고에 높은 마음건강수준과 낮은 심리적 고통 수준은 보호요인으로 밝혀졌다. 최근 지역사회 중심의 정신보건정책이 시행됨에 따라 높은자살위험을 갖고 있는 것으로 알려진 만성 조현병 환자들이지역사회에 더 많이 거주하게 되는 추세가 진행되고 있다. 따라서 이들을 관리하는 지역사회 정신보건기관들에서는 이들의 마음건강수준과 심리적 고통 수준에 관심을 가지고 자살로 생을 마감하지 않도록 관심을 기울여야 할 것으로 생각된다.
Abstract
Objectives The objective of this study was to analyze the relationships of psychological distress, social support, mental fitness and suicidal idea among patients of chronic schizophrenia using community mental health services. Methods This study was conducted in patients who visited the mental health services in Daejeon from October to December 2011. In total, 395 chronic schizophrenic patients were evaluated using Mental Fitness Scale (MFS), Kessler Psychological Distress Scale (K10), and Multidimensional Scale of Perceived Social Support (MSPSS). Results Results showed that 37% (n=146) of patients had suicidal ideas and 63% (n=249) of patients did not have suicidal ideas. The group that had suicidal ideas showed significantly lower scores on MFS, K10, and MSPSS than the group with no suicidal ideas (p=0.000). Logistic regression analysis showed a significantly lower score on MFS, K10 for the suicidal ideation group than the group with no suicidal ideas. Conclusion These results suggest that health care providers should consider mental fitness and psychological distress, in order to prevent suicidal idea of schizophrenic patients.
참고문헌 (32)
- World Health Organization, "Suicide prevention (SUPRE)", World Health Organization, ~ (2013)
- Annual report on the cause of death statistics, "Statistcs Korea", Statistcs Korea, ~ (2012)
- OECD, "OECD Factbook 2011-2012: Economic, Environmental and Social Statistics" (2012), OECD Publishing
- Bushe CJ, "Mortality in schizophrenia: a measurable clinical endpoint", J Psychopharmacol, 24(4 Suppl), pp.17~25 (2010)
- Fenton WS, "Symptoms, subtype, and suicidality in patients with schizophrenia spectrum disorders", Am J Psychiatry, 154, pp.199~204 (1997)
- Fenton WS, "Depression, suicide, and suicide prevention in schizophrenia", Suicide Life Threat Behav, 30, pp.34~49 (2000)
- Harkavy-Friedman JM, "Suicide attempts in schizophrenia: the role of command auditory hallucinations for suicide", J Clin Psychiatry, 64, pp.871~874 (2003)
- Kontaxakis V, "Suicidal ideation in inpatients with acute schizophrenia", Can J Psychiatry, 49, pp.476~479 (2004)
- Nieto E, "Suicide attempts of high medical seriousness in schizophrenic patients", Compr Psychiatry, 33, pp.384~387 (1992)
- Tarrier N, "Risk of non-fatal suicide ideation and behaviour in recent onset schizophrenia--the influence of clinical, social, self-esteem and demographic factors", Soc Psychiatry Psychiatr Epidemiol, 39, pp.927~937 (2004)
- Addington DE, "Attempted suicide and depression in schizophrenia", Acta Psychiatr Scand, 85, pp.288~291 (1992)
- Montross LP, "Suicide among patients with schizophrenia: a consideration of risk and protective factors", Ann Clin Psychiatry, 17, pp.173~182 (2005)
- Chioqueta AP, "The relationship between psychological buffers, hopelessness, and suicidal ideation: identification of protective factors", Crisis, 28, pp.67~73 (2007)
- Kleiman EM, "Utilized social support and self-esteem mediate the relationship between perceived social support and suicide ideation. A test of a multiple mediator model", Crisis, 34, pp.42~49 (2013)
- Meadows LA, "Protective factors against suicide attempt risk among African American women experiencing intimate partner violence", Am J Community Psychol, 36, pp.109~121 (2005)
- Sherbourne CD, "The MOS social support survey", Soc Sci Med, 32, pp.705~714 (1991)
- Dean A, "The stress-buffering role of social support. Problems and prospects for systematic investigation", J Nerv Ment Dis, 165, pp.403~417 (1977)
- Kleiman EM, "Social support as a protective factor in suicide:findings from two nationally representative samples", J Affect Disord, 150, pp.540~545 (2013)
- Diener E, "Factors predicting the subjective well-being of nations", J Pers Soc Psychol, 69, pp.851~864 (1995)
- Kwon SM., "Positive psychology", pp.475~501 (2008), Hakjisa
- 원두리, "심리적 웰빙을 어떻게 추구할 것인가: 웰빙에 영향을 주는 요소들에 대한 탐색", 한국심리학회지: 건강, 11(1) (2006), 한국건강심리학회
- Seligman MEP, "Handbook of positive psychology", pp.3~9 (2002), Oxford University Press
- Gable SL, "What (and why) is positive psychology?", Rev Gen Psychol, 9, pp.103~110 (2005)
- Seligman ME, "Positive psychology. An introduction", Am Psychol, 55, pp.5~14 (2000)
- Norman RM, "Stressful life events and schizophrenia. I: A review of the research", Br J Psychiatry, 162, pp.161~166 (1993)
- 조소현, "‘마음건강’ 척도의 개발", 신경정신의학, 50(2), pp.116~124 (2011), 대한신경정신의학회
- Kessler RC, "Short screening scales to monitor population prevalences and trends in non-specific psychological distress", Psychol Med, 32, pp.959~976 (2002)
- 김용석, "한국어판 정신건강 선별도구(K10·K6)의 타당화 연구 -재가복지서비스 이용자를 대상으로-", 정신보건과 사회사업, (37), pp.65~88 (2011), 한국정신보건사회복지학회
- Zimet GD, "The multidimensional scale of perceived social support", J Pers Assess, 52, pp.30~41 (1988)
- 이주일, "노인의 대인애착 경향과 심리적 안녕감, 사회적 활동 및 지지적 관계 추구", 한국심리학회지: 사회및성격, 18(2), pp.11~29 (2004), 한국사회및성격심리학회
- Paykel ES, "Life stress, depression and attempted suicide", J Human Stress, 2, pp.3~12 (1976)
- Poudel-Tandukar K, "Social support and suicide in Japanese men and women - the Japan Public Health Center (JPHC)-based prospective study", J Psychiatr Res, 45, pp.1545~1550 (2011)