정신질환에 대한 사회적 편견
The Stigma of Mental Illness in Korea
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초록
The stigma of mental illness is a problem that should be addressed urgently as such stigma has a negative effect on the lives of individuals with mental disorders, which may result in social and economic losses. Moreover, mental health stigma acts as a barrier to mental health service utilization. Thus, the need to reduce the mental health stigma has been highlighted. In Korea, stigma associated with individuals with mental disorders has been studied; however, few of those studies investigated mental health literacy, which might influence an individual’s attitudes toward and beliefs about people with mental disorders. Furthermore, there are fewer evidence-based anti-stigma campaigns and programs in Korea than in other countries. On that basis, a review of previous studies focusing on mental disorder stigma was undertaken, and the effects of such stigma on individuals with mental disorders and on society were assessed. In addition, research into mental health literacy, rarely undertaken in South Korea, was discussed. Finally, anti-stigma campaigns that are reportedly effective in reducing mental illness stigma were reviewed. With regard to future research on mental health stigma in South Korea, it is suggested that researchers study mental health literacy to assess accurately the public’s misperceptions about mental disorders. In addition, a variety of evidence-based anti-stigma campaigns should be implemented to increase public knowledge of mental disorders. Lastly, cooperation between public and private sectors should be encouraged to develop strategies for reducing the stigma and negative beliefs associated with mental disorders.
Abstract
The stigma of mental illness is a problem that should be addressed urgently as such stigma has a negative effect on the lives of individuals with mental disorders, which may result in social and economic losses. Moreover, mental health stigma acts as a barrier to mental health service utilization. Thus, the need to reduce the mental health stigma has been highlighted. In Korea, stigma associated with individuals with mental disorders has been studied; however, few of those studies investigated mental health literacy, which might influence an individual’s attitudes toward and beliefs about people with mental disorders. Furthermore, there are fewer evidence-based anti-stigma campaigns and programs in Korea than in other countries. On that basis, a review of previous studies focusing on mental disorder stigma was undertaken, and the effects of such stigma on individuals with mental disorders and on society were assessed. In addition, research into mental health literacy, rarely undertaken in South Korea, was discussed. Finally, anti-stigma campaigns that are reportedly effective in reducing mental illness stigma were reviewed. With regard to future research on mental health stigma in South Korea, it is suggested that researchers study mental health literacy to assess accurately the public’s misperceptions about mental disorders. In addition, a variety of evidence-based anti-stigma campaigns should be implemented to increase public knowledge of mental disorders. Lastly, cooperation between public and private sectors should be encouraged to develop strategies for reducing the stigma and negative beliefs associated with mental disorders.
참고문헌 (95)
- Department of Medicine Seoul National University, "The epidemiological survey of mental disorders in Korea", Ministry of Health and Welfare, ~ (2011)
- Corrigan P, "How stigma interferes with mental health care", Am Psychol, 59, pp.614~625 (2004)
- Kim SG, "Murder at Gangnam station: fear of prejudice and stigma towards mental disorders due to sensational news", Rapportian (2016)
- Yu SJ, "A comparative study of attitude of teachers and general public toward mental health", J Nurs Acad Soc, 6, pp.1~11 (1976)
- 한덕웅, "정신질환에 관한 사회적 표상의 변화: 1976년과 1995년간의 비교", 한국심리학회지: 건강, 8(1), pp.191~206 (2003), 한국건강심리학회
- Lee EH, "The attitudes of the inhabitants of Kwangju towards the persons with mental illness", J Korean Neuropsychiatr Assoc, 39, pp.495~506 (2000)
- Lee JE, "A survey for community attitudes toward the mentally-ill in Ansan Area", J Korean Neuropsychiatr Assoc, 38, pp.530~538 (1999)
- Jorm AF, "Mental health literacy. Public knowledge and beliefs about mental disorders", Br J Psychiatry, 177, pp.396~401 (2000)
- Furnham A, "Mental health literacy in non-western countries:a review of the recent literature", Mental Health Rev J, 19, pp.84~98 (2014)
- Corrigan PW, "Lessons from social psychology on discrediting psychiatric stigma", Am Psychol, 54, pp.765~776 (1999)
- A proposal for the Psychological Integration of South and North Korean People in the Unified Korea, "Kim KH", Korea Institute for National Unification, 141~183 (2003)
- "Explanation of terms in human rights; national human rights commission of korea"[URL]
- Link BG, "The social rejection of former mental patients: understanding why labels matter", Am J Sociol, 92, pp.1461~1500 (1987)
- Rabkin J, "Public attitudes toward mental illness: a review of the literature", Schizophr Bull, (10), pp.9~33 (1974)
- McDaid D, "Countering the stigmatisation and discrimination of people with mental health problems in Europe" (2008), European commission
- Lauber C, "Stigma towards people with mental illness in developing countries in Asia", Int Rev Psychiatry, 19, pp.157~178 (2007)
- Angermeyer MC, "Public beliefs about and attitudes towards people with mental illness: a review of population studies", Acta Psychiatr Scand, 113, pp.163~179 (2006)
- "A world to belong to social networks of people with mental health problems. Scotland:Scottish Association for Mental Health"[URL]
- A study on disabled people in 2014, "Kim SH", Korean Institute for Health and Social Affairs, ~ (2014)
- Survey on the life of people with mental disability at home and their family, "Kim MK", National Human Rights Commission of Korea, ~ (2008)
- Demyttenaere K, "Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys", JAMA, 291, pp.2581~2590 (2004)
- Sharac J, "The economic impact of mental health stigma and discrimination: a systematic review", Epidemiol Psichiatr Soc, 19, pp.223~232 (2010)
- Borinstein AB, "Public attitudes toward persons with mental illness", Health Aff (Millwood), 11, pp.186~196 (1992)
- Gong SJ, "The perceptions and attitudes of lay person towards the mentally ill", J Korean Acad Psychiatr Ment Health Nurs, 6, pp.265~277 (1997)
- Sung JM, "A study on the perceived stigma and coping orientations of discharged psychiatric patients", pp.1996
- Report of health and welfare, "Ministry of Health and Welfare", Ministry of Health and Welfare, ~ (2004)
- Farina A, "Employment interviewer reactions to former mental patients", J Abnorm Psychol, 82, pp.268~272 (1973)
- Link BG, "A modified labeling theory approach to mental disorders: an empirical assessment", American Sociological Review, 54, pp.400~423 (1989)
- Rosenfield S, "Labelling mental illness: the effects of received services and perceived stigma on life satisfaction", Am Sociol Rev, 62, pp.660~672 (1997)
- Link B, "Mental patient status, work, and income: an examination of the effects of a psychiatric label", Am Sociol Rev, 47, pp.202~215 (1982)
- Han HS, "Study on the solutions to the NIMBY syndrome in selecting the site of non-preferred facilities: in the case of the 154kv Sung Sanbranch power transition line project", pp.1999
- Murray CJ, "Alternative projections of mortality and disability by cause 1990-2020: Global Burden of Disease Study", Lancet, 349, pp.1498~1504 (1997)
- World Health Organization, "The global burden of disease: 2004 update", World Health Organization, ~ (2008)
- "World Economic Forum. The global economic burden of non-communicable diseases. Geneva: World Economic Forum;2011" (2011)[URL]
- Kim EJ, "Study on the economic cost of mental disorders", pp.2006
- Jung YH, "Cost of illness and health-friendly fiscal policy", Health Welf Policy Forum, 156, pp.50~61 (2010)
- Knapp M, "Hidden costs of mental illness", Br J Psychiatry, 183, pp.477~478 (2003)
- Angermeyer MC, "The stigma of mental illness in Germany: a trend analysis", Int J Soc Psychiatry, 51, pp.276~284 (2005)
- The national mental health commission report in 2007, "Kim Y", Ministry for Health, Welfare and Family Affairs, ~ (2007)
- Link BG, "Public conceptions of mental illness: labels, causes, dangerousness, and social distance", Am J Public Health, 89, pp.1328~1333 (1999)
- Kim SW, "The analysis of newspaper-articles on psychosis", J Korean Neuropsychiatr Assoc, 39, pp.838~848 (2000)
- "A life without stigma: A SANE Report" (2013)[URL]
- Lee CS, "Report of crime conducted by the mentally ill in Korean newspapers", J Korean Neuropsychiatr Assoc, 35, pp.1132~1144 (1996)
- "J Soonchunyhyang Univ", 1993, 1183~1188
- Seo MK, "Discrimination and prejudges towards patients with mental disorders" (2008), National Human Rights Commission of Korea
- Study on social stigma related to mental health, "Lee YH", Korea Institute for Health and Social Affairs, ~ (2008)
- Kim GI, "Follow-up study: public knowledge and attitudes toward mental illness in Korea", Ment Health Res, 8, pp.118~132 (1989)
- Yang OK, "Social stigma on people with mental disorder", Korean J Soc Welf, 35, pp.231~261 (1998)
- Pescosolido BA, "“A disease like any other”? A decade of change in public reactions to schizophrenia, depression, and alcohol dependence", Am J Psychiatry, 167, pp.1321~1330 (2010)
- 김정남, "정신장애인에 대한 편견과 차별에 관한 연구", 한국심리학회지: 건강, 9(3), pp.589~608 (2004), 한국건강심리학회
- Kilian R, "Macro-economic indicators and labour force participation of people with schizophrenia", J Ment Health, 16, pp.211~222 (2007)
- "‘See me’ so far: a review of the first 4 years of the Scottish anti-stigma campaign. Edinburgh: ‘See me’" (2006)[URL]
- 이충렬, "한국에서의 정신질환과 업무적합성", Annals of Occupational and Environmental Medicine, 15(3), pp.224~236 (2003), 대한직업환경의학회
- A life without stigma: A SANE report, "SANE Australia", SANE Australia, ~ (2013)
- Lauber C, "Do mental health professionals stigmatize their patients", Acta Psychiatr Scand Suppl, (429), pp.51~59 (2006)
- Psarra V, "Greek police officers’ attitudes towards the mentally ill", Int J Law Psychiatry, 31, pp.77~85 (2008)
- Bhang SY, "A comparison study on the attitudes of mental health professionals towards mental disorders", pp.2005
- "Mental Health Atlas country profile 2014:Republic of Korea" (2014)[URL]
- "Mental Health Atlas country profile 2014:United State of America" (2014)[URL]
- "Mental Health Atlas country profile 2014:Japan" (2014)[URL]
- Han SH, "Current medical care legislation may destroy human dignity right and health right;one in four basic livelihood security beneficiaries receives treatment for mental disorders", Energy Economy (2015)
- Jorm AF, "“Mental health literacy”: a survey of the public’s ability to recognise mental disorders and their beliefs about the effectiveness of treatment", Med J Aust, 166, pp.182~186 (1997)
- Jorm AF, "Public beliefs about treatment and outcome of mental disorders: a comparison of Australia and Japan", BMC Med, 3, pp.12~ (2005)
- Gong AT, "Mental health literacy: public knowledge and beliefs about mental disorders in mainland China", Psych J, 3, pp.144~158 (2014)
- Loo PW, "Mental health literacy: a cross-cultural study from Britain, Hong Kong and Malaysia", Asia Pac Psychiatry, 4, pp.113~125 (2012)
- 이선혜, "한국 성인의 정신건강역량 : 우울증과 정신분열병을 중심으로", 사회복지연구, 41(2), pp.127~158 (2010), 한국사회복지연구회
- Jorm AF, "Public beliefs about causes and risk factors for mental disorders: changes in Australia over 8years", Soc Psychiatry Psychiatr Epidemiol, 40, pp.764~767 (2005)
- Razali SM, "Belief in supernatural causes of mental illness among Malay patients: impact on treatment", Acta Psychiatr Scand, 94, pp.229~233 (1996)
- Georg Hsu LK, "Stigma of depression is more severe in Chinese Americans than Caucasian Americans", Psychiatry, 71, pp.210~218 (2008)
- 서미경, "한국인의 정신건강이해력 평가와 취약집단분석", 한국사회복지학, 65(2), pp.313~334 (2013), 한국사회복지학회
- Priest RG, "Lay people’s attitudes to treatment of depression: results of opinion poll for Defeat Depression Campaign just before its launch", BMJ, 313, pp.858~859 (1996)
- Angermeyer MC, "Benefits and risks of psychotropic medication in the eyes of the general public: results of a survey in the Federal Republic of Germany", Pharmacopsychiatry, 26, pp.114~120 (1993)
- Lauber C, "Lay recommendations on how to treat mental disorders", Soc Psychiatry Psychiatr Epidemiol, 36, pp.553~556 (2001)
- Velligan DI, "The expert consensus guideline series: adherence problems in patients with serious and persistent mental illness", J Clin Psychiatry, 70(Suppl 4), pp.1~46 (2009)
- Angermeyer MC, "Have there been any changes in the public’s attitudes towards psychiatric treatment? Results from representative population surveys in Germany in the years 1990 and 2001", Acta Psychiatr Scand, 111, pp.68~73 (2001)
- 이선혜, "우리나라 성인의 우울증상 식별력과 해결방법에 대한 신념: 수도권 거주자에 대한 방문서베이 결과", 정신보건과 사회사업, (32), pp.41~77 (2009), 한국정신보건사회복지학회
- 고희성, "청소년 자녀를 둔 부모와 중·고등학교 교사의 정신건강이해력", 정신간호학회지, 24(3), pp.168~177 (2015), 정신간호학회
- Jang Y, "Attitudes of older Korean Americans toward mental health services", J Am Geriatr Soc, 55, pp.616~620 (2007)
- Corrigan PW, "Challenging the public stigma of mental illness: a meta-analysis of outcome studies", Psychiatr Serv, 63, pp.963~973 (2012)
- Kelly CM, "Improving mental health literacy as a strategy to facilitate early intervention for mental disorders", Med J Aust, 187(7 Suppl), pp.S26~S30 (2007)
- Kitchener BA, "Mental health first aid: an international programme for early intervention", Early Interv Psychiatry, 2, pp.55~61 (2008)
- Pinfold V, "Reducing psychiatric stigma and discrimination: evaluation of educational interventions in UK secondary schools", Br J Psychiatry, 182, pp.342~346 (2003)
- Improving mental health literacy: a review of the literature, "Francis C", Commonweath Department of Health And Aged Care, ~ (2002)
- Paykel ES, "Changes in public attitudes to depression during the Defeat Depression Campaign", Br J Psychiatry, 173, pp.519~522 (1998)
- Pirkis J, "An evaluation of beyondblue, Australia’s national depression initiative", Int J Ment Health Promot, 7, pp.35~53 (2005)
- Jorm AF, "Changes in depression awareness and attitudes in Australia: the impact of beyondblue: the national depression initiative", Aust N Z J Psychiatry, 40, pp.42~46 (2006)
- Vaughan G, "‘Like Minds, Like Mine’: a New Zealand project to counter the stigma and discrimination associated with mental illness", Australas Psychiatry, 12, pp.113~117 (2004)
- "Institute of Psychiatry, Psychology & Neuroscience; Time to change: evidence for anti-stigma campaign"[URL]
- Schulze B, "Crazy? So what! Effects of a school project on students’ attitudes towards people with schizophrenia", Acta Psychiatr Scand, 107, pp.142~150 (2003)
- The national mental health commission report in 2004, "The National Mental Health Commission", Ministry of Health and Welfare, ~ (2004)
- Relevant Ministry, "Mental health comprehensive strategy", Relevant Ministry, ~ (2016)
- Seoul mental health center report in 2015, "Seoul Mental Health Center", Seoul Mental Health Center, ~ (2015)
- A study to reduce discrimination and prejudges towards mental disability, "Seo JH", National Human Rights Commission of Korea, ~ (2012)
- Kim KH, "Educational program to improve recognition and eliminate prejudices of mental illness", Korea Health Promotion Foundation, ~ (2011)
- A study on current state and improvement approaches of human rights education for mental health facilities, "Lee BW", Korean Human Resource Development Institute For Health and Welfare, ~ (2014)