청소년 정신건강서비스 요구도와 실제 이용과 연관된 사회인구학적 특성과 정서 및 행동상의 요인
Sociodemographic Characteristics and Emotional and Behavioral Factors Associated with Perceived Need and Use of Adolescent Mental Health Services in Korea
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참고문헌
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초록
청소년들이 정신건강서비스에 대한 요구도에 비해 실제 이용을 잘 하고 있지 못함을 보여주며, 정신건강서비스 요구도와 실제 이용 사이에 심한 불일치를 보여주었다. 정신건강서비스 요구도 증가에 연관된 요소는 불안/우울, 주의집중문제이며, 실제 이용은 위축시 감소하는 것으로 나타났다. 이는 청소년의 내적 심리상태에 대한 보다 높은 관심과 이해가필요하며 청소년이 느끼는 심리적 어려움이 반영된 정신건강서비스를 받을 수 있도록 하는 준비가 필요함을 제시한다. 정신건강문제와 도움요청에 대한 청소년 교육과 함께 부모,교사의 교육, 교내 상담지원과 지역사회 정신건강서비스 기관과의 연계 등의 노력이 필요하다. 이 연구는 청소년기 정신건강서비스 요구도와 실제 이용이어느 정도 있는지 알아보고, 요구도와 실제 이용에 미치는 사회인구학적 특성과 정신병리와의 연관성을 평가한 연구이다. 향후 이러한 청소년 정신건강서비스 이용에 대한 사회인구학적 특성과 정신의학적인 관심과 연구가 지속적으로 이루어져 하며, 이는 정신질환의 예방 및 조기 발견과 치료적개입에 중요한 기초 자료가 되며 개인과 사회경제적 손실을줄이는 데 도움이 될 것이다.
Abstract
Objectives This study investigated the sociodemographic characteristics and emotional and behavioral factors associated with the perceived need and use of adolescent mental health services in Korea. Methods We assessed 1857 middle school students (aged 14-16 years) in the city of Osan,Korea. We administered a self-reported questionnaire, which included sociodemographic data,Youth Self Report (K-YSR), and perceived need and use of mental health services. Multiple regression analyses were performed for identification of predictable sociodemographic characteristics,as well as the emotional and behavioral factors of the perceived need and use of adolescent mental health services. Results Overall, 11.6% of the adolescents demonstrated a perceived need for mental health services regarding their emotional or behavioral problems, while 2.1% used mental health services. Discrepancies were observed between the perceived need and use. Most adolescents (81.6%) used mental health services without self-perceived need, and only 3.3% of adolescents with self-perceived need utilized mental health services. The perceived need for mental health services is positively influenced by the adolescent’s anxious/depressed and attention problems. Use of them is negatively influenced by the adolescent’s withdrawn problems. Conclusion Although the perceived need for mental health services is high, only a small proportion of adolescents receive them. There is a discrepancy between the perceived need and use and the factors associated with them are different. In order to increase the actual use of mental health services, it is necessary to concern their internalizing problems, such as anxious/depressed and withdrawn, in addition to externalizing problems.
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