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일대학 대학생 및 교직원의 정신건강의학과 개명에 대한 웹기반 조사

Web-Based Survey of University Students and Faculty Members on Renaming of Psychiatry

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주제분류정신과학

초록

이 연구는 정신건강의학과로의 개명에 대한 인식도를 대량 이메일 설문 조사를 통해 조사하였다. 그 결과 일반대학생들은 여전히 정신질환에 대한 편견이 존재한다라고 생각하고 있었다. 설문 응답자 대부분(90.8%)은 정신건강의학과로의 개명 사실에 대해 인식하지 못하고 있었다. 그리고 정신건강의학과로의 개명에 대해 호의적(92.7%)이었으며, 정신질환의 치료의 문턱을 낮추는데 도움을 줄 것이라고 생각하였다. 그렇지만 보다 젊은 층에서는 실제로 치료를 받을것이라는 비율이 나이 많은 군보다 낮게 측정이 되었다. 이는 정신질환자는 취업에서 불이익이 있을 수 있다는 생각과,보험 가입 등에서 실제적인 차별이 있을 것이라는 인식에기인할 수 있다. 이를 개선하기 위하여 향후 정부나 학회 차원에서의 적극적인 편견 퇴치 운동 및 보험 정관에서 정신질환자에 대한 불합리란 제한이 해소될 수 있는 등의 실질적인 보완책이 필요할 것으로 생각한다.

Abstract

Objectives: Psychiatric patients had less access to psychiatric care due to a stigma associated with psychiatric care. However there have been numerous efforts to break down the stigma. One of them was to change the name of the discipline to Mental Health Medicine, which was established nationwide in August, 2011. Authors try to understand the change of concepts by according to the change of the name of psychiatry. Subjects consisted of undergraduate and graduate students, and university faculty members. Methods: The survey was conducted by the Kyung Hee University mass e-mail system. Mails were delivered to the undergraduate and graduate students, and university faculty members. The contents of the survey consisted of questions regarding awareness of the name change (psychiatry->mental health medicine), positive or negative impressions of the name change, psychiatric history, and eligibility of access to the psychiatric clinic. Results: Most respondents were not aware of the name change (90.8%), however they generally responded to the changed name positively (92.7%). Also they responded that by changing the name, the possibility of the easy access to psychiatric treatment would be expected. The undergraduate students group, the graduate students group, and the below 22 year old group responded more favorably to the name change compared to the faculty group and the above 22-year-old group. They also responded positively to the improvement of easy access to psychiatric treatment. However, regarding the effects of the name change on deciding to receive the psychiatric treatment, only small numbers were agreed to accept treatment. Conclusion: This survey showed that the less-than-22-year-old group, undergraduate students group, and graduate students group thought more positively to the name change (psychiatry->mental health medicine) compared to the group of more than the 22 years old and the faculty group. However, only small numbers of those groups answered that they can visit and receive psychiatric treatment when they are needed. One of the reasons they are reluctant to receive psychiatric care is due to the concern of the discrimination in employment and insurance coverage. Campaigns against stigmas for the psychiatric care via the proper method and time are needed nationwide, and should be enhanced. Practical policy should be re-established.

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