한국 성인의 정신건강역량 : 우울증과 정신분열병을 중심으로
Mental Health Literacy of the Korean Public: A Comparison between Depression and Schizophrenia
2
조회
0
다운로드
30
인용
0
참고문헌
키워드
초록
이 연구의 목적은 우리나라 성인의 정신건강역량 수준을 파악하여 우울증과 정신분열병의 예방과 조기 개입을 위한 구체적 전략수립의 기초자료를 마련하기 위한 것이다. 이를 위해 수도권 80개 지역에서 층화표집된 18세 이상 74세 이하 지역사회 거주자를 대상으로 설문조사를 실시한 결과(N=1,653), 우리나라 성인의 우울증과 정신분열병의 식별율은 각각35.2%와 33.5%로 유사하게 나타났다. 반면에, 원인 지각, 증상 해결방법의 유용성에 대한신념, 주요 정신건강 정보원에 있어서 우울증과 정신분열병 간에 특징적인 차이점들이 발견되었다. 이와 같은 결과를 유사한 외국 조사결과들과 비교 논의하고, 지역사회정신보건 예방사업에 주는 정책적, 실천적 시사점을 제시했다.
Abstract
The purpose of the study was to identify the level of mental health literacy of the Korean public and to suggest implications of prevention and early intervention for depression and schizophrenia. A household survey was conducted on a stratified sample of community residents from 80 survey clusters in Seoul and the surrounding province who were 18-74 years of age (N=1,653). The data analysis revealed that the percentages of respondents who correctly identified symptoms of depression or schizophrenia were similar, 35.2% and 33.5% respectively. On the other hand, there were differences between the two illnesses in terms of respondents'perceptions of beliefs on causes and usefulness of various methods to address respective symptoms, and sources of mental health information. The authors compared the findings with the results found in other countries, and suggested policy and practice implications for community mental health prevention in Korea.
참고문헌 (46)
- 김광일, "한국인의 질병행동과 정신건강", 정신건강연구, 16, pp.50~609 (1997)
- 김광일, "정신과 입원치료에 있어서의 사회문화적 문제", 신경정신의학, 12, pp.245~254 (1973)
- 김광일, "정신증상에 대한 한국인의 태도조사", 신경정신의학, 12, pp.41~52 (1973)
- 김의철, ""스트레스 경험,대처와 적응 결과:토착심리학적 접근"", 한국심리학회지:정신, 2(1), pp.96~126 (1997)
- 김의철, ""IMF 시대가 한국인의 스트레스에 미친 영향:토착심리학적 접근", "한국심리학회지:정신, 4(1), pp.57~79 (1999)
- 노은선, "중고등학교 교사의 정신질환에 대한 견해", 정신간호학회지, 7(2), pp.398~406 (1998)
- 박용천, "정신병에 대한 지역사회 지도자들의 태도조사", 신경정신의학, 22(2), pp.218~232 (1983)
- 박재현, "우리나라 국민의 정신질환으로 인한 질병부담 추정", 예방의학회지, 39(1), pp.39~45 (2006), 대한예방의학회
- "정신질환실태역학조사 2006"[URL]
- "정신보건사업안내"[URL]
- 서진환, ""지역사회에서의 정신건강 증진방안"", 사회정신의학, 11(2), pp.59~71 (2006)
- 이부영, ""한국 민간의 정신병관과 그 치료"", 신경정신의학, 9, pp.35~45 (1970)
- 이선혜, "대학생의 정신건강 원조체계 활용 행태 정신건강서비스 활성화에 대한 함의", 정신보건과 사회사업, 13(13), pp.36~58 (2002), 한국정신보건사회복지학회
- 이선혜, "한국인의 정신건강 도움요청행위에 영향을 미치는 요인", 정신보건과 사회사업, 27(27), pp.122~151 (2007), 한국정신보건사회복지학회
- 이선혜, "노인의 우울증상 식별력에 영향을 미치는 요인", 한국노년학, 29(2), pp.529~546 (2009), 한국노년학회
- 조영숙, "정신질환자 가족들의 정신질환에 관한 태도 조사연구", 간호학회지, 11(1), pp.7~17 (1980)
- "인구주택총조사보고서"[URL]
- 황규혁, "질병행동에 대한 일반인들의 태도 조사", 신경정신의학, 27(1), pp.80~95 (1988)
- Angermeyer, M. C., "Public attitude towards psychiatric treatment", Acta Psychiatr Scand, 94, pp.326~336 (1996)
- Angermeyer, M. C., "Public beliefs about schizophrenia and depression: similarities and differences", Soc Psychiatry Psychiatir Epidemiol, 38, pp.526~534 (2003)
- Angermeyer, M. C., "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(1), pp.68~73 (2005)
- Chang,H., "Depressive symptom manifestation and help-seeking among Chinese college students in Taiwan", International Journal of Psychology, 42(2), pp.200~206 (2007)
- Chen, H., "Mental health literacy in Singapore: A comparative survey of psychiatrists and primary health profesionals", Ann Acad Med Singapore, 29, pp.467~473 (2000)
- Fisher, L. J., "Differences in community mental health literacy in older and younger Australians", International Journal of Geriatric Psychiatry, 18(1), pp.33~40 (2003)
- Francis, C., "Improving Mental Health Literacy: A Review of the Literature" (2002), Center for Health Program Evaluation
- Hyler, S. E., "Homicidal maniacs and narcissisfic parasites: Stigmatization of mentally ill persons in the movies", Hospital and Community Psychiatry, 42, pp.1044~1048 (1991)
- "A Cross-Cultural comparison of factors related to help-seeking attitudes for psychological disorder"[URL]
- Jorm, A. F., "Mental health literacy: A survey of the public's ability to recognise mental disorders and their beliefs about the effectiveness of treatment", Medical Journal of Australia, 166, pp.182~186 (1997)
- Jorm, A. F., "Belief systems of the general public concerning appropriate treatments for mental disorders", Soc Psychiatry Psychiatr Epidemiol, 32(8), pp.468~473 (1997)
- Jorm,A.F., "Mental health literacy: public knowledge and beliefs about mental disorders", British Journal of Psychiatry, 177, pp.396~401 (2000)
- Jorm, A. F., "Providing information about the effectiveness of treatment options to depressed people in the community: A randomized controlled trial of effects on mental health literacy, help-seeking and symptoms", Psychological Medicine, 33(6), pp.1071~1079 (2003)
- Jorm, A. F., "Public beliefs about treatment and outcome of mental disorders: A comparison of Australia and Japan", BMC Medicine, 3(12), pp.1~14 (2005)
- Jorm, A. F., "Public beliefs about causes and risk factors for mental disorders: changes in Australia over 8 years", Soc Psychiatry Psychiatr Epidemiol, 40, pp.7764~7767 (2005)
- Jorm, A. F., "Where to seek help for a mental disorder? national survey of the beliefs of Australian youth and their parents", MJA, 187(10), pp.556~560 (2007)
- Judge, A. M., "Pathways to care in first episode psychosis: A pilot study on help-seeking precipitants and barriers to care", Journal of Mental Health, 14(5), pp.465~469 (2005)
- Lauber, C., "Do people recognise mental illness?", Eur Arch Psychiatry Clin Neurosci, 253(5), pp.248~251 (2003)
- Nakane, Y., "Public beliefs about causes and risk factors for mental disorders: a comparison of Japan and Australia", BMC Psychiatry, 5, pp.33~ (2005)
- Parker, G., "Diagnosis and treatment of mental disorders: A survey of Singapore mental health professionals", Soc Psychiatry Psychiatr Epidemiol, 34(10), pp.555~563 (1999)
- Roness, A., "Help-seeking behaviour in patients with anxiety disorder and depression", Acta Psychiatr Scand, 111(1), pp.51~58 (2005)
- Rubin, A., "회복지조사방법론" (2008), 센게이지러닝 코리아
- Schomerus, G., "Public beliefs about the causes of mental disorders revisited", Psychiatry Research, 144, pp.233~236 (2005)
- Shin,J.K., "Help-seeking behaviors by Korean immigrants for depression", Issues in Mental Nursing, 23, pp.461~476 (2002)
- Smith, R. B., "The Effect of Health Knowledge and Literacy on Utilization, Cost, Service, Quality of Life in Children and Adult Medicaid Mental Health Consumers" (2006), University of South Florida
- Schomerus, G., "Public beliefs about the causes of mental disorders revisited", Psychiatry Research, 144, pp.233~236 (2005)
- WHO (World Health Organization), "The World Health Report 2001. Mental Health: New Understanding, New Hope" (2001), World Health Organization
- Wolff, G., "Community knowledge of mental illness and reaction to mentally ill people", British Journal of Psychiatry, 168, pp.191~198 (1996)
