본문 바로가기
KERD
논문KCI 등재

입원 치료 중인 만성 정신과 환자의 회복에 끼치는 요인 -WHO QualityRights의 국내 적용에 대한 제언을 중심으로-

Factors Affecting the Recovery of Inpatients with Chronic Mental Disorder -Focusing on the Future Direction of Application for WHO QualityRights in Korea-

이유상|정나래
대한조현병학회 (Korean Academy of Schizophrenia)|2024.04|대한조현병학회지 (Korean Journal of Schizophrenia Research)|제27권 제1호|pp. 20-28

1

조회

0

다운로드

1

인용

0

참고문헌

키워드

Human rightsSchizophreniaRecoverySMIPsychiatric inpatientsPsychosocial factorWHO QualityRights
주제분류정신과학

초록

Objectives: Hospitalization is an important procedure for alleviating the symptoms of patients with mental illness. However, in many countries, the trend of deinstitutionalization began a long time ago, and under the influence of CRPD and WHO QualityRights, perceptions of hospitalization are changing. In this context, it is important to identify the psychosocial characteristics related to the recovery of patients in psychiatric hospitalization in Korea. Therefore, this study sought to identify factors that influence recovery attitudes among inpatient. Through this, we attempted to summarize what is needed for the successful application of QualityRights in the future. Methods: For 82 inpatients at A Mental Hospital in Korea, we analyzed demographic characteristics, number of hospitalizations, types of hospitalization, social support, stigma, and attitude toward recovery, human rights sensitivity by assessing self report questionnaires. We analyzed the data through regression and ANOVA. Results: As a result of regression analysis, social support and human rights sensitivity was found to have a significant impact on attitudes toward recovery. Additionally, as a result of ANOVA, there was a significant difference in stigma depending on the number of hospitalizations, and no significant differences were found in other psychosocial variables . And There were no significant differences in psychosocial variables according to hospitalization type. Conclusion: Social support and human rights sensitivity were found to influence attitudes toward recovery. Additionally, individuals with longer hospitalizations were found to experience more internalized stigma compared to individuals with relatively shorter hospitalizations. Through this, implications for domestic application of WHO QualityRights were summarized and limitations were discussed.

Abstract

Objectives: Hospitalization is an important procedure for alleviating the symptoms of patients with mental illness. However, in many countries, the trend of deinstitutionalization began a long time ago, and under the influence of CRPD and WHO QualityRights, perceptions of hospitalization are changing. In this context, it is important to identify the psychosocial characteristics related to the recovery of patients in psychiatric hospitalization in Korea. Therefore, this study sought to identify factors that influence recovery attitudes among inpatient. Through this, we attempted to summarize what is needed for the successful application of QualityRights in the future. Methods: For 82 inpatients at A Mental Hospital in Korea, we analyzed demographic characteristics, number of hospitalizations, types of hospitalization, social support, stigma, and attitude toward recovery, human rights sensitivity by assessing self report questionnaires. We analyzed the data through regression and ANOVA. Results: As a result of regression analysis, social support and human rights sensitivity was found to have a significant impact on attitudes toward recovery. Additionally, as a result of ANOVA, there was a significant difference in stigma depending on the number of hospitalizations, and no significant differences were found in other psychosocial variables . And There were no significant differences in psychosocial variables according to hospitalization type. Conclusion: Social support and human rights sensitivity were found to influence attitudes toward recovery. Additionally, individuals with longer hospitalizations were found to experience more internalized stigma compared to individuals with relatively shorter hospitalizations. Through this, implications for domestic application of WHO QualityRights were summarized and limitations were discussed.

참고문헌 (53)

  1. O’Donogue EK, "ACT for psychosis recovery : a practical manual for group-based interventions using acceptance and commitment therapy" (2018), Contextpress
  2. Csipke E, "Inpatient care 50 years after the process of deinstitutionalisation", Social Psychiatry and Psychiatric Epidemiology, 49, pp.665~671 (2014)
  3. Taylor Salisbury T, "An international comparison of the deinstitutionalisation of mental health care : Development and findings of the Mental Health Services Denationalisation Measure(MENDit)", BMC Psychiatry, 16 (2016)[DOI]
  4. Lamb HR, "Some perspectives on deinstitutionalization", Psychiatric Services, 52, pp.1039~1045 (2001)
  5. "Universal Declaration of Human Rights" (1948)[URL]
  6. "Convention on the Rights of Persons with Disabilities (CRPD)" (2006)[URL]
  7. WHO QualityRights Tool Kit: Assessing and Improving Quality and Human Rights in Mental Health and Social Care Facilities, "WHO", World Health Organization, ~ (2012)
  8. Kahng SK, "An Exploratory Study on the Application of WHO QualityRights Tool Kit in Korea", Mental Health &Social Work, 1, pp.289~314 (2021)
  9. "Act on Mental Health Promotion and Support for Welfare Services for Mentally Ill Persons" (2016)[URL]
  10. "QualityRights materials for training, guidance and transformation" (2019)[URL]
  11. Bachrach LL, "Continuity of care and approaches to case management for long-term mentally ill patients", Hosp Community Psychiatry, 44, pp.465~468 (1993)
  12. "Legal capacity and right to decide" (2019)[URL]
  13. "Recovery and right to health" (2019)[URL]
  14. Kim N, "Current Status and Future Directions for Community Mental Health Services After the amended Mental Health Welfare Act in South Korea", Korean Journal of Psychology : General, 39, pp.1~26 (2020)
  15. Anthony, WA., "Recovery from mental illness : The guiding vision of the mental health service system in the 1990s", Psychosoc Rehabil J, 16, pp.11~23 (1993)
  16. Davidson L, "Sense of self in recovery from severe mental illness", Br J Med Psychol, 65, pp.131~145 (1992)
  17. Deegan P, "Recovery : the lived experience of rehabilitation", Psychosoc Rehabil J, 11, pp.11~19 (1998)
  18. Farkas M, "The vision of recovery today : what is and what it means for services", World Psychiatry, 6, pp.68~ (2007)
  19. Leamy M, "Conceptual framework for personal recovery in mental health : Systematic review and narrative synthesis", British Journal of Psychiatry, 199, pp.445~452 (2011)
  20. Corrigan PW, "Social support and recovery in people with serious mental illnesses", Community Mental Health Journal, 6, pp.513~523 (2004)
  21. Pernice-Duca F, "Examining the contribution of social network support to the recovery process among clubhouse members", American Journal of Psychiatric Rehabilitation, 1, pp.1~30 (2009)
  22. Webb M, "Struggling and enduring with God, religious support, and recovery from severe mental illness", Journal of Clinical Psychology, 12, pp.1161~1176 (2011)
  23. Kopelowicz A, "Neurocognitive correlates of recovery from schizophrenia", Psychological Medicine, 8, pp.1165~1174 (2005)
  24. Liberman RP, "Future directions for research studies and clinical work on recovery from schizophrenia : Questions with some answers", International Review of Psychiatry, 4, pp.337~342 (2002)
  25. Garverich S, "What matters : Factors impacting the recovery process among outpatient mental health service users", Psychiatr Rehabil J, 44, pp.77~86 (2021)
  26. Goffman E, "Stigma: Notes on the management of Spoiled Identity", pp.123~133 (1963), Prentice Hall
  27. Link BG, "Modified Labeling Theory Approach to Mental Disorder; An Empirical Assessment", Am Sociol Rev, 54, pp.400~423 (1989)
  28. Hwang TY, "A Study on the Reliability and Validity of the Korean Version of Internalized Stigma of Mental Illness Scale(K-ISMI)", J Korean Neuropsychiatr Assoc, 45, pp.418~426 (2006)
  29. Crisp AH, "Stigmatisation of people with mental illnesses", Br J Psychiatry, 177, pp.4~7 (2000)
  30. Wright ER, "Deinstitutionalization, social rejection, and the self-esteem of former mental patients", Journal of Health and Social Behavior, 41, pp.68~90 (2000)
  31. Salzer MS, "Advancing recovery science : Reliability and validity properties of the Recovery Assessment Scale", Psychiatric Services, 65, pp.442~453 (2014)
  32. Muñoz M, "The State of Knowledge about Internalized Stigma on the Basis of the Socio-Cognitive-Behavioral Model", Annuary of Clinical and Health Psychology, 7, pp.41~50 (2011)
  33. Ritsher JB, "Internalized stigma of mental illness : psychometric properties of a new measure", Psychiatry Research, 121, pp.31~49 (2003)
  34. "Recovery practice for mental health and well-being00000" (2019)[URL]
  35. Lee JM, "Opinions on the recovery of outpatients with schizophrenia and their wills to recover", Korean J Schizophr Res, 24, pp.17~25 (2021)
  36. Murphy R, "Service users’ experiences of involuntary hospital admission under the Mental Health Aac 2001 in the Republic of Ireland : highlighting the need for person-centerd care", Psychiatr Serv, 68, pp.1127~1135 (2017)
  37. Young SL, "Measuring the promise of recovery: a compendium of recovery measures" (2005), Evaluation Center
  38. Song KO, "Validation of the korean version of the mental health recovery measure", Ment Health Soc Work, 34, pp.154~188 (2010)
  39. Research on the development of Korean-style human rights indicators for the mentally disabled. Development of questionnaire for mental health institution workers, "Yoon BH", Naju National Hospital, ~ (2019)
  40. Hwang TY, "A Study on the Awareness and Attitude of Human Rights by the Mental Health Workers at the Mental Health Institutes and Community Rehabilitation Centers", J Korean Assoc Soc Psychiatry, 26, pp.40~51 (2021)
  41. Zimet GD, "The multidimensional scale of perceived social support", J Pers Assess, 52, pp.30~41 (1988)
  42. Seo DD, "The Effects of Mental Fitness, Social Support and Psychological Distress on Suicidal Idea of People with Schizophrenia Using Community Mental Health Services", J Korean Neuropsychiatr Assoc, 553, pp.364~369 (2014)
  43. Francisco José Eiroa-Orosa, "Beyond recovery : toward rights-based mental health care — A cluster randomized wait-list controlled trial of a recovery and rights training for mental health professionals with or without first person accounts", Front Psychol, 14, pp.1~12 (2024)
  44. Han JH, "Comparisons of the clinical variables between high and low self-stigma group in the outpatients with schizophrenia", Korean J Schizophr Res, 21, pp.28~36 (2018)
  45. Corrigan P, "An attribution model of public discrimination towards persons with mental illness", Journal of Health and Social Behavior, 44, pp.162~179 (2003)
  46. Jang OJ, "A study on factors related to longterm hospitalization in patients with chronic schizophrenia", J Korean Neuropsychiatr Assoc, 54, pp.76~83 (2015)
  47. "Human rights" (2019)[URL]
  48. "Mental health, disability and human rights" (2019)[URL]
  49. "Freedom from coercion, violence and abuse" (2019)[URL]
  50. "Recovery practices for mental health and well-being" (2019)[URL]
  51. "Strategies to end seclusion and restraint" (2019)[URL]
  52. "Supported decision-making and advance planning" (2019)[URL]
  53. "Person-centred recovery planning for mental health and well-being self-help tool" (2019)[URL]

관련 논문AI추천

조현병 외래 환자의 개인적 회복 관련 요인김준기, 김철권대한조현병학회 · 대한조현병학회지2024 · 제27권 제2호입원(소) 정신장애인의 회복인식 영향요인 : 60세 미만과 60세 이상 다집단 분석강상경, 박종은한국장애인복지학회 · 한국장애인복지학2022 · 제58권 제58호정신의료기관 입원 중 경험하는 부정적 정서가 정신장애인의 회복에 미치는 영향 : 학대와 폭력으로부터 자유로운 서비스의 매개 효과 분석박종은한국장애인복지학회 · 한국장애인복지학2025 · 제67권 제67호가족과 전문가로부터의 강요경험이 정신장애인의 회복태도에 미치는 영향에 관한 연구서미경, 이진향대한신경정신의학회 · 신경정신의학2011 · 제50권 제1호재가 정신질환자의 내재화된 낙인, 삶의 의미와 정신건강회복과의 관계김주연, 전원희한국가정·방문간호학회 · 가정·방문간호학회지2019 · 제26권 제2호정신보건센터에 등록한 조현병 환자의 소비자 만족도와 삶의 질에 대한 연구김현미, 이미옥, 최진숙대한조현병학회 · 대한조현병학회지2014 · 제17권 제1호

이 간행물의 다른 논문 (2건)

정신증이 있는 당사자의 개인적 회복 및 임상적 회복을 위한 모바일 앱 기반의 심리사회적 개입에 대한 고찰정나래, 유도원pp. 1-13조기 정신증에서 조기 발견의 중요성주성우pp. 14-19
원문 보기