• Title, Summary, Keyword: Severe Mental Illness

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The Causes of Death of the Institutionalized Population of Kkottongnae : Comparison between Severe Mental Illness Group(SMI) and Non-Severe Mental Illness Group(Non-SMI) (SMI군과 Non-SMI군의 사망원인 비교분석 : 일 장기요양기설 입소자를 대상으로)

  • Moon, Su Jin;Kim, Kyoung Hoon;Song, Ji Young;Paik, Jong-Woo
    • Korean Journal of Biological Psychiatry
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    • v.16 no.3
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    • pp.198-204
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    • 2009
  • Objectives : Schizophrenia and other psychiatric disorder are associated with an increased risk of premature death. For decades, there have been reports of shorter life expectancy among those with severe mental illness. The purpose of this study was to compare the risk of mortality among institutionalized population, treated for severe mental illness to control group who did not have severe mental illness. Methods : The medical records and the death certificates of 2,029 institutionalized population who had died from 1985 to 2003 in Kkottongnae were investigated. Results : The mean age of the death of severe mental illness(SMI) group(51.4${\pm}$15.3 years old) was lower than that of non-severe mental illness(non-SMI) group(65.0${\pm}$19.3 years old) and it was statistically significant(p<0.0001). The most causes of death among the SMI group were respiratory diseases(23.3%), infectious disease (13.0%) and digestive disease(12.3%). Also, we found that the death due to injuries of the SMI group(8.9%) were three times higher than that of non-SMI group(2.5%). The most causes of death among the non-SMI group were respiratory disease(26.3%), circulatory disease(26.2%) and neoplasm(10.8%). Conclusion : The SMI group demonstrated higher mortality rates compared with the rate in the non-SMI group. The finding suggests that careful intervention is needed not only for menal health but also physical health in long-term facilities.

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Effects of the Illness Management and Recovery Program on Recovery, Knowledge of Mental Illness, and Hope of Inpatients with Mental Illness (회복지향질병관리 프로그램이 입원한 정신과 환자의 회복 및 정신질환 지식과 희망에 미치는 영향)

  • Shin, Eun-Sik;Lee, Hyun-Bok;Jeon, Mi-Sook;Kim, Sun-Hee;Yoon, Bo-Hyun;Sea, Young-Hwa;Park, Su-Hee
    • The Journal of the Korea Contents Association
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    • v.17 no.7
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    • pp.579-591
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    • 2017
  • The Illness Management and Recovery(IMR) Program was designed to improve self-management and recovery of people with mental illness. The purpose of this study was to identify the effects of the Korean version of the IMR program on recovery, knowledge against mental illness, hope among inpatients with severe mental illness. 92 participants diagnosed with schizophrenia, bipolar disorder and schizoaffective disorder were assigned to either an IMR group(n=51) or the control group(n=41) without randomization. Data collection had been conducted from June 2015 to December 2016. Mental Health Recovery Scale, Knowledge Scale, and Hope Scale was administered to participants before and after the intervention. Participants in the IMR program showed significant improvement in progress toward their recovery and knowledge about their mental illness compared with those receiving treatment as usual. However, changes in hope were not significant in both groups. This is the first evaluation of the effects of the Korean version of the IMR program. Our findings support potential benefits of implementing the Korean version of the IMR program.

Influencing Factors on Alcohol Use of Persons with Severe Mental Illness in the Community (지역사회 만성정신질환자의 알코올 사용 관련요인)

  • Gang, Moonhee
    • Journal of Digital Convergence
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    • v.11 no.11
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    • pp.585-593
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    • 2013
  • This study was to explore demographic, psycho-social and clinical characteristics and the influencing factors on alcohol use of person with severe mental illness in the community. Cross-sectional descriptive design was used to recruit a convenience sample of 176 participants from four community mental health centers in Korea. The collected data were analyzed using t-tests, $x^2$-test, and logistic regression. Depending on the alcohol use (AUDIT-K), participants were divided into the problem alcohol use group (n=54, 30.7%) and normal group (n=122, 69.3%). The problem alcohol use group was significantly more smoking, anxiety, stress, suicidal thought, and had a lower age of onset, phase of rehabilitation, self-efficacy, and others' support. In logistic regression analysis, factors influencing on alcohol use were smoking, age of onset, phase of rehabilitation and others' support. The findings may provide useful information to develop strategies for prevent from alcohol induced the problems in this populations.

Factors Influencing Use of Mental Health Helping Systems among College Students in Korea (한국대학생의 정신건강 원조체계 활용에 영향을 미치는 요인)

  • Lee, Sun-Hae;Chung, Sul-Ki
    • Korean Journal of Health Education and Promotion
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    • v.25 no.5
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    • pp.21-38
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    • 2008
  • Objective: This study examined the use of mental health helping systems among college students in Korea. A behavioral model of health service utilization was applied to examine factors influencing different types of helping systems. Methods: A total of 454 college students from four universities participated in the survey. A self-administered questionnaire measuring help-seeking behaviors including formal health and mental health services, informal helping system, peer group, and family support was used. Results: Respondents frequently turn to family members and peer group when in need, and age, sex, mental Health status, and attitude and knowledge on mental illness were significant factors affecting help-seeking behaviors of Korean students. While older students and those with more severe symptoms were more likely to seek help from formal resources, students with more severe symptoms were less likely to seek help from informal resources. Male students and those with negative attitude toward mental illness were less likely to ask peer groups for help. Conclusions: Study results indicate that informal resources and peer groups can be significant sources of social support for individuals in their late adolescence and young adulthood, however, their role as gateways to professional help is limited. Student counseling centers should take on a more active role in reaching out; implications for developing peer leaders as counselors and self-help groups are discussed.

A Study on the 'the Diagnosis and Treatment of Bulbus Lilli Syndrome, Malaria Syndrome Characterized by Ulceration, and Poision of Yin-Yang' in Keumkyueyorak (『금궤요약』의 백합병맥증치에 대한 연구)

  • Lee Yun Cheon;Kho Seung Wuk;Jeong Heon Young;Shin Chang Hwan;Lim Hyun Taek
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.18 no.3
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    • pp.670-679
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    • 2004
  • Bulbus lilii syndrome is characterizes by bitter taste, dark urine, indistint and weak pulse for rapture and unstable of mental. It is caused by not be recovered of vital energy after severe illness or mental stress. Bulbus lilli syndrome is similar to depression insomnia but not same. The name of Bulbus lilli syndrome is originated to be cured by Lily Bulb.

A CASE OF SEVERELY SELF-INJURED CHILD ASSOCIATED WITH PHYSICAL ILLNESS (신체 질환과 연관된 심한 자해로 입원한 아동 보고 1례)

  • Hong, Kang-E;Jeon, Seong-Ill
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.7 no.2
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    • pp.258-266
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    • 1996
  • Self-injurious behaviors are commoly founded in the case of the developmentally impaired, such as mental retardation and autistic disorder. These behaviors are primary serious sources of distress for both child and their parents, another obstacle to overcome within the family and society. The author has a case that a child, had never before shown self-injurious behaviors. He abruptly started to injury his face and heel. The beginnings of these harmful behaviors are associated with symptoms of physical illness, such as fever, chills and general aches. The self-injured wounds were very severe. After the patient was treated with haloperidol and improved his physical conditions, self-injurious behaviors disappeared. The author reports the child's clinical process, characteristics of self-injurious behaviors, and discuss the treatment factors, along with a literature review.

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Factors Associated with the Quality of Life among Persons with Severe Mental Illness Living in Supported Housing (독립주거 거주 중증 정신장애인의 삶의 질에 영향을 미치는 요인에 관한 연구)

  • Lee, Sung-eun
    • Korean Journal of Social Welfare Studies
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    • no.36
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    • pp.281-299
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    • 2008
  • The objective of this study was to examine the association between personal, housing, program, and service characteristics and quality of life among persons with severe mental illness living in supported housing. A cross sectional survey of a random sample of 237 clients residing in supported housing in Philadelphia was used to assess the association between personal and environmental characteristics, and quality of life. Data were collected from structured interviews, administrative data, the 2000 U.S. Census data file and the Philadelphia police crime database. Multiple regression analyses were used to identify personal and environment characteristics that are associated with quality of life. Clients with diagnoses of schizophrenia, those with lower levels of psychiatric symptoms, those with higher levels of physical health status, and those with higher levels of perceived supportiveness with staff had higher levels of quality of life. Findings of this study suggested that clients' clinical characteristics and consumer staff relationships can be important variables for understanding quality of life among supported housing residents. Factors associated with quality of life identified in this study may help service providers design and plan services to promote quality of life and stable independent living in the community of supported housing residents.

Family Experiences of Living with Chronic Schizophrenic Patients - Application of Parse's Human Becoming Research Methodology - (만성정신분열환자 가족의 체험 - Parse의 인간되어감 연구방법론 적용 -)

  • Lee, Ok-Ja;Choi, Young-Sook
    • Journal of Korean Academy of Nursing
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    • v.37 no.1
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    • pp.26-34
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    • 2007
  • Purpose: This study was aimed at understanding the nature of the suffering of families with patients in mental health nursing homes and hoped to contribute to the rehabilitation process of those with a chronic mental disorder. Method: Research methodology was based upon Parse's human becoming research methodology. Results: a) Despite the despair the family feels by the violence caused by their now-institutionalized relative, they also realize anew the importance of their role as protectors b) Although they fear social stigmatization they also try to be supportive, out of guilt feelings; c) They regret their severe rearing style and wish to be more sympathetic, d) They find courage and hope through family therapy, which leads to a better understanding of the illness, e) With hopes of rehabilitation, the family members feel happy and go through an emotional release, by sharing the pain with each other. Conclusion: Families of nursing home residents share a focus on the process of human-health-universe. This is a positive,'human-becoming' process with which, based on past feelings of despair, fear, resignation, and pain, one can render meaning into his or her experiences in the present in the pursuit of love, conquest, hope, liberty and success.

A. Artaud or the Prisoner of Language (앙토냉 아르토 혹은 언어의 수형자)

  • Park, Hyung-Sub
    • Cross-Cultural Studies
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    • v.45
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    • pp.219-243
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    • 2016
  • The life of Antonin Artaud exactly reproduces a very cruel drama. He lived in constant anguish and suffered from severe mental pain. This research will trace his thoughts in his writings while he was a prisoner of language. Artaud was a poet filled with anxiety about language, things, being, and thought. Whenever he tried to explain the mystery of being by means of mundane language, he experienced psychological agony. His poetic thoughts began to break down, because of his identity loss. Nevertheless, he was destined to grasp the world through language. Artaud had suffered from mental illness during his youth. His mental illness was associated with his difficulty in creating poetry. In this research, the letter, Correspondance avec Jacques $Rivi{\grave{e}}re$, is analyzed. The poet refers to "the collapse of the spirit's core, and the erosion of the fundamental thought that slips away" to convey his linguistic incompetence. Hereafter, he constantly demonstrated anxious mental symptoms. Even though he became mentally deranged, he maintained his consciousness, as is apparent in his writings. Also, his spiritual belief is reflected in his mental uneasiness. While he was traveling through the Tarahumaras area in Mexico, he was obsessed with its primitive belief in the Peyote rituals, and he immersed himself in performing them. His unchristian belief was the product of his mystical personality. Until his last breath, he did not give up writing. Artaud's mental derangement does not mean lunacy, but if one insists in calling it so, that is a metaphor. His derangement comes from his refusal to accept his limitations and from his aspiring to regard his body in the same light as his intellectual perceptions. His intellect could manifest more easily when his mind was elevated to the extreme. Artaud's lunacy is no different from that of a profound philosopher. The lives of poets who suffer from mental derangement are more poetic than the lives of those who do not. Artaud's atypical emotions provide a way of to measure our own limitations, helplessness, and resignation. His scream is nonsegmental but different from that of a mental patient. That difference is why people are interested in his works and wish to delve into his writings.