Korean Journal of Psychosomatic Medicine (정신신체의학)

Korean Psychosomatic Society (한국정신신체의학회)
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A Comparative Study on the Mental Health of Adolescents Residing in Child Care Institutions (Orphanages) and Youth Shelters

아동양육시설과 청소년 쉼터에 거주중인 청소년들의 정신건강 수준 비교

  • Yeonwoo Joun (Department of Psychiatry, Gongju National Hospital) ;
  • Cheolgyu Shin (Department of Children and adolescent Psychiatry, Gongju National Hospital) ;
  • Hyunjeong Kim (Department of Children and adolescent Psychiatry, Gongju National Hospital) ;
  • Keun Oh (Department of Psychiatry, Gongju National Hospital) ;
  • Heeyoung Seo (Department of Psychiatry, Gongju National Hospital) ;
  • Jonggook Lee (Department of Psychiatry, Gongju National Hospital) ;
  • Je Jung Lee (Department of Psychiatry, Gongju National Hospital)
  • 전연우 (국립공주병원 정신건강과) ;
  • 신철규 (국립공주병원 소아청소년정신과) ;
  • 김현정 (국립공주병원 소아청소년정신과) ;
  • 오근 (국립공주병원 정신건강과) ;
  • 서희영 (국립공주병원 정신건강과) ;
  • 이종국 (국립공주병원 정신건강과) ;
  • 이제정 (국립공주병원 정신건강과)
  • Received : 2023.08.28
  • Accepted : 2023.11.01
  • Published : 2023.12.31
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Abstract

Objectives : This study aims to compare the mental health of adolescents living in child care institutions (orphanages) and youth shelters, to provide basic data for appropriate psychiatric interventions for each facilities. Methods : The sample consisted of 157 adolescents in child care institutions and 31 adolescents in Youth Shelters who completed the Korean version of the Youth Self Report (K-YSR). We compared the K-YSR scores between the two groups and also examined factors related to suicidality. Results : Adolescents in youth shelters were older and had higher rates of drinking (p<0.001), smoking (p<0.001), and "abnormal sleep" (p=0.007) than adolescents in child care institutions. They also showed higher 'suicidality' (p=0.004) and K-YSR scores. On the other hand, adolescents in child care institutions have lower 'suicidality', but they have higher 'suicidality' when they have 'abnormal sleep' (OR 4.194; p=0.006), 'abnormal diet' (OR 2.503; p=0.010), and 'concerns about weight gain' (OR 2.503; p=0.010). Additionally, 17.6% of participants in the study showed 'suicidality'. The 'suicidality' group had a higher overall K-YSR score than the non-suicidal group, and had higher 'abnormal sleep' (OR 3.766; p=0.014) and 'concern about weight gain' (OR 2.864; p=0.032). Conclusions : Adolescents in youth shelters appear to have more serious clinical difficulties than adolescents in child care institutions, so prompt psychiatric intervention is needed. Additionally, it is necessary to consider mental health assessments including suicidality when adolescents in child care institutions complain of sleep, eating, or weight gain problems.

연구목적 본 연구는 아동양육시설과 청소년쉼터에서 거주하는 청소년들의 정신건강을 비교하여 각 시설에 맞는 적절한 정신의학적 개입을 하는 것을 목적으로 한다. 방법 본 연구의 대상자는 한국판 청소년 자기행동 평가척도(K-YSR)를 완료한 아동양육시설 청소년 157명과, 청소년 쉼터 대상자 31명이다. 우리는 두 집단의 K-YSR 점수를 비교하였고, 이들 중 자살경향성과 관련된 요인 들을 살펴보았다. 결과 청소년쉼터 대상자들은 아동양육시설에 비해 나이가 많고 음주(p<0.001), 흡연(p<0.001), '이상수면'(p=0.007)의 비율이 높았으며, 더 높은 자살경향성(p=0.004)과 K-YSR 점수를 보였다. 반면 아동양육시설 청소년들은 '이상수면'(OR 4.194; p=0.006)이나 '이상식이'(OR 2.503; p=0.010), '체중증가에 대한 걱정'(OR 3.897; p=0.002)을 호소할 때 자살경향성이 높았다. 또한 본 연구에 참여한 전체 청소년들의 17.6%에서 자살경향성을 보였고, 자살경향성을 보인 군은 아닌 군에 비해 전체적으로 높은 K-YSR 점수가 높았으며, '이상수면'(OR 3.766; p=0.014)이나 '체중증가에 대한 걱정'(OR 2.864; p=0.032)이 많았다. 결 론 청소년쉼터 대상자들이 아동양육시설 청소년들에 비해 임상적인 어려움이 더 크고 심각하여 정신의학적 개입이 신속하게 필요해 보인다. 또한 아동양육시설 청소년들이 수면이나 식이, 체중증가에 대한 불편감을 호소할 때, 자살경향성을 포함한 정신건강 평가를 고려하는 것이 필요하겠다.

Keywords

Acknowledgement

위 연구와 관련하여 아동청소년 취약계층 사업을 진행했던 국립공주병원 소아청소년정신과 직원분들께 감사의 인사를 전합니다.

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