Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
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Mental Health of Adolescents in a Community

일 지역사회 청소년의 정신건강 실태

  • Kim, In-Hong (Department of Nursing, College of Medicine, Dongguk University)
  • Published : 2009.09.30
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Abstract

Objectives: The aim of this study was to establish the basic data for adolescents' mental health states in a community. Methods: 466 middle school and high school students were analyzed by visit-survey with an organized questionnaire from March to June 2008. K-YSR for measurement of mental health was used. Results: The score of total behavior (p<0.01), anxious/depressed (p<0.05), though problems (p<0.001), attention problems (p<0.001), aggressive behavior (p<0.01) and internalizing problems (p<0.05) in girls appeared significantly higher as compare to those the boys. Also, total competence (p<0.05) in high school students appeared significantly lower as compare to those middle school students. Withdrawn (p<0.01) in high school students appeared significantly higher as compare to those middle school students. The though problems (p<0.001) and aggressive behavior (p<0.05) in middle school students appeared significantly higher as compare to those high school students. The distribution of clinical group was school 93.8%, total competence 32.6%, attention problems 8.8%, total behavior problems 8.6%, anxious/depressed 7.7%, aggressive behavior 6.4% et. al. The social (p<0.05), anxious/depressed (p<0.05), attention problems (p<0.01), internalizing problems (p<0.05) and externalizing problems (p<0.05) in girls of clinical group were more frequent significantly as compared to those the boys of clinical group. Also, the social (p<0.01) in middle school students of clinical group was more frequent significantly as compared to those the high school students of clinical group. Conclusions: This study result will be significant in that it can provide basic data for the school mental health services.

본 연구는 청소년 466명을 대상으로 2008년 5월부터 6월 까지 구조화된 설문지를 이용하여 정신건강실태를 파악하여, 청소년의 정신건강증진을 위한 기초 자료를 제공하는데 목적이 있다. 성별에서 평균 차이검증을 실시한 결과, 우울/불안, 사고의 문제, 주의집중 문제, 공격성, 내재화, 총 문제행동에서 여학생이 남학생보다 유의하게 더 높은 점수를 보였으며, 학년에 따라서는 총 사회능력에서 고등학생이 중학생보다 유의하게 더 낮은 점수를 보였다. 그리고 문제행동에서는 위축에서 고등학생이 중학생보다 유의하게 더 높은 점수를 보여주었고, 사고의 문제, 공격성에서는 중학생이 고등학생 보다 유의하게 더 높은 점수를 나타냈다. 그리고 임상군의 분포는 총 사회능력에서 32.6%, 총 문제행동에서 8.6%를 나타냈으며, 문제행동별 임상군의 분포 순위는 주의집중문제, 우울/불안, 공격성, 외현화 문제, 내현화문제, 사회적 미성숙 등의 순으로 나타났다. 그리고 성별에 따른 정상군과 임상군의 차이검증에서는 사회성, 우울/불안, 주의집중 문제, 내재화, 외현화에서 남학생보다 여학생이 더 많은 임상군의 분포를 보이며 유의한 차이를, 학년에 따른 정상군과 임상군의 차이검증에서는 학업수행에서 중학생보다 고등학생이 더 많은 임상분포를 보이며 유의한 차이를 나타냈다. 이상의 연구결과 일 지역사회 청소년 정신건강 실태는 남학생보다는 여학생이 그리고 고등학교 1학년 보다는 중학교 1학년이 더 많은 정신건강의 문제를 가지고 있는 결과를 보여주었다. 그러므로 여학생과 중학교 1학년을 대상으로 한 정신건강 증진 및 예방 접근이 무엇보다도 우선되어야한다. 또한 문제행동에서 많은 임상분포를 보인 주의집중, 우울/불안, 공격성 문제를 해결 하고 예방하기 위한 중재 프로그램 개발이 요구된다.

Keywords

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