OBJECTIVES: This study investigates lay beliefs about the etiology and treatments of tic disorder and Tourette's syndrome, as well as identifying sociodemographic and personality variables affecting these beliefs among South Koreans. METHODS: In total, 673 participants (mean age 41.77±12.03 years) completed an online survey regarding their beliefs about tic disorder and Tourette's syndrome. The factors related to their lay beliefs about the disorders were analyzed, and the correlates were investigated. RESULTS: Results indicated that lay people in South Korea held strong beliefs that the causes of tic disorder and Tourette's syndrome lie within the parenting/psychological and neurological/biological categories, compared to the dietary/environmental one. Among the sociodemographic variables, sex, age, and levels of subjective mental health knowledge were primarily associated with the aforementioned beliefs. Familiarity with tic disorder and Tourette's syndrome was also associated with these beliefs. Among the personality traits investigated, extraversion and conscientiousness had significant influences on the beliefs people had about tic disorder and Tourette's syndrome. CONCLUSION: The results suggest that both policy makers and mental health service providers should adopt a strategic approach for developing and implementing health education interventions about tic disorder and Tourette's syndrome because individual sociodemographic variables, familiarity with the disorders, and personality traits are all associated with the beliefs about these disorders.
Administrative Personnel ; Extraversion (Psychology) ; Health Education ; Humans ; Korea ; Mental Health ; Mental Health Services ; Recognition (Psychology) ; Tic Disorders ; Tics ; Tourette Syndrome

OBJECTIVES: With increasing concerns for the rapidly growing minority population in South Korea, this literature review addressed a range of mental health risks among multiethnic youths (MY) in South Korea by 1) comparing mental health outcomes with those of native-born youths and 2) identifying multiple layers of relevant environmental factors, from family and school relationships to culture. METHODS: We reviewed 54 studies that fulfilled specific inclusion criteria. RESULTS: Multiple common risk/protective factors, including family separation, family relationship quality, parental socioeconomic and mental health status, social relationships at school, and cultural acceptance, were noted. CONCLUSION: In general, empirical evidence indicates that minority youths have relatively heightened risks for emotional and behavioral problems. Future studies must elucidate the complex interplay between multiple risk and protective factors and the long-term adaptation and mental health service utilization of MY.
Adolescent ; Family Relations ; Humans ; Korea ; Mental Health Services ; Mental Health ; Minority Health ; Parents ; Population Groups ; Problem Behavior ; Protective Factors

OBJECTIVE: The objective of this study was to investigate the Korean public’s recognition of autism spectrum disorder (ASD), revealing underlying factors regarding perception relative to etiology and treatment of ASD, and examining variables related to those factors. METHODS: An online survey was held to investigate mental health literacy (MHL) on ASD of the general public in Korea. A total of 673 adults participated and completed questionnaires on socio-demographic characteristics and if they know someone with ASD. Next, participants were provided with a vignette describing a child with ASD. Only those that recognized there was a problem with the child moved to the next part which asked their perception regarding etiology and treatment of ASD. RESULTS: According to our study, approximately 25% of participants correctly recognized the child in the vignette as having ASD. Perception regarding etiology and treatment of ASD varied among socio-demographic characteristics. Participants acquainted with someone with ASD and correctly recognized ASD held mixed perception regarding cause and treatment. CONCLUSION: This study investigated MHL of ASD in Korea. The result reveals there is much room for improvement relative to raising awareness on MHL of ASD. Intervention considering socio-demographic characteristics and acquaintance with ASD are needed.
Adult ; Autism Spectrum Disorder ; Autistic Disorder ; Child ; Humans ; Korea ; Literacy ; Mental Health

OBJECTIVES: Dance therapy can be applied as one of various psychiatric rehabilitation programs in clinical situations. This study was aimed to investigate applicability of dance therapy to schizophrenic outpatients, in regard to improving social adjustment and quality of life for these patients. METHODS: Twenty one psychiatric outpatients enlist who met DSM-IV criteria for schizophrenia were studied. We conducted dance therapy session once a week, totally 8 sessions. The assessments were done before and after dance therapy. Patients reported Self & Others Representation Inventory-Adjective Checklist (SORI), Self-esteem Scale, and Relationship Change Scale (RCS) and Doctors assessed Brief Psychiatric Rating Scale (BPRS), Scale for the Assessment of Negative Symptoms (SANS), and Quality of Life Scale (QoLS) in interview. RESULTS: After 8 sessions of dance therapy, patients showed significant improvements in sociability in SORI, satisfaction, intimacy, sensitiveness, openness, comprehensiveness in RCS, and significant decrease of symptoms in BPRS, SANS. QoLS also was improved significantly. There was no significant change in Self-esteem Scale. CONCLUSION: These results suggested that dance therapy could be applied to schizophrenic outpatients in clinical situations, and it helped to improve self-representation, interpersonal relationship, and quality of life.
Brief Psychiatric Rating Scale ; Checklist ; Dance Therapy ; Diagnostic and Statistical Manual of Mental Disorders ; Humans ; Outpatients ; Quality of Life ; Schizophrenia ; Social Adjustment

OBJECTIVES: Adolescent depression is a complex disorder influenced by a variety of personal and familial factors. In this study, we compared the familial, cognitive, and behavioral characteristics of adolescents with and without diagnosed depression. METHODS: Forty adolescents with depressive disorder were recruited from two psychiatric clinics, along with 46 healthy adolescents from a middle school and a high school. We then compared the participants' cognitive and behavioral characteristics and the child-rearing attitudes of their parents. RESULTS: Compared to the healthy adolescents, the adolescents with depression exhibited lower self-esteem, higher emotional reappraisal, greater disruptive behavior, and lower attention. Furthermore, compared to the mothers of the healthy adolescents, the mothers of those with depression reported less affective, less autonomic, and more rejecting parenting attitudes towards their children. CONCLUSION: We found that attentional problems, negative parenting attitudes, negative self-cognition, and expressive suppression are all associated with adolescent depression. Parenting education and interventions appear to be needed to correct the negative cognitions of adolescents with depression.
Adolescent* ; Child ; Cognition ; Depression* ; Depressive Disorder ; Education, Nonprofessional ; Humans ; Mothers ; Parenting ; Parents ; Problem Behavior

Purpose: This study investigated mediating effects of flexibility in the relationship between job stress, sleep quality, and mental well-being of psychiatric hospital workers. Methods: Data were collected from 210 subjects recruited online February 25-March 24, 2022, and hierarchical regression analysis was conducted using the SPSS program 25.0 version. Results: Regarding mental well-being of psychiatric hospital workers, findings showed statistically significant positive correlations with flexibility (r=.62, p<.001) and sleep quality (r=.34, p<.001), and significant negative correlation with job stress (r=-.40, p<.001). Also, flexibility of psychiatric hospital workers showed partial mediating effect (Boot LLCI=-.64, Boot ULCI=-.13) on the relationship between job stress and mental well-being, and the complete mediating effect (Boot LLCI=-.11, Boot ULCI=.20) on the relationship between sleep quality and mental well-being. Conclusion Since flexibility is a key factor in improving the mental well-being of psychiatric hospital workers, programs to promote flexibility are strongly recommended.

Purpose: : This descriptive survey investigated the effects of clinical nurses’ critical reflection competency, professional pride, and person-centered care practices on patient safety management activities. Methods: : The participants were 183 clinical nurses working at a tertiary hospital in South Korea. The questionnaires consisted of the Critical Reflection Competency Scale for Clinical Nurses Professional Pride the Person-Centered Nursing Assessment Tool and Patient Safety Management Activities. The collected data were analyzed using descriptive statistics, t-tests, ANOVA, Tukey’s HSD, Pearson’s correlation coefficient, and multiple regression using SPSS 29.0. Results: : The mean score for patient safety management activities was 4.65±0.34 out of 5. There were significant differences in patient safety management activities according to age (F=3.90, p=.010), education level (t=-2.56, p=.013), total work experience (F=3.87, p=.010), and the number of healthcare accreditation system experiences (F=5.22, p=.006). Patient safety management activities were positively correlated with critical reflection competency (r=.337, p＜.001), professional pride (r=.271, p＜.001), and person-centered care practices (r=.399, p＜.001). The results indicated that person-centered care practices affected patient safety management activities (β=.358, p＜.001) with the explanatory power of 22.5%. Conclusion : To improve clinical nurses’ patient safety management activities, it is necessary to develop participatory educational programs that can integrate skills and attitudes based on conceptual knowledge of person-centered care. Intervention studies are needed to test the effect of person-centered care on patient safety when applied in clinical practice.

OBJECTIVE: The aim of the present study was to examine the relative role of anxiety sensitivity and hearing loss on the tinnitus symptoms severity in a large clinical sample of patients with tinnitus. METHODS: A total of 1,705 patients with tinnitus who visited the tinnitus clinic underwent the pure-tone audiometric testing and a battery of self-report questionnaires. Multiple linear regression analyses were performed to identify the relationship of anxiety sensitivity and hearing loss to tinnitus symptoms severity. RESULTS: Both anxiety sensitivity and hearing loss were a significant association with of annoyance (anxiety sensitivity β=0.11, p=0.010; hearing loss β=0.09, p=0.005) and THI score (anxiety sensitivity β=0.21, p < 0.001; hearing loss β=0.10, p < 0.001) after adjusting for confounding factors. Meanwhile, the awareness time (β=0.19, p < 0.001) and loudness (β=0.11, p < 0.001) of tinnitus was associated with only the hearing loss but not with anxiety sensitivity CONCLUSION: Our results indicate that both hearing loss and anxiety sensitivity were associated with increased tinnitus symptom severity. Furthermore, these associations could be different according to the characteristics of tinnitus symptoms.
Anxiety ; Hearing Loss ; Hearing ; Humans ; Linear Models ; Tinnitus

Purpose: This study aimed to investigate gender differences as ecological factors associated with depression of single-parents who lived with minors. Methods: This study was secondary data analysis using national data from the 2018 Single Parent Family Survey, including 2,427 participants (1,575 mothers and 852 fathers). Data were analyzed using SPSS/MAC 26.0 program for the descriptive analysis, independent t-tests, chi-squared tests, and binary logistic regression. Results: The depression groups were identified as 17.4% for women and 11.0% for men based on Patient Health Questionnaire-9. In logistic regression, single mothers’ depression was significantly associated with low income, unemployment, low education level, parenting difficulties, a sense of distance from family, and family discrimination experiences. However, single fathers’ depression was significantly associated with low income, unemployment, and parenting difficulties. Conclusion Our study findings suggest that depression interventions should be tailored to different gender groups of the single-parents, specifically socio-emotional factors should be considered for the single mother group.

Objectives: ：Depression and stress-related response is common symptoms in mental health outpatients. The purpose of this study was to investigate the differences of change in heart rate variability parameters between patients with depressive disorder and those with trauma and stressor related disorders. Methods: ：We conducted a retrospective chart review of outpatients from 2014 to 2020 in Anxiety and Stress Outpatients Clinic of National Center for Mental Health. A total of 381 patients with depressive disorder and trauma and stressor related disorders were selected as dataset. Each parameter of 5-min analysis of Heart Rate Variability from the first and second visit was analyzed according to diagnosis. Results: ：At the first visit, root mean square of the differences of successive normal to normal intervals indicators showed significant differences between depressive disorder, and trauma and stressor related disorders. The change of Heart Rate Variability indicators for each group showed the following results: Significant differences between the first and second visit were found in standard deviation of normal to normal intervals, root mean square of the differences of successive normal to normal intervals, and low frequency among patients with the depressive disorder. Patients with trauma and stressor related disorders showed significant differences in root mean square of the differences of successive normal to normal intervals, high frequency between each visit. Conclusions ：Our results suggest the changes in Heart Rate Variability parameters between first visit and second visit in both depressive disorders and trauma and stressor related disorders. However, further research should examine factors that influence the differential changes of Heart Rate Variability parameters.