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KMID : 1151020190470020127
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Mental Health & Social Work
2019 Volume.47 No. 2 p.127 ~ p.163
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The Effects of Individual-Family-Environmental Factors on the Physical Health Behaviors of People with Mental Illness - based on the Theory of Triadic Influence
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Kim Hak-Lyoung
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Abstract
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In this study, physical health behaviors of people with mental illness were divided into health promotion behaviors and health hindrance behaviors. Based on the theory of triadic influence, the relationships among factors at multiple levels were investigated by establishing the 3X3 framework based on the three streams of influence such as intrapersonal, interpersonal-social, and cultural-environmental stream that affect physical health behaviors of people with mental illness and three levels of causation such as ultimate, distal, and proximal levels. The study participants include 613 adults aged 19 and older who use 49 community mental health centers, community psychiatric rehabilitation centers and residential facilities located in Seoul, Gyeonggi and Incheon. The conclusions of the study were: First, people with mental illness were making an action effort for their own health. Second, as an intrapersonal stream, the ability to manage symptoms of mental illness and self-care for disease is a major factor in physical health behavior. Third, family relationships have a positive effect on health promotion behavior through interaction with various factors. Fourth, awareness of physical health-related services and health attitude play a role in reducing health-related behavior. Therefore, interventions are necessary to foster individual ability and to take into account indirect factors of influence to encourage physical health behavior as a lifestyle.
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KEYWORD
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Persons with Mental Illness, Physical Health Behavior, Health Promotion Behavior, Health Hindrance Behavior, Theory of Triadic Influence, Lifestyle
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