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Influence of Perceived Attachment Security and Social Support on Somatic Symptoms in Late School-Aged Children Using a School Health Clinic

보건실 이용 학령후기 아동이 지각한 애착안정성, 사회적 지지가 신체화 증상에 미치는 영향

  • Park, Yu Jin (School Nurse, Eoram elementary School) ;
  • Im, Yeo Jin (College of Nursing Science, Kyung Hee University)
  • Received : 2016.09.20
  • Accepted : 2016.10.25
  • Published : 2016.10.31

Abstract

Purpose: The purpose of this study was to examine current status of somatic symptoms of late school-aged children using the school health clinic and to investigate the influence of perceived attachment security and social support on their somatic symptoms. Methods: For this descriptive study, self-report questionnaires were completed by fifth and sixth graders attending 'A' elementary school in Gyeonggi-do. Data from 216 students were included. Data analysis included descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, and multiple regression analysis. Results: Most frequent somatic symptoms were headache, fainting, backache, numbness in a body part, and muscle ache in that order. More frequent somatic symptoms were reported by girls, students who recognized their family SES as low, students who used school health clinic often and students who were dissatisfied with school life. Somatic symptom showed negative correlations with attachment stability and perceived social support from family and teachers. In the regression analysis, the variables; low attachment stability, female gender, and low satisfaction with school affected more frequent somatic symptoms. Conclusion: Careful monitoring of late school-aged children expressing frequent somatic symptoms is required. Intervention programs to improve attachment security and satisfaction with school should be developed for school children, especially girls, presenting with somatic symptoms.

Keywords

References

  1. Health Care Implementation Manual for a Happy School. Gyeonggido: Gyeonggi Provincial Office of Education; 2015.
  2. Kim JH, Park JY, Cha BJ. A study on prescription and management of medicines by school-nurses. Journal of Korea Society of School Health. 1998;11(2):297-307.
  3. Lee HS. A study on improving adaptability to school life through the analysis of actual conditions of use of school infirmary by elementary school children[master's thesis]. Gangwon-do: Kangwon National University; 2008. p. 1-70.
  4. Lipowski ZJ. Somatization: The concept and its clinical application. American Journal of Psychiatry. 1998;145(11):1358-1368. https://doi.org/10.1176/ajp.145.11.1358
  5. Shin HK. Investigation on reliability and validity of the Korean children's somatization inventory and somatic symptoms in elementary school children. The Korean Journal of Clinical Psychology. 2003;22(4):829-846.
  6. Kliegman RM, Behrman RE, Jenson HB, Stanton BF. Nelson Textbook of Pediatrics.2007. Saunders, Elsevier.
  7. Shin HK. Relationship of academic stress, negative affectivity, alexithymia, and perceived parenting behavior to somatization in adolescents. The Korean Journal of Clinical Psychology. 2002;21(1):171-187.
  8. Walker LS, Green JW. Negative life events and symptom resolution in pediatric abdominal pain patients. Journal of Pediatric Psychology. 1991;16:341-360. http://dx.doi.org/10.1093/jpepsy/16.3.341.
  9. Lee MS, Park IS. Relationship between the parenting, level of stress and school adaptation of children using health service room in elementary schools. Chungnam Journal of Nursing Academy. 2005;8(2): 12-26.
  10. Ham JY, Park K. The relationships of stress, alexithymia and somatization of adolescents-focused on the highschool student. Journal of Student Guidance and Counseling. 2005;18:77-90.
  11. Lee SH, Lee HY. Influence of parent and peer attachment on school adjustment of 5th and 6th graders. Journal of Fisheries and Marine Sciences Education. 2013;25(1):102-112. http://dx.doi.org/10.13000/ jfmse.2013.25.1.102.
  12. Armsden GC, Greenberg MT. The inventory of parent and peer attachment: Individual difference and their relationship to psychological wellbeing in adolescence. Journal of Youth and Adolescence. 1987;16:427-454. http://dx.doi.org/10.1007/bf02202939.
  13. Bowlby J. The making and breaking of affectional bonds. I. Aetiology and psychopathology in the light of attachment theory. An expanded version of the Fiftieth Maudsley Lecture, delivered before the Royal College of Psychiatrists, 19 November 1976. British Journal of Psychiatry. 1977;130(3):201-210. http://dx.doi.org/10.1192/bjp.130.3.201.
  14. McCormick CB, Kennedy J H. Parent-child attachment working models and self-esteem in adolescence. Journal of Youth and Adolescence. 1994;23(1): 1-18. http://dx.doi.org/10.1007/bf01537139.
  15. Kim B, Choi YS. Elementary school children's self-concept and school life adjustment according to attachment types of parents, teachers and peers. Journal of the Korean Home Economics Association. 2012;50(1):1-13. http://dx.doi.org/10.6115/khea.2012.50.1.001.
  16. Hong AS, Cho GP. The effect of social support, school happiness, and positive illusion perceived by elementary school students on their academic achievement. The Journal of Child Education. 2012;21(4):81-95.
  17. Han MH, Yoo AJ. The relation of stress and perceived social support to problem behavior. Korean Journal of Child Studies1996;17(1): 173-188.
  18. Hur JK, Kin YS. Effect of security of parental attachment and social support on school-related adjustment. The Korean Journal of Woman Psychology. 2005;10(4)483-495.
  19. Kim KI, Kim JG. Standardization study of symptom check list-90 in Korea III. The Journal of Mental Health Research. 1984;2:278-311.
  20. Jin KO. The relationship among attachment security, self-perception, classroom cohesion of elementary school students and group bullying[master's thesis]. Masan: Kungnam University; 2008. p. 1-49.
  21. Son YO. The influence of parental attachment and social support perceived by adolescents on their anger expression[master's thesis]. Seoul: Kyonggi University; 2013. p. 1-84.
  22. Kim JE. The use of school health care and analysis of counselling requirement of middle school students who have somatization symptoms and those who do not[master's thesis]. Seoul: Seoul Women's University; 2013. p. 1-71.
  23. Jeong SM, Kim JH. The relationship of alexithymia and somatic symptoms in elementary school children. Journal of Korea Society of School Health. 2009;22(2):125-135.
  24. Song YJ, Lee SS, Kim DH, Ham KA, Lee DH. The differences of depression, anxiety, and stress according to academic performance and home economic status among elementary and middle school students. The Journal of Educational Research. 2014;12(1):29-50.
  25. Shin HK. Effect of negative affect and the moderating effects of emotional expressiveness and self-concept on adolescent's experience of somatic. The Korean Journal of Clinical Psychology. 2006;25(3):727-746.
  26. Kim HR. Children's somatic complaints and social consequences: The mediating effect of mother attachment[master's thesis]. Seoul: Ewha Woman's University; 2008. p. 1-61.
  27. Kim YH. Mediating roles of self-related variables in relation between attachment and somatization. The Korean Journal of Health Psychology. 2006;11(1):25-36.
  28. Lee EH, Kim YI, Geun HG, Lee YS. Effects of academic stress, somatization symptoms, and social support on coping responses in high school students. Journal of Korea Society of School Health. 2015; 28(2):56-66. http://dx.doi.org/10.15434/kssh.2015.28.2.56.
  29. Um YS, Choi YS. The effect of parental support, school life adaptation on careers decision-making self-efficacy among middle school students. Journal of Family Relations. 2009;13(4):197-224.
  30. Jo HS. The relationship among adolescent’s ego-resiliency parental attachment, and social support. Journal of Student Guidance and Counseling. 2005;23:57-81.

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