• Title/Summary/Keyword: 아동정신건강

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A Study on the Difference of Psychosocial Characteristics and Quality of Life according to the Type of Functional Gastrointestinal Disorder (기능성 위장질환의 종류에 따른 정신사회적 특성 및 삶의 질의 차이에 관한 연구)

  • Park, Seung-Kyu;Lee, Sang-Yeol;Ryu, Han-Seung;Choi, Suck-Chei;Yang, Chan-Mo;Jang, Seung-Ho;Yeom, Dong Han;Lee, Kuy-Haeng
    • Korean Journal of Psychosomatic Medicine
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    • v.29 no.1
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    • pp.58-66
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    • 2021
  • Objectives : The purpose of this study is to compare the psychosocial characteristics of patients diagnosed with functional gastrointestinal disorder (FGID) by classifying them into irritable bowel syndrome (IBS), functional dyspepsia (FD), functional constipation (FC), functional heartburn (FH) groups, and overlap group (two or more functional diseases) and to examine the factors associated with the quality of life (QoL) of patients with FGID. Methods : A total of 144 patients who were diagnosed with FGID were selected as the subjects. The demographical factors were investigated; Korean-Beck Depression Inventory-II (K-BDI-II), Korean-Beck Anxiety Inventory (K-BAI), Korean version of Childhood Trauma Questionnaire (K-CTQ), Multi-dimensional Scale of Perceived Social Support (MSPSS), Korean Version of Connor-Davidson Resilience Scale (K-CD-RISC), and World Health Organization Quality of Life Assessment Instrument Brief Form (WHOQOL-BREF) were used to evaluate the psychosocial factors. Results : TThe overlap group had a significantly higher K-BDI-II score (F=11.09, p<0.001) and K-BAI score (F=8.93, p<0.001) compared to other groups. In childhood trauma, the IBS patients had a difference in emotional neglect (F=2.54, p=0.04) than the FD patients. The QoL of FGID patients had a negative correlation with depression (r=-0.196, p<0.01), anxiety (r=-0.235, p<0.01), and childhood trauma (r=-0.222, p<0.01), and a positive correlation with social support (r=0.512, p<0.01) and resilience (r=0.581, p<0.01). Conclusions : Overlap group had a higher level of depression and anxiety, and the IBS patient group had a higher level of emotional neglect than the FD patient group in terms of childhood trauma.

Intervention Effect on Health Efficacy and Knowledge in Cardiovascular Health Promotion Behaviors in Children (초등학생 대상의 건강 효능감과 지식을 중심으로 한 심혈관 건강증진 중재 효과)

  • Tak, Young-Ran;Yun, E-Hwa
    • Korean Journal of Health Education and Promotion
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    • v.26 no.5
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    • pp.97-113
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    • 2009
  • Objectives: This study was conducted to identify the intervention effects on health efficacy and health knowledge related to health behaviors for improving cardiovascular health in elementary school children. Methods: A repeated measure, pre-post-test design was used to identify the intervention effect on health efficacy and health knowledge among 5th grade school children. Intervention consisted of a curriculum classroom intervention and parent intervention. Health efficacy, health knowledge, and perceived parental monitoring were measured for testing intervention effect. A sample of 219 participants completed a baseline pre-test and two tests during intervention and after intervention from March to July 2004. Results: Mental health efficacy improved significantly from baseline test to the test after intervention (F = 32.88, p < 0.0001). Physical health efficacy also significantly increased during intervention (F = 50.51, p < 0.0001), but did not significantly change after parent intervention. Health knowledge increased significantly from baseline test to the test after education (F =10.23, p < 0.0001), but decreased after parent intervention. Perceived parental monitoring had a significant impact on mental health efficacy and physical health efficacy. Conclusion: The findings support school-based cardiovascular health promotion intervention as effective in improving health efficacy and health knowledge. Parental influence should also be considered to maintain improved health efficacy and health knowledge by thinking process in the intervention for elementary school children.

Understanding of migration experiences and mental health among Korean immigrant youth (한국 이주배경 청소년의 이주경험과 정신건강)

  • Ryou, Bee;Choi, Jungtae;Sohn, Yejin;Kim, Kihyun
    • Journal of the Korean Society of Child Welfare
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    • no.58
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    • pp.231-262
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    • 2017
  • South Korea has long been a culturally homogenous society, yet the increasing number of immigrants has turned the country into a multicultural society. Therefore, many empirical studies have investigated the way immigrants adapt to the Korean society and its associated factors. However, examining the overall process of migration (from family separation to reunification and cultural adaptation to the host society) that immigrant youth usually experience has been understudied. Previous empirical research and theoretical work have identified prominent factors that predict immigrant youth's mental health: experiences of family separation, living with others rather than primary caretakers during the separation, the length of residency in the host society, and family and peer support. In this respect, this exploratory and preliminary study that examined whether the experience of migration process and post-migration are related to Korean immigrant youth's mental health problems (depression, anxiety, and suicidal ideation). The result indicated that longer duration of family separation; living with relatives, siblings; and friends rather than primary caretakers during the separation; receiving less support from family and peer after migration; and a lower degree of cultural adaptation to Korean culture were associated with depression, anxiety, and suicidal ideation. Drawing upon the results, this study discussed implications for policy and practice.

The Effect of Internet Usage, Fandom Activities and Sense of Community on Adolescents' Mental Health in the Digital Era (디지털 시대 청소년의 인터넷 이용, 팬덤활동, 공동체 의식이 정신건강에 미치는 영향)

  • Choi, Mi-Won;Cho, Hyun-Hee;Kim, Young-Ah
    • Journal of Digital Convergence
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    • v.14 no.9
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    • pp.349-358
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    • 2016
  • The purposes of the study are to examine the relationship amongst adolescents' internet usage, fandom activities, sense of community and their mental health in the digital era and to probe into the effect of internet usage, fandom activities, sense of community on adolescents' mental health. The results are as follows: First, there were statistically significant correlations among those four factors. Secondly, it shows that the effect of internet usage, fandom activities and sense of community on the adolescents' mental health have a difference by gender. In the case of female adolescents, there is no effect of internet usage on their mental health. But, the study reveals that adolescents' internet usage and fandom activities which now are accepted as a part of their culture, could be combined with the sense of community and could have an effect on the adolescents' mental health. Furthermore, the study casts a light on the possibility to build a strong point on adolescents' activities, education, counseling and policy making for the purpose to enhance adolescents' mental health in the future.

Associations of Anxiety Symptom with Behavior and Attention in Elementary School Children with Attention-Deficit/Hyperactivity Disorder (주의력결핍-과잉행동장애 초등학생에서 불안증상이 아동의 행동 및 주의력과 가지는 관련성에 관한 연구)

  • Shin, Jun Young;Paik, Ki Chung;Lee, Kyung-Kyu;Lee, Seok Bum;Lee, Jung Jae;Kim, Do Hyun;Choi, Jae-Won;Kim, Kyoung Min
    • Anxiety and mood
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    • v.15 no.2
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    • pp.101-108
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    • 2019
  • Objective : This study aimed to investigate the associations of anxiety symptoms with behavior and attention in elementary school children with attention-deficit/hyperactivity disorder (ADHD). Methods : A total of 195 elementary school children with ADHD participated in the study. The Korean Version of ADHD Rating Scale (K-ARS) and Behavior Assessment System for Children(BASC-2) were used to measure the children's behavior. Anxiety and attention was assessed with State-Trait Anxiety Inventory for Children (STAIC) and ADHD Diagnostic System (ADS), respectively. Children with ADHD were categorized to two groups of ADHD with low anxiety (ADHD-LA) and ADHD with high anxiety (ADHD-HA) according to the total STAIC scores. Scores on K-ARS, BASC-2 and ADS were compared between two groups of ADHD-LA and ADHD-HA. Results : The Scores on K-ARS total and both subscales in ADHD-HA group were significantly higher than ADHD-LA group. Scores on the BASC-2 subscales including hyperactivity, aggression, conduct problem, anxiety, depression, somatization, withdrawal, attention problems were also significantly higher in ADHD-HA group compared to ADHD-LA group. In contrary, scores on ADS subscales were not significantly different between the both groups. Conclusion : Our study identified that the anxiety accompanied with ADHD was associated with the negative behavioral aspect in children with ADHD. However, the performances on attention task were not affected by the anxiety comorbid with ADHD. Future studies to reveal underlying mechanism are needed for further understanding the association with anxiety and ADHD.

Specific Relationships Between Anxiety Symptom Dimensions and Types of Childhood Trauma and Mediating Effects of Resilience in a Sample of College Students (대학생 집단에서의 불안증상 차원과 아동기 외상 종류의 특이 관련성 및 회복탄력성의 매개효과)

  • Park, Kwang Ho;Myung, Woojae;Ha, Tae Hyon
    • Anxiety and mood
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    • v.18 no.2
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    • pp.48-55
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    • 2022
  • Objective : Childhood trauma is a risk factor for and resilience is a protective factor against later affective symptoms. The current study aimed to explore the relation between childhood trauma and anxiety symptoms and the mediating effect of resilience in a sample of college students. Methods : Data from 238 subjects who completed the Beck Anxiety Inventory (BAI), the Childhood Trauma Questionnaire (CTQ) and the Connor-Davidson Resilience Scale (CD-RISC) were analyzed. Predictors for BAI score and factor analyzed anxiety symptom dimensions were examined using regression models. Path analytic models were applied to test the mediating effect of the CD-RICS score on BAI score. Results : The CTQ score was significantly associated with the BAI score and the mediating effect of CD-RISC was significant as well. The cognitive dimension of anxiety was related to emotional abuse while the somatic dimension of anxiety to physical neglect. The CD-RISC score did not mediate those relations between anxiety dimensions and individual types of childhood trauma. Conclusion : Our data suggest that childhood trauma contributes to adult anxiety symptoms. There may be specific relations between types of childhood trauma and anxiety symptoms dimensions.

THE STUDY OF RELATION TO VARIABLES RELATED TO CHILDREN'S DEPRESSION AND PARENTS' DEPRESSION (아동 우울에 관련된 요인 및 부모 우울과의 관계 연구)

  • Seo, Min-Jung;Jung, Chul-Ho;Chang, Eun-Jin
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.12 no.2
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    • pp.245-255
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    • 2001
  • Objectives:This study was conducted to investigate variables related to children's depression, and also the relationships between children's depression and parents' depression. Methods:258 5th and 6th grade elementary school students in Taegu, and their parents were asked to complete self-report questionnaires including the children's depression Inventory(CDI) and the Beck's depression Inventory(BDI). Correlation analysis, T-test, One-way ANOVA were used for the statistical analysis and the statistically significant level is p<0.05. Results:1) CDI mean for total children is $13.5{\pm}6.77$, BDI mean for their mother is $13.3{\pm}7.25$, and BDI mean for their father is $11.6{\pm}7.03$. 2) There are significant differences in CDI for children variables related to sex, health, school achievement, economic status. 3) Mother's health slightly affect children's depression, but there are no significant differences in CDI for parents' education, religion, father's health. 4) Children's school achievement and economic status among variables related to children affect mother's BDI scores and children's school achievement affect father's BDI scores. 5) For CDI item analysis, there are significant differences in 10 items for children's sex, in 8 items for health, and in 6 items for economic status. Especially, there are significant differences in 20 items among 27 items for children's school achievement. 6) There is significant correlation between parents' BDI scores and children's CDI scores, and especially high correlation to mother for both boys and girls. Conclusion:Children's depression are significantly affected by children's sex, health, school achievement, economic status. And especially school achievement affect grossly children's depression and their mother's depression, so we know that children and their mother have much burden about school achievement. There is high correlation between children's depression and parents'(especially mother) depression. Therefore, these result imply that in the therapy for children's depression, we must include not only children's problems but also parents' depression and parent-children relationship.

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Factors Influencing Mental Health among Late School age Children (학령기 후기 아동의 정신건강과 영향요인)

  • Lee, Hyun-Ju;Kim, Hee-Kyung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.18 no.1
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    • pp.149-158
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    • 2012
  • Purpose: The purpose of this study was to identify the factors influencing mental health among late elementary age children. Methods: The research design was a secondary data analysis. Data were collected from 746 students in grades 5 or 6, and analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients and stepwise multiple regression with the SPSS/PC 18.0 program. Results: The average score of mental health was $3.42{\pm}0.55$. There were significant differences in mental health according to health status, economic status, scholastic performance, relationships with friends, relationships with the teachers, atmosphere of the home, number of siblings and the source of trouble. Stepwise multiple regression analysis showed influencing factors of stress, negative reaction under stress, self-esteem, teacher support, and friend support support and explained 41.4% of total variance in late elementary age children's mental health. Conclusion: These results may contribute to a better understanding of mental health in late elementary age children. The results of the present study indicate a need to develop nursing interventions to prevent and manage elementary school-age children's negative reaction under stress.

The Impact of Work Environment and Work-related Stress on the Mental Health of Workers at a Community Childcare Center (지역아동센터 종사자의 직무환경 및 직무스트레스가 정신건강에 미치는 영향)

  • Park, Hae-Seon;Park, Ok-Im;Kang, Hee-Sun
    • Korean Journal of Human Ecology
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    • v.19 no.5
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    • pp.805-816
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    • 2010
  • This study examined the affect of work environment and work-related stress on the mental health of employees. It further sought to provide insights into how employees' work environment and mental health might be improved. Results showed that the relationship between parents of work environment is related to the obsession, depression, working burden is related to the obsession, depression, concern. The lower parts of the relationship with parents and working burden effects every factors. Furthermore, levels of financial compensation and working stability also seemed to have adverse affects on mental health. Secondly, excessive working hours and duty trouble have lots of mutual relationship with the mental health. The lower parts of working stress: excess working hours, duty trouble, and imprecise responsibilities affects the mental health. Especially, the excessive working hours affected all nine parts of mental health level which were examined.

Study on the Utilization of the Child-Adolescent Functional Assessment Scale in Mental Health Service (정신건강서비스 영역에서 아동청소년 기능평가척도의 활용에 관한 연구)

  • Row, Kyung Ran
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.28 no.4
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    • pp.197-212
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    • 2017
  • Objectives: This study aims to supplement the limitations of the preliminary study and expand the use of the Child-Adolescent Functional Assessment Scale by providing standardized T-scores for measuring function in different areas, as well as guidelines for their interpretation. Methods: The Child-Adolescent Functional Assessment Scale and Korean-Child Behavior Checklist were administered to a total of 623 individuals, including 467 parents of emotionally and behaviorally disturbed elementary school students, 45 parents of emotionally and behaviorally disturbed middle school adolescents and 111 parents of elementary school students with developmental disorders, as well as to a control group consisting of 186 parents of mainstream elementary school children in the Seoul metropolitan area. Results: In contrast to the preliminary study, the emotional domain was disassociated into two factors, negative affect and emotion regulation, and the coefficient of determination for misconduct was increased significantly. Also, the overall reliability and validity of the Child-Adolescent Functional Assessment Scale were similar to those in the preliminary study, and the item structure was consistent. This study provides standardized T-scores of function in different areas based on the revised scale, and provides guidelines for their interpretation. Conclusion: The Child-Adolescent Functional Assessment Scale can assist the Child Global Assessment in Functioning in providing the information necessary for case management and treatment planning by comparing the impairment severity in each area of functioning, and also determining changes in behavior and function after treatment interventions. On the other hand, this scale has yet to clearly distinguish between rebellious behavior and misconduct. Further research is necessary to provide standards for more diverse age groups and for its utilization.