• Research in Community and Public Health Nursing
• /
• v.29 no.4
• /
• pp.393-403
• /
• 2018

Purpose: The purpose of this study is to examine depression levels of some Korean mothers of preschool children and to find out how much influence their psychological, parenting and relational characteristics have on their depression. Methods: This study has been conducted to analyze depression-related and -influencing factors of the Korean mothers of preschool children [7th Panel Study of Korean Children (2014)]. Correlation analysis has been used to examine the relationship between the mothers' psychological, parenting and relational factors and their depression. Hierarchical analysis has been employed to clarify the factors associated with depression. Results: Hierarchical regression analysis has found out that the significant predictors of the depression of the Korean mothers of preschool children include age, educational and employment status, monthly income, smoking status in Model 1. The significant variable is self-esteem in Model 2, parenting stress in Model 3, and, lastly, marital conflict in Model 4. Conclusion: Through this study, it has been discovered that the psychological characteristics of the Korean mothers of preschool children are the most influential factor affecting their depression. The results suggest that it is necessary to develop a community program for improving self-esteem and reducing parenting stress of Korean mothers of preschool children in their parenting.

• Journal of Korean Clinical Nursing Research
• /
• v.15 no.3
• /
• pp.157-170
• /
• 2009

Purpose: This quasi-experimental study was conducted to investigate the effects of supportive nursing management on postpartum depression in the mothers with premature infants. Methods: The subjects were 21 mothers who delivered premature babies in a university hospital. The experimental group of 10 mothers was provided with supportive nursing management program by nurses in neonatal ICU and the control group of 11 mothers was provided with usual management only. The designed programs were given 4 times to the experimental group while their babies were hospitalized, and telephone consultation was provided 3 times after discharge. The stress, anxiety, identity, support from their husbands & family members, and postpartum depression were measured 3 times using Edinburgh Postnatal Depression Scale (the 4th day of premature's hospitalization, the day of discharge and the day of 4 weeks after discharge). Results: There was no significant difference in general characteristics and the influential factors of postpartum depression between the two groups, so they were homogeneous. There was no significant difference in depression (F=0.01, p=.917). However there was significant difference over time (F=6.74, p=.003) and the interaction between measurement time and treatment (F=3.59, p=.037). Conclusion: The supportive nursing management on postpartum depression of mothers with premature infants is considered effective and useful in reducing postpartum depression. Further research is warranted to investigate paternal depression and the program's long-term effects.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• v.14 no.1
• /
• pp.12-25
• /
• 2003

Objectives：As increasing number of new antidepressants have been being introduced in clinical practice, pharmacological understanding has been broadened. These changes mandate new information and theories to be incorporated into the treatment process of children with depressive disorders. In light of newly coming knowledge, this review intended to recapitulate the characteristics of new antidepressants and to consider the pivotal issues to develope guidelines for the treatment of depression in childhood and adolescence. Methods：Searching the Pub-Med online database for the articles with the key words of 'new', 'antidepressants' and 'children' ninety-seven headings of review articles were obtained. The author selected the articles of pertinent subjects in terms of either treatment guideline or psychopharmacology of new antidepressants. When required, articles about the clinical effectiveness of individual antidepressants were separatedly searched. In addition, the safety information of new antidepressants was acquired by browsing the official sites of the United States Food and Drugs Administration and Department of Health and Human Services. Results：1) For the clinical course, treatment phase, and treatment outcome, the reviews or treatment guidelines adopted the information from adult treatment guidelines. 2) Systematic and critical reviews unambiguously concluded that selective serotonin reuptake inhibitors(SSRIs) excelled tricyclic antidepressants( TCAs) for both efficacy and side effect profiles, and were recommend for the first-line choice for the treatment of children with depressive disorders. 3) New antidepressants generally lacked treatment experiences and randomized controlled clinical trials. 4) SSRIs and other new antidepressants, when used together, might result in pharmacokinetic and/or pharmacodynamic drug-to-drug interaction. 5) The difference of the clinical effectiveness of antidepressants between children and adults should be addressed from developmental aspects, which required further evidence. Conclusion：Treatment guidelines for the pharmacological treatment of childhood and adolescence depression could be constructed on the basis of clinical trial findings and practical experiences. Treatment guidelines are to best serve as the frame of reference for a clinician to make reasonable decisions for a particular therapeutic situation. In order to fulfill this role, guidelines should be updated as soon as new research data become available.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• v.13 no.1
• /
• pp.177-188
• /
• 2002

Objectives：The major goal of this study was to investigate and compare the behavior problems and mothers' rearing pattern between adolescent psychiatric patients either neglected or rejected by peer and those who were neither neglected nor rejected by peer. Methods：Adolescent psychiatric patients(N=25) performed peer neglect scale, peer reject scale. And their mothers performed the part of Child Behavior Checklist(CBCL), Maternal Behavior Research Instrument(MBRI), the scale for the maternal concern about the social life of their own patients, and the scale for maternal concern about the friendship of their own patients. According to the score of the peer neglect scale and the peer reject scale, we divided the patients into 'peer neglect-reject' group(n=15) and ‘on-loneliness’ group(n=10), and compared the scores of other scales between each group. Also, we investigated the correlation among all scales. Results：1) The scores of the part of CBCL(p<.05), depressed/anxious subscale of CBCL(p<.05) and thought problem subscale of CBCL(p<.01) in peer neglect-reject group were significantly higher than those in non-neglect group. The score of peer neglect scale was significantly correlated with that of the part of CBCL(r=.516), depressed/anxious subscale of CBCL(r=.483), thought problem subscale of CBCL (r=.651), social problem subscale of CBCL(r=.517). And the score of peer reject scale was significantly correlated with that of attention subscale of CBCL(r=.414), thought problem subscale of CBCL(r=.446), social problem subscale of CBCL(r=.531). 2) But, each group was not significantly different on the scores of MBRI, the scale for the maternal concern about the social life of their own patients, and the scale for maternal concern about the friendship of their own patients. And there were no significant correlation between the scores of peer neglect / peer reject scale and those of scales for maternal rearing pattern. Conclusion：The thought problem and depression/anxiety problem of adolescent psychiatric patients neglected or rejected by peer were estimated more higher than those of adolescent psychiatric patients neither neglected nor rejected by peer. But, from the view of maternal rearing pattern, each 2 groups seemed not to be different. Further research using more subjects will be needed.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.21 no.12
• /
• pp.234-245
• /
• 2020

This study examined the developmental trajectories of parenting efficacy of mothers of multicultural families and how these trajectories differentiate perceived mothers' career-related behaviors as well as the socio-psychological and academic characteristic of their children in the first grade of high school. The latent class analysis (LCA) and BCH method were applied by using data drawn from the 4th to 10th graders in 2011-2017 from the Multicultural Adolescents Panel Study (MAPS). Results showed that the latent profiles were classified into four groups based on the developmental trajectories of parenting efficacy of mothers of multicultural family: 'high level increasing-decreasing', 'above average increasing-decreasing', 'average unchanged', and 'below average unchanged'. As for demonstrated outcomes, the high parenting efficacy group increased when children were in elementary school but decreased when children were in middle school. At the same time, the low parenting efficacy group did not show much change during these periods. Next, parenting efficacy was a significant determinant of perceived mothers' career-related behaviors and socio-psychological and academic characteristic of their children who attend high school. Based on these results, this study implies a theoretical foundation for developing policies to encourage parenting efficacy of mothers of multicultural families and may result in positive socio-psychological and academic characteristics of their children in high school.

• Korean Journal of Childcare and Education
• /
• v.5 no.2
• /
• pp.43-71
• /
• 2009

This study is aimed at performing art therapy and looking into the effect on declining depression and anxiety and improving self-esteem, targeting at maladaptive behavior child in home and school living. So, this study made an application of fine art programs 2 session a week, for 50minutes each, total 24 sessions, targeting at elementary 1st girl graders(7 years old in full) in J city. In the end-term, this study performed a fine art therapy for 6 sessions together with mother-children. This study used a Korean-style Children Depression Inventory(CDI) developed by Kovacs and Beak(1977) and adapted by Jo Su Cheol and Lee Young Sik(1990) to look into children's decline in depression and anxiety and Revised Child Manifest Anxiety Scale(RCMAS) produced by Reynolds and Richmond(1978) and adapted by Jo Su Cheol and Choi Jin Suk(1990) to look into improvement of self-esteem. This study performed and analyzed KHTP, KFD painting examination, prior as well as post, to perform children's emotional appraisal and analyzed, classified with sessions, children's change in the progress of programs. The results of this study were as follows: First, fine art therapy was effective in declining children's depression and anxiety. Second, fine art therapy was effective in improving children's self-esteem. Third, children changed their emotional stability affirmatively in KHTP, KFD painting tests. Family affinity and cohesion were strengthened and changed into friendly family. Fourth, in the progress of programs, classified with sessions, children inclined their depression and anxiety and improved their self-esteem. This study leads to the result that art therapy inclines depression and anxiety in maladaptive behavior child and has an affirmative effect on improving self-esteem.

• Korean Journal of Childcare and Education
• /
• v.16 no.3
• /
• pp.99-117
• /
• 2020

Objective: Studies have revealed that parenting is a crucial factor for children's effortful control and externalizing behaviors, however, less is known about the underlying mechanism that may be moderated by maternal depression. Therefore, the present study is aimed to testify the mediating effect of children's effortful control and moderating effect of maternal depression in the association between parenting(i.e. limit setting, overprotective/permissive parenting) and children's externalizing behaviors. Methods: Three hundred and one mothers with 4 to 6 years old children reported their parenting behaviors, depression, their children's effortful control and externalizing behaviors. Data were analyzed using SPSS and Process Macro. Results: Results showed that children's effortful control mediated the association between parenting and children's externalizing behaviors and maternal depression moderated the association between parenting behaviors and children's effortful control as well as between parenting behaviors and children's externalizing behaviors. The moderated mediation effects were stronger among mothers with lower levels of depression. Conclusion/Implications: These findings could contribute to a better understanding of how and when maternal limit setting and overprotective/permissive parenting impact children's externalizing behaviors. It is suggested that future efforts to provide the parenting intervention take a target specific approach (e.g. considering mother's depression symptom), on order to maximize the effectiveness of program to ultimately facilitate children's positive adjustment.

• The Korean Journal of Community Living Science
• /
• v.17 no.4
• /
• pp.3-14
• /
• 2006

The purpose of this study is to find out the repercussion of mothers' quality of object relation and hope on their children's emotional and behavioral disorder level and satisfaction level on counseling. Participants were 112 children between ages of 6 and 12, and the 112 mothers of those children. Questionnaires for mothers were used to assess their object relation level, hope level, and counseling satisfaction level. Questionnaires for children were used to assess their depression and aggression level. Results were as follows: First, mothers with lower object relations had children with higher depression and aggression levels. Second, children of the mothers who scored higher object relation levels scored higher on the satisfaction level on counseling. Third, among the mother's object relation level, hope level, and counseling satisfaction level, the object relation level appeared to have the strongest repercussion on the child's emotional and behavioral problems. The results of this study can be used as a base material to improve the effect of play therapy for the children who have emotional and behavioral problems, on helping the children and their mothers to have positive object relations.

• Journal of East-West Nursing Research
• /
• v.29 no.2
• /
• pp.117-128
• /
• 2023

Purpose: This study aims to develop a structural model for predicting motherhood in women with her first infant child and to contribute to the development of practical and specific nursing interventions to promote successful motherhood. Methods: The subjects of the study were 211 mothers and fathers who had their first child within 12 months and consented to the study. Data collected from June 2, 2022 to January 31, 2023 were analyzed using SPSS 28.0 and AMOS 26.0 programs. Results: The results of this analysis showed that maternal and paternal factors (postpartum depression and paternal attachment) and infantile factor (temperament) influenced the process of becoming a mother for a women with her first child, with postpartum depression being the most influential factor. Conclusion: In order to increase the level of motherhood, it is important to prevent postpartum depression and create a nurturing environment for mothers, and social system support and psychological nursing intervention strategies are necessary.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• v.10 no.2
• /
• pp.195-200
• /
• 1999

Objective：This study was to investigate the effects of familial risk factors on the behavior problems of ADHD group and normal group. Method：The familial risk factors and behavioral problems of the children were administered to 160 mothers, comprised of 29 ADHD children and 131 normal children. Results：The results showed that the ADHD group and normal group were significantly different in the degree of marital satisfaction, state-trait anxiety, and depression. Familial risk factors and the behavior problems of children were significantly correlated. Conclusion：Marital unsatisfaction and parental affective problems were closely related to behavior problems of ADHD patients.