• Child Health Nursing Research
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• v.7 no.3
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• pp.383-396
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• 2001

This study was designed to investigate the effects of the progressive muscle relaxation on behavioral states and emotional reactions of adolescent athletes. The participants were 167 adolescent male soccer players aged between 12 and 18 who were junior or high school students in Seoul. Ninety-three of them were assigned to the experimental group, while seventy-four to the control group. The experimental group was treated by 10 sessions (20 min./session) of Jacobson's progressive muscle relaxation for two weeks, while the control group was not treated. The self and observer reported behavioral states, general stress by visual analogue scale, physical symptoms of stress, athletic stress, state anxiety, depression, self-esteem were measured before and after two weeks of the progressive muscle relaxation. The results were as follows ; 1. The self and observer reported behavioral states were significantly decreased in the experimental group compared with the control group. 2. The general stress and the gastrointestinal symptoms of stress were significantly decreased in the experimental group compared with the control group. No significant difference on athletic stress was found between the two groups. The depression and the state anxiety were significantly decreased in the experimental group compared with the control group. The self-esteem was significantly increased in the experimental group compared with the control group. 3. The influential factors on behavioral state of adolescent male athlete were depression and state anxiety. The accelerating factor on behavioral state change after the progressive muscle relaxation was state anxiety. These results are suggested that the progressive muscle relaxation could be effective in stabilizing behavioral state, decreasing general stress, gastrointestinal symptoms of stress, depression, state anxiety, in increasing self-esteem of adolescent male athletes. And the behavioral state change after the progressive muscle relaxation was influenced by state anxiety.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.32 no.2
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• pp.71-78
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• 2021

Objectives: This study was conducted to investigate the reliability and validity of the Korean version of the DSM-5 Level 2 Cross-Cutting Symptom Measure-inattention [Swanson, Nolan and Pelham, version IV (SNAP-IV)] and anger [Patient-Reported Outcome Measurement Information System (PROMIS) Anger] for parents and guardians of children aged 6-17 years. Methods: We included 104 children and adolescents diagnosed with attention-deficit/hyperactivity disorder (ADHD), ADHD with anxiety and depression, depressive disorder, anxiety disorder, and tic disorder with somatic symptoms (ADHD=41, depression=9, anxiety=14, ADHD+anxious depression=11, tic+somatic symptoms=29). Their ages ranged from 8 years to 15 years. The participants' mothers completed the SNAP-IV, PROMIS Anger scale, Korean version of the IOWA Conners Rating Scale (K-IOWA), and Korean ADHD Rating Scale (K-ARS) so that the reliability and validity of the SNAP-IV and PROMIS Anger scales, which are DSM-5 scales for assessing inattention and anger of children and adolescents, could be examined. Results: The reliability coefficient of SNAP-IV (Cronbach's α) was 0.94. The correlation coefficients between SNAP-IV, K-IOWA inattention, and K-ARS inattention scores ranged from 0.73 to 0.86. The mean SNAP-IV scores of the ADHD and the ADHD+anxious depression groups were significantly higher than those of the anxiety and the tic+somatic symptoms groups. The reliability coefficient of the PROMIS Anger was 0.91. The correlation coefficient between PROMIS Anger and K-IOWA oppositional/defiant scores was 0.75. The PROMIS Anger mean score of the ADHD+anxious depression group tended to be higher than that of the other groups. Conclusion: These results suggest that the Korean version of the DSM-5 Level 2 Cross-Cutting Symptom Measure-inattention and anger for parent and guardian of child age 6-17 might be a reliable and valid test and may be useful for screening children and adolescents with ADHD.

• Korean Journal of Child Studies
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• v.17 no.1
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• pp.137-152
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• 1996

The goal of this study was to investigate how daily experiences of schoolwork and leisure activities explained cultural differences in levels of adolescent depression. A combined sample of 58 high school seniors in Korea and 62 high school seniors in the United States reported time use patterns and affect states in daily activities and levels of depression. The time use pattern in daily independent study during class hours and in active leisure activities significantly explained cultural differences in levels of depression. Affect states in all schoolwork activities and passive leisure activities also significantly explained cultural differences in levels of depression. These findings suggest that Korean adolescents' experience of 'exam hell', particularly the lack of active leisure activities and more negative emotional experiences of daily activities are partly responsible for their higher depression relative to American counterparts.

• Journal of Korean Public Health Nursing
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• v.28 no.2
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• pp.285-297
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• 2014

Purpose: The purpose of this study was to investigate the structural relationship among the life stress, depression, suicidal ideation of adolescent. Methods: Participants for this study included 285 students from five middle schools located in Seoul and Gyeongsangbukdo, Korea. The SPSS 18.0 program and AMOS 18.0 program were used for analysis of data. Results: The characteristics of this study were to analyze causal relationship with latent variables by considering measurement error and to grasp direct effect, indirect effect and total effect. Life stress and depression were found to be factors influencing suicidal ideation. Depression was a direct factor and life stress was a indirect factor. The effects of depression as a mediator between life stress and suicidal ideation were significant statistically. Conclusion: The findings of this study may provide useful assistance in development of effective nursing interventions for prevention and management of middle school students' suicidal ideation.

• Journal of the Korean Home Economics Association
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• v.33 no.1
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• pp.83-98
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• 1995

The purpose of this study was to identify the influence of adolescent-percived family cohesion on adolescent adjustment. The 443 subjects were selected were selected randomly from the second grade of middle and high schools in the city of Taegu. The instruments of measurement were FACES lll, State-Trait Anxiety Inventory, Depression Scale, and Self-Esteem Scale. Factor analysis, Cronbach's α, MANOVA, and Scheffe test were conducted for the data analysis. The major findings of this study were as follows: The degree fo adolescent adjustment could be different according to the level of family cohesion. Especially, adolescents who perceived their families as high in cohesion felt anxiety and depression less, and had high selt-esteem in comparison with other levels of cohesion.

• Communications for Statistical Applications and Methods
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• v.27 no.2
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• pp.241-254
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• 2020

This study proposes generalized models of joint latent class analysis (JLCA) for longitudinal data in two approaches, a JLCA with latent profile (JLCPA) and a JLCA with latent transition (JLTA). Our models reflect cross-sectional as well as longitudinal dependence among multiple latent classes and track multiple class-sequences over time. For the identifiability and meaningful inference, EM algorithm produces maximum-likelihood estimates under local independence assumptions. As an empirical analysis, we apply our models to track the joint patterns of adolescent depression and anxiety among US adolescents and show that both JLCPA and JLTA identify three adolescent emotional well-being subgroups. In addition, JLCPA classifies two representative profiles for these emotional well-being subgroups across time, and these profiles have different tendencies according to the parent-adolescent-relationship subgroups.

• Journal of Korean Academy of Nursing
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• v.37 no.6
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• pp.835-843
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• 2007

Purpose: This study examined the fitness of a path model on the relationship among stress, self-esteem, aggression, depression, suicidal ideation, and violent behavior for adolescents. Methods: The subjects consisted of 1,177 adolescents. Data was collected through self-report questionnaires. The data was analyzed by the SPSS and AMOS programs. Results: Stress, self-esteem, aggression, and depression showed a direct effect on suicidal ideation for adolescents, while stress, self-esteem, and aggression showed an indirect effect on suicidal ideation for adolescents. Stress, self-esteem, aggression, and suicidal ideation showed a direct effect on violent behavior for adolescents, while stress, self-esteem, aggression, and depression showed an indirect effect on violent behavior for adolescents. The modified path model of adolescent's suicidal ideation and violent behavior was proven correct. Conclusion: These results suggest that adolescent's suicidal ideation and violent behavior can be decreased by reducing stress, aggression, and depression and increasing self-esteem. Based on the outcomes of this study, it is necessary to design an intervention program that emphasizes reducing stress, aggression, and depression and increasing self-esteem in order to decrease adolescents' suicide ideation and violence.

• Journal of Korean Public Health Nursing
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• v.28 no.2
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• pp.241-257
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• 2014

Purpose: The purpose of this study was to investigate the combined influence of screen based sedentary behavior and sleep duration on obesity, depression, and suicidal ideation in Korean Adolescents. Methods: This cross sectional study used secondary data from the 2013 Adolescent Health Behavior Online Survey. A total of 27,929 high school students were included in the study. Logistic regression was used for analysis of the combined influence of screen based sedentary behavior and sleep duration on obesity, depression, and suicidal ideation. Results: Obesity was more prevalent among adolescents who had ${\geq}$ 4h of screen based sedentary behavior and <7h of sleep duration compared to the reference group, defined as < 2h of screen time and > 7h of sleep duration. Depression and suicidal ideation were more prevalent among adolescents who had 2-4h of screen based sedentary behavior and <7h of sleep duration compared to the reference group. Conclusion: Based on the results of this study, maintaining a low (< 2h) level of screen based sedentary behavior and appropriate sleep duration over 7 hours per day is essential for prevention of adolescent obesity, depression, and suicidal ideation.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.10
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• pp.4669-4675
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• 2012

Smoking among adolescents is a major public health problem. This study was performed to determine the association between cigarette smoking and depression Symptoms of high school students. Data were drawn from the Korea Youth Risk Behavior Web-based Survey 2009. Subjects were 36,657 high school students living in the community. Adjusting for covariates (sex, school year, school education, economics, school record, hours of sleep per day, self-reported stress, self reported happiness, self-reported health status, suicidal thinking), smoker(OR=1.43, 95% CI: 1.35-1.50), 10~19 cigarettes per day(OR=1.48, 95% CI: 1.22-1.79) and more than 20 cigarettes per day(OR=2.05, 95% CI: 1.59-2.64) were independent risk factors for depression Symptoms. It was found that cigarette smoking is a independent factor related to adolescent depression. Adolescent smoking cessation is needed to management of adolescent depression.

• The Journal of the Korea Contents Association
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• v.17 no.12
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• pp.493-504
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• 2017

The purpose of this study is to investigate the differences between low-income and middle-income groups with respect to how family factors intervene with friendship factors to influence adolescent depression. In order to do this, we selected 1,552 adolescents (246 from low-income group and 1276 from middle-income group) from 1 panel of the 6th Korean Children & Youth Panel Survey and conducted multiple-group analysis for structural equation modeling. The results are as follows. Firstly, there were no direct effects of parenting style on adolescent depression for the low-income group, whereas effects were found to be significant for the middle-income group. Secondly, parenting style had a greater influence on friendship factors for the low-income group than the middle-income group. Thirdly, the influence of friendship factors on depression was much more negative for the middle-income group than the low-income group. Fourthly, it was found that parenting style had greater intervention effects on friendship factors influencing adolescent depression for the middle-income group as compared to the low-income group. However, intervention effects were not found for peer alienation.