Objective: The purpose of this study was to gain an understanding of parenthood of mothers of early school-age children, with emphasis on cognitive, behavioral, and emotional aspects of parenthood. Methods: Nineteen mothers whose children were 1st and 2nd grade elementary school children participated in this study. Data were collected through individual in-depth interviews. During the interview, mothers were asked to speak freely about their experiences as parents of early-school age children, including parenting beliefs, parenting behaviors, and emotional experiences related to parenting. These interviews were transcribed verbatim and analyzed in a thematic way using MAXQDA. Results: Using qualitative methods, five major themes were emerged: (1) Recognizing the role of parents as a supporter of growth; (2) recognizing parenthood of the present generation that imposes expanded roles to mothers; (3) co-parenting of early school-age children and marital relationship; (4) co-existence of different parenting styles based on specific mother-child interaction situations; (5) experiencing a wide spectrum of emotions including anxiety, guilt, and depression, as well as happiness. Conclusion: This study revealed the unique cognitive, behavioral, and emotional aspects of parenthood experienced by mothers with early school-age children. Results of this study can fill a gap in our understanding of parenthood of mothers when their children entered into the new developmental stage of middle childhood. The results could also be used as a basis for developing parent education and family relationship programs.
The purpose of this study is to obtain basic data needed to understand school-age children's parent-child communication style, stress coping behaviors, and child behavior problems. The subject of this study were 362 primary school children (the fourth and the sixth graders) and their mothers in "D" Metropolitan City, Korea. The research tools included standardized parent-child communication style scale (Min,l991), stress coping behaviors scale (Min,1998), and child behavior problems scale (Hun,l996). The data were analyzed using statistical techniques such as Mean, standard deviation, frequency, percentile, t-test, F-test, pearson's correlational analysis, stepwise regression analysis. In the relationship between child perceived parent-child communication style and stress coping behaviors, the children who make open communication with their parents demonstrate high problem-solving, support-seeking coping behavior. The children with closed communication with their parents have high hope expectation, revenge coping behavior. In the relationship between child perceived parent-child communication style and child behavior problem, the children making more closed communication with their parents show more behavior problems. The children with more closed communication with their mothers have more hyperactive behaviors, aggressive behaviors, and immature behaviors, and the children who are making more closed communication retain more anxious behaviors and withdrawn behaviors. In the relationship between child stress coping behaviors and behavior problems, the more problem-solving and support-seeking coping behaviors the children possess, the less problem behaviors they demonstrate. The more hope expectation, revenge coping behavior the children possess, the more problem behaviors they show. With the results above, we can find out that parent-child communication style has an effect on stress coping behavior, and parent-child communication style and stress coping behavior have an influence on child behavior problem.
Purpose: A change in diagnosis from ulcerative colitis (UC) to Crohn's disease (CD) has been reported in pediatric inflammatory bowel disease; however, only a few clinical characteristics and predictors of this diagnostic change have been reported. We aimed to describe the clinical characteristics of patients with UC who underwent a change in diagnosis to CD and identify variables associated with the change. Methods: The medical records of pediatric patients with UC who were followed up at the National Center for Child Health and Development between 2006 and 2019 were retrospectively reviewed. Clinical data on disease phenotype, laboratory parameters, endoscopic findings, and treatment of patients whose diagnosis changed to CD (cCD) were compared to those of patients whose diagnosis remained UC (rUC). Results: Among the 111 patients initially diagnosed with UC, 11 (9.9%) patients were subsequently diagnosed with CD during follow-up. There was no significant difference between the cCD and rUC groups in terms of sex, age at initial diagnosis, and the extent and severity of disease at initial diagnosis. Albumin and hemoglobin levels were significantly lower in the cCD group than in the rUC group. The proportion of patients who required biologics was significantly higher in the cCD group than in the rUC group (p<0.05). Conclusion: Approximately 10% children initially diagnosed with UC were subsequently diagnosed with CD. Hypoalbuminemia and anemia at initial diagnosis and use of biologics could be predictors of this diagnostic change.
Objective: The purpose of this study was to explore the feasibility to utilize image data recorded and accumulated from CCTV at child care centers. Methods: Literature reviews, consultations and workshops with scholars studying child development, legal professionals, and engineers, focus group interviews with professionals working with young children, and surveys targeting parents, directors and teachers were implemented. Results: It was found the big data from CCTV at child care centers can be used to make policies and implement research as a secondary data set after anonymization. Extracting implicit and useful data from images stored on CCTV is technically feasible. Also, it can be legally guaranteed to analyze the data under the condition of acquiring informed consents. Conclusion/Implications: It was likely to utilize image data from CCTV at child care centers as a secondary data set in order for policy development and scholarly purposes, after overcoming obstacles of the budget for additional infrastructures and consents of information holders.
This study examined the conditions and administration of 548 private, social welfare, and elementary school-based facilities providing after-school child care. The School-Age Care Environment Rating Scale developed by authors was administered to the teachers of these facilities. The rating scale consists of 84 items in 9 sub-areas. Seven point ratings were obtained for each item. One-way ANOVA confirmed differences between all items at the (p<.001) except for supplementary special needs items. The private facilities had the best environment for after-school child care except for staff development. The social welfare facilities showed good evaluation in staff-child interactions, activities, staff development and administration. The elementary schools obtained low evaluations except for supplementary special needs items. The evaluation of social welfare facilities was highest in Seoul and private child care facilities were highest in other areas.
The aim of this descriptive study was to identify the impact of chronic illness on children and their families. Mothers of 177 children with chronic disease were recruited from aged one to 17 years hospitalizing the pediatric nursing unit at one university hospital. 28 questions. a self-complete maternal questionnaire developed by researchers based on literatures and 'The Impact of Childhood Illness Scale' (Hoare & Russell, 1995) assess four aspects of the child's and family's lifestyle with two dimensions for each question. the frequency of the problem and its importance of concern that it cause. In the data analysis. Pearson correlation coefficients and analysis of variance were used to test any association and a statistical comparisons. between individual variables and the impact on child's and family's lifestyle. The results were as follows: 1) There were the higher mean scores on the importance dimension than on the frequency dimension on total impact on child's and family's lifestyle. On the importance dimension. mothers had much higher levels of concern about impact on child's development and adjustment among subscales. On the frequency dimension, mothers had much higher levels of concern about impact on the family daily living on subscales. 2) The impact on child's and family's lifestyle related on individual variables were: (1) On the importance dimension. there was statistically significant low in the impact on child's development and adjustment among subscales in older parent group compared with it of younger parent group. (2) On the frequency dimension. there were statistically significant high in the impact on child's development and adjustment among subscales in the children with leukemia or cancer compared with it of the other children who had another chronic illnesses. And there were statistically significant high in the impact on child's development and adjustment among subscales in less than high school educated mothers compared with it of mothers who was educated college level. (3) On the frequency dimension. There were statistically significant high in the impact on family's daily living among subscales and total impact on child's and family's lifestyle in female children. (4) There was positive correlation between impact on parents daily living and frequency of child's hospitalization on the frequency dimension. but there was negative correlation between the two variables on the importance dimension. (5) There was positive correlation between impact of chronic illness and its treatment and duration of child's hospitalization on the frequency dimension. In conclusion. these results were reflected by the high level of concerns about impact on child's development and adjustment although mothers had frequently responded about the impact on the family daily living. We suggest consistent intervening program that help the family empowering to make children live with and adjust to their chronic illnesses from the point of diagnosis and after discharge from the hospital. We also suggest these results can be utilized as a useful data in the practice of home health nursing for children who have chronic illnesses and their families.
Journal of the Korean Academy of Child and Adolescent Psychiatry
/
v.16
no.1
/
pp.15-25
/
2005
During the recent decade, the new data about normal neurochemical system development have been accumulated very much. Based on these new data, the up-to-date theory and hypothesis have been developed. These development of this field results from the technological/methodological development which increase the sensitivity, specificity and validity of neurochemical research. Especially, molecular technological development support the recent neurochemical development. In this review article, the authors described the recent research findings in the field of normal neurochemical development of neurotransmitter system in animal and human. Most of child psychiatric disorder, especially neuropsychiatric developmental disorders (ADHD, Autism, Tourette's disorder, MR etc) seem to have underlying neurochemical developmental problems in the pathophysiological basis. So, the data on the normal ontogeny of neurotransmitter system can be the most valuable resources for the research on the etiology of the diverse child psychiatric disorders.
This study was conducted in order to inquire into the impact of children's self-concept construction and ego-development enhancement during Group Sandplay Therapy. The Group Sandplay Therapy sessions were held once week, for a total of 20 weeks. The Group Sandplay Therapy Process consisted of playing with sand and creating a sand tray in groups. There were two group in total. Each group had 4 children of the same sex aged from six to seven years old. In order to study the self-concept and ego-development, we used a self-concept test and ego-development as a research tool. In addition, the present research analyzed any changes which tool place by dividing each aspect in each sand tray of the therapy process into a positive subject and a negative subject, and analyzed the changing patterns seen in the sand tray worldas it unfolded. It was proven that an efficient treatment in changing the sand tray world and children's action, had an effect on rearranging the children's mental schemas. In terms of the progress of the sandplay journey, it was seen that negative elements decreased dramatically and positive elements were observed to have increased. As a result it was confirmed that Group Sandplay Therapy had a number of positive effects in the construction of children's self-concept and in terms of the enhancement of children ego-development.
This study investigated aspects of caregiver's input relating to the early development of nouns and verbs. Subjects were 34 Korean-Chinese children in Yanji, China. At 1 year of age each child's spontaneous speech during interaction with his/her caregiver was videotaped for about 30 minutes. The children's spontaneous utterances were transcribed and coded on the lexical level(nouns and verbs) and the pragmatic level. Children's speech was recorded, transcribed and coded again at 2 years of age. Results showed that children used more verbs when they were older; there were no differences between the two ages in mother's pragmatic utterances but when they were two-years-old children used more actionoriented utterances and object-described utterances. Mother's input was related to children's pragmatic utterances.
The purpose of this study was (1) to investigate and order the levels of parental authority concepts established by Damon, and (2) to investigate the relationship between the development of parental authority concepts and the child's age and sex. The subjects of this study were 120 children from an elementary school in Seoul. There were 40 subjects (20 males and 20 females) in each of three age groups: 8-, 10-, and 12- year-olds. The subjects were interviewed individually using Damon's(1977) open-ended questions concerning family rules. Responses to the assessment questions were coded as positive or negative, and responses to the judgement concept questions were coded into 6 levels. Statistical analysis of obtained data was by percentage, Spearman correlation using an ordinal scale, two-way analysis of variance, and Duncan test. The results showed that (1) the developmental levels of parental authority concepts established by Damon conformed to an ordinal scale, and (2) the development of parental authority concepts was related to child's age but not to child's sex.
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