• 제목/요약/키워드: Childhood.adolescence

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아동청소년기에 아버지로부터 폭력을 경험한 상담자의 내러티브 연구 (A Narrative Study of a Counselor's Experience of Violence from Father during Childhood and Adolescence )

  • 송정애;박유범
    • 산업진흥연구
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    • 제8권3호
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    • pp.79-85
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    • 2023
  • 본 연구는 아동 청소년기에 아버지로부터 받은 가정 폭력 경험이 한 상담자의 정체성 형성에 어떠한 영향을 주었고, 삶에 어떠한 결과를 가져 왔는지 알아보는 연구이다. 연구 목적은, 이 상담자의 삶의 연구가 가정폭력을 경험한 다른 내담자에게 긍정적 효과로 도움을 줄 수 있는데 있다. 연구 방법은, 연구 참여자의 심층 면접과 관찰을 통해 대상자를 이해하고, 상담 내용을 바탕으로 한 질적 연구 방법론을 채택하였다. 연구 결과는, 아동 청소년기에 경험한 가정 폭력이 한 사람의 정체성 형성에 큰 영향을 미쳤으며, '극복'을 통해 '폭력'의 부정적인 삶을 '상담사'가 되는 긍정적인 삶으로 재구성 할 수 있음을 보여주었다. 또한, 이러한 경험은 한 사람의 생애사를 통해 보다 객관적으로 자신을 보는 시각과 성장과 성숙의 기회로 삼는 의미를 부여했다.

사춘기에 말기 신질환으로 조기 진행한 소아 제1형 당뇨병성 신병증 1례 (A Case of Diabetic Nephropathy Progressed to End-Stage Renal Disease in an Adolescent with Type 1 Diabetes)

  • 윤지은;권순길;하태선
    • Childhood Kidney Diseases
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    • 제13권2호
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    • pp.242-247
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    • 2009
  • 소아청소년기의 당뇨병은 대부분 제1형 당뇨병으로, 이 때 발생하는 혈관합병증으로서 당뇨병성 신병증은 소아에서 흔하지 않지만 신부전까지 초래할 수 있는 심각한 합병증이다. 혈당조절이 불량하고 사춘기나 그 이후에 당뇨병이 발생하는 경우에 혈관합병증의 발생이 증가하므로 소아청소년기의 당뇨병이 청소년기에 당뇨병성 신병증으로 발현하는 경우는 드물고, 더욱이 말기 신질환으로 진행하는 경우는 매우 드물다. 저자들은 혈당 조절이 불량했던 제 1형 당뇨병 소아 환자에서 혈뇨와 단백뇨가 관찰되어 조직 검사를 통해 사춘기 전에 발생한 당뇨병성 신병증을 확인하고 사춘기에 말기 신질환으로 진행한 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

한방소아·청소년과 외래 환자 주소증의 최근 경향에 대한 연구 (A Study on the Recent Trend of Chief Complaint of Korean Pediatric and Adolescent Outpatients)

  • 이은주;이보람;이지홍;장규태
    • 대한한방소아과학회지
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    • 제30권1호
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    • pp.45-58
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    • 2016
  • Objectives The purpose of this study is to investigate about chief complaints of Korean pediatrics and adolescent outpatients in the ${\bigcirc}{\bigcirc}$ university hospital for their recent trend. Methods The study was composed of 4,677 new patients aged between 1 month and 20 years who had been visited pediatrics in ${\bigcirc}{\bigcirc}$ university hospital from 2012 January to 2015 December. Results 1. Among those patients, majority was early childhood as 51.4%, followed by early childhood, late childhood, infancy, and adolescence. 2. Chief complaints in this population have been recorded in the fall the most as 29.6%, but the distribution was inconsistent. 3. To categorize, digestive-related chief complaints were the highest as 30.6%, followed by respiratory, supplemental use, growth, psychiatrics. Respiratory-related chief complaints increased dramatically in the fall. 4. In infancy and early childhood, digestive/respiratory complaints were common, whereas, growth complaints were common in late childhood and adolescence. 5. Digestive/respiratory complaints have been over 50% out of all chief complaints annually. Psychiatric and growth-related complaints have been trending up, whereas, supplemental/skin complaints have decreased every year. 6. Specifically, anorexia were the most common in digestive complaints, and rhinitis/sinusitis were top among respiratory complaints. Precocious puberty and developmental disability increased every year. Conclusions The most common chief complaints were digestive and respiratory-related, and precocious puberty and growth issues have been trending up lately. Based on this result, more studies that targets precocious puberty and growth problems are needed.

Bone mineral density deficits in childhood cancer survivors: Pathophysiology, prevalence, screening, and management

  • Kang, Min Jae;Lim, Jung Sub
    • Clinical and Experimental Pediatrics
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    • 제56권2호
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    • pp.60-67
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    • 2013
  • As chemotherapy and other sophisticated treatment strategies evolve and the number of survivors of long-term childhood cancer grows, the long-term complications of treatment and the cancer itself are becoming ever more important. One of the most important but often neglected complications is osteoporosis and increased risk of fracture during and after cancer treatment. Acquisition of optimal peak bone mass and strength during childhood and adolescence is critical to preventing osteoporosis later in life. However, most childhood cancer patients have multiple risk factors for bone mineral loss. Cancer itself, malnutrition, decreased physical activity during treatment, chemotherapeutic agents such as steroids, and radiotherapy cause bone mineral deficit. Furthermore, complications such as growth hormone deficiency and musculoskeletal deformity have negative effects on bone metabolism. Low bone mineral density is associated with fractures, skeletal deformity, pain, and substantial financial burden not only for childhood cancer survivors but also for public health care systems. Thus, it is important to monitor bone health in these patients and minimize their risk of developing osteoporosis and fragility fractures later in life.

부모-자녀간 의사소통 유형, 청소년 자아탄력성, 그리고 스트레스 대처방식 간의 관계: 청소년 자아탄력성의 매개효과 검증 (Relationship between Parent Communication Style and Stress Coping Styles in Adolescence: The Mediating Effects of Ego-Resiliency)

  • 이희선;선우현정
    • 대한가정학회지
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    • 제49권6호
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    • pp.109-122
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    • 2011
  • The major purpose of this research was to explore the mediating effects of ego-resiliency between parent communication style and stress coping styles in adolescence. The subjects who participated in this study included 247 high school students from Gyeong-gi province. They completed questionnaires on parent-adolescent communication, ego-resilience, and stress coping styles using the cognitive appraisal model by Lazarus & Folkman(1984). Data were analyzed by t-test, Pearson's correlation coefficients, and multiple regression. It was found that parent-adolescence communication as well as ego-resilience had significant effects on stress coping styles. In particular, female teenagers showed evidence that ego-resilience had complete mediation over relationships between a parent's communication styles and their stress coping styles.

아동기 학대 경험과 청소년의 학교규칙 위반행동 간의 관계: 청소년의 자아존중감의 매개효과 (The Relationship Between Childhood Abuse Experiences and School Rule-Breaking Behavior: A Mediating Effect of Adolescents' Self-Esteem)

  • 견옥;장경은;김은혜
    • 한국보육지원학회지
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    • 제17권6호
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    • pp.93-108
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    • 2021
  • Objective: This study examined the mediating effect of adolescents' self-esteem on the relationship between their childhood abuse experiences and school rule-breaking behavior. Methods: The research participants consisted of 1,748 adolescents aged from 15 to 16. Adolescents' school rule-breaking behavior and self-esteem were measured in 2016, whereas their childhood abuse experiences were measured in 2010. Panel data collected by the National Youth Policy Institute were analyzed using the bootstrapping technique and PROCESS Macro for SPSS. Results: The results of the study are as follows. First, the adolescents' childhood abuse experiences affected their school rule-breaking behavior. That is, the adolescents who were abused by their parents were at higher risk of breaking school rules later in life. Second, the adolescents' self-esteem mediated the relationship between their childhood abuse experiences and school rule-breaking behavior. The adolescents who were abused by their parents tend to have low levels of self-esteem and thereby break school rules. Conclusion/Implications: The present study shows the possibility that childhood abuse experiences lead to adolescents' problematic behaviors, such as school rule violation. It also indicates that it is necessary to provide counseling and therapeutic interventions for enhancing the self-esteem of adolescents of the at-risk group with childhood abuse experiences.

백혈병 생존 청소년의 심리사회적 적응에 대한 내용분석 (Content Analysis on Psychosocial Adjustment of Adolescent Survivors of Leukemia)

  • 유미애
    • Child Health Nursing Research
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    • 제12권3호
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    • pp.304-313
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    • 2006
  • Purpose: This study was done to describe psychosocial adjustment of adolescents who have survived childhood acute lymphocytic leukemia (ALL). Method: Out of a total of 16 adolescents ($11{\sim}20$ years old) registered at the Pediatric Oncology Clinic at one university affiliated hospital, 13 adolescents agreed to participate in this study. The data were collected through in-depth interviews using a semi-structured questionnaire. The contents of the interviews were analyzed using the inductive content analysis method. Result: Three main categories were identified 'personal characteristics', 'coping patterns', and 'interpersonal relationship'. Personal characteristics included self-praise, self-confidence, altruism, being worrisome, and being difficult. Coping patterns included positive thinking, activeness, and avoidance. Interpersonal relationship included appreciation, intimacy, burdened by over protectiveness, and feelings of regret and equality as peers. Conclusion: The results indicate that adolescents who have survived childhood cancer have both positive and negative experiences. It is suggested that care providers identify and support the strengths of the adolescents in order to help them to adjust more positively after the experience of childhood cancer.

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부모의 양육행동 및 또래관계가 아동의 자아개념 발달에 미치는 영향에 관한 종단적 연구 (The Influence of Parenting and Peer Relationship on the Development of Child's Self-Concept : A Longitudinal Study)

  • 이사라;박성연
    • 아동학회지
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    • 제22권4호
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    • pp.17-32
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    • 2001
  • The purpose of this study was to explore the developmental patterns of self-concept of pre-adolescents and adolescents by using the longitudinal data originated by the Korean Institute for Research in the Behavioral Sciences (KIRBS). Specifically, using Structural Equation Modeling (SEM), the effects of parents and peer groups on the stability and change of self-concept were examined across a 9-year-period. The subjects were 62 children(29 boys and 33 girls) from the KIRBS longitudinal data. The results showed that, peer relationships revealed consistent effects on children's self-concept from pre-adolescence to mid-adolescence. In particular, this influence was most evident at 7 years of age and at 16 years of age. However, parental influence was almost non-existent for 7-year-olds, equivalent to peer relationships for 10-year-olds, and decreased for 16-year-olds. On the whole, parental and peer influence on self-concept gradually decrease in adolescence. Nevertheless, parental and peer influence continue to maintain a certain level of influence from childhood to adolescence. This study provides an understanding of developmental change and stability in the self-concept of Korean adolescents.

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소아.청소년 비만의 예방대책 (Prevention strategies for obesity in children and adolescents)

  • 문경래
    • Clinical and Experimental Pediatrics
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    • 제52권12호
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    • pp.1321-1326
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    • 2009
  • Prevalence of obesity in Korean children and adolescents has dramatically increased since the last 10-20 years. It is important to initiate prevention efforts early in childhood because prevalence of obesity in adolescence is the strongest predictor of its prevalence in adulthood. Intrauterine life, infancy, and preschool years may comprise the critical periods that are essential for the long-term regulation of energy balance therefore, obesity-prevention strategies should be initiated in utero and continued throughout childhood and adolescence. Families with high-risk children should be provided early education about maintaining normal weight. Encouraging physical activity and, especially, avoiding inactivity, are key challenges in the prevention of future obesity. Schools should be primarily involved in educating parents to discourage their children from excessively watching TV or playing computer games and eating unhealthy snacks and food. The involvement of medical practitioners is also important, especially, in the case of obese parents, obesity prevention strategies should be promoted from the first visit of pregnant women to the physicians. Health professionals can also be involved in obesity prevention because they are ideally equipped to identify young children at risk of obesity. Community and nation-wide efforts to increase awareness and promote environments that encourage physical activity and healthy nutrition are required.

부모관련 부정적 생활사건의 경험과 청소년의 정신건강 및 비행행위 (Experience of Parent-related Negative Life Events, Mental Health, and Delinquent Behavior among Korean Adolescents)

  • 김동식
    • Journal of Preventive Medicine and Public Health
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    • 제40권3호
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    • pp.218-226
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    • 2007
  • Objectives : This study examined the relationship of parent-related negative life events with mental health and delinquent behaviors among Korean adolescents. Methods : A total of 2,976 high school first-grade pupils (1,498 boys & 1,478 girls) taking part in the third wave of Korean Youth Panel Survey completed a self-administered questionnaire regarding parent-related life events, depressive feelings, suicidal ideation, delinquent behaviors, demographic characteristics, parental socioeconomic status, social support, and social capital. Data analyses were conducted using multivariate logistic regression. Results : After adjusting for all covariates, the more parent-related negative life events adolescents experienced throughout their whole life, the more likely adolescent were to have mental and behavioral problems. A significant dose-response relationship between them was more clearly observed in girls than in boys. The experience of parentrelated negative events during childhood was significantly associated with suicidal ideation and delinquent behaviors for boys, and with depressive feelings for girls during adolescence. Indeed, parental social support, social capital, and having a close friend with delinquent behaviors, especially for girls, partially mediated the relationship between parent-related negative life events and both outcomes. Conclusions : The study showed a clear dose-response relationship of frequency of parent-related negative life events with poor mental and behavioral health for both genders. The residual effect of being exposed to parent-related events during childhood on mental health and delinquent behaviors during adolescence still remained.