• Journal of Family Resource Management and Policy Review
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• v.26 no.2
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• pp.19-36
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• 2022

The purpose of this study was (a) to identify latent profiles among employed Korean mothers of third graders based on work-family conflict, work-family enrichment, work-parenting conflict, and work-parenting enrichment, (b) to examine the antecedents of profile membership at the individual, family, work, and community levels, and (c) to investigate the differences in the various psychological outcomes across the profiles. The sample of 451 married employed mothers was a subset of data from the 10th Wave of the Panel Study of Korean Children, which was collected in 2017 when the focal child was in the third grade. Our latent profile analysis suggested a three-profile model that comprised enriched (11.91%), moderate (47.85%), and mixed (40.24%) profiles. The significant antecedents of profile membership were subjective health status, the child's adjustment to school, working hours, the community's suitability for childrearing, and satisfaction with community service facilities. Regarding psychological outcomes, the levels of life satisfaction, marital satisfaction, and job satisfaction were higher in the following order: enriched, moderate, and mixed profiles. The levels of depressive symptoms were in the reverse order: mixed, moderate, and enriched profiles. This study contributes to a comprehensive understanding of the literature on work-family interactions by considering various predictors and outcomes at multiple levels.

• Journal of Korean Home Economics Education Association
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• v.33 no.4
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• pp.31-48
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• 2021

The purpose of this study was to provide an understanding of the trajectories of multidimensional health among older adults, including depression, chronic diseases, and cognitive function. Data were drawn from the 1-6 waves of the Korean Longitudinal Study of Ageing(KLoSA), and a sample of 2,059 respondents aged 65 and older at baseline was used for the analyses. Latent growth curve models and growth mixture models were used to explore the changes in depression, chronic diseases, cognitive function, and heterogeneous trajectories among them. One-way ANOVAs with Scheffé post-hoc analysis and chi-square tests were used to find differences in sociodemographic characteristics, health behaviors, and life satisfaction across the latent trajectory classes. Latent growth curve models revealed that depressive symptoms and the number of chronic diseases increased over time, while cognitive function showed gradual decreases. Three heterogeneous patterns of multidimensional health trajectories were identified: normal aging, increase in chronic diseases, and chronic deterioration. Significant differences were observed in sociodemographic characteristics, health behaviors, and life satisfaction across the three latent classes. In particular, low educational attainment, household income, and life satisfaction were associated with the chronic deterioration class. Based on the findings, we discussed suggestions for health promotion education targeting older adults. This study also emphasizes the importance of home economics education in promoting health literacy across the life course.

• Industry Promotion Research
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• v.7 no.3
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• pp.125-130
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• 2022

The purpose of this study is to develop music psychotherapy program applying the Inner Family System(IFS) to reduce adult depression and improve self-esteem and to verify its effectiveness. For this, literature search and theoretical basis were prepared, and validity was secured through a demand survey and evaluation by experts. After going through the preliminary program, the final program consisting of 10 sessions was developed after revision and supplementation. To verify the effectiveness of the program, 25 people who met the selection criteria with a score of 20 or higher on the Depression Scale(CES-D) were selected. Of the 25 subjects, 10 subjects in the experimental group, 10 subjects in the control group, and 5 subjects in the preliminary group were randomly assigned and analyzed as final study subjects. The experimental group performed 10 sessions of music psychotherapy applying IFS twice a week for 90 minutes, and the control group did not receive any treatment. As a result of data analysis, first, it was confirmed that there was a difference between the experimental group and the control group in the change patterns according to the measurement period of overall depression and the sub-factors, depressive emotion, interpersonal emotion, and physical depression score. Second, the effects were statistically significant on overall self-esteem and sub-factors such as self-deprecation, relationship with others, leadership and popularity, assertion and anxiety. Third, it was confirmed that the pattern of change according to the measurement period of the IFS score differed between the experimental and control groups.

• Korean Journal of Culture and Social Issue
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• v.27 no.4
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• pp.435-455
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• 2021

This study aimed to examine the effect of the income change and income level during the COVID-19 pandemic on individuals' depression, and to test how those associations may differ by gender. Participants consisted of 634 adults(M_age=44.18, SD_age=13.88, 313 females) recruited through an online research company. Participants completed a set of questionnaires that measured income change, average monthly income for the past six months, and the Korean version of CES-D. The results indicated that decreases in income, but not levels of income, significantly predicted levels of depression. Furthermore, both income change and income level interacted with gender to predict depression. Specifically, income change predicted depression only for males, while income level predicted depression only for females. These findings suggest that the effects of income-related indicators on depression during the pandemic may differ by gender. The study also offers practical implications by proposing gender as a potential factor to consider in early identification and intervention to prevent depression during the pandemic.

• Korean Journal of Culture and Social Issue
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• v.21 no.2
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• pp.119-130
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• 2015

This study is aimed to analyse the causes and characteristics of suicide in jeonbuk region using psychological autopsy. Psychological autopsy is a technique to get comprehensive analysis on suicidal death by collecting data from interviewing suicide victim's family, relatives, and friends added with additional data of police report, hospital records, and suicide victim's lifetime records for objective evidence. For the data from 42 cases(male 24, female 18) of suicides that occurred between May 2013 and April 2014 with agreement for psychological autopsy, we analyzed a survey that recorded by interviewers who had a consultation based on half-structured psychological interview panel. As the result, out of 42 cases, 30(71%) had previous suicidal attempts and 21(50%) had a family history of suicides. Psychiatric disorders(38%) was the most common cause of suicide followed by interpersonal problems(31%). Among psychiatric problems, depressive disorder was the most common. many suicide victims had previously received psychiatric treatments but discontinued the therapy later on. The results showed that suicide is strongly related to mental disorders and psychiatric therapy should be continued until full recovery. Preventive efforts should focus on persons who have a history of previous suicidal attempts and have a family history of suicide. Implications of these findings are discussed and directions for future research are advanced.

• Korean Journal of Schizophrenia Research
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• v.22 no.2
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• pp.21-33
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• 2019

Objectives: The current study covers a secondary revision of the guidelines for the pharmacotherapy of schizophrenia issued by the Korean Medication Algorithm for Schizophrenia (KMAP-SCZ) 2001, specifically for co-existing symptoms and antipsychotics-related side-effects in schizophrenia patients. Methods: An expert consensus regarding the strategies of pharmacotherapy for positive symptoms of schizophrenia, co-existing symptoms of schizophrenia, and side-effect of antipsychotics in patients with schizophrenia was retrieved by responses obtained using a 30-item questionnaire. Results: For the co-existing symptoms, agitation could be treated with oral or intramuscular injection of benzodiazepine or antipsychotics; depressive symptoms with atypical antipsychotics and adjunctive use of antidepressant; obsessive-compulsive symptoms with selective serotonin reuptake inhibitors and antipsychotics other than clozapine and olanzapine; negative symptoms with atypical antipsychotics or antidepressants; higher risk of suicide with clozapine; comorbid substance abuse with use of naltrexone or bupropion/varenicline, respectively. For the antipsychotics-related side effects, anticholinergics (extrapyramidal symptom), propranolol and benzodiazepine (akathisia), topiramate or metformin (weight gain), change of antipsychotics to aripiprazole (hyperprolactinemia and prolonged QTc) or clozapine (tardive dyskinesia) could be used. Conclusion: Updated pharmacotherapy strategies for co-existing symptoms and antipsychotics-related side effects in schizophrenia patients as presented in KMAP-SCZ 2019 could help effective clinical decision making of psychiatrists as a preferable option.

• 한국노년학
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• v.30 no.3
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• pp.695-708
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• 2010

Purpose: This study was to explore the factors affecting on Dietary Behavior Change of the vulnerable elderly based on the Stage of Change. Methods: This study was a secondary analysis of the data collected from 1,262 elderly who were participated in the case management program. Total 984 participants who responded all questionnaire were included in the analysis. The variables included general characteristics, health behavior, health status, and dietary behavior stage. The data collected were analyzed by descriptive statistics, trend test and multi-variate logistic regressions. Results: about twenty four percent of the vulnerable elderly subject was pre-contemplation stage and 46.1% of them was contemplation stage of dietary behavior. Having a depressive mood, dependance of Instrumental Activity of Daily living, and being medicaid affected on starting or on maintaining healthy dietary behavior in vulnerable elderly negatively. Conclusion: The tailored nutritional intervention depending on dietary behavior stage are needed for the vulnerable elderly to improve the health. The program which can maintain the function remained of elderly and give psychological support together will be more effective.

• 한국노년학
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• v.29 no.4
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• pp.1577-1589
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• 2009

The purpose of this study was to compare the health status, functional status, and home environment hazards by the fear of falling and explore the factors that contribute to the fear of falling. This was a descriptive study. Data were collected for two years with 973 older adults who enrolled in a health center at A city. Trained nurses visited subjects' home and collected data using Resident Assessment Instrument MDS-HC. The average age of the subjects was 76.8 (±7.6) and female was 74.8%. 20.7% of subjects reported fear of falling. In terms of the fear of falling, two groups were compared. There were significant differences in vision, urinary incontinence, pain that interrupts daily activity, unstable gait, comorbidities, frequency of depressive or anxious sign. The greater the age, IADL and ADL dependency, comorbidities, unstabled gait, the more fear of falling. In conclusion, this study reassured the importance of assessing the major factors related to fear of falling such as age, IADL and ADL, comorbities, gait among older adults. This study will contribute to establish strategies for preventing fall. Reducing the fear of falling through the comprehensive nursing intervention will ultimately improve the quality of life in the elderly.

• 한국노년학
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• v.29 no.4
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• pp.1591-1609
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• 2009

Adult child caregivers and spousal caregivers might deal with differential challenges. Studies about caregivers' psychological outcomes, however, tended to investigate associations between caregiving and its outcomes by pooling adult child caregivers and spousal caregivers together. By using a U. S. sample of family caregivers who assisted a relative with dementia, this study examined whether the relationship of caregivers to care receivers (daughter caregivers or spousal caregivers) made a difference in levels of depressive symptoms. The result showed that wife caregivers were more likely to be depressed than daughter caregivers. For daughter caregivers, role overload, role captivity, and behavior problems significantly influenced on depression. Besides these variables, the level of education was a significant predictor for wife caregivers. Role captivity and behavior problems significantly impacted on depression for husband caregivers. Thus, role captivity and behavioral problems were common predictors for all the caregivers. Specifically, higher levels of role captivity and behavioral problems were likely to make caregivers more depressed. The implication of these results were discussed.

• 한국노년학
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• v.39 no.1
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• pp.37-60
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• 2019

This study was attempt to derive the aging trajectories of Korean elderly people and identify its characteristics. In particular, this study used the successful aging model of Rowe and Kahn as an analytical framework. Using the Korean Longitudinal Study of Ageing(KLoSA), this study applied group-based multi-trajectory analysis to identify multiple aging trajectories in sample of Korean elder aged 65~74(n=2,682). This study also used several demographic characteristics as baseline predictors to identify the characteristics of each aging trajectory. Five dimensions were analyzed in the multi-trajectory model: chronic disease, physical functional limitation, cognitive functioning, depressive symptom and social engagement. As a result of the analysis, five aging trajectories were identified: successful aging(17.8%), usual aging (33.9%), health declining aging(18.2%), pathological aging(7.9%), and aging with mild cognitive impairment(22.1%). In general, the odds of experiencing successful aging were high in men, low-aged, highly educated, high-income, and spousal elderly. On the other hand, for the elderly, who are under-educated, low-income, and high-aged, there was a high probability of experiencing a relatively difficult aging process. In particular, the odds of experiencing a mild cognitive impairment aging was high in older, lower-income women without a spouse.