• 대한간호학회지
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• 제40권5호
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• pp.620-630
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• 2010

Purpose: This study was conducted to compare the level of depression, self-esteem and mother-adolescent (M-A) communication perceived by both mothers and adolescents between the early adolescent (E-A) group and the late adolescent (L-A) group; and to examine the actor effect and the partner effect of self-esteem and M-A communication on depression in mothers and adolescents. Methods: Participants were 107 Kirogi families who resided in the Midwest region of the U. S. Data were collected from September, 2008 to March, 2009 using the scales of Center for Epidemiologic Studies Depression (CES-D), Self-esteem and Parent-Adolescent Communication Inventory. Results: Mothers in E-A group reported higher scores on depression than mothers in L-A group. Adolescents in L-A group reported higher scores on depression and lower scores on self-esteem than adolescents in E-A group. In the E-A group, mothers' selfesteem had big actor effect on mothers' depression and partner effect on adolescents' depression. In the L-A group, selfesteem of mothers and adolescents had actor effect on their depression respectively without partner effect. M-A communication of mothers influences mothers' depression negatively and adolescents' depression positively. In both group, M-A communication influences their depression with mediating effect of self-esteem. Conclusion: To promote Kirogi families' mental health, programs for mothers and adolescents should be developed differently according to adolescents' development stage.

• 가정과삶의질연구
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• 제31권3호
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• pp.15-26
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• 2013

The purpose of this study was to examine the differences of the perceptions and conditions of happiness between children and adolescents, and also of the perceptions of happiness according to their needs level of the conditions of happiness. There was a total of 649 participants, of which 405 were children and 244 were adolescents, all of whom were attending elementary school, middle school, or high school. The children and adolescents completed a questionnaire on the perceptions of happiness and the conditions of happiness which consisted of 57 (for children) or 58 (for adolescents) items. The results were as follows: First, children and adolescents both felt happy regarding the variables of 'flow', 'health and appearance', 'leisure' and 'interpersonal relations'. However, it was found that children felt happier than adolescents. Second, children and adolescents perceived achievement-related variables as important conditions of happiness. Additionally, variables of 'relations with parents and relatives' and 'positive emotions' were the conditions that children needed. However, adolescents rated the needs of the conditions of happiness higher than children. Lastly, children and adolescent groups who perceived the necessity of the conditions of happiness at a high level were found to be happier than those who perceived the necessity of the conditions of happiness at a low level. The findings have implications of providing educational, psychological and environmental support to improve the happiness of children and adolescents.

• 한국융합학회논문지
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• 제9권4호
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• pp.271-283
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• 2018

본 연구는 부모양육태도, 친구관계, 학교환경 등 청소년의 발달환경이 비행행동에 미치는 영향을 파악하고, 컴퓨터, 휴대전화 등 매체환경이 그 관계에서 어떤 매개역할을 하는지를 규명하는 데 목적이 있다. 초기 청소년인 중학교 1학년 총 518명 대상으로 한국아동 청소년패널 6차년도 조사결과를 활요하였다. 분석결과, 부모양육태도가 애정형, 과잉간섭형, 학대형일수록, 친구와 소외관계가 깊을수록 비행행동은 더 증가하는 것으로 나타났다. 부모의 비일관성, 친구간 의사소통은 컴퓨터와 휴대폰을 더 자주 사용하게 하였다. 컴퓨터, 휴대전화를 자주 사용할수록 비행행동도 늘어났다. 따라서 청소년의 가정환경, 친구관계는 비행행동에 영향을 미치므로 부모교육프로그램, 친구간 소통프로그램 등 비행행동을 방지하는 발달환경의 조성 전략이 필요할 것이다. 비행행동을 완화하기 위해 최근 사회문제화 되고 있는 컴퓨터나 휴대전화 등에 대해 올바른 활용을 위한 교육프로그램 개발 및 시행이 요구된다.

• 한국학교보건학회지
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• 제30권3호
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• pp.317-324
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• 2017

Purpose: Breakfast is the most important meal to provide energy for the day. Breakfast is especially important to give enough nutritional support to children and adolescents for their physical growth and sexual development. Sleep-related factors like average sleep duration and wake up time would mostly be associated with regular breakfast. This study aimed to investigate the effect of sleep on regular breakfast consumption in Korean adolescents. Methods: The study used the data from the 12th Korea Youth Risk Behavior Web-based Survey (KYRBS-XII) conducted in 2016 by the Korea Centers for Disease Control and Prevention. The data of 62,820 subjects (middle/high school students) were included in the final analysis. The study examined the factors related to regular breakfast, focusing on weekday average sleep duration and wake up time of middle school students and high school students, respectively. Results: Regular breakfast consumption was shown to have a statistically significant association with high economic status, nutritional education, weekday average sleep duration, wake up time, and subjective sleep satisfaction in the multivariate logistic regression. Regardless of the school level, regular breakfast consumption was significantly associated with early wake up time. As to the effect of weekday average sleep duration on regular breakfast consumption, it showed some different results depending on the school level. Conclusion: Regular breakfast consumption of Korean adolescents was related to weekday average sleep duration and wake up time. Having breakfast regularly was affected by both adequate weekday average sleep duration and early wake up time.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제23권1호
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• pp.3-7
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• 2012

Objectives : The early onset of mood symptoms in bipolar disorder has been associated with poor outcomes in many studies. However, aspects of the clinical course of bipolar disorder in children and adolescents are controversial. The goal of this article is to review the clinical characteristics and longitudinal course of children and adolescents with bipolar disorders. Methods : Searches were conducted in MedLine, PsycINFO, KISS, and RISS using the terms phenomenology, clinical course, outcome, BPD, pediatric, children and adolescents. Twenty-one reports were selected : either original articles reporting symptoms and clinical characteristics of subjects (ages 5-18 years), or published articles in reviewed journals about bipolar disorder in children and adolescents. Results : Approximately 70% of subjects with bipolar disorder recovered from their index episode, and 50% had at least 1 syndromal recurrence, particularly depressive episodes. For 60% of the follow-up time, subjects had syndromal or subsyndromal symptoms with numerous changes in symptoms and shifts of polarity. Approximately 20% of BP-II subjects converted BP-I. Conclusion : Bipolar disorders in children and adolescents are characterized by episodic illness with subsyndromal and syndromal episodes with mainly depressive and mixed symptoms and rapid mood changes. Extensive follow-up time is needed to evaluate the continuity of bipolar disorder symptoms from childhood to adulthood.

• 한국학교보건학회지
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• 제34권3호
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• pp.151-160
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• 2021

Purpose: The purpose of this study was to identify predictors of suicidal attempts in adolescents over 5 years after school dropout. Methods: The data of the Panel Survey of School Dropouts (of 2013 to 2017) conducted by the National Youth Policy Institute were analyzed. The analysis used the 2013 survey data as the baseline and examined suicidal attempts from 2013 to 2017. A total of 776 adolescents were included in the analysis. Descriptive statistics, 𝝌² test, t-test, and multiple logistic regression were carried out using SAS 9.2. Results: About 11% (87 out of 776) of the adolescents with an experience of dropout attempted suicide between 2013 and 2017. The risk of suicidal attempts was significantly lower in female (AOR: 0.57, 95% CI: 0.87~0.93) than in male adolescents. The higher the self-esteem, the lower the risk of suicidal attempts (AOR: 0.87. 95% CI: 0.78~0.97). The higher the depression level (AOR: 1.10, 95% CI: 1.05~1.16) and the rate of parental abuse (AOR: 1.09, 95% CI: 1.02~1.18), the higher the risk of suicidal attempts. Conclusion: The findings of the study suggest that those who are male, depressed, have low self-esteem or have been abused by their parents are at high risk of suicidal attempts among the adolescents with dropout experiences. Therefore, early intervention is necessary for those at high risk.

• 한국콘텐츠학회논문지
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• 제22권10호
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• pp.827-839
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• 2022

스마트폰중독에 가장 취약한 집단으로 알려져 있는 초기청소년의 스마트폰의존에 대한 심각성이 증가하고 있다. 본 연구에서는 초기청소년의 스마트폰 의존도 영향요인을 초등학생과 중학생을 구분하여 분석하고자 하였다. 연구목적을 위해 2018년 한국아동청소년패널조사의 1차 조사 자료를 활용하였으며 초등학교 4학년 2,607명과 중학교 1학년 2,590명이 최종적으로 분석에 활용되었다. 초등학생과 중학생의 스마트폰의존도에 공통적으로 영향을 미치는 요인은 성별, 자아존중감, 공격성, 부모와 함께 보내는 시간, 부정적 양육태도로 나타났다. 한편 지역(규모), 경제수준, 건강상태, 학교생활만족도, 교사관계는 초등학생의 스마트폰의존도에는 유의하였으나 중학생에게는 유의하지 않았다. 중학생에게서는 부모의 긍정적 양육태도가 유의하였다. 분석결과를 바탕으로 초기청소년들의 올바른 스마트폰 사용을 장려하기 위한 정책수립 및 사회서비스제공에 대한 함의를 도출하였다.

• 대한간호학회지
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• 제6권1호
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• pp.72-79
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• 1976

Contemper nursing literature place much importance on human- centered and individualized care. Nursing research has related stress during hospitalization of adolescent patients to adaptation to a new environment, isolation from friends, limitation due to illness, over protection of parents and communication with member of the medical team. The investigator conducted this study in the hope that an understanding of adolescents responses to hospitalization, their perceptions, the kinds and levels of stress, and the relationships between stressors and individual characteristics would contribute to the improvement of adolescent patient care. The objective of the study was to obtain informations related to the adolescents psychological stress experience during hospitalization, specifically stress from interpersonal relationships and communication, isolation from the family, social or economic problems, illness and from the treatment environment and nursing care. An interview schedule adopted from Holmes and Rahe's Social Readjustment Rating Scale and selected items from Voicer's instrument on stress-producing events was used with 120 adolescent inpatients aged 13 to 18 years three general hospitals in Seoul during Aug. 10, to Sep. 30, 1975. 1. The sample consisted of 66 male and 54 female patients. Sixty-six percent were late adolescents, aged 16 to 18 years: 4% were early adolescents, aged 13 to 15 years. The primary cause for hospitalization was for orthopedic problems (35.8%). More than half of these (54.4%) were due to injury or accident. 2. Stress eclated to illness revealed the highest score (4.97), followed by stress related to treatment environment and nursing care (4.34) , isolation from family and social or economic problems (4.01) and interpersonal relationships and communication (3.96). 3. The perceived indifference of doctors and nurses was a serious cause of stress (mean=4.83). Fellow patients and visitors caused least stress (mean=2.06). 4. Discontinuation of education or unemployment were major stressful events (mean=4.71). Least stressful was isolation from the family (mean=3.47). 5. More than 94% of the respondents expressed fears related to body image (mean=4.97) 6. Within the category of treatment environment and nursing care, items related to restrictions because of treatment, discomfort because of treatment, inadequate explanation from nurses about procedures were rated as severe stress events (mean=4.6). Items related to the ward environment and to having a relative stay with them were seen by the group as less serious events (mean=3.7). 7. Stress related to interpersonal relationships and communication was correlated positively with female patients and those preferring passive activities. (P〈0.05) 8. Stress related to family problems was positively related to female and early adolescent patients (P< 0.05). Stress related to social problems was positively , elated to students and those preferring active pursuits (P< 0.05). 9. There were no correlation between the high stress related to disease and any of the characteristic items. (P> 0.05) 10. Stress related to treatment environment and nursing care was positively related of early adolescent and female and student patients. (P< 0.05) This group of hospitalized adolescents reported high level of stress related to treatment environment and nursing care, due to lack of consideration of normal growth and development and individual characteristics. The findings have important implications for the planning of effective, individualized, comprehensive nursing care of adolescents during hospitalization.

• Clinical and Experimental Pediatrics
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• 제64권5호
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• pp.196-207
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• 2021

Over the last few decades, the rates of pediatric obesity have more than doubled regardless of sociodemographic categorization, and despite these rates plateauing in recent years there continues to be an increase in the severity of obesity in children and adolescents. This review will discuss the pediatric obesity mediated cardiovascular disease (CVD) risk factors such as attenuated levels of satiety and energy metabolism hormones, insulin resistance, vascular endothelial dysfunction, and arterial stiffness. Additionally, early intervention to combat pediatric obesity is critical as obesity has been suggested to track into adulthood, and these obese children and adolescents are at an increased risk of early mortality. Current suggested strategies to combat pediatric obesity are modifying diet, limiting sedentary behavior, and increasing physical activity. The effects of exercise intervention on metabolic hormones such as leptin and adiponectin, insulin sensitivity/resistance, and body fat in obese children and adolescents will be discussed along with the exercise modality, intensity, and duration. Specifically, this review will focus on the differential effects of aerobic exercise, resistance training, and combined exercise on the cardiovascular risks in pediatric obesity. This review outlines the evidence that exercise intervention is a beneficial therapeutic strategy to reduce the risk factors for CVD and the ideal exercise prescription to combat pediatric obesity should contain both muscle strengthening and aerobic components with an emphasis on fat mass reduction and long-term adherence.

• 보건교육건강증진학회지
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• 제29권1호
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• pp.27-38
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• 2012

Objectives: The purpose of this study is to find the influences of the perceived economical difficulty, gender equality consciousness and sexual subjectivity on the adolescents' attitude to prostitution to examine the moderating effects of gender equality consciousness and sexual subjectivity between the perceived economical difficulty and the adolescents' attitude to prostitution, and to provide some recommendations for intervention to improve more appropriate attitude of adolescents on prostitution. Methods: The data used for this study is from the survey with a sample of 1,151 students from 14 middle and high schools in Chungbuk province. Results: The main results of this study are as follows: First, there are statistical differences in the adolescents' attitude to prostitution according to gender, grade, and the type of school. Second, there is a positive effect of the perceived economical difficulty, gender equality consciousness and sexual subjectivity on the adolescents' attitude to prostitution. Third, there are positive moderating effects of sexual subjectivity between the perceived economical difficulty and the adolescents' attitude to prostitution. Conclusions: Intervening in the sex education at an early stage, advertising prostitution's harmful effect at the level of a social concern and developing diverse programs to enhance the sexual subjectivity of students are recommended to promote appropriate attitude of adolescents about prostitution.