• 대한영양사협회학술지
• /
• 제19권2호
• /
• pp.140-158
• /
• 2013

This study analyzed the effect of family meals on the psychological problems of children. We performed focus group interviews (FGI) on the basic characteristics of family meals, and chose several scales (such as Child Behavior Checklist (CBCL), self-esteem, and a daily hassles questionnaire), to measure the psychological variables. We collected data from 442 dyads (mother-child) and used 440 from dyads. In our results, the frequency of family meals affected the psychological problems of children, especially aggression and emotional instability. The atmosphere during meals also affected depression/anxiety, concentration difficulties, emotional instability, self-esteem, peer relationships, and sociality. There were significant correlations between meal atmosphere, family bonding, maternal personality, and psychological problems of children. We performed covariation analysis to examine and control the influence of family bonding and maternal personality; despite controlling for these variables, family meals still influenced children's psychological problems. We conclude that the family meal is a significant variable that impacts the emotional and behavioral problems of children and stress the importance of frequent family meals.

• 아동학회지
• /
• 제37권6호
• /
• pp.69-82
• /
• 2016

Objective: The main purpose of this study was to investigate the effects of preschooler temperament and maternal postnatal depression, depression, and parenting stress on preschooler externalizing problem behavior. Methods: The participants consisted of 98 preschoolers (ages 4-5 years) and their mothers. The subjects completed the following questionnaires: Emotionality, Activity, and Sociability (EAS), Edinburgh Postnatal Depression Scale (EPDS), Center of Epidemiological Studies Depression Scale (CES-D), Parenting Stress Scale, Korean Child Behavior Checklist for Ages 1.5-5 (K-CBCL 1.5-5), and Social Competence and Behavior Evaluation Inventory Short Form (SCBE-30). The data were analyzed by t/F tests, Pearson's correlation analysis, and multiple regression analysis. Results and Conclusion: First, preschooler emotionality temperament had positive correlations with attention problems and aggression. Second, maternal depression and parenting stress had a positive correlation with preschooler externalizing problem behaviors. Third, maternal parenting stress had an effect on preschooler attention problems. Forth, preschooler emotional temperament and maternal parenting stress had an effect on preschooler aggression.

• 대한간호학회지
• /
• 제40권5호
• /
• pp.642-649
• /
• 2010

Purpose: This study was done to explore the relationship between aggression and internet over-use, depression-anxiety, self-esteem, all of which are known to be behavior and psychological characteristics linked to "at-risk" children for aggression. Methods: Korean-Child Behavior Check List (K-CBCL), Korean-Internet Addiction Self-Test Scale, and Self-Esteem Scale by Rosenberg (1965) were used as measurement tools with a sample of 743, 5th-6th grade students from 3 elementary schools in Jecheon city. Chi-square, t-test, ANOVA, Pearson's correlation and stepwise multiple regression with SPSS/Win 13.0 version were used to analyze the collected data. Results: Aggression for the elementary school students was positively correlated with internet over-use and depression-anxiety, whereas self-esteem was negatively correlated with aggression. Stepwise multiple regression analysis showed that 68.4% of the variance for aggression was significantly accounted for by internet over-use, depression-anxiety, and self-esteem. The most significant factor influencing aggression was depression-anxiety. Conclusion: These results suggest that earlier screening and intervention programs for depression-anxiety and internet over-use for elementary student will be helpful in preventing aggression.

• Child Health Nursing Research
• /
• 제9권1호
• /
• pp.85-95
• /
• 2003

Purpose: The purpose of this study was to compare psychosocial adjustment in children aged 4-11 years with cancer between on and off treatment. Method: The data was collected from parents of children with cancer through interviews with structured questionnaire at the pediatric outpatient department and inpatient ward of one university hospital located in Seoul. The instrument were the Child Behavior Check List(CBCL) developed by Achenbach(1991) and revised to standardize for Korean children by Oh et al(1997). Result: Total behavior problem score for children on treatment was greater than the score off treatment but there was no significant difference. Children on treatment reported higher levels of depression/anxiety, withdrawal, internalizing scores than children off treatment. Social competence score of children off treatment was greater than the score on treatment and the difference of school performance score of children between on and off treatment was not significant. The scores on the withdrawal, somatic complaints, social immaturity, internalizing scales in the cancer group including both on and off treatment was greater than normative findings in the general population. The scores on the school competence of children off treatment were lower than the norms for healthy children. Conclusion: Findings from this study support the importance of nursing interventions to facilitate the adjustment of children with cancer both on and off therapy.

• Child Health Nursing Research
• /
• 제11권4호
• /
• pp.396-404
• /
• 2005

Purpose: The purpose of this study was to examine the effects of group art therapy on the withdrawn behavior, social behavior, social problems, anxiousness/depression, internalizing problems, total behavior problems and self-esteem in children who are withdrawn. Method: A randomized controlled pre-post test design was used. The participants were 31 children who were withdrawn attending J. P. Elementary School in Pohang City. Sixteen were assigned to the experimental group and 15 to the control group. The program consisted of 20 sessions of 80 minutes per session, 2 days a week, for 10 weeks. Instruments used for this study were the Children's Behavior Check List -Korean version (K-CBCL) and a self-esteem inventory. The data were analyzed using fisher exact test and Mann-Whitney U test. Results: Thescores for withdrawn behavior, social problems, anxiousness/depression, internalizing problems and total behavior problems decreased significantly in the experimental group as compare to the control group. Social behavior and self-esteem increased significantly in the experimental group as compared to the control group. Conclusions: This study provides evidence for the pontential and beneficial effects of group art therapy in children who are withdrawn. The program could be adequately used to improve problem behavior in withdrawn children.

• International Journal of Human Ecology
• /
• 제8권2호
• /
• pp.61-74
• /
• 2007

Adolescents from stepfamilies have been considered as at-risk group of mental and behavioral problems. This study aims to determine whether there is a group difference of emotional or behavior disturbance between young people in step and non-stepfamilies and whether risk factors linked to emotional and behavior symptoms of young people in stepfamilies are different from those of girls in non-stepfamilies. The study used 'the Mental Health of Children and Young People in Great Britain, 2004 (MHCYP 2004)'. In the MHCYP 2004, the Rutter Problem Behavior Questionnaire, the Strengths and Difficulties Questionnaire (SDQ), and Child Behavior Checklist (CBCL) were administered to parents, teachers, and children drawn from young people aged 5-17 living in private households in England, Scotland (including the Highlands and Islands) and Wales. The total of 2,471 samples of aged 13 through 17 from them were selected for this study. The selected data was analyzed using SPSS. The findings showed group differences in emotional and behavior symptoms between young people in step and non-stepfamilies: Young people from stepfamilies were more emotional and have behavioral disturbances than those from nonstepfamilies. The result also confirmed the different risk factors associated with emotional behavior problems. The study supports that professionals need to develop effective treatment and preventive approaches designed for young people in stepfamilies who may have different risk factors different from those in non-stepfamilies.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• 제31권4호
• /
• pp.207-213
• /
• 2020

Objectives: Although aggressive behavior in children and adolescents with attention-deficit/hyperactivity disorder (ADHD) has previously shown correlations with hyperactivity/impulsivity, few studies have examined its association with inattention or the effect of working memory on aggressive behavior. This study aimed to assess the relationship between inattention and aggressive behavior and the effect of working memory on the relationship between inattention and aggressive behavior in children and adolescents with ADHD. Methods: Thirty-one children and 26 adolescents with ADHD were retrospectively investigated. The subjects completed the Korean Wechsler Intelligence Scale for Children-Fourth Edition (K-WISC-IV), the Korean Child Behavior Checklist (K-CBCL), and the Korean Children's Depression Inventory (CDI). Results: Inattention was positively correlated with aggressive behavior in children and adolescents with ADHD and working memory showed an insignificant correlation. However, working memory had a significant moderating effect on aggressive behavior by interacting with inattention. The moderating effect of working memory manifested when the working memory index score on the K-WISC-IV was 73.5 points or higher, and it had a significant effect on aggressive behavior. Conclusion: This study shows that the severity of inattention and hyperactivity/impulsivity should be addressed to provide appropriate treatment to children and adolescents with ADHD who exhibit aggressive behavior.

• 대한불안의학회지
• /
• 제14권2호
• /
• pp.99-105
• /
• 2018

Objective : The purpose of this study was to investigate effects of depression and anxiety on treatment response of social skills training in adolescents with autism spectrum disorders (ASD). Methods : A total of 107 teenagers that participated in the Program for the Education and Enrichment of Relational Skills (PEERS$^{(R)}$) between 2011 and 2015 were analyzed using linear regression. Outcome measures used were the Korean version of Social Responsiveness Scale (SRS), the Test of Adolescent Social Skills Knowledge-Revised (TASSK-R), and the Korean version of Autism Diagnostic Observation Schedule (K-ADOS). Depression and anxiety were assessed by the Korean version of Child Depression Inventory (CDI), the Korean version of State and Trait Anxiety Inventory for Children (STAIC), and the Korean version of Child Behavior Checklist (K-CBCL). Results : As a result, depressive symptoms measured by CDI (p<0.05) and anxiety symptoms measured by STAIC (p<0.05) had significant influence on score change of social interaction domain of ADOS. It remained significant even after the baseline score was adjusted as covariates (p<0.05). Conclusion : We observed that pre-treatment anxiety and depressive symptoms of teenagers had significant effects on the treatment outcome of PEERS$^{(R)}$, especially in terms of face-to-face social interaction.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• 제10권1호
• /
• pp.100-112
• /
• 1999

이 연구는 정신지체와 자폐장애 아동의 장기적인 치료와 그 가족의 삶의 질을 향상시키는, 보다 효과적인 개입방향을 모색하고자, 1998년 9월부터 1999년 1월까지 인천광역시에 위치한 가천의대 길병원 소아정신과에 내원하여 DSM-IV에 의거한 자폐 장애 또는 정신지체 진단 기준을 만족시키며 KEDI-WISC full-scale score에 의해 장애진단서를 발급받은 만5세에서 12세 아동 41명과 그들의 어머니를 대상으로 하여, 어머니의 삶의 질과 정서적 우울에 영향을 주는 장애아동의 행동 특성과 가족환경 특성을 조사하였다. 정상대조군은 연령과 성별, 그리고 사회경제상태를 고려한 37명을 선정하였다. 어머니의 삶의 질과 정서적 우울은 한국판 스미스클라인 비챰 삶의 질 척도(K-SBQOL)와 K-BDI에 의해, 아동의 행동 특성은 KCBCL, 그리고 가정환경특성은 한국판 가정환경척도(K-FES)에 의해 각각 측정하였다. 그 결과, 어머니의 삶의 질 척도(K-SBQOL) 총점은 장애아동군이 $127.51{\pm}42.90$, 정상대조군이 $167.20{\pm}31.07$으로 통계적으로 유의한 차이를 보였다(p＝.000). 어머니의 K-BDI 점수는 장애아동군이 $15.29{\pm}10.67$, 정상대조군이 $8.71{\pm}6.91$로 유의한 차이가 있었다(p＝.003). 가정환경척도에서는 장애아동군이 정상대조군에 비하여 자립성, 지적/문화적 지향성, 그리고 능동적-여가 활동이 통계적으로 유의하게 낮았다(p<.05). 장애아동 어머니의 삶의 질은 아동의 주의집중력 문제와 가장 높은 관련성이 있었고, 가정환경척도의 응집력 소척도와 K-CBCL의 사회성 소척도가 유의한 관련성을 보였다. 장애아동 어머니의 우울은 아동의 내향화 증상과 사고장애, 그리고 가족환경척도의 응집력 소척도와 유의한 관련성을 보였다. 이상의 결과들은 장애아동의 진료에서, 아동의 주의집중력 장애와 정서적 불안정에 대한 지속적인 치료와 가정에 대한 조정이 장기적으로 부모의 삶의 질과 장애아동의 예후에 중요하다는 것을 시사한다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• 제21권3호
• /
• pp.161-167
• /
• 2010

Objectives: In assessing behavioral/emotional problems in school-aged children, the importance of multi-informant reporting has been well documented. However, in clinical settings obtaining multiple informants' opinions has proven difficult. For that reason, we researched the agreement and predictive validity of the Child Problem-Behavior Screening Questionnaire (CPSQ) in order to reveal how accurate parents' assessments reflected teachers'opinions. Methods: We conducted the first screening for second- and third-grade children from 3 elementary schools in Seoul from 2003 to 2007 using the CPSQ. There were 1178 children included in the analysis. We then administered the Korean version of the Child Behavior Checklist (K-CBCL) as a second screening tool and subsequently, the ADHD Diagnostic System (ADS) and the Korean Educational Development Institute version of the Wechsler Intelligence Scale for Children (KEDI-WISC) was administered by a psychiatrist. We examined each item on the CPSQ and the subscale's agreement between parent and teacher as well as the predictive validity of the CPSQ in children diagnosed with emotional/behavioral problems. Results: The agreement rates between parents and teachers appeared high for questions 18 (0.433), 1 (0.385), and 2 (0.325). Among the subscales, a relatively high correlation was found for externalizing problems, attention deficit hyperactivity disorder, and cognitive problems. For all diagnosed children, their parents revealed a higher sensitivity and lower specificity than teachers. Conclusion: From these results, we confirmed that the CPSQ can be useful for sorting out externalizing and cognitive problems. There is a need for further study, however, with a larger sample size.