• Korean Journal of Child Studies
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• v.23 no.1
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• pp.153-171
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• 2002

This research addressed the issue of how mothers' representations of attachment are transmitted to children, focusing on post-infancy attachment and on maternal stress as a mediator between mother's attachment style and child attachment security. Fifty-three mother-child dyads participated in a lab visit when the children were 30 months (T1) and 49 months (T2) of age. The Attachment Style Questionnaire and the Parental Stress Inventory were used to measure mothers' characteristics; the Separation-Reunion procedure and classification at T1 and the Attachment Q-set at T2 were used to measure children's attachment security. The models were analyzed by Analysis of Moment Structure Equation. Results confirmed evidence that no direct pathway exists between maternal attachment style and child attachment security : at T1 child attachment security formation was related to maternal stress, but there was no such relationship at T2.

• Journal of Korean Academy of Nursing
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• v.34 no.8
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• pp.1409-1415
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• 2004

Purpose. To examine the effect of Taegyo-focused prenatal classes on maternal-fetal attachment and self-efficacy related to childbirth. Methods. Over 4 weeks, 49 women, 20 to 36 weeks of gestation participated in a prenatal program led by the nurse who developed it. In addition to Lamaze content it included; understanding ability of fetus to respond, sharing motivation, purpose of pregnancy, and preconceptions of experiencing childbirth, training in maternal-fetal interaction, writing letters and making a declaration of love to unborn baby. Using a pre-experimental design, data were collected by self-report, before and after program, using Cranley's Maternal-Fetal Attachment Scale (1981), and Shin's(1997) Labor Self-Efficacy Measurement. Results and Conclusion. Paired t-test showed significant changes in scores of maternal-fetal attachment (t=6.91. p<.001) and self-efficacy related to childbirth (t=10.19, p<.001). Taegyo opens the possibility of integrating Western ideas with Korean traditional health behavior. Incorporation of Taegyo into existing prenatal classes is recommended.

• Korean Journal of Child Studies
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• v.21 no.4
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• pp.81-103
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• 2000

Two sub-standies were conducted to analyze attachment related variables in infants and characteristics of maternal behavior. The first study investigated the relationships among attachment related variables in infants. The sample consisted of 58 pairs of 11- to 13- months-old infants and their mothers. A significant relationship was found among attachment security, infant temperament and maternal sensitivity. There were differences between security scores of the easy and difficult infants. Securely attached infants were rated as easier temperamentally than insecurely attached infants. The second study analyze maternal behavior characteristics. Subjects were this 30 mothers whose children were between the ages of 2 months and 24 months. The results identified four types of maternal behaviors. This study suggests different method of assessing subjective attributes of individuals by introducing Q-methods to the field of child development.

• Korean Journal of Child Studies
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• v.20 no.3
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• pp.3-17
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• 1999

Maternal sensitivity and infant temperament were studied in relation to infant attachment security. Subjects were 47 one-year-old infants anti their mothers from intact upper-middle class families. Mothers sorted the Attachment Q-set (Waters, 1987, version 3.0) and filled out the Toddlers Temperament Questionnaire(Chu, 1992). Maternal sensitivity was observed in the home for two 3-hour sessions, and observers completed the Maternal Behavior Q-set(Pederson, Moran et al., 1990). Attachment security scores of the infants, using criterion scores developed with Korean infants, were 42, which is comparable to Previous studies. Infants who were securely attached to mothers showed more secure-based behaviors and compliance, enjoyed physical contacts, and showed less fussy/difficult behaviors with mothers. Mothers of girls were observed to be more sensitive to their infants' signals than mothers of boys. Maternal sensitivity scores were not related to infant security scores. However, maternal sensitivity was related to less compliance to mothers for boys.

• Korean Journal of Child Studies
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• v.20 no.1
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• pp.147-164
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• 1999

The purpose of this study was to investigate (1) intergenerational transmission from mother's internal working model of relationships formed in her childhood and infant's attachment patterns and (2) the associations among maternal working models, maternal sensitivity, and infant attachment patterns. The subjects were twenty 12- to 20-month-old infants and their mothers. The Adult Attachment Interview (1996) was used to assess mother's internal work model of relationships. Interviews were audio-recorded and transcribed verbatim. Each dyad was videotaped in the modified Ainsworth Strange Situation(1978) and filmed for 3 minutes in the Questionaire Situation of Smith and Pederson (1988). Mothers were classified as autonomous(F), dismissing(Ds), preoccupied(E), or unresolved/disorganized(Ud). Infants were classified as secure(B), insecure-avoidant(A), or insecure-resistant(C). Exact A/B/C/D and Ds/F/E/Ud agreement was observed in 55% of the dyads. Maternal sensitivity was related to infant attachment patterns but not to maternal working models.

• Child Health Nursing Research
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• v.25 no.1
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• pp.65-73
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• 2019

Purpose: This study aimed to identify factors associated with maternal attachment of breastfeeding mothers, with a focus on the mothers' breastfeeding characteristics. Methods: Data were collected from 217 mothers who breastfed their healthy baby for 1 month after childbirth and had no postpartum complications. The data were analyzed by hierarchical regression analysis. Results: The factors significantly associated with maternal attachment were an emotional exchange with one's baby (${\beta}=.41$, p<.001), breastfeeding confidence (${\beta}=.20$, p=.022), depression ('quite a bit or more', ${\beta}=-.18$, p=.005), and depression ('a little', ${\beta}=-.14$, p=.024). The model explained 38.4% of variance in maternal attachment. Conclusion: In order to improve attachment, nurses should be actively supported in helping mothers in the first month postpartum adapt to breastfeeding. Interventions to prevent postpartum depression should also be conducted.

• Women's Health Nursing
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• v.28 no.4
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• pp.338-347
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• 2022

Purpose: The incidence of high-risk pregnancies is increasing in Korea as the birth age increases due to late marriage. Maternal-fetal attachment is an important factor that affects children even after childbirth, but it is difficult for high-risk pregnant women to form maternal-fetal attachment. The current study aimed to explore whether taegyo practice (i.e., pregnant women's efforts for fetal good growth and development), self-esteem, and social support influenced the degree of maternal-fetal attachment in women with high-risk pregnancies. Methods: The participants included 226 pregnant Korean women at ≥20 gestational weeks, hospitalized with 15 high-risk pregnancy conditions as defined by the Ministry of Health and Welfare. Recruitment via convenience sampling was done at four sites in Busan, Korea. Surveys were distributed and collected from February 1 to 28, 2022. Data analysis was conducted using descriptive statistics, the t-test, one-factor analysis of variance, Pearson correlation coefficients, and hierarchical multiple regression. Results: On average, participants were 33.97±4.23 years of age and at 31.65±6.23 gestational weeks. Preterm labor (35.4%) and gestational diabetes (21.0%) were the most common high-risk conditions. Maternal-fetal attachment was positively correlated with taegyo practice (r=.70, p<.001), self-esteem (r=.53, p<.001), and social support (r=.53, p<.001), all with statistical significance. Taegyo practice (β=.50, p<.001) and social support (β=.17, p=.030) explained 53% of variance in maternal-fetal attachment in women with high-risk pregnancies. Conclusion: Nurses caring for women with high-risk pregnancies during hospitalization can use these findings by promoting taegyo practice and enhancing social support to increase maternal-fetal attachment.

• Women's Health Nursing
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• v.21 no.3
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• pp.232-240
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• 2015

Purpose: The purpose of this descriptive survey study was designed to identify the stress coping types of married immigrant pregnant women and find out the differences in maternal-fetal attachment and maternal identity based on each types. Methods: 151 married immigrant women who visited 3 women's hospitals located in J-do for pre-pregnancy checkup were selected as study objects. Data were analyzed by dsecriptive statistics, cluster analysis, t-test, ANOVA, and $Scheff{\acute{e}}$ multiple comparison test. Results: Cluster analysis revealed 4 distinct stress coping styles; low stress-coping involvement social support-oriented type, high stress-coping involvement hopeful thinking type, low stress-coping involvement type, effective stress coping types. Women frequently using effective stress coping type among the four types reported higher maternal-fetal attachment. The group of active coping styles got significantly higher score on maternal identity. Conclusion: Proper stress coping of married immigrant pregnant women regarding pregnancies proved to result in high levels of maternal-fetal attachment and maternal identity. Studies measuring the stress coping styles that affect pregnancies should be continuously conducted.

• Child Health Nursing Research
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• v.10 no.3
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• pp.340-349
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• 2004

Purpose: The quasi-experimental study was conducted to investigate the effects of the integrated NICU hospitalization education on maternal attachment, maternal self-esteem, and EPDS in the 26 mothers of high-risk infants(HRI). Method: The subjects were divided into the experimental group to received the integrated NICU hospitalization education included the enforced direct education of NICU and HRI to the mothers using a booklet and the provision of the neomaternal exposure as soon as possible after delivery. The control group received the routine education of the NICU hospitalization, mostly including the admission process and the NICU rules delivering to the husband. The research variables were maternal attachment, maternal self-esteem, and EPDS. Result: The results showed the increases in these variables after the integrated education in experimental group compared to the control group. Conclusion: It supports the benefits of the early direct NICU education and the neomaternal exposures on maternal adaptation process in the mothers of HRI.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.3
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• pp.2020-2028
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• 2015

This study was conducted in order to identify factors influencing maternal-fetal attachment among pregnant women, considering the factors presented in Mercer's theory: Becoming a Mother(pregnancy stress, self-esteem, dyadic adjustment, sense of mastery, antepartum stress). The data was collected through structured questionnaires from 140 pregnant women who visited the obstetric clinic and public health centers in a metropolitan area to have prenatal tests from August 23th to November 25th 2014. The data were analyzed by SPSS 20 software using descriptive statistics, the t-test, ANOVA, the Pearson's correlation coefficients and a stepwise multiple regression. The results were as follows: Maternal-fetal attachment in the group of pregnant women under 30 years of age was significantly higher than that in the group of over the age of 31(t=2.79,p=.004). Primiparas had higher maternal-fetal attachment than multiparas(F=3.27, p=.041). There was a negative correlation between pregnancy stress(r=-0.22, p=.009) and maternal-fetal attachment. Self-esteem (r=0.45, p<.001), dyadic adjustment(r=0.42, p<.001), sense of mastery(r=0.24, p=.005) and maternal-fetal attachment were, however, positively correlated. It was found that self-esteem, dyadic adjustment and age were some of the factors influencing maternal-fetal attachment among pregnant women. These variables explained 26.1% of the variance in maternal-fetal attachment. Findings of this study indicate needs for comprehension and assessment of self-esteem and dyadic adjustment in pregnant women through prenatal tests. Also, the intervention programs to improve maternal-fetal attachment among older mothers should be developed and implemented.