• Journal of the Korea Convergence Society
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• v.12 no.9
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• pp.323-330
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• 2021

Purpose: This study aimed to identify the maternal functioning and related factors among early postpartum women. Methods: In this cross-sectional study, 243 women recruited from three women's hospitals. Participants completed a structured questionnaire in on-line or off-line between 6 and 12 weeks postpartum. Data were analyzed using descriptive statistics, the t-test, analysis of variance, Pearson correlation coefficients, and stepwise multiple regression with SPSS for Windows ver. 25.0. Results: The mean score for the maternal functioning was 73.28±16.78 out of 120 points. Maternal functioning was associated with postpartum depression (r=-.57 p<.001), and spousal and family support (r=.54, p<.001). According to the stepwise multiple regression, postpartum depression (β=-0.43, p<.001), spouse and family support (β=0.39, p<.001), employment (β=0.12, p=.012) and delivery method (β=-0.10 p=.026) had a significant relationship with the maternal functioning among postpartum women. These variables had an explanatory power of 49.0% for maternal functioning. Conclusion: It is necessary to develop and implement a maternal intervention program focused on alleviating postpartum depression and improving spouse and family support. This study will be the starting point for various studies by identifying the maternal functioning of postpartum women for the first time in Korea.

• Human Ecology Research
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• v.58 no.2
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• pp.131-148
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• 2020

This study examined the dual mediating effects of preschoolers' executive function and counterfactual thinking in the relationship between maternal reflective functioning and preschoolers' higher-order thinking. Participants included 293 preschoolers and their mothers in Daegu city and Gyeongsang province. The mothers completed questionnaires regarding their reflective functioning, preschoolers' executive function, and creative thinking. Teachers completed questionnaires regarding preschoolers' critical thinking and caring thinking. Preschoolers' counterfactual thinking was measured by interviews. Data were analyzed using descriptive statistics and Pearson correlation analysis with SPSS 25.0. Path analysis and bootstrapping were used with AMOS 25.0 program. Also, specific indirect effect were analyzed using AMOS user-defined estimand function. The primary results of this study are as follows. Maternal reflective functioning had an indirect effect on preschoolers' critical thinking and caring thinking through preschoolers' executive function and counterfactual thinking; however, maternal reflective functioning had no indirect effect on preschoolers' creative thinking through preschoolers' executive function and counterfactual thinking. This study revealed that maternal reflective functioning and preschoolers' executive function and counterfactual thinking need to be considered simultaneously to explain the level of preschoolers' higher-order thinking. The results highlight the dual mediating effects of preschoolers' executive function and counterfactual thinking in the relationship between maternal reflective functioning and preschoolers' higher-order thinking.

• Women's Health Nursing
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• v.27 no.3
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• pp.196-208
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• 2021

Purpose: This study aimed to test the efficacy of a nurse-led postpartum self-care (NLPPSC) intervention at reducing postpartum fatigue (PPF) and depressive mood and promoting maternal functioning among first-time mothers in Bangladesh. Methods: A non-synchronized quasi-experimental design was used. First-time mothers were recruited during postpartum and assigned to the experimental or control group (34 each). The experimental group received the NLPPSC in the hospital, a 1-day intervention that focused on increasing self-efficacy. The control group received usual care. Data on PPF, depressive mood, maternal functioning, self-care behaviors, postpartum self-efficacy, and self-care knowledge were collected at postpartum 2 weeks (attrition 23.5%) and 6 weeks (attrition 16.1%). Data were analyzed using descriptive statistics, bivariate statistics, and linear mixed model analysis. Results: One-third (33.3%) of new mothers experienced depressive mood (Edinburgh Postnatal Depression Scale scores of ≥13 points). The NLPPSC intervention was statistically significant in decreasing PPF (β=-6.17, SE=1.81, t=-3.39, p<.01) and increased maternal functioning at postpartum 6 weeks in the experimental group (β=13.72, t=3.73, p<.01) compared to the control. Knowledge was also statistically significant for increased maternal functioning over time (β=.37, SE=.18, t=2.03, p<.05). However, there were no statistically significant differences in depressive mood over time. Conclusion: The NLPPSC intervention was feasible and effective in improving fatigue and maternal functioning in Bangladeshi mothers by postpartum 6 weeks and thus supports implementing the NLPPSC intervention for new mothers after childbirth.

• Korean Parent-Child Health Journal
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• v.11 no.1
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• pp.15-24
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• 2008

Maternal depression is known to have important negative effects on mother, child and mother-child relationship. To review current research evidence of association between maternal depression and their children's health and development, relevant studies were identified using Medline and Kiss(Korean studies Information Service System). The majority of research has reported that children of mother with depression are at risk for impaired physical functioning, growth and developmental delays, and behavioral problems compared to general population. From these studies, it is suggested that these kinds of studies are necessary in this country to examine the relation between maternal depression and children's health and development. Recommendations are included for future research and screening programs for maternal depression.

• Journal of Families and Better Life
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• v.21 no.3
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• pp.29-38
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• 2003

A three-year longitudinal design was employed to ascertain whether different types of behavioral inhibition(i.e. traditional, peer-social) were stable from toddler to preschool age(2-4 year), and whether inhibited temperament and/or parenting style would independently and interactively predict children's subsequent social and behavioral outcomes. At time 1, 113 toddlers (55 males, 58 females) and their mothers were observed in the traditional inhibition paradigm. At time 2, 36 4-year-old children were observed with unfamiliar peers in the nontraditional inhibition paradigm. Maternal ratings of psychological functioning of children and maternal behaviors were also obtained for both time 1 and 2. Results showed that behavioral inhibition was not stable from toddler to preschool age. Maternal authoritative behaviors at age 2 were negatively associated with preschooler's social reticence. Toddler's behavioral inhibition was negatively associated with maternal authoritative behaviors at age 4. In a cross-lag correlation analysis, maternal authoritative behaviors appeared to affect child's behavioral inhibition more strongly than the other way around.

• Child Studies in Asia-Pacific Contexts
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• v.6 no.2
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• pp.47-57
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• 2016

This study investigated whether Korean mothers' emotion socialization beliefs are related to emotional functioning in children differing across gender. We interviewed Korean mothers (N = 100) of first graders (55 boys; 45 girls) about their sensitivity, their reactions to children's distress, and children's emotion regulation. Two components of emotion regulation were distinguished: regulation and negativity. Results revealed that mothers' proactive sensitivity and their supportive reactions were related to their children's regulation, whereas unsupportive reactions were related to children's negativity. Child gender moderated the associations between mothers' socialization beliefs and children's emotion regulation: mothers' proactive sensitivity was more strongly associated with competent regulation in girls than in boys. Mothers' unsupportive reactions were related to increased negativity only in girls. Results are discussed from a cultural perspective, focusing on gender differences in the links between maternal socialization and children's emotional outcomes in Korea.

• Journal of Korean Academy of Nursing
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• v.22 no.4
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• pp.476-490
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• 1992

This study was designed to develop and test a structural model for maternal adaptation and family stress in families with mentally handicapped children. A hypothetical model was constructed on the basis of the family stress theory developed by McCubbin etc. The model included 6 theoretical concepts and 11 paths. For the purpose of the model testing, empirical data were collected from May to August, 1992. The subjects of the study constituted 190 mothers of children in five special schools and one private institute in Seoul and Choong Nam. An SPSS PC＋ and PC－LISREL 7.13 computer programs were used for descriptive and covariance structure analysis. The results of the study were as follows. (1) The hypothetical model showed itself a good fit to the empirical data ［Chi - square＝18.35(df＝7, P＝0.005), Goodness of Fit Index＝0.991, Adjusted Goodness of Fit Index＝0.959, Root Mean Square Residual＝0.042), Non Normed Fit Index＝0.90, Normed Fit Index＝0.96］. (2) The results of Hypothesis testing indicated : 1) Social support(${\gamma}$$_{11}$＝.238, T＝2.352), Family functioning(${\gamma}$$_{12}$＝.729, T＝5.957) and Family life event stress(${\gamma}$$_{13}$＝.125) had direct effects on situational definition. 2) Life event stress(${\gamma}$$_{23}$＝.319, T＝3.872) had direct effects on the effect of the handicapped child on the family. Family functioning(${\gamma}$$_{22}$＝-.245) and situational definition($\beta$$_{21}$＝-.335, T＝3.227) had direct effects on the effect of the handicapped child on the family. 3) Situational definition($\beta$$_{31}$＝-.273, T＝3.493), family life event stress (${\gamma}$$_{33}$＝.124, T＝2.169) and the effect of the handicapped child on the family($\beta$$_{32}$＝.264, T＝-3.227) showed the direct effect on the maternal adaptation. The model was supported by the empirical data. Thus it was suggested that the model could be applied to family nursing care with the families with the mentally handicapped. The construction and testing of the comprehensive model seem to be the first trial in Korea.a.a.a.

• Journal of Korean Academy of Nursing
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• v.41 no.4
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• pp.444-450
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• 2011

Purpose: Mothers' postpartum depression is a worldwide health concern that produces compromising effects on their infants. This study was conducted to compare the infants' temperament and health problems according to the presence of maternal postpartum depression. Methods: Data were collected from May to October in 2009. The sample was 137 mothers at one month postpartum. The Edinburgh Postpartum Depression Scale (EPDS) was used to assess depressive symptoms. Results: At one month postpartum, 22.6% of mothers were classified as having postpartum depression. Infants of depressed mothers were more frequently classified as difficult temperament infants. They showed lower scores on the amenability, rhythmicity and persistency and higher scores on activity in temperament. Also, infants of depressed mothers reported more infant health problems at one months. Maternal depression showed significant negative correlations with family functioning, social support and marital satisfaction. Conclusion: Study findings show that postpartum maternal depression is associated with infants' temperament and health, and thus screening and early interventions for postpartum depression would promote the health of both the mother and infant.

• Journal of Korean Academy of Nursing
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• v.27 no.3
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• pp.588-600
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• 1997

Postpartum depression is one of the most serious problems in maternal health because it affects not only the mother but also her family. Postpartum depression disturbs the maternal-infant interaction and attachment. However, most postpartum depression patients ignore this problem and do not seek treatment. Many clinicians and researchers realiza there is a need to develop a postpartum depression scale. Thus, this study has been designed to development of a postpartum depression scale. Data were collected through a survey over a period of three months. Subjects who participated in the study were 167 Korean mothers in their postpartum period. The author used a convenience sampling method. The analysis of the data was done with SPSS PC/sup ＋/ for descriptive statistics, item analysis and factor analysis. Initially 62 items were generated from the interview data of eight postpartum depression patients and from a literature review. This preliminary scale was analyzed for reliability and validity. The results of this analysis are as follows. 1. Initially 62 items were analyzed through the Index of Content Validity(CVI) and 48 items were selected. 2. Seven factors were extracted through the principal component analysis, and these contributed 61% of the variance in the total score. Finally 46 items in the scale loaded .41∼ .84 on one of seven factors. 3. Each factor was labeled. Factor 1 was labeled 'emotional phenomena-emotional upset' and included 13 items, factor 2 was labeled' cognitive phenomena-self concept disturbance' and included seven items, factor 3 was labeled 'relationship to baby-negative feeling' and included six items, factor 4 was labeled 'relationship to baby- overload' and included eight items, factor 5 was labeled 'negative maternal identity' and included five items, factor 6 was labeled 'biophysiological phenomena-disturbance of physical functioning' and included four items, and factor 7 was labeled' interpersonal relationship phenomena-blamed others' and included three items. 4. Cronbach Coefficient Alpha for internal consistency was .95 for the total 46 items. Finally, the author suggests that this scale could be adequately applied in assessing the postpartum depression of mothers during the postpartum period. The results of this study can contribute to designing an appropriate postpartum depression prevention strategy.

• Journal of Families and Better Life
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• v.32 no.5
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• pp.41-61
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• 2014

The purpose of this study was to investigate whether differentiation of self mediates the relationship between parenting styles (i.e., care and overprotection) and the level of career decision-making among young adults. We separately measured the mother's and the father's parenting styles and five dimensions of differentiation of self that S. Je (1989) suggested. The data came from 387 young adults who were juniors and seniors at universities in Seoul and its surrounding cities. Using Baron and Kenny's (1986) steps based on regression, we found that the relationships between both caring and overprotective parenting styles and young adults' level of career decision-making were mediated by four dimensions of differentiation of self (i.e., intellectual functioning vs. emotional functioning, family projection process, emotional cutoff, and family regression) except for integration of self. The results were consistent for both the mother and the father. Bootstrapping tests showed that all of the mediation effects were statistically significant. This study contributes to the literature by showing that young adults' level of career decision-making is not simply determined by inputs such as parenting styles but is also mediated by differentiation of self. The results of this study are meaningful in that both the mother's and the father's parenting styles could make a difference in young adults' level of career decision-making through differentiation of self.