• Research in Community and Public Health Nursing
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• v.24 no.4
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• pp.407-418
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• 2013

Purpose: The purpose of this study is to clarify mediating effects of self-concept on mental health of children and adolescents who fell victim to violence. Methods: A survey was conducted on 4th, 5th, and 6th graders from 2 elementary schools and 1st, 2nd, and 3rd year students from 3 middle schools (n=2,391). Data were analyzed using descriptive statistics and AMOS. Results: The mean scores of mental health and self-concept in the subjects were 4.5 and 184.9 respectively. The rate of poor mental health in students who had fallen victim to violence was more than twice as high as that in students who had never experienced it. The self-concept of students who experienced violence had a tendency to decline. Violence experience and self-concept accounted for 47.7%(43.0% for boys and 53.4% for girls) of the changes in mental health. The indirect mediating effects of self-concept were significant. Conclusion: Based on the findings, the following is suggested. Schools should offer a self-concept improvement program for students with a distorted self-concept caused by falling victim to violence. It could help such adolescents have a positive self image and improve their mental health.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.20 no.2
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• pp.76-81
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• 2009

Ovjectives: As the attention devoted to children's mental health increases, medical costs and burdens mount as well. In the present study, we evaluated the association between socioeconomic status(SES) and major child psychiatric symptoms. Methods: The subjects of this study were children of recruited from a mental health screening program in the Seoul Sungbuk mental health center over the course of 3 months. To establish the SES of each child, we collected data about each child's medical insurance, years of parental education, household income, family structure and housing. 149 children & parents completed questionnaires including the Childhood Depression Inventory(CDI) and the Korean Attention Deficit Hyperactivity Disorder Rating Scale(K-ARS). Results: The mean K-ARS-P score was $12.1{\pm}11.1$ and the suspected prevalence of ADHD was 20.8%(n=31). The mean cm score was $12.9{\pm}7.9$, and the prevalence of suspected depression was 16.8%(25). Depressive symptoms and ADHD symptoms were both more severe than those observed in a previous epidemiologic study in Korea. Depressive symptoms were more closely associated with family SES status. Conclusion: SES status is one of the most important risk factors in the development of major child psychiatric symptoms. In our study we found that depressive symptoms in particular were most tightly associated with psychosocial factors. Evaluation of the risk factors, early screening and intervention for low SES children would be valuable mental health management tactics to implement in a community mental health system.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.21 no.3
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• pp.161-167
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• 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.

• Journal of the Korean Society of School Health
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• v.30 no.3
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• pp.266-273
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• 2017

Purpose: This study was performed to compare the mental health of school age children residing in urban and rural areas and to analyze the correlations between the subjective mental health indicators such as depression and attention deficit-hyperactivity behavior and heart rate variability (HRV) indicators. Methods: For this study, a convenience sample of one hundred and three children was recruited. Depression and attention deficit-hyperactivity behavior were measured using self-reported questionnaires and HRV indicators were measured using an electronic instrument. Results: Among the HRV parameters of the rural children, their normalized LF and the LF / HF were significantly lower than those of the urban children. The RMSSD and the normalized HF were statistically significantly higher. The level of depression showed a significant positive correlation with the normalized LF and LF/HF, but showed a negative correlation with the normalized HF. Also, the level of attention deficit-hyperactivity behavior was significantly correlated with the normalized LF, LF/HF, and the normalized HF. Conclusion: Based on the findings, we expect that HRV indicators can be applied to predict the level of depression and attention deficit-hyperactivity behavior in elementary school children.

• Journal of Korean Academy of Nursing
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• v.37 no.1
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• pp.91-104
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• 2007

Purpose: The purpose of this study was to explore the experiences of parenting from the parents of children with ADHD and to develop a grounded theory about their experiences. Method: This study was a qualitative research study that used a grounded theory to understand and discuss the parenting experiences of parents of children with ADHD in a greater depth. Grounded data was collected through an in-depth interview from twelve participants with ADHD children. The data was analyzed using the grounded theory method. Results: 'Approaching the normal' emerged as the core phenomenone. Parenting experiences for parents of children with ADHD referred to a process of bringing the children, back on track of normal growth development, and their functioning in the family at a normal level and establishing a new normalcy. The process of approaching the normal involved a basic social-psychological process, such as 'living a day in hell', 'accepting', 'confronting the conflicts', 'lowering expectations', and 'making a new normalcy'. Conclusion: The outcomes of this study, which observed the parenting process of parents of children with ADHD, could enhance nurses' understanding of ADHD and help nurses become major mental health service providers for the mental health of children with ADHD and their families.

• The Korean Journal of Health Service Management
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• v.6 no.3
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• pp.171-182
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• 2012

We tried to look for parenting stress and social support of parents who look after children with mental retardation, intellectual disability, physical disability, and deafness. We also tried to know type and severity of parenting stress and inform a necessity of a resource and social support through the study. We subjected parents who have children with disability and visit 7 medical centers to treat in the 4 cities. The parents filled out the questionnaire. We analysed the scale of parenting stress and social support using Likert 5 point scale. As a result of parenting stress and social support according to general characteristics by type of disability, parenting stress was very high regardless of type of disability. However, the parents who have children with disability had lower social support. In detail, the parents who have children with mental retardation had the highest parenting stress, and the parents who have children with deafness had the lowest parenting stress. In the social support, the parents who have children with mental retardation received high social support, and the parents who have children with intellectual disability received low social support.

• Korean Journal of Social Welfare Studies
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• v.42 no.4
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• pp.165-186
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• 2011

Relative effects of single-parent family(single-mother vs. single-father) and interparental conflict(high vs. low) on children's mental health(depression, anxiety, emotional regulation, self-seteem, level of distress and satisfaction with life) was examined for the sample of elementary school students of the Korea Youth Panel Survey. The major findings of the study were as follows; (1) parental conflict has had more damaging effects on children's mental health than those of single-parent families. (2) Parents in high conflict families had most negative parenting behaviors. (3) Controlled for other variables including parenting behaviors, parental conflict had no longer negative effects on children's mental health Implications of results for theory, research, and policy are discussed.

• Journal of Pharmacopuncture
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• v.26 no.1
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• pp.77-85
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• 2023

Objectives: The coronavirus disease 2019 has deteriorated mental health, particularly in mothers with elementary school children. Although the country has developed several health promotion programs to preserve mental health, no program has incorporated Korean medicine. Thus, this study focuses on developing vital Korean medicine mental health care programs. Methods: The program follows the Korean medicine health promotion program principles. Guidelines, reports, research, and previous programs were analyzed to form interventions and lecture content. Results: Pellets, hot packs, meditation, lavender oil, and green tea were selected as final intervention strategies. Mental health-related guidelines were analyzed to produce stress management lecture materials. In addition, an operational methods and evaluation tool manual was created. Conclusion: We designed a health promotion program capitalizing on Korean medicine to improve mental health. This program will be assessed and accordingly improved through practical applications.

• Clinical and Experimental Pediatrics
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• v.65 no.2
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• pp.65-72
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• 2022

Cholesterol, the main structural molecule of cell membranes, is involved in essential functions of the human body. Dyslipidemia is an established risk factor for cardiovascular diseases (CVDs) that is observed even in childhood. To reduce the risk of CVDs in children, several clinical guidelines have been published for the management of pediatric dyslipidemia. However, pediatric dyslipidemia is also associated with several health problems other than CVDs. This article reviews the current data on dyslipidemia-related pediatric health issues. There is strong evidence that low serum vitamin D levels, asthma, and mental health problems may be associated with dyslipidemia in the pediatric population regardless of body mass index. This review also highlights the need for further large-scale population-based studies in the Korean pediatric population to establish effective strategies for promoting children's health.

• The Journal of Korean Physical Therapy
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• v.14 no.2
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• pp.199-218
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• 2002

This study was conducted to examine obese children's self-efficiency feeling and health promotion behavior in order to provide basic information on prevention of children obesity. Data were collected in June, 2001 from 349 normal weight children and 351 obese children, who were fifth or sixth graders at 14 primary schools located in Seoul, Busan, Daegu, Gwangju, Ansan, chungju, and Gumi. The data were analyzed through using Chronbach's $\alpha$, frequency analysis, $X^2-test$, ANOVA, and Pearson correlation. The results of this study can be summarized as follow. 1. The factor of children obesity was significantly different in the variables of sex, parents obesity, brother or sister obesity, father's occupation, level of living, health condition, and satisfaction level with their bodies. On the other hand, it was not significantly different in the variables of father's education level, mother's education level, mother's occupation, level of father's concern about health, and level of the children's concern about health. 2. In the case of normal weight children, dietary efficiency feeling was significantly different in the variables of level of father's concern about health and level of children's concern about health. In th case of obese children, the dietary efficiency feeling was significantly different in the variables of mother obesity, parents' education level, father's occupation, and the children's satisfaction level with their bodies. In the case of normal weight children, exercise efficiency feeling was significantly different in the variables of sex, level of parents's concern about health, and level of the children's concern about health. In the case of obese children, the exercise efficiency feeling was significantly different in the variables of grade, brother and sister obesity, parents' education level, father's occupation, and the children's satisfaction level with their bodies. In the case of normal weight children, social efficiency feeling was significantly different in the variables of brother and sister obesity, parents' education level, level of parents' concern about health, and level of the children's concern about health. In the case of obese children, the social efficiency feeling was significantly different in the variables of parents' education level, father's occupation, level of living, the children's health condition, and the children's satisfaction level with their bodies. 3. In the case of normal weight children, personal hygiene was significantly different in the variables of sex, level of parents's concern about health, and level of the children's concern about health. In the case of obese children, the personal hygiene was significantly different in the variables of parents' education level, father's occupation, mother's occupation, level of living, and level of parents' concern about health. In the case of normal weight children, dietary habit was significantly different in the variables of sex, level of parents's concern about health, and level of the children's concern about health. In the case of obese children, the dietary habit was significantly different in the variables of father's education level, mother's education level, level of living, and the children's satisfaction level with their bodies. In the case of normal weight children, exercise habit was significantly different in the variables of grade, sex, father's education level, mother's education level, and level of children's concern about health. In the case of obese children, the exercise habit was significantly different in the variables of grade, mother obesity, parents' education level, father's occupation, level of parent' concern about health, the children's health condition, and the children's satisfaction level with their bodies. In the case of normal weight children, prevention of infectious diseases was significantly different in the variables of sex, father's occupation, level of parents' concern about health, and level of the children's concern about health. In the case of obese children, the prevention of infectious diseases was significantly different in the variables of mother's education level and father's occupation. In the case of normal weight children, prevention of accident was significantly different in the variables of mother's education level, level of parents' concern about health, and level of the children's concern about health. In the case of obese children, the prevention of accident was significantly different in the variables of brother and sister obesity and mother's occupation. In the case of normal weight children, mental health was significantly different in the variables of father obesity, brother and sister obesity, parents' education level, and level of the children's concern about health. In the case of obese children, the mental health was significantly different in the variables of parents' educational level, father's occupation, mother's occupation, level of living, and the children's health condition. 4. According to the correlation between self-efficiency feeling and health promotion behavior, the higher the self-efficiency feeling was, the higher the level of health promotion behavior was. 5. The children obesity was influenced by the factors of level of living, level of parents' concern about health, the children's health condition, level of the children's concern about health, the children's satisfaction level with their bodies, dietary efficiency feeling, exercise efficiency feeling, social efficiency feeling, personal hygiene, dietary habit, exercise habit, prevention of infectious diseases, prevention of accident, and mental health. From the results of this study, it is clear that obese children's self-efficiency feeling is closely related with health promotion behavior. Therefore, it is necessary to strengthen children's self-efficiency feeling in order to make children control efficiently obesity for themselves.