• Child Health Nursing Research
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• 제22권1호
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• pp.45-53
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• 2016

Purpose: The study was done to investigate behavioral problems in toddlers who were born prematurely and to analyze related factors. Methods: A cross-sectional explorative study was conducted with 72 preterm birth (PTB) children at 24 to 41 months of corrected age who were born at 28 to 37 weeks' gestation. During home visits, behavior problems were assessed using the Behavior Rating Index for Children (BRIC). Using a BRIC score of ${\geq}30$, children with suspected behavior problems were grouped in the non-regular behavior group. Results: Of the children, 38.9% belong to the non-regular behavior group. The mental development index score for the Korean-Bayley Scale of Infant Development- II was higher for the non-regular behavior group compared to the regular behavior group (t=2.26, p=.027). Logistic regression analysis showed that lower maternal attachment (<96, OR=3.4, 95% CI[1.1, 10.4]) and higher parenting stress (${\geq}97$, OR=4.8, 95% CI[1.3, 17.3]) were independently related to non-regular behavior. Conclusion: PTB Toddlers are at risk for behavior problems which are associated with low cognitive performance. Maternal-child attachment and maternal parenting stress were strongly related to behavior problems in these children. More attention is needed to understand possible behavior problems in young children with PTB, particularly focusing on maternal-child interaction and maternal mental well-being.

• 보건교육건강증진학회지
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• 제24권4호
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• pp.161-179
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• 2007

To commonly apply the ${\ulcorner}$Measurement parameter for housewives for rearing-related supports of a husband${\lrcorner}$ in Korea and Japan, the current study conducted to confirm the relationship between recognition of a housewife for rearing-related supports of a husband and mental health after reviewing the appropriateness of the parameter. For the statistical analysis, 829 married Korean women in D city and 1,302 Japanese women in S city having children before entering a school were subjected for the study. For reviewing the appropriateness of the parameter, the simultaneous factor analysis that adopted the structural equation modeling was used. As the result of the analysis, 10 categories of factor structural model comprising the ${\ulcorner}$Recognition of a housewife for rearing-related supports of a husband${\lrcorner}$ resulted with the secondary model which sets of ${\ulcorner}$Recognition for emotional support${\lrcorner}$, ${\ulcorner}$Recognition for instrumental support${\lrcorner}$ and ${\ulcorner}$Recognition for information support${\lrcorner}$ as the primary factor and ${\ulcorner}$Recognition of a housewife for rearing-related supports of a husband${\lrcorner}$ as the secondary factor, and the model was found to be appropriate for the data in Korea and Japan. The result is considered to prove the constructs validity of ${\ulcorner}$Recognition of a housewife for rearing-related supports of a husband${\lrcorner}$ parameter. In addition, the relationship between ${\ulcorner}$Recognition of a housewife for rearing-related supports of a husband${\lrcorner}$ and mental health(GHQ) was reviewed by using multiple indicator model, and found the similarity of Korean and Japanese data. The scores measured by using the above parameter resulted to show high relationship with educational level of housewife, family configuration, and number of children.

• Journal of Preventive Medicine and Public Health
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• 제22권2호
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• pp.215-222
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• 1989

정신지체와 인체내 카드뮴 함량과의 관련성을 보기 위해 정신지체아 297명(가정이 있는 아동이 다니는 특수학교 1개교의 132명과 고아로 구성된 특수학교 1개교의 165명)을 대상으로 두발중 카드뮴 및 아연함량을 측정하였으며 학업성적이 중위권 이상인 일반 국민학교 학생 117명을 대조군으로 하여 비교해 보았다. 시료의 분석은 원자흡광광도계를 이용하였다. 두발 중 카드뮴 함량의 연령에 따른 차이는 없었으며 아연은 대조군 남자의 경우 연령 증가에 비례하였다. 가정이 있는 정신지체아의 경우 카드뮴 함량이 남녀 각각 $0.64{\pm}0.24ppm,\;0.66{\pm}0.18ppm$, 가정이 없는 정신지체아(고아군)의 경우 남녀 각각 $0.71{\pm}0.19ppm,\;0.65{\pm}0.15ppm$ 으로써 대조군 (남;$0.45{\pm}0.15ppm$, 여:$0.49{\pm}0.16ppm$)에 비해 유의한 차이가 있었다. 그러나 아연의 경우 유의한 차이는 없었다. 정신지체의 정도별로 보았을때 고아인 경우 남녀 모두 카드뮴 함량이 지체정도가 심할수록 높았으나 가정이 있는 지체아의 경우는 그러한 차이가 없었다. 다만 선천성 질환인 Down증후군은 남녀 모두 대조군과 카드뮴함량의 차이가 없었다. 자폐증이 있는 경우 아연의 함량이 특이적으로 낮았다. 본 연구의 결과에서 카드뮴이 정신지체에 어느 정도의 영향을 끼칠 것으로 추측되나 더욱 연구를 계속해 보아야 하겠다.

• 대한가정학회지
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• 제4권1호
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• pp.646-649
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• 1963

• 정신간호학회지
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• 제28권1호
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• pp.50-63
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• 2019

Purpose: The objective of this study was to explore operational definitions and moderators of the resilience of adult children of alcoholics (ACOA) and its associated variables. Methods: This integrative review was conducted based on a literature review method suggested by Whittemore and Knafl. Databases including PubMed, CINAHL, PsycINFO, and RISS were searched using the combinations of search terms such as; 'adult children of alcoholics,' 'parental alcoholism,' 'resilience,' and 'children of alcoholics.' Results: Seventeen studies were selected for this review. Findings of integrative reviews reported operational definitions for the resilience of ACOA and moderators. The operational definition of ACOA's resilience is: (1) having no behavioral and emotional problem, (2) meeting social and developmental expectancies, (3) having the ability to cope with adversity, (4) having high self-concept, and (5) having a meaningful relationship. In addition, the varying environmental moderators include family communication, qualities of caring environment, parental communication, parentification, and social support. Several moderators were identified as positive effect, self-esteem, alcohol-specific coping style, locus of control, spirituality, the image of God, and dyadic cohesion in marital communication. Conclusion: Our study findings emphasize comprehensive understanding of diverse definition of resilience and moderators in developing nursing interventions to promote resilience in ACOA.

• 정신신체의학
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• 제25권2호
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• pp.95-100
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• 2017

연구목적 탈북 청소년의 정신병리와 자살 관련 특성과의 관계를 알아보고자 이 연구를 수행하였다. 방 법 국내에 입국 후 대안학교에 재학중인 탈북 청소년 104명을 대상으로 연구를 수행하였다. 한글판 역한연구센터 우울척도, 한글판 Revised Children's Manifest Anxiety Scale, 한글판 Rosenberg Self-Esteem Scale와 함께 자살 사고, 자살 계획, 자살 시도에 대한 유무룰 조사하였다. 결 과 자살 사고를 경험한 탈북청소년은 21명으로 전체의 20.19% 이었으며, 우울 증상(Z=-4.050, p<0.001), 불안 증상(Z=-2.076, p<0.05), 자존감(Z=-2.328, p<0.05)은 자살 사고의 유무에 따라 통계학적으로 유의한 차이가 관찰되었다. 로지스틱 회귀분석 결과 우울 증상(p<0.05)이 통계학적으로 유의하게 자살 사고를 예측하였다. 결 론 탈북 청소년의 우울과 불안에 대한 관심이 탈북 청소년의 자살에 대한 도움을 주는데 기여할 수 있을 것이다.

• 지역사회간호학회지
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• 제31권3호
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• pp.234-243
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• 2020

Purpose: This study is aimed to identify the health-related quality of life for children with a mentally ill parent. Methods: The 13 participants were school-aged children whose parents were registered at the D Regional Mental Health Welfare Center. Data were collected using one-on-one interview with illustration cards and analyzed by content analysis. Results: The participants were living a difficult life in anxiety amid a reversal of parent-child role, such as doing housework and taking care of their parents. The study revealed a love-hate family relationship that the participants wanted parental recognition and attention but they were frustrated by insufficient parental care and sibling conflict. Nevertheless, they only had each other themselves to trust and rely on. Their mixed health awareness and negative emotions were influenced by parents. Some of participants were exposed to dangerous environment such as domestic violence, and they need support system for help in difficult situations. Sometimes they felt happy by satisfying physiological, social, and self-esteem needs. They also showed a positive potential that they were matured more than peers through the experience of overcoming difficulties. Conclusion: Not only were there not enough attention and support for the children with mentally ill people, but they were also exposed to an environment that threatens their physical or mental health. Therefore, to improve their health-related quality of life, there should be some integrated support of the community health system to cope with the challenges they face.

• Human Ecology Research
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• 제55권1호
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• pp.13-26
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• 2017

This study investigated the latent groups depending on married working women's work-family spillover. The effects of factors that determine mental health subgroups and differences were also analyzed. Mixture modeling was applied to the Korean Longitudinal Survey of Women & Families to achieve the research objectives. The major findings of this study were as follows. First, there were four subgroups that could be defined according to the work-family spillover: mid-level spillover group (mid-positive and mid-negative spillover group), high-level spillover group (high-positive and high-negative spillover group), low-level spillover group (low-positive and low-negative spillover group), and high-negative and low-positive spillover group. Second, the results of mixture regression analysis to test the effect of eco-system variables showed that age, academic background, non-traditional family value, number of children, work hours, wage income, and availability of the maternity leave were significant determinants of the latent groups. The probability of classifying in the high-negative and low-positive spillover group increased when women showed a lower academic background and wage income, higher number of children and older age, and longer work hours than others. Third, the high-level spillover group, and the high-level spillover group showed the lowest stress and the lowest depression; however, the low-level spillover group reported the highest stress and the highest depression. Implications, limitations, and future directions were discussed based on the results.

• 대한간호학회지
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• 제42권1호
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• pp.56-65
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• 2012

Purpose: This study was done to evaluate the effects of cognitive behavioral therapy in a victimized community district and to determine if the program is an effective nursing intervention to reduce posttraumatic stress disorder symptom, depression and state anxiety. Methods: A nonequivalent control group design was used for the study. The participants, 32 elementary school students, were selected from grades 4, 5, 6 and each student was assigned to either the experimental (16) or control (16) group. Cognitive behavioral therapy was used as the experimental treatment from April 9 to May 28, 2009. The experimental group received cognitive behavior therapy intervention 8 times. Data analysis was done using ANCOVA with SPSS 17.0. Results: After the intervention, the experimental group showed significantly lower levels of posttraumatic stress disorder symptoms than the control group. Conclusion: The findings from this study suggest that cognitive behavioral therapy is an effective nursing intervention to decrease the level of mental health problems of children in victimized district. Further research is required in order to identify the continuous effects of cognitive behavioral therapy.

• 한국학교보건학회지
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• 제14권2호
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• pp.187-206
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• 2001

The study was carried out to estimate the prevalence and possible causes of refractive errors in primary school children. At one primary school in urban Daegu, one in the medium-sized city of Yongcheon and 2 in rural areas, children wearing glasses and children with visual acuity of less than 0.7 were given our questions. 354 out of 378 children responded to our questions. The research was done from March 2000 to February 2001. The data were analyzed by percentage, x2 test, t-test, ANOVA and Scheff method. Children with eyesight problems were more prevalent in urban areas than rural areas. The lack of luminosity during reading (p=0.015), length of reading time (p=0.08) and posture which watching TV (p=0.023) appeared leading causes of progressing myopias. The visual impairment caused by refractive errors may affect the mental and physical activity of primary school children and lead to social isolation, loneliness and depression. However, little attention may be paid by professionals engaged in providing health care to the children. Once we have recognized the impact of visual impairment, we may be in a better position to prevent progressing refractive errors.