• Korean Journal of Childcare and Education
• /
• v.16 no.6
• /
• pp.35-51
• /
• 2020

Objective: The purpose of this study was to examine the effects of young children's emotionality on their smartphone overuse and to verify the mediation effect of mothers' play participation on the relationship between young children's emotionality and their smartphone overuse. Methods: Research participants include 274 mothers and their children aged 2 to 4 years old. The mothers completed questionnaires. Data analysis was performed with Pearson's correlation coefficient and mediation analysis using SPSS 23.0. Results: The results of this study are summarized as follows. First, The young children's emotionality showed a positive association with their smartphone overuse. Second, Their emotionality was negatively associated with their mothers' play participation. Finally, the mothers' play participation was found to partially mediate the relationship between young children's emotionality and smartphone overuse. Conclusion/Implications: The results of this study suggest that it is necessary to provide parent education for supporting mothers' play participation to prevent children from developing smartphone overuse.

• Human Ecology Research
• /
• v.52 no.3
• /
• pp.301-312
• /
• 2014

The purpose of this study was to examine whether a temporal relationship would develop between the overuse/addictive use of mobile phones and depression in adolescents. For this study, we used the 4-year longitudinal data (2004-2007, Study 1, which measured the overuse of mobile phones and depression) and the 2-year longitudinal data (2010-2011, Study 2, which measured the addictive use of mobile phones and depression) of the Korea Youth Panel study. In addition, the study explored gender differences with respect to the above mentioned relationship. Autoregressive cross-lagged modeling was carried out, along with a multiple group analysis across genders. The findings showed that the overuse/addictive use of mobile phones and depression in adolescents had a significant effect on the future selves of these adolescents over time. Moreover, the overuse/addictive use of mobile phones had a significant influence on subsequent depression, rather than vice versa. This means that as the overuse/addictive use of mobile phones by adolescents increases, their depression intensifies later on; however, as depression among adolescents intensifies, the overuse/addictive use of mobile phones by adolescents' does not increase. Further, the study showed there were significant gender differences in the longitudinal relationship between the overuse/addictive use of mobile phones and depression. Study 1 shows that, prior to the release of smartphones, the overuse of mobile phones had a definite effect on the depression of only males. However, Study 2 shows that, after the release of smartphones, the effect of the addictive use of mobile phones on depression in females was greater than that in males.

• The Journal of the Korea Contents Association
• /
• v.12 no.10
• /
• pp.365-375
• /
• 2012

This study aimed to survey the impact of smartphone overuse on upper extremity pain, anxiety, depression, and interpersonal relationships among college students. Subjects completed a structured questionnaire consisting of the Smartphone Addiction Inventory, the Musculoskeletal Symptom Checklist, the State-Trait Anxiety Inventory, the Beck Depression Inventory-II, and the Relationship Change Scale from May to June 2012. We analyzed the survey data from 525 responses, excluding unreturned or incomplete surveys. Data were analyzed using the $x^2$ test and t-test to determine the differences in smartphone overuse and its impact on upper extremity pain, anxiety, depression, and interpersonal relationships between two groups: the overuse and normal use groups. Moreover, Pearson's correlation coefficient was used to examine the correlation between smartphone overuse and upper extremity pain, anxiety, depression, and interpersonal relationships. The results placed 62 people (11.8%) in the smartphone overuse group. The extent of smartphone overuse was more severe among female than male college students, and longer time spent using smartphones per day was directly related to smartphone overuse. The smartphone overuse group evidenced higher shoulder pain than the normal use group did, but no differences were found in other sites of the upper extremities. State anxiety, trait anxiety, and depression were higher in the smartphone overuse group than in the normal use group. Subjects with a higher extent of smartphone overuse experienced increased state-anxiety, trait-anxiety, and depression. Moreover, subjects with higher state-anxiety, trait-anxiety, and depression scores were more likely to have poor interpersonal relationships. Therefore, early screening for smartphone overuse should be evaluated, because it can be useful in developing addiction prevention programs to improve posture, stress coping, positive mental health, and effective interpersonal relationships.

• Journal of Information Technology Services
• /
• v.12 no.4
• /
• pp.307-318
• /
• 2013

This study developed the prevention education program of smartphone overuse for adolescents in middle school and testified its outcome. Finally the 4-session prevention education program for smartphone overuse was developed. 1st session was composed of psychoeducation about smartphone overuse and its side effect by quiz question. 2nd session smartphone addiction and brain change, 3rd session motivational enhancement program for smartphone overuse, 4th session cognitive behavioral program for it. The outcome was testified by internet addiction scale, smartphone addiction scale, and school adaptation scale for 2 classes of middle school students(experimental and control class). 2 Main results were as follows; First, the smartphone addiction total score and cyberworld orientation of the students participating in it were statistically significantly reduced. The difficulty of daily living and abstinence symptom due to smartphone overuse of them tended to reduce. Second, internet addiction total and all subscores of them were not changed. Third, class adaptation of them was statistically significantly increased and school adaptation total score and teacher adaptation of them tended to increase. Its meaning, implication and limitation were discussed.

• Journal of Korean Academy of Nursing
• /
• v.50 no.3
• /
• pp.349-368
• /
• 2020

Purpose: This study aimed to identify parental factors associated with smartphone overuse in preschoolers. Methods: A systematic review was conducted according to PRISMA guidelines. Relevant studies published in peer-reviewed journals from 2009 to June 2019 were identified through systematic search in 10 electronic databases (PubMed, CINAHL, Cochrane Central, EMBASE, Web of Science, NDSL, KISS, KMbase, KoreaMed, and RISS). Standardized effect sizes were calculated to quantify the associations of parental factors with smartphone overuse in preschoolers using meta-analysis. Results: A total of 30 cross-sectional studies involving 7,943 participants met the inclusion criteria. The following were negatively correlated with smartphone overuse in preschoolers: mother's parenting self-efficacy (r=-.35), mother-child attachment (r=-.28), mother's positive parenting behavior (r=-.28), mother's positive parenting attitude (r=-.25), and father's parenting involvement (r=-.15). Further, maternal factors such as smartphone addiction tendency (r=.41), parenting stress (r=.40), negative parenting behavior (r=.35), negative parenting attitude (r=.14), smartphone usage time (r=.26), employment status (r=.18), and age (r=.12) were positively correlated with smartphone overuse in preschoolers. Conclusion: Several parental factors influence smartphone overuse in preschoolers. These findings emphasize the need to assess and enhance the parental factors identified in this study to prevent smartphone overuse in preschoolers. Accordingly, we recommend the development of preventive interventions to strengthen parent-related protective factors and mitigate risk factors.

• The Korean Journal of Pain
• /
• v.35 no.1
• /
• pp.4-13
• /
• 2022

Changes in diagnostic criteria, for example, the various International Classification of Headache Disorders criteria, would lead to changes in the outcomes of epidemiological studies. International Classification of Headache Disorders-1 was based mainly on expert opinion, yet most of the diagnostic criteria were reliable and valid, but it did not include chronic migraine. In its second version, the classification introduced chronic migraine, but this diagnosis resembled more a high-frequency migraine rather than the actual migraine transformation process. It also introduced medication overuse headache, but it necessitated analgesic withdrawal and subsequent headache improvement to be diagnosed as such. Hence patients having medication overuse headache could only be diagnosed in retrospect, which was an awkward situation. Such restrictive criteria for chronic migraine and medication overuse headache omitted a high proportion of patients. International Classification of Headache Disorders-3 allows a diagnosis of medication overuse headache due to combination analgesics if taken for at least 10 days per month for more than three months. Hence the prevalence rate of medication overuse headache and chronic migraine can increase compared to the previous version of the headache classification. Different criteria have been used across studies to identify chronic migraine and medication overuse headache, and therefore the information acquired from previous studies using earlier criteria becomes uncertain. Hence much epidemiological research would need to be interpreted cautiously or repeated with the most updated criteria, since the subjects in studies that apply the latest criteria may be phenotypically different from those in older studies.

• Journal of the Korea Convergence Society
• /
• v.9 no.5
• /
• pp.61-67
• /
• 2018

This study was conducted to ascertain the mediating effects of aggression in high school students' relationship with smartphone overuse and cyberbullying. Data were collected from 328 high school students in K city using self-report questionnaire. The collected data were analyzed using SPSS 22.0 and AMOS 22.0. The results show that cyberbullying has a positive correlation with smatrphone overuse(r=.321, p<.001) and aggression(r=.397, p<.001). Smartphone overuse had a direct effect on aggression(${\beta}=.195$, p=.014) and aggression had a direct effect on cyberbullying(${\beta}=.260$, p=.007). In addition, the mediation effects of aggression on the relationship between smartphone overuse and cyberbullying were confirmed(${\beta}=.051$, p=.007). In order to reduce cyberbullying in high school students, it will be necessary to develop cyber ethical awareness education programs to reduce aggression as well as regulations on excessive use of smartphones.

• Health Policy and Management
• /
• v.30 no.1
• /
• pp.72-81
• /
• 2020

Background: The out-of-pocket maximum is one of the distinctive healthcare systems which sets a ceiling on co-payment in order to reduce the burden of households from the unpredictable medical expenditure. However, this leads to an increase in the demand for healthcare services especially in long-term care hospitals (LTCHs) in Korea. Methods: This study analyzed the influence factor of medical service overuse of 165,592 inpatients in LTCHs which out-of-pocket maximum is applied, by utilizing data from the National Health Insurance Service (2016). Based on Anderson Model, the medical service overuse, as a dependent variable, was defined as long-stay admission more than 180 days at the LTCHs. Independent variable was comprised of predisposing factors (gender, age), enabling factors (income level, types of out-of-pocket maximum) and need factors (illness level, patient use of tertiary hospital). Results: The most powerful factor of medical service overuse in LTCHs was availability of pre-payment for the out-of-maximum (odds ratio [OR], 191.66; p<0.001). This tendency was found in high income level status (p<0.001). Furthermore, mild inpatients (OR, 1.50; p<0.001) which had no experience with the tertiary hospitals (OR, 2.06; p<0.001) were more relevant to the medical service overuse in LTCHs, compared to the severe inpatients. Conclusion: It is suggested that a separate standard of out-of pocket maximum with regards to LTCHs is required to secure the beneficial functions of long-term hospitals and prevent unnecessary financial leakage to achieve sustainable and financially sound National Health Insurance.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.14 no.5
• /
• pp.2281-2292
• /
• 2013

This study was to examine the influential factors of smartphone overuse in health college students. The subjects of this study were randomly selected from the departments of Emergency Medical Technology, Physical Therapy and Health Administration at G College in G metropolitan city and 250 subjects were sampled. After explaining the purposes of the research from Oct. 22 to 25, 2012 and obtaining their consent to take part in the research, structured self-administered questionnaire was given and examined. Final 223 data were collected and used for analysis with SPSS 12.0 for Window. To sum up the results of the research, it was confirmed that the motives of using smartphone were highest in entertainment and leisure on withdrawal of overuse sub-factors, ostentation and trend on tolerance, entertainment and leisure on compulsion and obsession, ostentation and trend on life inconvenience and side-effects, and entertainment and leisure throughout its overuse motives. Therefore, development and application of preventive education programs on overuse smartphone use with health college students are urgently required and practical personal counseling and management for overuse smartphone users should be conducted.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.19 no.2
• /
• pp.210-218
• /
• 2018

This study is a descriptive correlation that attempts to determine the mediating effect of self-efficacy on the relationship between university life stress and smartphone overuse. A total of 201 university students attending universities within Jeonbuk were evaluated using self-reported questionnaires from April 10 to May 10, 2017. The demographic characteristics, university life stress, self-efficacy, and smartphone overuse were analyzed by descriptive statistical analysis. The difference in smartphone overuse by demographic characteristics was analyzed by t-tests and ANOVA with Scheffe's post hoc test, and the correlation between variables was evaluated by Pearson's correlation coefficient. The mediating effect of self-efficacy was the 3-step multiple regression statistics of Baron and Kenny, and the statistical significance of the mediating effect was analyzed by the Sobel test. Self-efficacy had a partial mediating effect in the relationship between university life stress and smartphone overuse. In addition, the risk of smartphone overuse increased among university freshmen, with many using smartphones for more than 4 or 6 hours per day. The result of this study are expected to be useful as basic data for the development of a program to prevent excessive smartphone use by university students.