• 생물정신의학
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• 제26권2호
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• pp.79-87
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• 2019

Objectives The aim of this study was to investigate the impact of clinical and psychological factors on the quality of life of children and adolescents with epilepsy and their families. Methods Children and adolescents with epilepsy and their families (n = 63, age range = 6-17 years) completed questionnaires on epilepsy-related variables, quality of life, children's depressive symptoms, children's anxiety, children's behavioral problems, children's attention problems, parental stress, and parental anxiety. Stepwise regression analysis was performed to determine the significant predictive variables that affect quality of life. Results In the correlational analysis, children's attention problems (r = 0.363, p = 0.004), parental anxiety (r = 0.377, p = 0.003), parental stress (r = 0.564, p < 0.001), and children's behavioral problems (r = 0.503, p < 0.001) showed a significant correlation with quality of life. Parental stress (β = 0.415, p = 0.001, adjusted R² = 0.345) and children's behavioral problems (β = 0.285, p = 0.02, adjusted R² = 0.345) were significantly related to the quality of life. Conclusions Clinicians should pay attention to parental stress and children's behavioral problems, which affect quality of life in families with pediatric epilepsy.

• 대한간호학회지
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• 제42권3호
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• pp.333-341
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• 2012

Purpose: The purpose of this study was to test whether pre-operative visual information and parental presence had positive effects on anxiety, delirium, and pain in pediatric patients who awoke from general anesthesia in a post-surgical stage. Methods: This study used a non equivalent control-group post test design (n=76). Independent variables were provision of pre-operative visual information and parental presence for post-surgical pediatric patients in PACU (post anesthesia care unit). Dependent variables were anxiety, delirium, and pain in the pediatric patients measured three times at 10 minute intervals after extubation in the PACU. Measurements included Numerical Rating Scale for assessing state anxiety, Pediatric Anesthesia Emergence Delirium Scale by Sikich & Lerman (2004) for delirium, and Objective Pain Scale by Broadman, Rice & Hannallah (1988) for pain. Results: Experimental group showed significantly decreased state anxiety at time points-10, 20, and 30 minutes after extubation. Delirium was significantly lower at 10 minutes and 30 minutes after extubation in the experimental group. Pain was significantly lower at 10 minutes after extubation in the experimental group. Conclusion: The results of this study suggest that this intervention can be a safe pre-operative nursing intervention for post-surgical pediatric patients at PACU.

• 한국심리학회지 : 문화 및 사회문제
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• 제16권1호
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• pp.81-101
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• 2010

본 연구의 목적은 (1) 자녀의 독립과 은퇴에 직면하는 중·노년기에 부모 및 직업역할의 비중축소를 통한 역할 재구조화와 심리적 안녕감 간의 관계를 알아보고, (2) 부모 및 직업역할 재구조화에 영향을 미치는 심리사회적 요인을 살펴보는 것이다. 역할 재구조화는 부모 및 직업역할에 대한 집착 정도로 측정하였으며, 일본의 기혼남녀 378명을 대상으로 우편조사를 실시하였다(회수율 48.3%). 그 결과, 부모 및 직업역할에 집착할수록 그 역할에 대한 상실불안감이 증대되어 심리적 안녕감이 저하되는 경로가 여성에게서 확인되었다. 역할집착의 개인차 요인에 대한 분석 결과, 남성의 경우 자율성이 높고 성역할태도가 전통적이며 사회적 지지망이 협소할수록 직업역할에 집착하였다. 여성의 경우 성역할태도가 전통적이고 사회적 지지망이 좁을수록 부모역할에 집착하였으며, 성역할태도가 비전통적일수록 직업역할에 집착하였다. 본 연구의 결과는 중·노년기의 역할 재구조화의 중요성 및 성별 사회화 과정에 따른 역할 재구조화의 성차와 관련지어 논의되었다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제5권1호
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• pp.172-183
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• 1994

본 연구는 문제성 음주자의 청소년 자녀들에게 나타나는 부적응 특성들을 알아보기 위하여 일반고등학교에 재학 중인 남녀 학생들로 하여금 부모의 음주문제를 보고하도록 한 후 이를 근거로 문제성 음주자의 청소년 자녀 집단(남 126명, 여 210)과 부모가 음주 문제가 없는 비교집단(남 190, 여 222)을 구성하여 두 집단의 가족 환경 및 부모-자녀 관계, 우울, 음주 기대, 음주 개입 및 비행을 비교하였다. 그 결과 문제성 음주자 자녀 집단은 비교 집단에 비해 부모로부터 보살핌을 덜 받았다고 느꼈으나, 부모의 과보호는 더 받았다고 보고하였다. 또한 문제성 음주자 자녀 집단은 비교 집단에 비하여 우울과 불안 수준이 높았으며 음주 기대가 높고 음주와 비행에 더 많이 개입되어 있었다. 위의 여러 변인에서 성별에 따른 차이가 나타났지만 성별과 부모의 문제성 음주와의 상호작용은 보이지 않았으며, 이는 부모의 문제성 음주가 남녀 청소년 모두에게 비슷한 영향을 미침을 시사한다. 청소년들의 우울, 불안, 음주 기대, 음주 개입 그리고 비행에 영향을 미치는 위험 요인을 알아보기 위해 남녀 집단의 자료에 각각 중다 회귀 분석을 실시한 결과, 우울 및 불안 등 청소년의 정서문제는 부모의 음주보다는 부모와의 관계를 어떻게 지각하고 있는가에 의해 더 많은 영향을 받는 반면, 음주 문제와 비행은 부모와의 관계보다는 부모의 음주 문제 정도 및 이들 불안 ${\cdot}$ 우울 등의 정서상태와 더 밀접하게 관련되어 있었다.

• 한국생활과학회지
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• 제17권2호
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• pp.207-221
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• 2008

This study examined different individual, family factors and classroom environment that affect children's perceived competency. For an analysis, achievement motivation, intrinsic locus of control and anxiety were included in individual variables. For family factors, parental support and marital conflict were examined. For classroom psycho-social environment, teacher support, peer relations, classroom involvement and teacher control were used. The sample consisted of 565 fifth and sixth grade children. Statistics and methods used for the data analysis were Cronbach's alpha, Factor analysis, frequency, percentage, t-test, Pearson's correlation, and Hierarchical Regression. Several major results were found from the analysis. First, boy's perceived academic competency was higher than girl's. And no sex difference was in children's social and athletic competency. Second, boy's and girl's perceived academic and social competency and boy's perceived athletic competency had a positive correlation with achievement motivation, intrinsic locus of control, parental support, teacher support, peer relations and classroom involvement. And girl's perceived athletic competency had a positive correlation with achievement motivation, intrinsic locus of control, parental support and peer relations. But boy's and girl's perceived academic and social competency and boy's perceived athletic competency had a negative correlation with anxiety and parental marital conflict. Third, the most important variable predicting boy's and girl's perceived academic competency was achievement motivation. The most important variable predicting boy's and girl's perceived social competency was peer relations. And the most important variable predicting boy's perceived athletic competency was peer relations. On the other hand, the most important variable predicting girl's perceived athletic competency was father's support.

• Human Ecology Research
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• 제54권4호
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• pp.441-450
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• 2016

This study examined how parental role stress, family cohesion, and family adaptation of mothers who have adolescent children influenced parental efficacy. The subjects were 739 mothers of 370 junior high school and 369 senior high school children. Collected data were analyzed using t-test, correlation analysis, and hierarchical regression analysis after analyzing the data. The results of the study were as follows. First, mothers with high incomes, high educational level, and children with high school grades saw an increase in parental efficacy. Second, there were significant positive correlations in parental role stress, family cohesion, family adaptation and the parental efficacy of mothers. Third, the results of this study showed that parental role stress, family cohesion, and family adaptation were factors to understand the parental efficacy of mothers. Family cohesion was also an important factor to understand the parental efficacy of mothers. The findings confirm that the anxiety of parental role stress for mothers who have adolescent children is not a negative factor in regards to lower parental efficacy. The findings suggest that parental education programs for mothers of adolescent children and a required social welfare system for parental roles was not recognized as a stress factor.

• 지역사회간호학회지
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• 제28권3호
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• pp.271-279
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• 2017

Purpose: Non-Suicidal Self-Injury (NSSI), a highly prevalent behavior in adolescents, refers to the direct destruction of one's body tissue without suicidal intent. To date, the prevalence of adolescent self-injury in South Korea and its associated factors remain unknown. This study aims to determine the prevalence of self-injury in Korean adolescents as well as its associated factors. Methods: We assessed 717 middle school students by means of an anonymous self-report survey. Information about demographic characteristics, lifestyle, anxiety and depression, self-esteem, and parenting behavior was obtained. Data were analyzed using $x^2$ test, t-test and multiple logistic regression. Results: NSSI was reported by 8.8% of respondents. Univariate analyses showed associations of exposure to alcohol use, anxiety, depression, self-esteem, and parenting methods with self-injury. In multiple analyses, alcohol use, anxiety, and parental abuse were associated with lifetime self-injury. Conclusion: The rate of NSSI in the South Korea was found to be lower than those of other countries. As our study suggests that alcohol use, anxiety, and parental abuse are associated with lifetime self-injury, health care providers at school should take these factors into account when developing prevention and intervention programs for adolescents.

• 가정과삶의질연구
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• 제28권4호
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• pp.67-76
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• 2010

This study investigates working parent stress. This study surveyed 240 working mothers who are raising toddlers and 106 teachers in Seoul, Cyeong-gi, and Incheon. For this study, the Parenting Stress scale developed by Kim & Kang (1997) was used as the instruments for measurement and parental stress. To measure maternal separation anxiety, this study used the Maternal Separation Anxiety Scale (MSAS) developed by Hock (1989), while the Attitude for Occupation scale developed by Farel (1980) was used to measure the attitude for occupation. In addition, the Preschool Adjustment Questionnaire (PAQ) developed by Jewsuwan, Luster and Kostelink (1992), and modified by Oh Chong Eun (2001) were used as the instruments for measurement and adjustment. Data analysis was done using the SPSS WIN 15.0 version and the collected data were subject to a descriptive statistical analysis, one-way ANOVA t-test, and multiple regression analysis. The influential independent variables affecting parenting stress listed in order of significance were maternal attitude for occupation, adjustment of children, maternal anxiety, and income.

• Child Health Nursing Research
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• 제24권2호
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• pp.252-261
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• 2018

Purpose: This study aimed to evaluate the effects of an empowerment program on maternal stress, anxiety, depression and parenting confidence. Methods: A total of 44 mothers of preterm infants were assigned into an experimental or a control group (n=22 each). The experimental group received the usual nursing care and 7 sessions of an empowerment program. The control group only received the usual care. The program was implemented from June to December, 2016 in the neonatal intensive care unit of K university-affiliated hospital in Daegu, Korea. The outcome variables measured were parental stress (PSS: NICU), anxiety (STAI), depression (CES-D) and parenting confidence. Data were analyzed using t-test or repeated measures ANOVA. Results: Scores for both parental stress (t=3.07 p=.004) and depression (F=3.76, p=.26) were significantly lower in the experimental group than in the control group. However, there were no significant differences in anxiety between the groups (F=0.79, p=.505). Parenting confidence scores (F=9.05, p=.001) were significantly higher in the experimental group than in the control group. Conclusion: A maternal empowerment program can be an effective means of reducing parental stress and depression as well as enhancing parenting confidence, for mothers of preterm infants.

• 수면정신생리
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• 제3권2호
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• pp.56-64
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• 1996

The sleeplessness in childhood is quite different from that in adulthood in terms of causes, developmental process, and treatment. Sleep behavior in childhood is strongly influenced by parental personality and familial and cultural background. In understanding and management of sleeplessness of children, it is especially important to understand the separation anxiety and the ways of its management in bedtime because bedtime routine with children one of separation process from parents. Co-sleeping, parental intervention, transional object and bedtime routines can be appeared in order to reduce the anxiety from bedtime separation. Causes of sleeplessness in infant and toddler are bad sleep-onset association, nocturnal drinking, colic, and food allergy. In preschool and school aged children, limit-setting sleep problem and fears and nightmare can be causes of sleeplessness. When good sleep environment and habits are established sound sleep and more mature personality can be developed.