• Journal of Korean Public Health Nursing
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• v.32 no.3
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• pp.388-399
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• 2018

Purpose: The aim of this qualitative study was to identify the experiences of smoking and smoking cessation in out-of-school youth. Methods: The participants were 12 out-of-school youths belonging the Youth support Center located in A and B area. The data were collected from January 8 to 15, 2018, using a FGI(Focus Group Interview). The main sub-domains of the experiences of smoking and smoking cessation in out-of-school youth by 7 questions were categorized from the intrapersonal, interpersonal, organizational, and community factors in ecological model. Results: The motivation, continuity, disadvantage of smoking experiences of out-of-school youth were analyzed in 10 sub-domains (curiosity, friend's invitation, mood of adapted group, habit, relieving stress, providing breaks, friendship, physical damage, loss of money, a bad sight of smoker). The reason, difficulty, advantage, reason for restarting smoking cessation experiences of out-of-school youth were analyzed in 15 sub-domains (physical damage, for future hope, invitation of others, influence of family, weight gain, emotional stress, worsening friendship, improvement physical condition, saving money, better relationships, not with bad friends, withdrawal, smoking of friends, drinking, separated a lover). Conclusion: Based on the results, it is expected that a Specialized Smoking Cessation Education Program will be developed for out-of-school youth's health activities in ecological factors.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.32 no.2
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• pp.63-70
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• 2021

Objectives: Adverse childhood experiences (ACEs) of mothers may negatively affect the mental health of their offspring. Little is known about the intergenerational effect of maternal ACE on post-traumatic stress disorder (PTSD) in the offspring. This study investigated the impact of maternal ACEs on PTSD in the offspring. Methods: A total of 156 mothers with children aged 13-18 years completed the Diagnostic Interview Schedule for Children (DISC) Predictive Scales to determine the presence of psychiatric disorders in their offspring. The subjects completed the ACE questionnaire and the Early Trauma Inventory Self-Report-Short Form. Multivariable logistic regression was used to analyze the relationship between maternal ACEs and PTSD in the offspring. Results: Of the mothers, 23.7% had at least one ACE, and PTSD was reported in 21.8% of the offspring. The offspring of the mothers in the ACE group had a significantly higher rates of traumatic experiences and PTSD than the offspring of the mothers in the no ACE group. Maternal household dysfunction independently predicted offspring PTSD [odds ratio (OR)=3.008, p=0.05), and three or more maternal ACEs were significantly related to PTSD in the offspring (OR=10.613, p=0.025). Conclusion: Maternal ACEs have a significant impact on the risk of traumatic experiences and PTSD in the offspring. These findings suggest the presence of intergenerational transmissions by which maternal ACEs affect the mental health of the offspring.

• Perspectives in Nursing Science
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• v.9 no.2
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• pp.83-93
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• 2012

Purpose: The purpose of this study was to describe the post-traumatic stress experiences of firefighters and paramedics. Methods: The participants were 20 fire fighters and paramedics who belong to the Busan Fire Department. Data were collected through in-depth, unstructured audio-taped interviews by the investigator over a six-month period. The participants were asked to describe their post-traumatic stress. The data were analyzed according to Giorgi's method for phenomenological analysis. Results: The interview data were organized by theme into 7 categories that emerged from the analysis. Participants faced various post-traumatic stresses working as fire fighters or paramedics. The categories were suffering from disastrous situations, feeling of fear and helplessness in the face of death, re-experiencing vividly the past traumatic situation, avoiding painful reminders of the trauma, emotional numbing as time passes, suffering from emotional arousal and increased anxiety, and struggling to cope with the post-traumatic stress. Conclusion: This study provides a better understanding of post-traumatic stress experiences from fire fighters and paramedics and the knowledge gained from this study will help in developing appropriate post-traumatic stress management programs.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.30 no.1
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• pp.26-33
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• 2019

Objectives: Suicide is the most frequent cause of death among Korean adolescents, and adolescents who have experienced trauma have an increased risk of post-traumatic stress disorder (PTSD) symptoms, depression, and suicide attempts. However, resilience and self-esteem are protective factors. We examined the effects of resilience and self-esteem on the relationship among traumatic experiences, PTSD symptoms, depression, and suicidal ideation. Methods: Middle-school students (n=403) completed questionnaires assessing traumatic experiences, PTSD symptoms, depression, suicidal ideation, resilience, and self-esteem. Path analysis was performed to investigate the mediating effects of PTSD symptoms, resilience, self-esteem, and depression on the relationship between trauma exposure and suicidal ideation. Results: Traumatic experience was positively correlated with PTSD symptoms, depression, and suicidal ideation. PTSD symptoms and depression were positively correlated with suicidal ideation. The relationship between traumatic experiences and suicidal ideation was mediated by PTSD symptoms, which had both direct and indirect effects on suicidal ideation; the indirect effect was mediated by resilience, self-esteem, and depression. Conclusion: Korean adolescents who had experienced trauma were more likely to develop PTSD symptoms, increasing their risk of depression and suicidal ideation. However, self-esteem and resilience may help protect against depression and suicidal ideation. Our findings could inform suicide prevention initiatives.

• Child Health Nursing Research
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• v.26 no.4
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• pp.402-410
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• 2020

Purpose: This study aimed to determine the level of health-related quality of life (HRQoL) of children and adolescents who received hematopoietic stem cell transplantation (HSCT) and to examine factors influencing HRQoL. Methods: This cross-sectional descriptive study involved 85 participants aged 10 to 19 years who received treatment from 3 months to 5 years after HSCT. Symptom experiences, stress and coping, self-esteem, social support, and HRQoL were measured. Descriptive analysis, the independent t-test, one-way analysis of variance, Pearson correlation analysis, and stepwise multiple regression were used for data analysis. Results: The mean HRQoL score was 72.26 points out of 100. HRQoL showed statistically significant correlations with symptom experiences, stress, self-esteem, social support, satisfaction with peer relationships, and perceived attentiveness of the medical team. The most influential predictors of HRQoL were symptom experiences (β=-.51, p<.001) and satisfaction with peer relationships (β=.32, p<.001). Conclusion: The experiences of different symptoms by children and adolescents who receive HSCT must be considered. In addition, nursing interventions, such as self-help meetings with peer groups, should be provided to improve their HRQoL.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.28 no.1
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• pp.4-13
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• 2017

The seeds of addiction are typically sown years prior to the onset of addictive substance use or engagement in addictive behaviors, due to the priming of the reward pathway (RewP) by alterations in the mechanism of stress-signaling from the hypothalamic-pituitary-adrenal axis (HPA) and related pathways. Excessive stress from a single-event and/or cumulative life experiences during childhood, such as those documented in the Adverse Childhood Experiences Study, is translated into neurobiological toxicity that alters the set-point of the HPA axis and limbic system homeostasis [suggested new term: regulation pathway (RegP)]. The resultant alteration of the RegP not only increases the risk for psychiatric and physical illness, but also that for early onset and chronic addictions by dysregulating the RewP. This paper reviews the interface of these symbiotic pathways that result in the phenotypic pathology of emotional dysregulation, cognitive impairment, and compulsive behaviors, as well as morbidity and shorter life expectancy when dysregulated by chronic stress.

• Journal of the Korean Home Economics Association
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• v.49 no.9
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• pp.111-120
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• 2011

The purpose of this research was to investigate the effects of child, day care, and home variables that influence physical and relational aggression of preschool children. The participants were 338 four and five year olds recruited from day care centers. Children's self-regulation, day care experiences and parenting stress were reported by mothers. Children's aggression and the teacher-child relationships were measured by teachers. The results showed that self-regulation was negatively correlated with physical and relational aggression. Years of day care experiences and parenting stress were positively related with physical and relational aggression. Moreover, teacher-child conflicts were positively associated with physical as well as relational aggression.

• The Journal of the Korea Contents Association
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• v.19 no.5
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• pp.520-531
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• 2019

The purpose of this study is to understand in depth the experiences regarding the healing of stress that takes place in the process of the job performance of fire fighting officers. For this, by having seven incumbent fire fighting officers as the subjects of the research, the individual in-depth interviews had been conducted. As a result of analyzing their experiences based on the phenomenological research method of Colaizzi, the 17 topic bundles, 5 subcategories, and 3 categories were derived. Regarding the results of the research, firstly, it appeared that the stress resulting from the job performance in the diverse processes of solving the petitions experienced as the obsessive anxiety, feeling of depression and sleep disorder, etc. Secondly, it had appeared that fire fighting officers show the strong feeling of pride and sense of calling regarding the job performance, but their dread regarding the life after the retirement was high. Thirdly, it appeared that such stress were offset and healed through the positive experiences, including the professional vocation, companionship and support by the family, etc. Because the high job stress gets developed into the continuous and complex physical problems and the emotional and psychological problems, it shows that there is a limitation to the healing with only the professional calling, companionship and support by the family. As such, for the healing of stress that takes place in the job performance by fire fighting officers and not just for the environmental improvements that are related with the job, but for the psychological and emotional support, this research arrived at the point of the suggestion that the operations of the complex and systematized supporting programs, including the strengthening of vocation and companionship, emotional support by the family etc., must be carried out.

• The Korean Journal of Rehabilitation Nursing
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• v.12 no.2
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• pp.120-129
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• 2009

Purpose: This study was to explore elderly people's elder abuse experiences, and the relations between the abuse experiences (direct and indirect) and their level of activities of daily living, family relations and self-integrity. Method: A descriptive survey was conducted, and the participants were 108 elderly people. Data were analyzed using SPSS by descriptive statistics and t-test. Result: It was that indirect abuse experiences of the elder was higher than direct abuse experiences. In this research, the most common kind of direct elder abuse was 'psychological abuse and negligence', and the severity was low. The largest portion of indirect abuse experiences belonged to 'physical abuse and negligence', and the severity was high. The older people who had direct abuse experiences showed lowered self-integrity and serious family problems and stress. Conclusion: The experiences of elder abuse showed differences in family relations and self integrity. Hence, there should be a nursing intervention improving psycho-social factors such as self integrity and family relations, and systematic and easily available supporting organizations for victims of elder abuse.

• Korean Journal of Adult Nursing
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• v.22 no.5
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• pp.477-487
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• 2010

Purpose: The purpose of this study was to explore health-related experiences of the foreign wives. Methods: A qualitative research design was used to understand the health-related experiences of foreign wives. Ten informants were interviewed from December 2007 to December 2009. Results: The health related life experiences of foreign wives were analyzed within a self development process; Choice and struggle, Change and opportunity, and Settlement and expectation. The theme of choice and struggle includes physical and emotional stress in the initial stage of marriage. The second process of change and opportunity focused on the coping strategies of the women having power after knowledge acquisition from the multicultural family support center. The last theme was health and happiness from the women' perspectives. Conclusion: This study has emphasized the health condition of the foreign wives. Since foreign wives are members of Korean society, health care professionals need to design health services to meet their needs.