• Research in Community and Public Health Nursing
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• v.19 no.2
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• pp.310-316
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• 2008

Purpose: The purpose of this study was to examine impulsivity and self-efficacy according to Internet addiction in adolescents. Method: Subjects were middle and high school students in Daegu (N=486). Data were collected by a self-rating questionnaire including demographic data, a Korean version of Internet addiction, impulsivity and self-efficacy. Result: Impulsivity and self-efficacy according to Internet addition were significantly different (F=22.909. p<.001). There were significant correlations between Internet addiction and impulsivity (r=.280. p<01), between Internet addiction and self-efficacy(r=-.288. p<.01) and between impulsivity and self-efficacy (r=-.665. p<.01). Conclusion: These results indicate that the more addictive to the Internet the more impulsive and the less self-efficacious. Therefore, further studies are needed to generalize these results and examine the effects of Internet addiction more broadly.

• Child Health Nursing Research
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• v.16 no.3
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• pp.203-210
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• 2010

Purpose: This study was done to identify cell phone addiction in high school students and variables predicting this addiction. Methods: The participants were 469 adolescents from four high schools. Data were collected through self-report questionnaires, and analyzed using the SPSS program. Results: Of the high school students, 88.4% reported being average users, 7.5%, heavy users, and 4.1%, cell phone addicted. Cell phone addiction was significantly correlated with immediate self-control, self-efficacy, depression, and peer support. Predictors of cell phone addiction were the following: receiving text message on weekends, immediate self-control, main use (text message), minute per call on weekdays, listening to music, gender (female), monthly call charges, depression, person called (friends), and self-efficacy. These factors explained 39% of variance in cell phone addiction. Conclusion: The above findings indicate that cell phone addiction in high school students was influenced by gender, cell phone use, and psychological factors. Therefore the approach to effective cell phone addiction management for high school students is to consider these variables when developing programs for these students.

• Child Health Nursing Research
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• v.17 no.2
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• pp.91-99
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• 2011

Purpose: This study was done to develop a cell phone addiction prevention program for middle school students, and to examine the effects of the program on self-esteem, self-efficacy, impulsiveness, and cell phone use. Methods: The study was designed using a nonequivalent control group pre-test-post-test design. The participants were 63 middle school students (31 in the experimental group and 32 in the control group). Students in the experimental group were given the cell phone addiction prevention program. The data were analyzed using the SPSS/WIN 14.0 program. Results: Students in the experimental group reported a significant increase in self-esteem compared to students in the control group. Students in the experimental group also reported a significant decrease in cell phone use compared to students in the control group. Conclusion: The results of the study indicate that the cell phone addiction prevention program was effective in increasing self-esteem and decreasing cell phone use in middle school students.

• Korean Parent-Child Health Journal
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• v.15 no.2
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• pp.60-70
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• 2012

Purpose: This study was done to examine factors influencing cell phone addiction for middle school students by gender. Methods: The participants were 228 male students and 228 female students in two middle schools. Data were collected through self-report questionnaires, and analyzed using the SPSS/WIN 19.0 program. Results: Cell phone addictions of female students are higher than those of male students. Factors influencing cell phone addiction for male students were mimicry, sending text message on weekdays, immediate self-control, grade, syntony, and monthly call charge, explaining 42.2% of variance in cell phone addiction. Factors influencing cell phone addiction for female students were internet addiction, sending and receiving text message on weekends, immediate self-control, long-term self-control, use time, main use, syntony, and monthly call charge, explaining 46.8% of variance in cell phone addiction. Conclusion: The results indicated that cell phone addiction and its influencing factors differed by gender. Therefore the approach to effective cell phone addiction management program for middle school students should consider gender differences.

• Child Health Nursing Research
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• v.18 no.2
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• pp.76-84
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• 2012

Purpose: This study was done to develop a cell phone addiction scale for Korean children. Methods: The process included construction of a conceptual framework, generation of initial items, verification of content validity, selection of secondary items, preliminary study, and extraction of final items. The participants were 268 children from grades 4 to 6 in two urban elementary schools. Construct validity, internal consistence reliability, and split-half reliability were used to analyze the data. Results: Nine items were categorized into 2 factors explaining 61.29% of total variance. The factors were labeled as obsessive compulsion (6 items) and dependency (3 items). Cronbach's alpha coefficient for the 9 items was .87, and Spearman-Brown coefficient was .83. Scale scores identified children as high risk users, at risk users, or average users by standard scores. Conclusion: The above findings indicate that the cell phone addiction scale for children has good validity and reliability when used with Korean children.

• Journal of the Korea Convergence Society
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• v.9 no.4
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• pp.271-283
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• 2018

This study aimed to investigate the effect of adolescent development environment including parenting attitude, peer relationship, and school environment on delinquent behavior, and between these relationships, the mediate effect of media environment such as computer and mobile devices. The $6^{th}$ year data from Korean Children & Youth Panel Survey (KCYPS) was used and the subjects were limited to 518 students of $7^{th}$ grade who are in their early adolescence. The result shows that adolescents under more affectionate, over involvement, and abusive parenting attitude will commit delinquent behaviors more frequently, and so does alienated youth from their friends. Parenting inconsistency and communication with friends make them use computer and cell phone more often, and excessive media usage increases adolescent's delinquent behavior. In conclusion, family environment and peer relation have influence on adolescents' delinquent behavior. Therefore, there is necessity to build development environment that prevent adolescents' delinquencies like parent education program or peer communication program for example. Also, proper education program for using computer or cell phone usage can reduce adolescents' delinquent behaviors, especially when its addictive aspect was recently issued.

• Journal of the Korean Society of School Health
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• v.22 no.2
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• pp.37-47
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• 2009

Purpose : To find degree of internet addiction of rural elementary school students and to assess the relationship of them to the health promoting behaviors in a rural area in chungnam province. Method : Children's grade, sex and their internet habits, and family background and internet addiction records, health promoting behavior scores of 5th and 6th grade of elementary school students. Self-recorded questionnaire surveys from 2nd December to December 20, 2008, and total 393 data were analysed. Results : The results of this study were summarized as follows: 1. The internet risk group of 5th and 6th grade of rural elementary school students were 18.3%. 2. Place of major using internet were home in 84.6% of male and using internet time were more than 2hours per day and major purpose of internet was game(72.9%) than female. 3. Significant negative correlation between the degree of internet addiction and the health promoting behavior(r=-0.245. p=0.000) 4. Health promoting behavior score was 138.24${\pm}$18.64 in internet non-addictive group and 126.66${\pm}$16.81 in potential risk group, 124.60${\pm}$19.85 in high risk group 5. As a result of multiple regression analysis, degree of internet addiction, school record, health status, concern to health of the students by the parents were related to the health promoting behavior and these provided predicted 21.7%.. Conclusion : The internet addiction risk group need for the health education including health promoting behavior and counseling for treatment of internet addiction.

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

• Research in Community and Public Health Nursing
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• v.28 no.3
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• pp.280-290
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• 2017

Purpose: The aim of this research is to examine the moderating effects of self-esteem and resilience in the relationship between smartphone addiction and depression among middle school students. Methods: Data were collected from 324 middle school students in D City during the period of July 1st-17th, 2015. Multiple regression analysis, the Baron & Kenny's mediation verification, and Sobel test were conducted to measure the mediating effects of self-esteem and resilience on depression. Results: There were significant correlations among the variables; smartphone addiction, self-esteem, resilience, and depression. Self-esteem had a complete mediating effect (${\beta}=-.40$, p<.001) in the relationship between smartphone addiction and depression (Sobel test: Z=4.68, p<.001). Resilience had a partial mediating effect (${\beta}=-.15$, p<.001) in the relationship between smartphone addiction and depression (Sobel test: Z=2.40, p<.001). Conclusion: This study suggests to apply self-esteem and resilience in developing nursing intervention programs for adolescent depression caused by smartphone addiction.

• Child Health Nursing Research
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• v.26 no.3
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• pp.357-365
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• 2020

Purpose: The aim of this study was to investigate internet addiction among middle school students and to examine the mediating effects of social support in the relationships of self-efficacy and self-control with internet addiction. Methods: The participants in the study were 119 middle school students in J city. The measurements included a self-efficacy scale, a self-control scale, a social support scale, and the Internet Addiction Scale for Youth. Data were analyzed using the independent t-test or Mann-Whitney U test, one-way analysis of variance, the Scheffé test, Pearson correlation coefficients, and multiple-regression using SPSS version 22.0. Mediation effects were analyzed by the Sobel test and Baron and Kenny's hierarchical analysis technique. Results: Significant correlations were found among self-efficacy, self-control, and internet addiction. Social support had partial mediating effects in the relationship between self-efficacy and internet addiction, as well as in the relationship between self-control and internet addition. Conclusion: In order to prevent internet addiction, the promotion of interactions among peers, which is a component of social support, is particularly important. It is also necessary to promote face-to-face activities that can strengthen relationships. The findings suggest that intensifying social support may help reduce the level of internet addiction in middle school students.