• Child Health Nursing Research
• /
• v.18 no.4
• /
• pp.207-213
• /
• 2012

Purpose: This study was done to examine levels of temperament, parent-child attachment and depression of adolescents and verify its effects. Methods: Surveys were conducted with 500 students from two middle schools, one located in Seoul and one in Gyeonggi Province. Adolescent temperament was measured using the Junior Temperament and Character Inventory, parent-child attachment using the Revised Inventory of Parent and Peer Attachment and depression using the Children's Depression Inventory. Cluster, t-test, correlation and logistic regression were used for data analysis. Results: Characteristics of temperament were classified into 2 groups. The 'Adaptation vulnerable group' showed high Harm Avoidance and the 'Adaptation protective group' showed high Reward Dependence, and Patience. The 'Adaptation vulnerable group' showed lower attachment and higher depression than the 'Adaptation protective group'. Novelty Seeking and Harm Avoidance correlated positively with depression and negatively with attachment. Students with higher levels of attachment reported lower levels of depression. The logistic regression analysis showed that the 'Adaptation vulnerable group' was 2.16 times more likely to be affected by depression than 'Adaptation protective group'. Conclusion: Results of this study can be used to develop depression intervention programs for adolescent psychological health and provide encouragement in the development of parent-child attachment.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• v.25 no.3
• /
• pp.142-155
• /
• 2014

Objectives : The aim of this study was to develop an assessment tool for measurement of children's functioning in the mental health service. We conducted a preliminary study to develop a sensitive and inclusive scale focused on the functional changes of children rather than just focusing on their symptoms or screening. Methods : The Child and Adolescent Functional Assessment Scale and the Korean-Child Behavior Checklist (K-CBCL) were both administered to 134 parents of children with emotional or behavioral problems who participated in the Aizone program and also to 186 parents of elementary school children in the Seoul metropolitan area as a control group. SPSS version 12.0 was used for statistical analysis. Results : Most of the reliability coefficients were over 0.70 except those of the conduct behavior items, which showed relatively high internal consistency. The corrected item-total correlations ranged from .411 to 758, except those of conduct behavior items and special measure items. In a concurrent validity test with K-CBCL, the total behavior problem score of K-CBCL was highly correlated with the total score of the Child and Adolescent Functional Assesment Scale (r=.610). For the construct validity, confirmatory factor analysis was performed for each of four areas, including behavior (at home/school), achievement, peer relationship, and emotion. Conclusion : The results showed that the scale was statistically reliable and valid, except for conduct behavior items. This study was conducted only for parents with elementary children. An adolescents group should be included in future studies.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• v.28 no.3
• /
• pp.168-173
• /
• 2017

Objectives: Adolescent depression is a complex disorder influenced by a variety of personal and familial factors. In this study, we compared the familial, cognitive, and behavioral characteristics of adolescents with and without diagnosed depression. Methods: Forty adolescents with depressive disorder were recruited from two psychiatric clinics, along with 46 healthy adolescents from a middle school and a high school. We then compared the participants' cognitive and behavioral characteristics and the child-rearing attitudes of their parents. Results: Compared to the healthy adolescents, the adolescents with depression exhibited lower self-esteem, higher emotional reappraisal, greater disruptive behavior, and lower attention. Furthermore, compared to the mothers of the healthy adolescents, the mothers of those with depression reported less affective, less autonomic, and more rejecting parenting attitudes towards their children. Conclusion: We found that attentional problems, negative parenting attitudes, negative self-cognition, and expressive suppression are all associated with adolescent depression. Parenting education and interventions appear to be needed to correct the negative cognitions of adolescents with depression.

• Child Health Nursing Research
• /
• v.27 no.3
• /
• pp.243-255
• /
• 2021

Purpose: This study aimed to develop and examine the effects of a psychosocial adaptation program for North Korean adolescent defectors. Methods: This quasi-experimental study was conducted with 28 North Korean adolescent defectors who were recruited through alternative schools. The experimental and control groups consisted of 14 participants each. A program was conducted across eight sessions, each lasting about 90-120 minutes. The data were analyzed using the x² test, t-test, paired t-test, and analysis of covariance. Results: No significant differences were observed in the score changes for psychosocial adaptation (t=0.25, p=.808), post-traumatic stress symptoms (t=0.32, p=.749), cultural adaptation stress (t=0.05, p=.957), and self-efficacy (t=0.35, p=.726) in either group before and after the intervention. No intergroup differences were observed for psychosocial adaptation (t=0.12, p=.902), post-traumatic stress symptoms (t=0.07, p=.946), cultural adaptation stress (t=0.01, p=.994), and self-efficacy (t=0.58, p=.570). Conclusion: These findings suggest that psychosocial adaptation, stress, and self-efficacy cannot be improved by a short-term intervention program alone. It was also determined that the cultural characteristics of the North Korean adolescent defectors were not sufficiently considered before implementing the program. Therefore, it is essential to provide an in-depth orientation for the participants before implementing the program.

• Korean Journal of Exercise Nutrition
• /
• v.23 no.3
• /
• pp.29-38
• /
• 2019

[Purpose] Effective nutritional intervention can help reduce the risk of nutritional problems and improve athletic performance in adolescents. The five A's (assess, advise, agree, assist, and arrange) model is widely used as the theoretical framework for advice on nutrition, smoking, drinking, and physical activity and it recommends that practitioners in primary health care promote behavior change to facilitate positive outcomes. This model has also been useful in understanding the underlying processes of behavior change. This study aimed to develop both a novel evidence-based nutritional intervention protocol, rooted in sound nutritional theory, and a customizable nutritional intervention program to support sustainable healthy eating, enhance nutrient intake, and improve athletic performance in adolescent athletes. [Methods] In this study, we adapted the 5 A's behavioral change model and motivational interview to develop a theoretical framework to help adolescent athletes change their behavior and achieve their goals. [Results] During each step of the 5 A's protocol, a customized nutritional intervention protocol was developed by nutrition experts for each of adolescent athletes. Each plan was developed to improve the eating habits of adolescent athletes through group education and counseling. All nutritional counseling sessions were designed to enable participants to apply nutritional knowledge and practical action plans to their training and competition conditions to enable each of them to achieve individual athletic goals and facilitate self-management. [Conclusion] A theoretical and evidence-based nutritional intervention protocol was developed to identify and address obstacles to healthy dietary habits in adolescent athletes. This could be used as the basis for further studies aimed at improving nutrient intake and athletic performance in adolescent athletes.

• Journal of the Korean Society of School Health
• /
• v.9 no.2
• /
• pp.249-266
• /
• 1996

AIDS and the spectrum of Human Immunodeficiency Virus(HIV) infections present a monumental challenge to the health of the Korean public. In response to this special challenge, I think public education and voluntary behavior changes are the most effective measures to fight the spread of the disease. Adolescents represent a critical risk group for prevention and intervention programming. Research indicates sexually active adolescents, homosexual contact, illicit drug use are an gradually increasing. These characteristically adolescent risk-taking behaviors suggest the need for schools and communities to mobilize intervention strategies. Schools are highly efficient ways to reach a majority of young people in Korea with HIV prevention programs. These programs include substantial attention to sexual and drug use behaviors with the long term objective of a multidimensional school health program. Information resulting from risk behavior surveillance activities and guidance on school health curricula is particularly useful. What is needed for adolescents is a revamping of education to give students the critical thinking and analytic skills that allow them to apply knowledge, make decisions, and think independently. The best HIV preventive education provides young people with opportunities to learn and practice just those skills. In the early stages of HIV education were focused solely on information. Providing information is easy but unfortunately, behavior change is not that simple to activate. Information must be combined with values exploration and skilly building, including responsible decision making, negotiation, refusal, and critical thinking skills. The same knowledge, attitudes and skills needed for effective HIV prevention also prevent or reduce other risks, including other sexually transmitted diseases, unwanted pregnancies, and alcohol or other drug use. The role of other youth serving organizations in HIV prevention is also important: parental and youth involvement is needed; it's important to presidential and governament leadership is essential to prevention education; promote integrated adolescent programs, to enhance health and education sector collaboration; and of course, we need to expand research on adolescent health and engage the media in health promotion. Among these changes, a school-based systematic health education of AIDS is certainly one of the essentials.

• Journal of Families and Better Life
• /
• v.15 no.1
• /
• pp.201-212
• /
• 1997

The purpose of this study was to examine the usefulness of Beavers Systems Model on adolescent adjustment. For this study adolescents' perceptions of family health/competence family style and adolescent adjustment were utilized. The 443 subjects were selected randomly from the second grade of middle schools and high schools in the city of Taegu. The instruments of measurement were SFI II State-Trait Anxiety Inventory Depression Scale Self-Esteem Scale and Delinquency Scale. Factor Analysis Cronbach's a, MANOVA and Scheffe test were conducted for the data analysis. The conclusion of this research findings was as follows: There is significant differences I nadolescents' anxiety depression global self-esteem social-peer self esteem property predatory behaviors and school-norm avoidant behaviors by the family functioning types of BSM. Therefore the group classification by BSM was generally useful in evaluating adolescent adjustment.

• Korean Journal of Child Studies
• /
• v.34 no.5
• /
• pp.127-144
• /
• 2013

The purpose of this study was (1) to examine the impact of chronic diseases on adolescent's peer relationships, and (2) to investigate the mediating effect of self-perceived health status and resilience on the relationship between their physical health states and peer relationships. The authors used the first-wave panel data from 'the Korean Children-Youth Panel Survey'. The sample included 2,351 first-grade of middle school students(boys 50.1%, girls 49.9%). Among the subjects examined 48.11% had chronic diseases. Using maximum likelihood estimation with Amos18(Arbuckle, 2009), SEM software, structural equation modeling was tested. The major findings were as follows : 1. Adolescents' chronic diseases had a negative impact on peer relationships. 2. Self-perceived health status and resilience had a mediating effect. This suggests that self-perceived health status and resilience could be protective factors when it comes to perceive peer relationships more positively for adolescents with chronic diseases. 3. Resilience was directly affected by self-perceived health status. This indicates that positive self-perception about their health status encourages adolescents with chronic diseases to be more resilient and to more positively affect their perception of their relationships with peers.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• v.29 no.3
• /
• pp.122-128
• /
• 2018

Objectives: This study evaluated the psychometric properties of the Korean version of the attention-deficit/hyperactivity disorder (ADHD) Stigma Questionnaire (ASQ) and the effect of the source of information about mental health on ADHD stigma. Methods: The Korean translation of the ASQ was prepared, and 673 participants, 20-64 years of age, completed the questionnaire using an online panel survey in South Korea. The participants also completed questionnaires detailing sociodemographic variables and the source of their mental health knowledge. Cronbach's alpha coefficient was used to explore the internal consistency of the ASQ. Factor analysis using Varimax rotation was conducted to investigate the structure of the ASQ. Results: The 26-item ASQ demonstrated excellent internal consistency (Cronbach's alpha=0.940). Factor analysis supported a three-factor structure, including Concerns with Public Attitudes, Negative Self-Image, and Disclosure Concerns. There were no significant differences in the total ASQ scores according to sociodemographic characteristics. Participants who reported the internet as their major source of information about mental health showed higher ASQ scores compared to those who used other sources for mental health information. Conclusion: The Korean translation of the ASQ has acceptable psychometric properties among Korean adults. Inaccurate information from the internet could increase the stigma toward ADHD.

• Korean Journal of Health Education and Promotion
• /
• v.22 no.2
• /
• pp.173-193
• /
• 2005

Objectives: The purpose of this study is to analyze the peer group factor related to adolescent smoking in the social structure(network) of adolescent groups, by applying the theory of social network. Methods: The data was collected from boy students of one high school located in Gun-Po city of Kyonggi Province. The total number of the sample was 605(223 first grade, 198 second grade, 184 third grade). The survey using the questionnaire was carried out in April 2005. Social position is finally classified as clique member, liaison, isolate group by using the NetMiner II 2.5 version. Results: The current smoking rate was 15.0%, and the life-time smoking rate was 34.9%. The smoking rate increased significantly, as the grade went up. And it was significantly high among the group having smoking friends. The logistic regression analysis showed that the odds ratio of the smoking friends group was about 4 times higher than the no smoking friends group in experience of smoking. But the smoking rate was higher significantly in the isolate group within the network composed of 2. person's social-link. The odds ratio of the isolate group was about 4.5 times higher than the clique member. However, this pattern was not found in the network composed of 3 person's social-link. Therefore, the hypothesis that clique member would have a correlation with smoking was rejected. In reality, the isolate group had a tendency of smoking more frequently. Conclusions: The result of this study suggests that the role of the peer group in smoking is to be considered in the prevention program. More attentions should be paid for the isolate group.