• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제6권1호
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• pp.100-108
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• 1995

본 연구에서는 아동들의 적응을 향상시키기 위해 개발된 Spivack와 Shure(1982)의 국민학생용 대인관계 인지 문제해결 기술훈련 프로그램을 정신지체 학생들의 능력 및 특성에 맞도록 수정, 압축하여, 이를 교육가능 정신지체 청소년들에게 8주간 총 32회(1회 $30{\sim}35$분)에 걸쳐 훈련을 실시하였다. 연구 결과, 인지 문제해결 기술훈련을 받은 실험집단의 정신지체 학생은 훈련을 받지 않은 통제집단의 정신지체 학생보다 훈련 전에 비해 대안적 사고 능력과 결과적 사고 능력이 유의미하게 향상되었다. 그러나 부모에 의한 행동평가(CBCL) 및 교사에 의한 행동 평가에서는 실험집단과 통제집단간에 유의미한 차이가 나타나지 않았다. 이상의 결과에서 대인관계 인지 문제해결 기술훈련이 실제 문제해결 기술능력 가운데 중요한 인지기제의 향상에 유의미한 효과를 나타내었다고 결론 내릴 수 있으나, 이러한 인지기제의 유의미한 향상이 짧은 훈련 기간 등의 문제로 인하여 행동상의 적응으로는 연결되지 않았다. 앞으로의 연구에서는 훈련기간을 길게 하여 과잉학습을 충분히 시키고, 부모 훈련을 함께 실시하며, 행동적 접근을 병행한다면 대인관계 기술훈련의 효과가 확실히 나타나고, 그 효과가 지속되며 실제 생활 장면에서 일반화될 수 있으리라고 생각한다.

• 한국사회복지학회:학술대회논문집
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• 한국사회복지학회 2000년도 춘계학술대회 자료집
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• pp.615-628
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• 2000

스트레스란, 개인과 환경간의 특별한 관계가 개인의 안녕을 위협하고 개인이 가진 자원을 초과하는 것을 말한다. 븐 연구는 청소년 임신과 스트레스에 관한 문헌연구를 통하여 청소년 임신과스트레스와의 관계에 대해서 살펴봄으로써 임신력 있는 청소년들을 위한 스트레스 관련 임상사회 사업 서비스 개입 방안을 제시하고자 하는데 목적이 있다. 임신으로 인한 부모됨의 변화가 청소년기 자체의 인생 주기 상에서의 스트레스와 중복될 때, 누적된 스트레스는 보다 커진다. 변화의 중첩은 개인 역할의 애매함을 초래하여 스트레스를 가중시키고 발달 과업의 우선순위에 혼란을 가져온다. 청소년기의 임신은 성인기로 이동하는 청소년 당사자, 그 자녀, 사회이 부정적인 영향을 미친다. 이러한 부정적인 영향은 단기간에 끝나지 않으므로 임신한 청소년들의 대처 기술과 적응력을 향상시키기 위한 개입의 노력이 필요하다. 임신한 청소년들의 경우에는 개인 상담 접근만으로는 불충분하며 효과적인 예방 프로그램은 보다 나은 대안이자 동시에 목적이 될 수 있다. 이러한 개입은 임신한 청소년들을 출산 이후에 노출되기 쉬운 디스트레스로부터 보호해주고 성인으로 성장하게 될 청소년들의 건강한 정신건강 도모이 기여하는 것으로 나파났다. 이는 결국, 임신한 청소년들을 대상으로 한 스트레스 대처 능력을 향상시키고 긍정적인 인지를 발달시킬 수 있는 스트레스 관리 프로그램의 필요성을 암시하고 있다. 이러한 연구 결과가 갖는 결론과 함께 앞으로 실천적 개입방안에 대한 더욱 정교한 연구가 요구된다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제3권1호
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• pp.84-96
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• 1992

본 연구에서는 주의력결핍 과잉활동 증상으로 진단한 5${\sim}$10세의 남자아동 15명과 그 어머니와의 상호행동을 녹화하여 Mash, Terdal과 Anderson(1973)의 반응유목 행렬표(Response Class Matrix)를 이용하여 평가한 후, 이들의 상호행동 양상과 아동, 어머니의 특성들과의 상관관계를 조사하였다. 이와함께 이들에게 중추신경각성제인 Methylphenidate를 1일 몸무게 기준 0.5mg을 한 달간 투약하여 치료 전파 치료 후 모-자 상호행동 양상을 비교하였다. 그 결과 아동과 어머니의 부정적 상호행동은 서로 상관이 높으며, 양자의 상호행동에 일관되게 상관이 높은 변인은 아동의 인지적, 행동적 증상의 심각성으로 아동의 증상이 심할수록 부정적인 모-자 상호행동이 두드러졌다. 그리고, 한달간의 약물치료 후 과제수행단계에서 아동과 어머니 모두 부정적-공격적 행동이 감소하였다. 이와 같은 결과는 어머니의 부정적 상호행동은 아동의 인지적, 행동적 증상에 따른 반응적인 것임을 시사하고 있다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제23권1호
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• pp.23-30
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• 2012

Objectives : This study was conducted to investigate the prevalence of victims of bullying and the demographic characteristics of victims, and their related psychopathology, in a Korean nationwide sample of youths in middle and high school over a one month period. Methods : During the autumn of 2009, students in the 7th to 12th grades at 23 secondary schools participated in a nationwide, cross-sectional study. The study subjects completed the Adolescent Mental Health and Problem Behavior Screening Questionnaire-II (AMPQ-II) and Symptom Checklist-90-Revision (SCL-90-R). Based on the data acquired, descriptive statistics, correlation coefficients and multiple logistic regression analysis were performed. Results : Among the 3364 participants, 2272 (67.54%) completed the questionnaire. The prevalence of victimization was 28.9%. Male gender was positively associated with victimization, and grade level was negatively related to victimization. The AMPQ-II bullying score (Factor 4) was significantly (p<.001) and positively correlated to the AMPQ-II student total score (r= 0.50), Worry and thought (Factor 1 ; r=0.38), Mood and suicide (Factor 2 ; r=0.31), Academic and Internet-related problems (Factor 3 ; r=0.24), Rule violations (Factor 5 ; r=0.23), and AMPQ-II teacher total score (r=0.11). Somatization (r=0.23), Obsessive-compulsive behavior (r=0.24), Interpersonal sensitivity (r=0.30), Depression (r=0.33), Anxiety (r=0.26), Hostility (r=0.30), Phobic anxiety (r=0.22), Paranoid ideation (r=0.36), and Psychoticism (r=0.31) results from the SCL-90-R were also found to be positively related to the AMPQ-II bullying score, and remained significant after adjusting for age and gender. A total of 26% of the victims reported suicidal ideations as compared to 9% of non-victims over the month prior to the evaluation ($x^2$=119.595, df=1, p<.001). The multiple logistic regression analysis indicated that the AMPQ-II bullying score significantly increased the risk of suicidal ideation [Exp(b)=1.55, df=1, p<.001] after adjusting for age and gender. Conclusion : School bullying was highly prevalent among Korean middle and high school students. This study provided strong evidence that suicidal ideation and psychopathology were serious problems among the victims of bullying.

• 부모자녀건강학회지
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• 제7권1호
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• pp.73-88
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• 2004

Purpose: The Purpose of this study was to analyze the trend of research related with unmarried mother. Method: 81 theses about unmarried mother from 1972 to 2003 were analyzed according to the theses' characteristics, sources by publication period, research design, nursing intervention effect of experimental study and theme of qualitative research. Results: 1. The number of studies related with unmarried mother has progressively increased by year from 1972, and that of theses was highest during the period between 2000 to 2003. 2 As for study design, the number of quantitative studies were 73 and that of qualitative studies were 8. The majority of research design were survey and correlational studies. 3. Nursing intervention used in the experimental design were stress management program, eco-system support group, group art treatment, career education program, musical activities, prenatal education. All of experimental design were used in the after 2000. 4. The themes of qualitative studies were childbirth experience, a participatory on the life, mother's keeping a child, experience of pregnancy and delivery, the self-group program, the process and experience of becoming unmarried adolescent mother, needs of single mothers with child and policy of social welfare service, lived experience of hope. All of these were used in the after 1999. Conclusions: The summary of the above results shows a tendency that the study has increased by year. Especially, experimental study proved affirmative effect. However, for the unmarried mother, more experimental and qualitative studies are to be required.

• 디지털융복합연구
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• 제13권6호
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• pp.287-296
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• 2015

본 연구는 경기도 일부 지역의 여중생 273명을 대상으로 식행동, 생활습관과 주관적 신체건강상태와의 관계를 조사하여 다음과 같은 결과를 얻었다. 학생의 주관적 신체건강상태에 따라 적당한 식사량섭취(F=6.378, p=.002), 편식정도(F=3.542, p=.030), 영양소 섭취(F=6.780, p=.001), 생활습관(F=4.291, p=.015)은 집단 간 차이가 있는 것으로 나타났다. 연구대상자의 주관적 신체건강상태, 식행동, 생활습관의 상관분석결과 적당한 식사량을 섭취하고 영양소를 충분히 섭취할수록 주관적 신체건강상태가 좋았으며, 편식을 할수록 주관적 신체건강상태가 좋지 않은 것으로 나타났다(p<0.05) 이상의 연구결과에서 급속한 성장기에 해당되는 청소년시기에 올바른 식행동과 생활습관 형성을 위한, 식품과 건강분야의 융복합 컨텐츠 개발을 통한 융복합 교육이 체계적이고 지속적으로 이루어져야 할 것으로 생각된다.

• 보건교육건강증진학회지
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• 제6권1호
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• pp.75-90
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• 1989

This study tries to show the physical growth patterns and various adolescent characteristics by using longitudinal data for the height, weight, chest girth and sitting height of 1, 132 high school students in Seoul. And this study also tries to show what influencing factors on the physical growth of this aged population. The followings are the results. 1. The boys have their peak velocity of height when they are 12~13 years old. And the girls have when they are 10~11 years old. Peak velocity of weight for boys is at the age of 13~14. And for girls is at the age ofr11~12. Peak velocity of chest girth for boys is at the age of 12~13. And for girls is at the age of 11~12. Peak velocity of sitting height for boys is at the age of 13~14. And for girls is at the age of 11~13. So girls of this period grow more rapidly by around two years than boys. 2. The menarche of girls begins at the age of 12.4. So it begins 1.4 year before peak height velocity period. 3. Of life behavior boys contingency coefficient between essential time and height and weight is .5150 and .479 5, that between studying time and height and weight is .3344 and and .2912(In case of girls is .4735, .4321, .3247, .3134).

• Clinical and Experimental Pediatrics
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• 제59권2호
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• pp.65-73
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• 2016

Purpose: Only a few studies have explored nationwide trends in lipid profiles among Asian adolescents. We aimed to assess trends in lipid profiles and the associated lifestyle factors among Korean children. Methods: We analyzed data for 2,094 adolescents who were aged 10-18 years and had participated in the Korea National Health and Nutrition Examination Surveys in 1998 and 2010. Results: During 1998-2010, the prevalence of obesity significantly increased in boys, but no changes were observed in girls. Over this period, there was a small but significant decrease in the mean lowdensity lipoprotein (LDL)-cholesterol level in boys (1998, 87.5 mg/dL; 2010, 83.6 mg/dL; P=0.019) and mean triglyceride levels in girls (1998, 90.8 mg/dL; 2010, 85.8 mg/dL; P=0.020). There were no significant changes in the prevalence of dyslipidemia in boys, but a modest decrease was noted in girls (1998, 25.1%; 2010, 18.3%; P=0.052). During the study period, the prevalence of breakfast skipping decreased, whereas that of regular exercise increased in both groups. Daily total energy intake did not change between these years. In multivariable logistic regression analyses, breakfast skipping was associated with increased risk of hyper-LDL-cholesterolemia in boys (odds ratio [OR], 5.77) and hypertriglyceridemia (OR, 2.27) in girls. Regular exercise was associated with decreased risk of hypo-HDL-cholesterolemia (OR, 0.40) in boys. Conclusion: Although the prevalence of obesity in boys increased, favorable or constant trends in lipid profiles were observed among Korean adolescents during 1998-2010. Decrease in breakfast skipping and increase in regular exercise may have contributed to these trends.

• 보건교육건강증진학회지
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• 제19권3호
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• pp.121-133
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• 2002

The purpose of this study was to set up the basic model to monitor the health status of the middle and high school students in the adolescent period, as well as to provide the fundamental data which might serve as the new standards for their better health maintenance and promotion. The collected data comprised the characteristics of the subjects in the three different fields of life such as school, family and everyday, which could affect their physical fatigues, and they were analyzed to determine the factors of significant influence upon their physical fatigues and to reveal their relativity. A total of 5,954 students at 6 boys' and girls' middle and high schools in Taejon City completed self-administered questionnaires(to measure Health Practice Index and others) asking about each of three life domains during the period March through June, 2000. The key study results were as follows; 1. The middle school students showed more subjective symptoms of fatigue which may be a marker reflecting physical health status, than the high school students. The higher scores were associated, based on school life, with the groups who were boys, who were in lower school grades, who achieved better academic performances and had better relationship with friends. 2. As for family life, the higher scores were in the groups whose financial conditions were better, whose parents showed more interest to their children, whose sense of satisfaction with family life was higher, and whose health status was better. 3. As for life styles, the individuals showed the higher scores in the groups who had breakfasts daily, who didn't have inter-meal snacks, who took regular exercises, who didn't smoke and drink than, their counterparts. 4. The higher level of fatigue was associated with the groups whose health conditions were good, who are satisfied with school life, who were boys rather than girls, who are satisfied with family life, who didn't have inter-meal snacks, who were in good relationship with friends, who achieved greater academic performances, who took regular exercises, who didn't smoke, and whose parents showed more interest in their children.

• Journal of Preventive Medicine and Public Health
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• 제33권4호
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• pp.521-529
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• 2000

Objectives : To assess height, weight and body mass index from childhood to adolescence according to the age at menarche and hence to study the influence of childhood growth on the menarche age. Methods : $\lceil$The Kangwha Study$\rfloor$was a community-based prospective cohort study which included the entire population of 219 female first graders in Kangwha county in 1986. Among the 219 girls, 119 girls who had received complete follow up checks during the study period$(1986\sim1997)$, were included in this study, except one for whom menarche age information was unavailable. The remaining 118 girls were divided into three groups according to the timing of menarche : early(<25 percentile), intermediate and late($\geq75$ percentile) maturers. Results : The average age at menarche was 12.7 years . early 11.3 years, intermediate 12.6 years and late 13.7 years. The early maturers were taller and heavier between $6\sim8$ years. But, the mean weight and body mass index at the menarche age did not differ statistically among the three groups. The weight and body mass index of the early maturers were consistently higher than those of the late maturers over the entire period of the study. Conclusions : Critical body weight and body mass index must be attained for menstruation to be attained and the age at menarche is largely determined by the childhood growth. In addition, it seems that childhood growth and age at menarche are associated with adolescent weight and body mass index.