• Research in Community and Public Health Nursing
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• v.33 no.3
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• pp.299-311
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• 2022

Purpose: Untreated depression in adolescents affects their entire life. It is important to detect and intervene early depression in adolescence considering the characteristics of adolescent's depressive symptoms accompanied by internalization and externalization. The aim of this study was to identify latent classes of depressive symptom trajectories of adolescents and determinants of classes in Korea. Methods: The three time-point (2018~2020) data derived from the Korean Children and Youth Panel Survey 2018 were used (N=2,325). Latent Growth Curve Modeling (LGCM) was conducted to explore the depressive symptom trajectories in all adolescents, and Latent Class Growth Modeling (LCGM) was conducted to identify each latent class. Multinomial logistic regression analysis was performed to confirm the determinants of each latent class. Results: The LGCM results showed that there was no statistically significant change in all adolescents' depressive symptoms for 3 years. However, the LCGM results showed that four latent classes showing different trajectories were distinguished: 1) Low-stable (intercept=14.39, non-significant slope), 2) moderate-increasing (intercept=19.62, significantly increasing slope), 3) high-stable (intercept=26.30, non-significant slope), and 4) high-rapidly decreasing (intercept=26.34, significantly rapidly decreasing slope). The multinomial logistic regression analysis showed that the significant determinants (i.e., gender, self-esteem, aggression, somatization, peer relationship) of each latent class were different. Conclusion: When screening adolescent's depression, it is necessary to monitor not only direct depression symptoms but also self-esteem, aggression, somatization symptoms, and peer relationships. The findings of this study may be valuable for nurses and policy makers to develop mental health programs for adolescents.

• Journal of Korean Academy of Nursing
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• v.40 no.3
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• pp.411-422
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• 2010

Purpose: In the present study, an analysis of the life of adolescents with complex congenital heart disease (CHD) was done using grounded theory. Consideration was given to the socio-cultural context of Korea. Methods: After approval from the institutional review board of Y hospital, 12 patients ranging in age from 14 to 35 were recruited. Data were gathered using in-depth interviews. Theoretical sampling was performed until the concepts were saturated. Results: The results confirmed the life of adolescents with complex CHD as a 'journey to finding uniqueness of oneself as a person with CHD'. The life consisted of 3 stages. In the crisis stage, participants had a feeling of threat to self-existence, and made an effort to be the same as others. In the self-recognition stage, participants who had sufficient role-performance built self-esteem while those who did not fell into self-accusation. In the self-establishment stage, participants who reached sufficiency in independence and knowledge planned the future, whereas those who did not conformed to the realities of life. Conclusion: The results of present study provide help in understanding the experiences of adolescents with CHD and provide a basis for developing nursing intervention strategies for these patients.

• Child Health Nursing Research
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• v.3 no.2
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• pp.154-168
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• 1997

The purpose of this study were to define the degree of performance in health promoting lifestyle and to identify the variable related to performance in health promoting lifestyle of adolescents. The subjects of this study were 469 adolescents in the 4 high schools. The sample data were collected using a purposive sampling method from July 1 to July 27. The collected data were analysed by using descriptive statistics, Pearson's correlation coefficients, and stepwise multiple regression with SPSS PC+ program. The results of this research were as follows. First, The means of performance in the health promoting lifestyle of adolescents revealed total 2.478 ; harmonious relationships 3.045, regular diet 2.236, professional health management 1.332, sanitary life 2.910, self regulation 2.558, emotional support 2.696, healthy diet 2.408, rest and sleep 2.651, exercise and activity 2.491, self actualization 2.466, diet control 2.408. The factor with the highest degree of performance was the harmonious relationships, whereas the one with the lowest degrees was the professional health management. Second, the relationship between the degree of performance in health promoting lifestyle and its related variable were as follows. (1) Performance in the health promoting lifestyle was significantly correlated with self esteem, self efficacy, health conception, perceived health status, mother's health promoting lifestyle, mother's health conception. (2) The most important factor that affects performance in the health promoting lifestyle of adolescents was self esteem. The combination of self esteem, health conception, mother's health promoting lifestyle, self efficacy, perceived health status accounted for 45.2% of the variance in health promoting lifestyle of adolescents.

• Journal of the Korea Society of Computer and Information
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• v.15 no.8
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• pp.193-200
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• 2010

This study is to identify the factors affecting on adolescent internet addition and suggest how to deal with it. This study is based on the ecosystem theory for human development. The factors affecting on adolescent internet addition are the followings: First, self-efficacy, self-esteem and self-control affect on internet addiction in individual system. Second, the affecting factors concerned with home environmental system are the communication level between parents and adolescent, parents' attitude for bringing up, parents' control level for adolescent, parents support etc. Third, the affecting factors concerned with school environmental system academic score, friends' support, teacher's support, adolescent adaptation in school life etc. This study suggest how to deal with internet addiction based on these findings.

• Journal of the HCI Society of Korea
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• v.8 no.1
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• pp.1-9
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• 2013

This is to develop a new way of testing self-esteem by adopting DAP(Draw a Person) test and to make a platform to digitalize it for young people in the adolescent stage. This approach is to get high effectiveness of the self-esteem measurement using DAP test, including some personal inner situations which can be easily missed in the large statistical analysis. The other objective of this study is digitalize to recover limits of DAP test in the subjective rating standard. It is based on the distribution of the figure drawing expressed numerically by the anxiety index of Handler. For these two examinations, we made experiment through 4 stages with second grade middle school 73 students from July 30th to October 31th in 2009 during 4 months. Firstly, we executed 'Self Values Test' for all 73 people, and divided them into two groups; one is high self-esteem group of 36 people, the other is low self-esteem group of 37 people. Secondly, we regrouped them following D (Depression), Pd (Psychopathic Deviate), Sc (Schizophrenia) scales of MMPI; one is high self-esteem group of 7 people, the other is low self-esteem group of 13 people. Thirdly, we conducted DAP test separately for these 20 people. We intended to verify necessity and appropriateness of direction of 'Digitalizing Measurement System' by comparing and analyzing relation between DAP and Self-esteem following evaluation criteria which has similarity in 3 tests, after executing DAP to reflect peculiarity of adolescents sufficiently. We compared and analyzed result abstracted by sampling DAP test of two groups; One is high self-esteem group of 2 people, the other is low self-esteem group of 2 people; to confirm whether we can improve limitation that original psychological testing has by comparing mutual reliance of measurement test. Finally, with DAP test gained from correlations between self-esteem and melancholia following as above-mentioned steps, we discovered possibility of realization to get a concrete and individual criteria of evaluation based on Expert System as a way of enhancing accessibility in quantitative manner. 'Digitalizing Measurement Program' of DAP test suggested in this study promote results' reliability based on existing tests and measurement.

• Korean Journal of Health Education and Promotion
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• v.30 no.3
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• pp.13-23
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• 2013

Objectives: This study was conducted to find out health behaviors and health promotion behaviors and their influencing factors among North Korean refugee adolescents. Methods: All the 139 students registered in a specialization school which provided regular school curriculum for the North Korean refugee adolescents participated in the survey. Collected data were analyzed by descriptive statistics, t-test, ANOVA, and multiple regression analysis. Results: Current smoking, alcohol drinking and experience of depression in North Korean refugee adolescents were more prevalent than those of South Korean adolescents. Self-esteem, self-efficacy and social support were identified as factors affecting health promotion behavior. Conclusions: Health promotion program is needed to reduce the North Korean refugee adolescents' depression and to stop smoking and drinking. In the process of creating these programs, of creating program, we should consider self-esteem, self-efficacy and social support in the educational method to make these programs be effective.

• Journal of Families and Better Life
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• v.33 no.1
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• pp.1-17
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• 2015

This study investigated how variables of internalizing and externalizing problematic behaviors change according to gender and as time passes by and how the variables influence adolescent problematic behaviors. The variables selected for the analysis are personal variables, parent variables, peer and school variables, and community variables. longitudinal data collected for 4 years from the Korea Youth Panel Survey(KYPS) were utilized for the analysis. Data were collected initially from 2,707 fifth grade elementary students in 2005 and they were traced until 2008. The final respondents were 2,448 students. The findings are as follows. Frist, the statistical significance was found in changes of problematic behavioral variables in terms of the gender difference. Second, variables, such as self-esteem and self-control are negatively correlated to the problematic behaviors and stress level is strongly positively correlated to the behaviors. Third, the study pressure and peer attachment level are correlated to the initial value of internalizing problematic behaviors. In conclusion, given that more statistical significances were found at initial values than the change rates among variables, early intervention is important in addressing adolescent problematic behaviors.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.15 no.1
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• pp.75-81
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• 2004

Objectives：This study was designed to compare the emotional/behavioral characteristics between the siblings of children with autism and normally developing children. Methods：The subjects were 34 children between 10 and 16 years of age, 17 siblings of children with autism, 17 siblings of nonhandicapped children. Both groups performed CDI(Kovacs' Children Depression Inventory), RCMAS(Revised Chidren's Manifest Anxiety Scale), SPPC(Self-Perception Profile for Children), Self-esteem scale. Their mothers performed K-CBCL(Korean -Child Behavior Checklist). The results of those test were analysed by Student's-test. Results：Both social competence and total social competence subsclae scores were significantly lower in sibling group of children with autism than in control group. However, each group was not significantly different on the scores of internalizing symptom, externalizing symptom subscale of CBCL, CDI, RCMAS, Self-Perception Profile and Self-esteem scale. Conclusion : Siblings of children with autism had a lower social competence than normal control group. Group comparisons indicated that siblings of children with autism and normal children did not differ on any self-report measures such as anxiety, depression, self-concept and self-esteem. Further research using more subjects will be needed.

• Journal of the Korean Society of Child Welfare
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• no.32
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• pp.69-97
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• 2010

The purpose of this study is to investigate the effects of high school students' academic problems such as academic stress and low academic achievement on suicidal ideation and the mediating effects of individual-level risk factors (e.g., depression, aggression) and protective factors (self-esteem, emotion regulation) on the relationship between academic problems and suicidal ideation. This study used data of three waves(2005-2007) from the Korea Youth Panel Survey(KYPS). The analyses were conducted on 2,093 academic high school students, who participated in this panel study. The results from structural equation modeling show that academic stress has positive effects on depression and aggression, but negative effect on self-esteem. Low academic achievement has positive effect on aggression but negative effect on self-esteem. Depression and aggression as individual-level risk factors have positive effects on suicidal ideation. In contrast, self-esteem and emotion regulation as individual-level protective factors have negative effects on suicidal ideation. The relationship between academic problems and suicidal ideation is mediated by depression, aggression, and self-esteem. Based on the study findings, practice implications for youth welfare are discussed to screen high-risk youths and to prevent adolescent suicide in advance.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.7
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• pp.485-496
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• 2019

The current study examined the latent mean analysis and path analysis comparison between male and female groups in the structural relationships among parent-child conversation, peer attachment, satisfaction in teacher at a community child care center, ego-resiliency, self-esteem, and career identity in adolescents who attend a community child care center. For this purpose, 438 adolescents who participated in the 4th(2017) questionnaire in the 2nd child panel of the community child care center were used. From the analysis results, first, peer attachment and satisfaction in teacher at a community child care center increased ego-resiliency and career identity, but parent-child conversation did not predict ego-resiliency and career identity. Peer attachment and satisfaction in teacher at a community child care center was fully mediated by ego-resiliency and self-esteem to career identity. Second, in the latent mean analysis, male students showed significantly higher latent mean values in ego-resiliency and self-esteem than female students, while female students showed significantly higher latent mean values in parent-child conversation than male students. Third, multi-group analysis revealed different paths to career identity between the genders. Peer attachment can buffer the effect of ego-resiliency and self-esteem on career identity of male students, but satisfaction in teacher at a community child care center buffers more on the ego-resiliency of female students. The results of this study suggest that social support for enhancing ego-resiliency and self-esteem is needed to encourage career identity, and that gender needs to be considered.