• 한국가족복지학
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• 제23권4호
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• pp.633-652
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• 2018

This study aimed to examine the direct effects of relationships with parents, peers, and community child center teachers on the school adjustment of low-income adolescents attending community child centers and the indirect effects mediated through adolescents' resilience. The second-term panel data from the fourth-year Community Child Center Survey was used to analyze 198 adolescents (103 boys, 95 girls) who were first graders at middle schools. SPSS 20.0 and AMOS 20.0 were used to analyze the data through structural equation modeling. The results of the study were as follows: Parental monitoring and peer trust had direct effects on the adolescents' school adjustment, while satisfaction with community child center teachers did not. Parental monitoring, peer trust, and satisfaction with community child center teachers had indirect effects on adolescents' school adjustment mediated through resilience. The school adjustment of low-income adolescents has received attention from both researchers and politicians. The results of this study are notable in that both the important relationships and resilience of low-income adolescents can significantly contribute to their school adjustment in their first year at middle school. Given the developmental needs of low-income adolescents, interventions for school adjustment that consider adolescents' important social contexts and psychological characteristics should be developed.

• 문화기술의 융합
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• 제4권4호
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• pp.241-247
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• 2018

본 연구는 지역아동센터 청소년을 대상으로 서비스 이용경험-센터 교사와의 만족도 및 서비스 이용평가-이 공동체의식에 미치는 영향을 알아보고 센터 서비스 이용경험과 공동체 의식간의 관계에서 학교적응의 매개효과를 파악하고자 하였다. 지역아동센터 아동패널조사 2기 패널 대상자 중 2017년 전국 중학교 1학년 청소년 438명을 표본으로 하였다. 자료는 SPSS 18 프로그램을 이용하여 상관관계분석, 단계별 회귀분석 및 Sobel test를 실시하였다. 연구결과 지역아동센터 청소년들은 센터 교사와의 만족도 및 서비스 이용평가를 긍정적으로 인식할수록 공동체 의식이 높았으며, 아울러 교사 만족도 및 서비스 이용평가는 학교적응을 통해 공동체 의식에 긍정적 영향을 미침으로써 부분매개효과를 나타냈다. 이를 토대로 저소득 청소년의 공동체의식 증진을 위해 청소년과 센터 교사 간 긴밀한 관계 유지, 서비스의 질적 수준 향상, 지역아동센터와 학교체계 간 연계 프로그램 개발 및 적용의 필요성을 제안하였다.

• Child Health Nursing Research
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• 제23권2호
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• pp.158-167
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• 2017

Purpose: The purpose of this study was to investigate the ecological factors influencing school adjustment of adolescents from low-income families. Methods: Secondary data analysis was performed using data of 1,321 low-income adolescents in 123 regions found on the Survey on Service Satisfaction with Community Child Care Center. Results: The results of multi-level analysis identified the factors influencing school adjustment of low-income adolescents as follows: individual-level factors were gender, grade in school, and emotional problem; an interpersonal-level factor was family structure; organizational-level factors were length of time attending center and satisfaction with the service of the center; community-level factors were region and perception of community. Conclusion: The results suggest that low-income adolescents' adjustment to school is influenced not only by individual factors but also by diverse environmental factors. Community factors suggest that more education support systems and leisure facilities for adolescents need to be built in small and medium cities. Strategies to enhance positive perception of community are also needed for this population. Further, it is necessary to develop multi-level interventions to improve the school adjustment of adolescents from vulnerable social groups.

• 한국산학기술학회논문지
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• 제20권7호
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• pp.485-496
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• 2019

본 연구의 목적은 지역아동센터 이용 청소년의 부모-자녀 대화, 또래애착, 센터교사만족도, 자아탄력성, 자아존중감, 진로정체감 간 구조적 관계를 탐색하고, 성별에 따른 잠재평균 및 구조모형의 경로계수의 크기 차이를 검증하는 것이다. 지역아동센터 아동패널조사 2기 패널 4차 조사(2017년)의 청소년 438명이 분석 대상이다. 첫째, 구조모형 분석 결과, 또래애착 및 센터교사만족도는 자아탄력성과 자아존중감에 정적 영향을 미치는 반면, 부모-자녀 대화는 자아탄력성, 자아존중감에 영향을 미치지 않는 것으로 확인되었다. 그리고 또래애착 및 센터교사만족도는 자아탄력성, 자아존중감을 매개로 진로정체감에 정적 영향을 미치는 완전매개효과가 확인되었다. 둘째, 잠재평균분석 결과, 남학생이 여학생보다 자아탄력성, 자아존중감이 더 높은 반면, 여학생이 남학생보다 부모-자녀 대화 정도가 더 많은 것으로 나타났다. 셋째, 다집단 경로계수 크기 차이 검증 결과, 남학생은 여학생보다 또래애착이 자아탄력성과 자아존중감에 더 많은 영향을 미치며, 여학생은 남학생보다 센터교사만족도가 자아탄력성에 더 많은 영향을 미치는 것으로 나타났다. 본 연구결과는 지역아동센터 이용 청소년의 진로정체감을 향상시키기 위해서는 사회적 지지 체계를 통한 자아탄력성과 자아존중감을 높이는 것이 필요하며, 이때 성별에 따른 차별적 특성을 고려한 접근이 필요함을 시사한다.

• 지역사회간호학회지
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• 제28권1호
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• pp.34-43
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• 2017

Purpose: The purpose of this study is to determine factors affecting happiness of adolescents who attended community child centers. Methods: We surveyed 154 adolescents attending a community child center in P City with a structured self-report questionnaire from October 3 to October 15, 2016. Data was analyzed by SPSS 18.0 descriptive statistics, t-test, ANOVA, $Scheff\acute{e}test$, Pearson's correlation coefficients and stepwise multiple regression. Results: The mean scores of family strength, friend support, teacher support, and happiness were $3.8{\pm}0.84$, $3.8{\pm}0.98$, $3.7{\pm}0.84$ and $3.7{\pm}0.63$. There were significant differences in happiness according to the subjects' number of close friends and duration of their stay at the community child center. There were a significant positive correlations among family strength, friend support, teacher support, and happiness. The most significant factors affecting happiness included friend support (${\beta}=.40$) and peaceable family strength (${\beta}=.35$). These variables explained 44% of the total variance in happiness. Conclusion: It is desirable to prepare and support measures to increase friends' support and family strength in order to improve happiness of adolescents attending community child centers. The findings suggest that it is necessary to develop nursing intervention programs to promote friend support and family strength.

• 한국아동복지학
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• 제56호
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• pp.33-68
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• 2016

본 연구의 목적은 지역아동센터 종사자의 아동청소년정신건강 문제에 관한 대처경험을 이해하고자 하는 것이다. 이러한 목적을 달성하기 위해 지역 아동센터에 근무하는 종사자 10명을 2집단으로 나눠, 총 4회에 걸쳐 초점집단면접(focus group interview)을 통하여 자료를 수집하고 분석하였다. 분석결과, 지역아동센터 이용 아동청소년의 정신건강에 관한 종사자들의 경험은 4개의 주제, 12개의 하위주제로 구성되었다. 4개의 주제는 '아이들의 정신건강과 마주한 현실', '정신건강 문제를 인식한 종사자의 대처와 제한점', '마음으로 전해지는 노하우, 눈에 보이는 변화', '남겨진 과제, 아낌없이 줄 수 없는 종사자' 등이었다. 이러한 연구결과에 근거하여 지역아동센터를 이용하는 아동청소년의 정신건강 증진을 돕기 위한 방안을 제언하고자 하였다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제20권3호
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• pp.129-139
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• 2009

Objectives : This study evaluated the effectiveness of school-based mental health screening and treatment linkage programs, focusing on attention-deficit hyperactivity disorder (ADHD) and adolescent depression. Methods : All 11,158 children and adolescents aged 8-14 years in Seoul received a school-based mental health screening, consisting of the Korean versions of the ADHD rating scale and the Child Behavior Checklist (CBCL), for ADHD, and the Center for Epidemiological Studies Depression Scale (CES-DS) and the Suicidal Ideation Questionnaire-Junior (SIQ-JR), for depression. The high-risk children's and adolescents' diagnoses were confirmed using the Diagnostic Interview Schedule for Children-IV (DISC-IV). Treatment linkage programs were managed by the Seoul Metropolitan Community Mental Health Center (Program 1), the Seoul Metropolitan Office of Education (Program 2), or the Dongjak District Office of Education (Program 3). We estimated and compared the referral rates of the three programs. Results : Program 1 screened and referred 22.9% of ADHD youths to mental health services, Program 2, 68.8%, and Program 3, 40.0%. Program 1 screened and referred 22.8% of depressed youths to mental health services, Program 2, 53.8%, and Program 3, 88.9%. Key elements for successful screening and referral programs were an effective school/community mental health center/Office of Education network, the parents' financial support and perception of their child's mental health status as being problematic, and the teachers' active engagement. Conclusion : This is the first study investigating the effectiveness of school-based mental health screenings' linkage to treatment for primary and middle school students in Korea. An effective network for community mental health and improvements in parents' and teachers' perceptions regarding mental health are needed for more successful treatment linkage.

• 한국학교보건학회지
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• 제29권3호
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• pp.235-244
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• 2016

Purpose: The purpose of this study was to investigate factors effecting the psychological well-being of adolescents who attend a community child center. Methods: The survey was conducted on 143 children attending a community child center in P city with a structured self-report questionnaire from August 20 to September 20, 2016. Data were analyzed through descriptive statistics, t-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlation coefficient, and stepwise multiple regression, using SPSS/WIN version 18.0. Results: There were significant differences in psychological well-being according to grade, one of the general characteristics of the subjects. There was a significant positive correlation between ego-resilience, social support, subjective well-being, and psychological well-being. From the multiple regression analysis, the most significant factors affecting psychological well-being were subjective well-being (${\beta}=.56$) and grade division (${\beta}=.19$). These variables explained 38.0% of the total variance in psychological well-being. Conclusion: Considering the results of this study, it is desirable to develop measures to increase adolescents' subjective well-being and provide support according to grade in order to improve the psychological well-being of the adolescents attending community children centers.

• 지역사회간호학회지
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• 제32권2호
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• pp.205-219
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• 2021

Purpose: This concept analysis was conducted to clarify 'parents' treatment adherence for an epileptic child or adolescent'. Methods: The analysis used a hybrid model comprising three phases: theoretical phase, fieldwork phase, and integration phase. In the theoretical phase, fifty studies were reviewed. Interviews with four parents of epileptic children or adolescents were conducted during the fieldwork phase. In the integration phase, the results derived from prior phases were synthesized and clarified. All phases were performed cyclically. Results: The concept, 'parents' treatment adherence for an epileptic child or adolescent' was defined as parents' voluntary and goal-directed behavior towards the epilepsy treatment for their children: a collaborative decision-making process with health-care providers, establishing a support system, adaptability to the treatment plans, and appraisals of the child's health condition. Conclusion: This achievement is thought to contribute to improving the accuracy and validity of the concept measurement. It has implications for additional research on how the concept 'treatment adherence' differs in diverse health problems and other population groups than parents of children and adolescents with epilepsy.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제34권1호
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• pp.4-14
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• 2023

This study aimed to discuss mental health services for children and adolescents that are being implemented as initiatives of the Korean government and to review the functions and roles of these projects during the COVID-19 pandemic. Three government departments are in charge of providing mental health services for children and adolescents: Ministry of Education, Ministry of Gender Equality and Family, and Ministry of Health and Welfare. The Ministry of Education has implemented several policies to facilitate the early detection of mental health issues among school students (from preventive interventions to selective interventions for high-risk students). The Ministry of Gender Equality and Family additionally serves out-of-school children and adolescents by facilitating early identification of adolescents in crises and providing temporary protection or emergency assistance (as required) through the Community Youth Safety-Net Project. Furthermore, the Ministry of Health and Welfare operates relevant mental health agencies for individuals of all ages including children and adolescents. Any high-risk students who have been screened through the projects of the Ministry of Education are supported through referrals to the following institutions for appropriate treatment of their symptoms: specialized hospitals, the Youth Counseling and Welfare Center operated by the Ministry of Gender Equality and Family, the National Youth Healing Center, the Mental Health Welfare Center operated by the Ministry of Health and Welfare, the Suicide Prevention Center, and the Child Welfare Center. To assist students who are facing any psychological difficulties because of the COVID-19 pandemic, the Ministry of Education has established a psychiatric support group for providing emergency mental health care; furthermore, schools are promoting psychological surveillance (e.g., provision of non-face-to-face counseling services that are centered around the Wee Center). The Ministry of Education, Ministry of Gender Equality and Family, and Ministry of Health and Welfare have provided varied mental health support services in order to address the challenges faced by children and adolescents during the pandemic. Nevertheless, the mental health services operated by each ministry do show some limitations because their service provision system is insufficiently collaborative. The present study discussed the positive effects of each initiative as well as its limitations; furthermore, it suggested improvements for facilitating the healthy development of children and adolescents' mental health.