• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.32 no.2
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• pp.71-78
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• 2021

Objectives: This study was conducted to investigate the reliability and validity of the Korean version of the DSM-5 Level 2 Cross-Cutting Symptom Measure-inattention [Swanson, Nolan and Pelham, version IV (SNAP-IV)] and anger [Patient-Reported Outcome Measurement Information System (PROMIS) Anger] for parents and guardians of children aged 6-17 years. Methods: We included 104 children and adolescents diagnosed with attention-deficit/hyperactivity disorder (ADHD), ADHD with anxiety and depression, depressive disorder, anxiety disorder, and tic disorder with somatic symptoms (ADHD=41, depression=9, anxiety=14, ADHD+anxious depression=11, tic+somatic symptoms=29). Their ages ranged from 8 years to 15 years. The participants' mothers completed the SNAP-IV, PROMIS Anger scale, Korean version of the IOWA Conners Rating Scale (K-IOWA), and Korean ADHD Rating Scale (K-ARS) so that the reliability and validity of the SNAP-IV and PROMIS Anger scales, which are DSM-5 scales for assessing inattention and anger of children and adolescents, could be examined. Results: The reliability coefficient of SNAP-IV (Cronbach's α) was 0.94. The correlation coefficients between SNAP-IV, K-IOWA inattention, and K-ARS inattention scores ranged from 0.73 to 0.86. The mean SNAP-IV scores of the ADHD and the ADHD+anxious depression groups were significantly higher than those of the anxiety and the tic+somatic symptoms groups. The reliability coefficient of the PROMIS Anger was 0.91. The correlation coefficient between PROMIS Anger and K-IOWA oppositional/defiant scores was 0.75. The PROMIS Anger mean score of the ADHD+anxious depression group tended to be higher than that of the other groups. Conclusion: These results suggest that the Korean version of the DSM-5 Level 2 Cross-Cutting Symptom Measure-inattention and anger for parent and guardian of child age 6-17 might be a reliable and valid test and may be useful for screening children and adolescents with ADHD.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.20 no.3
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• pp.152-157
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• 2009

Objectives : We investigated the parenting stress and depressive mood of mothers with developmentally-delayed children and the effects of participation in a mother-child development promotion program on same. Methods : Subjects were the mothers of 20 developmentally-delayed children. The severity of the mothers' parenting stress was evaluated via the Korean version of the Parenting Stress Index, Short Form (K-PSI-SF) and the severity of their depressive symptoms were evalueted by the Korean version of the Beck Depression Inventory (K-BDI). Results : The mean K-PSI-SF score and mean K-BDI score for these mothers were 93.35 (SD=10.47) and 23.25 (SD=10.42), respectively. These scores correspond to high parenting stress and moderate depression. The mothers who participated in a mother-child attachment- promotion program showed significant decreases in their K-PSI-SF and KBDI scores. Conclusion : Our data suggest that a mother-child attachment promotion program with emphasis on child development is effective in reducing parenting stress and depressive mood in mothers of developmentally-delayed children.

• Journal of Families and Better Life
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• v.18 no.2
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• pp.155-174
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• 2000

The purpose of this study was to examine the effects of family strengths and self-esteem on depression among married women who have adolescents in middle and high school of their first child in Korea. To measure of depression using the CESD(the center for epidemiologic studies depression scale), the degree of husewives' depression was relatively higher than that of employed married women. As for the related variables, educational degree, S.E.S(socio-economic status), self-esteem turned out significant in housewives' depression. But, in the case of employed married women, these were not significant. Therefore, we are confirmed that the etiologic model of this study was more proper to housewives than employed married women. Finally, in both cases of housewives and employed married women, the effects of family strengths were mediated or moderated by self-esteem in predicting depression. The results of this study called for the encouraging of married women's self-esteem, the parti ipation of various social programs for housewives, and the programs to strengthening of their family relationships.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.26 no.4
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• pp.288-294
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• 2015

Objectives : The purpose of this study was to assess anger of middle school adolescents in an urban community using State-Trait Anger Expression Inventory (STAXI)-Korean and Korean Child Behavior Checklist (K-CBCL), and to determine whether specific anger expression of adolescents is associated with certain psychopathology including depression. Methods : Data were collected from 395 middle school students and their parents in Incheon city. The students completed the STAXI, Children's Depression Inventory, Korean version of Mood disorder Questionnaire, and Conners-Wells' Adolescent Self-Report Scale (Short Form), and their parents completed the K-CBCL. Results : No significant correlation was observed between aggression subscale K-CBCL and each scale of the STAXI, except anger out (r=0.704). The scores for STAXI total and respective scales were significantly higher for female students than male students. A stepwise logistic regression model was used to explore the possible predictors for depression in adolescents and lower anger control and higher anger suppression were found to be predictors for depression in adolescence. Conclusion : There is a possibility of a large discrepancy between anger that the adolescents actually feel and parents' judgment of their children's anger. It must be considered in assessment of adolescent anger and use of further structured interviews is necessary. In addition, it may be useful to consider the anger expression style in adolescents who report depressive symptoms.

• Korean Journal of Child Studies
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• v.22 no.3
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• pp.271-285
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• 2001

The subjects of this study were 283 $6^{th}$ and $8^{th}$ grade students and their homeroom teachers. Data were analyzed by frequency, %, Pearson's, two-way ANOVA, and stepwise regression. Results showed that open communication with parents and self-esteem were positively related to social competence and negatively related to antisocial behavior. Depression was negatively related to social competence and positively related to antisocial behavior. The $8^{th}$ graders had higher scores than $6^{th}$ graders in antisocial behavior and lower levels of social competence and communication with parents. Girls were higher in social competence and communication with parents and lower in antisocial behavior than boys. Depression impacted social competence in girls, and communication with fathers impacted social competence in boys. Grade, open communication with fathers, and self-esteem had significant effects on the antisocial behavior in boys.

• Korean Journal of Childcare and Education
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• v.16 no.5
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• pp.201-218
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• 2020

Objective: The purpose of this study was to investigate the influence of experiences in close relationships with teachers for young children on their depression and to see whether there would be a mediating effect of their self-compassion. Methods: The subjects were 206 teachers recruited from Seoul and five different provinces who currently worked at the kindergarten and child care centers and agreed to participate in the survey. The data were analyzed by means of frequency, percentages, Cronbach's reliability coefficient and Pearson's correlation using SPSS 25.0 and model 4 provided in The PROCESS macro for SPSS 3.4 version. Results: The findings were as followed. First, the teachers' degrees of anxiety and avoidance for their close relationships were below the median scores. In contrast their degree of self-compassion was above the median score. In addition, their level of depression was relatively low. Second, both of the teachers' anxiety and avoidance for their close relationships had a positive impact on their depression and their self-compassion, and there were the partial mediating effect in both cases. Conclusion/Implications: These results imply that the early attachment experience connecting the experience in close relationships in the adulthood is important and that it is necessary to develop a program to enhance teachers' self-compassion to protect their psychological well-being.

• The Journal of the Korea Contents Association
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• v.15 no.12
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• pp.326-335
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• 2015

The purpose of this study aimed to examine the effects of ecological systems factors on childhood depression. A total of 2,119 children data from 2013 Korean Children & Youth Panel Survey(the fourth wave)were used in this study. The results of hierarchical regression showed the most ecological systems factors; organisms(child's gender, aggressiveness, attention problems), microsystems(parental neglect, parental abuse, good relationships with friends), exosystem(supportive community environment); had effects on depression. The most influential factors were child's aggressiveness, parental abuse, good relationships with friends, supportive community environment. Finally, this study suggested some implications for practical intervention and further research in childhood depression.

• Child Health Nursing Research
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• v.30 no.2
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• pp.154-163
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• 2024

Purpose: This study is descriptive research aiming to identify factors influencing the stigma experienced by college students with coronavirus disease 2019 (COVID-19), focusing on COVID-19 pandemic stress, depression, and fear of negative evaluation as the main variables. Methods: An online survey was administered to 175 college students who had been diagnosed with COVID-19 from January to May 2022 and were enrolled in universities in Seoul, Cheongju, and Daegu, South Korea. The survey collected data on pandemic stress, depression, fear of negative evaluation, and stigma. The data were analyzed using the t-test, ANOVA, the Scheffe test, Pearson's correlation coefficients, and stepwise multiple regression in SPSS/WIN 26.0. Results: We analyzed differences in stigma scores based on general characteristics of the college students and found significant differences in stigma scores by age, major satisfaction, interpersonal satisfaction, date of COVID-19 confirmation, treatment modality, and recent subjective health condition. Factors influencing stigmatization were identified as COVID-19 pandemic stress, depression, date of COVID-19 confirmation, treatment modality, recent subjective health condition, and major satisfaction, with an overall explanatory power of 37.6%. Conclusion: This study is significant as it identifies emotional changes across various aspects of pandemic stress, depression, fear of negative evaluation, and stigma among college students who have been diagnosed with COVID-19. The findings of this study suggest the development of programs to reduce psychological distress and enhance mental health management skills among these students.

• Korean Journal of Health Education and Promotion
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• v.33 no.3
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• pp.25-35
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• 2016

Objectives: The purpose of this study is to determine the fatigue, self-esteem, and depression of pregnant women with gestational diabetes mellitus (G-DM), and to reveal associated factors of depression. Methods: As a descriptive correlation study, data was collected from 119 pregnant women with G-DM. Data was analysed using t-test, ANOVA, and stepwise multiple regression. Results: Fatigue, self-esteem, and depression averaged $2.09{\pm}.62$ (range of scale 1~4), $2.63{\pm}.32$ (range of scale 1~6), and $0.45{\pm}.25$ (range of scale 0~3), respectively. The depression varied with a statistical significance according to the age (p=.008), employment (p=.014), child (p=.034), and physical and psychological adjustment of pregnancy (p<.001). We also identified fatigue as the most influencing factor and the physical and psychological adjustment of pregnancy as the second most influencing factor, self-esteem as the third, age as the fourth, and child as the influencing factor on the G-DM women's depression. Conclusions: This research provided a valuable opportunity to recognize G-DM as a personal, and societal problem, which calls for relational support as well as personal support. The healthcare providers need to recognize the emotional aspects of the women with G-DM, and make various efforts to promote the physical and psychological health of the G-DM patients.

• Korean Journal of Childcare and Education
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• v.16 no.3
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• pp.99-117
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• 2020

Objective: Studies have revealed that parenting is a crucial factor for children's effortful control and externalizing behaviors, however, less is known about the underlying mechanism that may be moderated by maternal depression. Therefore, the present study is aimed to testify the mediating effect of children's effortful control and moderating effect of maternal depression in the association between parenting(i.e. limit setting, overprotective/permissive parenting) and children's externalizing behaviors. Methods: Three hundred and one mothers with 4 to 6 years old children reported their parenting behaviors, depression, their children's effortful control and externalizing behaviors. Data were analyzed using SPSS and Process Macro. Results: Results showed that children's effortful control mediated the association between parenting and children's externalizing behaviors and maternal depression moderated the association between parenting behaviors and children's effortful control as well as between parenting behaviors and children's externalizing behaviors. The moderated mediation effects were stronger among mothers with lower levels of depression. Conclusion/Implications: These findings could contribute to a better understanding of how and when maternal limit setting and overprotective/permissive parenting impact children's externalizing behaviors. It is suggested that future efforts to provide the parenting intervention take a target specific approach (e.g. considering mother's depression symptom), on order to maximize the effectiveness of program to ultimately facilitate children's positive adjustment.