• 제목/요약/키워드: child's depression

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Anxiety and Depression in Physical Therapists during the COVID-19 Pandemic: A Cross-sectional Survey in Gwangju, South Korea

  • Park, Se-Ju;Jeong, Ho-Jin;Kim, Byeong-Geun
    • 대한물리의학회지
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    • 제16권2호
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    • pp.23-30
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    • 2021
  • PURPOSE: Physical therapists are at risk of becoming infected because they are in contact with or within 2 meters of the patient while treating them. The purpose of this study is to investigate the anxiety and depression of physical therapists during the coronavirus disease 2019 (COVID-19) pandemic and to identify the factors that affect anxiety and depression. METHODS: A cross-sectional survey was conducted during the pandemic. The survey were completed by 84 physical therapists in 24 local hospitals in Gwangju, South Korea. The Generalized Anxiety Disorder-7 (GAD-7) scale and the Patient Health Questionnaire-9 (PHQ-9) were used to evaluate their anxiety and depression status. Logistic regression models were used to identify the general characteristics factors related to anxiety or depression. RESULTS: It was found that 40 (47.6%) respondents had anxiety, and 37 (44%) had depression. If there was a child under the age of seven in the physical therapist's family, a high probability of anxiety (p < .05) prevailed. Physical therapists in their 30s had a higher risk of depression than those in their 40s (p < .05). The risk of anxiety and depression in physical therapists who were with patients who did not wear masks was higher than for those who were with patients who wore masks (p < .05). CONCLUSION: The anxiety and depression status of physical therapists in Gwangju, South Korea, during the pandemic of COVID-19 was poor. It is necessary to wear a mask for all people during physical therapy.

아동문제행동 예방을 위한 부모교육 프로그램의 효과 : 부모존경-자녀존중 부모교육을 기초로 (The Effectiveness of a Parent Education Program for Preventing Children's Problem Behaviors : Based on Respected Parents & Respected Children)

  • 도현심;김민정;신나나;박보경;최미경
    • 아동학회지
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    • 제34권3호
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    • pp.151-177
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    • 2013
  • The present study employed a pretest-posttest quasi-experimental design to evaluate the effectiveness of a 16-week parent education program based on Respected Parents & Respected Children(RPRC). 124 mothers were assigned to two groups, an intervention (n = 62) group and a waiting (n = 62) group. Mothers in the intervention group participated in the program. After termination of the preventive intervention, differences between pre- and post-tests were examined in maternal characteristics (i.e., depression and anger, maltreatment and general parenting behavior, and parenting efficacy and stress) and preschoolers' aggression. The results indicated that mothers in the intervention group had greater reductions in self-reported negative characteristics. Mothers in the waiting group also reported significant decreases in anger, physical assault and permissiveness/neglect. There was no significant reduction in levels of aggression in the preschoolers. These findings support the argument that a parent education program based on RPRC can be very effective, especially in changing maternal characteristics positively that are crucial to child outcomes.

Aftermath of Child Sexual Abuse in Children in Korea: Data from the Nation-Funded Sexual Violence Victim Protection Center for Children

  • Lee, Soo Young;Kim, Tae-Kyoung;Cheon, Keun-Ah;Song, Dong-Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제29권2호
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    • pp.32-39
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    • 2018
  • Objectives: This study aimed to investigate the 3-year mean periods aftermath of child sexual abuse and to compare the sexual violence victims regard to the treatment. Methods: 682 sexual violence victims were recruited by Seoul Sunflower Children Center, a nation-funded sexual violence victim protection center for children age 13, from 2004 to 2008. Data from 49 victims among 116 consented a follow-up, were analyzed. The victims were assessed by psychological test. Data was analyzed by SPSS ver. 15.0 (SPSS Inc.). Results: The average time elapsed from the last presumed sexual abuse was 39.7 months [standard deviation (SD) 26.02]. Overall, Children's Depression Inventory (CDI) was significantly decreased from 15.8 (SD 9.33) to 10.4 (SD 9.98), and several subscales (depression, anxiety, anger, posttraumatic stress, and dissociation) of Trauma Symptom Checklist for Children (TSCC) were also significantly decreased. CDI and TSCC scores showed no statistical difference between treatment-given and not-given groups, but Revised Children's Manifest Anxiety Scale (RCMAS) was decreased in treatment-given group, whereas it was increased in treatment-not-given group. The difference of RCMAS scores between the two groups was statistically significant [F(1,28)=4.54, p<0.05]. Conclusion: Sexually abused children showed overall symptom decreases over time, but anxiety was not decreased in treatment not-given group.

정신질환을 가진 부모의 자녀들의 정신건강 상태 조사 연구: 고위험군 선별을 위한 예비 연구 (A Survey for Mental Health of Children Whose Parents Have Psychiatric Disorders: A Preliminary Study for Mental Health Screening of High Risk Children)

  • 서화연;박수미;김예니;양영희;이지연;이해우;정희연
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제28권4호
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    • pp.235-243
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    • 2017
  • Objectives: This study aimed to evaluate the mental health status of the children of psychiatric patients in order to plan for the resources that may be necessary to help these children achieve their full potential. Methods: Forty-eight children (age 9-18) whose parents were registered in 5 community mental health centers located in Seoul were recruited. Tests assessing 3 psychological domains were conducted: 1) cognition: Korean version of Learning Disability Evaluation Scale, Comprehensive Attention Test, 2) parent reported emotion and behavior: Korean Child Behavior Checklist, Korean attention-deficit hyperactivity disorder Rating Scale, and 3) self-reported emotion and behavior: Korean Beck's Depression Inventory-II/Children's Depression Inventory-II, Korean Youth Self Report). We defined the children as having a high risk of developing mental health problems if their test scores were over the cut-off levels in 2 or more of the 3 domains assessed. Results: Twelve (25%) children were classified as having a high risk of developing mental health issues. 20 (41.6%) children scored above the cut-off in only one of the domains. Conclusion: Our results suggest that the children of psychiatric patients might be vulnerable to mental illness and need early prevention or interven-tions for the sake of their mental health.

주의력결핍 과잉행동장애와 우울장애 아동 집단의 부모 양육태도 (Parents' Rearing Attitude of Children with Attention-Deficit Hyperactivity Disorder and Depressive Disorder)

  • 김소연;황준원;김붕년;조수철;신민섭
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제19권3호
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    • pp.175-181
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    • 2008
  • Objectives: This study was conducted to compare the mothers' rearing attitude of ADHD children and that of children with depressive disorder. Methods: The participant consisted of 58 school-aged children diagnosed as ADHD, 14 children diagnosed as depressive disorder based on DSM-IV criteria. Normal control group consisted of 34 school-aged children who are free of any diagnosis of psychiatric disorders. Parental Acceptance-Rejection Questionnaire, Parenting Style Questionnaire, Children's Depression Inventory, Marital Satisfaction Scale, Beck's Depression Inventory were administered to all children and their mothers. Results: The parents of ADHD children showed more aggressive/hostile, neglecting/indifferent and less warm/affectionate parenting styles to their children than those of the depression and control groups. The depressive group perceived their parents as more rejecting than the control groups. Conclusion: The externalizing symptoms of ADHD might provoke parental distress and make it difficult for the parents to show positive rearing attitude toward their children. The depressive children might be more sensitive and perceptive to the negative sign of their parents' rearing attitude.

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어머니의 아동기 애착, 정서, 양육행동과 아동의 문제행동의 경로모형 분석 (Path Model Analysis of the Maternal Childhood Attachment, Emotions, Parenting Behaviors and Children's Behavioral Problems)

  • 곽소현;김순옥
    • 가정과삶의질연구
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    • 제24권6호
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    • pp.95-116
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    • 2006
  • The purpose of this study was to validate a hypothetical path model of maternal childhood attachment, emotions, parenting behaviors, and child behavioral problems. The research was conducted with 240 sets or mothers and their children 70 mother-child teams from seven counseling organizations including the Children's Counseling Clinic, Community Social Welfare Service Center, and Welfare Service Center for the Disabled in Seoul, Incheon, and Pyeongtaek, and 170 elementary school children from Seoul and their mothers. Consequently, a total of 200 mother-child teams were selected for this study. The data in this study were analyzed with SPSS 12.0 program and LISREL 8.3 program. The result of this study is as follows: (1) Examining the path of paternal attachment and the internalizing and externalizing behavioral problems, it was noted that paternal attachment had the indirect effect of anxiety and over-protection on the path to internalizing problems and the indirect effect of anxiety also noted is that there is a full-mediation of anxiety and over-protection between paternal attachment and the internalizing problems. (2) Examining the path of maternal attachment and the internalizing problems, it was noted that maternal attachment has direct effect on the internalizing problems. Maternal attachment has the indirect effect of self-esteem depression, anxiety and over-protection on the Path, and the indirect effect of self-esteem, anxiety and over-protection. (3) Examining the path of maternal attachment and the externalizing problems, it was noted that maternal attachment has direct effect on the externalizing problems and on the path to the externalizing problems, and maternal attachment has the indirect effect of depression, the indirect effect of self-esteem and authoritarian control, and the indirect effect of self-esteem and depression.

산후우울 예측요인 (The Predictors of Postpartum Depression)

  • 박영주;신현정;유호신;천숙희;문소현
    • 대한간호학회지
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    • 제34권5호
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    • pp.722-728
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    • 2004
  • Purpose: This study was designed to determine the predictors of postpartum depression. Method: One hundred-sixty one women within one year after delivery from one public health center located in the northern area of Seoul were used in this study. The instruments were a survey of general characteristics, the Edinburgh Postnatal Depression Scale, recent life events index, perceived social support from family, Quality of marriage index, parenting stress index, and Rosenberg's self-esteem inventory. Data was analysed using descriptive statistics, Pearson correlation coefficients, and logistic regression. Result: The average item score of the EPDS was 6.67. 12.4% of respondents, who scored above a threshold 12, were likely to be suffering from a depression of varying severity. The fitness of the model for explaining postpartum depression from six variables, plan for pregnancy, family support, quality of marital relation, perceived social support, life events, childcare stress, and self-esteem, was statistically significant and the predictive power of these variables was 90.9%. The significant predictors of postpartum depression were family support and child care stress. Conclusion: Further research is needed to identify the prevalence rate of postpartum depression using more reliable sampling methods from a large general population. Nursing interventions need to be developed for promoting family support and reducing childcare stress.

주의력결핍 과잉행동장애와 스마트폰 중독, 우울, 불안, 자존감 (Smart-Phone Addiction, Depression/Anxiety, and Self-Esteem with Attention-Deficit Hyperactivity Disorder in Korean Children)

  • 이효철;홍민하;오창근;심세훈;전연주;이석범;이경규;백기청;백혜순;임명호
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제26권3호
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    • pp.159-164
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    • 2015
  • Objectives : The current study investigated the risk of smartphone addiction among children and adolescents with or without attention-deficit hyperactivity disorder (ADHD), risk of depression, anxiety, and self-esteem using the Smartphone Addiction Scale Proneness, Kovac's Children's Depression Inventory, State-Trait Anxiety Inventory, and Rosenberg Self-Esteem Scale, commonly used in clinical medicine. Methods : Ninety five students with ADHD who visited psychiatry outpatient clinics completed the questionnaire. At the same time, 592 middle and high school students living in a similar area regardless of ADHD diagnosis, completed the questionnaire as control subjects. Results : Overall, 40.0% of 95 ADHD and 12.8% of 592 control subjects were classified as the smartphone addiction proneness group, 26.3% of the ADHD subjects and 8.3% of the control group were classified as the depression group, and 32.6% of the ADHD subjects and 16.2% of the control group were classified as the anxiety group. Significant differences were observed between the two groups. Conclusion : The results of this study suggest that ADHD subjects are more prone to smartphone addiction, becoming depressed or anxious than those in the control group. From this study, we could suggest that students with ADHD are more easily affected by smartphone addiction than normal control subjects. In addition, we might understand how some psychiatric problems like depression, anxiety, and low self-esteem are related to ADHD and smartphone addiction.

빈곤 미혼모의 경제적 어려움과 우울증상, 양육스트레스, 아동학대와 방임이 아동의 사회행동발달에 미치는 영향 (The Associations among Poor Single Mothers' Economic Hardship, Depressive Symptoms, Parenting Stress, Child Abuse and Neglect, and their Children's Development)

  • 변호순;최정균
    • 한국아동복지학
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    • 제53호
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    • pp.1-23
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    • 2016
  • 본 연구는 빈곤 미혼모의 경제적, 정신적, 양육특성과 아동학대 및 방임과의 관계를 분석하고, 미혼모의 아동학대 및 방임이 아동의 사회행동발달에 미치는 영향을 분석하였다. 분석을 위해 미국 취약가구 및 아동복지연구자료(Fragile Families and Child Wellbeing Study)를 사용하였으며, 총 1,373명의 빈곤 미혼모의 경제적 어려움과 우울증상, 양육스트레스, 아동학대 및 방임, 아동의 문제행동과 비행행동, 사회성기술을 측정하였다. 분석과정에서 아동의 출생시점과 3세, 5세, 9세 시점에서의 미혼모와 아동의 특성을 고려하였다. 연구결과, 미혼모가 경험하는 경제적 어려움과 양육스트레스는 아동에 대한 학대 및 방임을 야기하는 위험요인인 것으로 분석되었으며, 높은 수준의 우울증상은 미혼모의 양육스트레스를 가중시킴으로써, 간접적으로 아동 학대 및 방임위험성을 높이는 것으로 분석되었다. 또한 미혼모의 학대 또는 방임적 양육행동은 아동의 문제행동과 비행행동을 유발하고, 사회성 발달을 저해하는 요인으로 작용하는 것으로 나타났다. 연구결과를 기초로 아동의 건강한 사회행동발달과 미혼모의 학대 혹은 방임적 양육행동을 예방하기 위한 정책적 실천적 전략에 대해 논의하였으며, 동시에 빈곤과 재정궁핍, 우울증상, 양육스트레스를 효과적으로 완화하기 위한 지원방안을 제시하였다.

어머니의 심리적 안녕감과 유아의 문제행동 : 자녀의 부정적 정서에 대한 어머니 대처양식의 매개효과 (Mother's psychological well-being and children's problems behavior : Mediating effects of Coping with Children's Negative Emotions)

  • 전영주;전숙영
    • 가정과삶의질연구
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    • 제28권5호
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    • pp.251-262
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    • 2010
  • This study examines the relationship between a mother's psychological well-being and children's problematic behavior(withdrawal, depression anxiety, aggression and emotional instability). In order to expand the study on the relationships, special attention was given to the possible mediator effects of mother's coping style with children's negative emotions. The subjects were 305 mothers with children 4-5 years old residing in the cities of Cheonan and Seongnam. It was found that mother's psychological well-being was significantly related to the level of children's withdrawal, depression anxiety, aggression and emotional instability. The mother's coping style with children's negative emotions were also significantly related to the mother's psychological well-being. In addition the mother's coping style with children's negative emotions was found to be a significant mediator of the relationship between mother's psychological well-being and children's. This was especially so for internal problems behavior as like withdrawal, depression anxiety and emotional instability that were perfectly mediated by the mother's coping style with children's negative emotions. Aggression, external problems behavior was partially mediated by the mother's coping style.