• Journal of Families and Better Life
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• v.23 no.1 s.73
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• pp.19-29
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• 2005

The purpose of this study was to investigate ego-resilience and social adaptability of the children and adolescents in institutional care. The study also investigated the protective factors and the risk factors on ego-resilience and social adaptability and their relationship. The subjects in this study were 140 children and adolescents in institutional care. The research data were analyzed using Frequency, Pearson's Correlation, Stepwise Multiple Regression Analysis and T-Test in SPSS WIN 10.0 program. The major findings were as follows. First, ego-resilience of the children and adolescents in institutional care was related to locus of control, depression and anxiety and unsatisfaction of institutional care. Result of stepwise multiple regression analysis showed that depression and anxiety and locus of control in the order had significant effects on ego-resilience. Second, social adaptability of the children and adolescents in institutional care was related to social support and parent-child bond. Unsatisfaction of institutional care and social support in the order had significant effects on social adaptability by stepwise multiple regression analysis. Third, the children and adolescents who had higher level of ego-resilience reported better social adaptability. The overall research results revealed that the risk factors such as unsatisfaction of institutional care and depression and anxiety than the protective factors had more significant effects on ego-resilience and social adaptability of children and adolescents in institutional care. This finding suggested that elimination of risk factors rather than development of protective factors was a more important task for the welfare of children and adolescents in institutional care.

• Journal of Korean Academy of Nursing
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• v.40 no.4
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• pp.503-514
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• 2010

Purpose: The purpose of this study was to compare levels of postpartum fatigue, depression, childcare stress, and maternal identity according to postpartum period between primiparas who used Sanhujori facilities and those who did not. Methods: The research design was a longitudinal descriptive study using self-report questionnaires. Participants were 55 healthy primiparas who delivered at one of 3 hospitals in Chungnam, 21 using Sanhujori facilities and 34 not using these facilities during the first three weeks after childbirth. Data were collected from October 2008 to April 2009 at three measurement points, 2-4 days after childbirth (T1), 4-6 weeks (T2), and 12-14 weeks (T3). Data were analyzed using the SPSS 17.0 WIN program. Results: There was a significant difference in childcare stress between the two groups at 4-6 weeks after childbirth. Postpartum depression and childcare stress at 4-6 weeks were significantly higher than those of the other postpartum periods, while maternal identity was significantly lower. Conclusion: Child care stress is the most important issue among women who use Sanhujori facilities and the 4-6 week period after childbirth is very difficult to primiparas. These results indicate that nursing interventions for primiparas in Sanhujori facilities should focus on reducing childcare stress. Furthermore proper follow-up programs at 4-6 weeks are needed to decrease the difficulties in adjustment by new mothers.

• Journal of the Korea Convergence Society
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• v.10 no.2
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• pp.315-324
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• 2019

The purpose of this study was to identify socio-demographic variables, psychological variables and socio-relational variables influencing on suicide ideation of multicultural families. The participants were 186 multicultural adolescents. Data analysis was used descriptive statistics, correlation and multiple regression with the SPSS 23.0 program. The major findings were as; Self-esteem is highest in 3.40, hopelessness is 3.34, discrimination experience is 3.14, school violence victim is 2.78 and suicide ideation is 1.98. Suicide ideation was positively correlated with stress, hopelessness, depression, school violence victim and discrimination experience except self-esteem. Multicultural adolescents' suicide ideation was positively affected by significant hopelessness, depression, stress, school violence victim and discrimination experience. And the findings was provided basic report for the intervention program on suicide ideation regarding to psychological variables and socio-relational variables of multicultural adolescents.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.24 no.2
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• pp.90-95
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• 2013

Botulinum toxin, a neurotoxin, is known to be an inhibitor of cholinergic neuromuscular transmission. Recently, it was reported that the administration of botulinum toxin is effective for the treatment of focal neurological motor disorders such as cervical dystonia, blepharospasm, hemifacial spasm, spasmodic dysphonia, and writer's cramp. Several case studies reported that the botulinum toxin was administered for the treatment of motor tic or vocal tic. It was found that this toxin reduces the frequency and severity of the tic as well as the premonitory urge and symptoms. In our case study, a noticeable decrease of motor tic symptom was observed after an intramuscular injection of 300mg of botulinum toxin in an 18-year-old patient with Tourette's disorder who showed only a little improvement of motor tic and vocal tic symptoms after treatment with antipsychotic drugs for several years. This case is reported in our study and literature survey was undertaken for reviewing similar cases. In our study, an 18-year-old boy diagnosed with Tourette's disorder based on Diagnostic and Statistical Manual of Mental Disorders, fourth edition presented with the following scores : the Clinical Global Impression scale, Yale Global Tic Severity Scale (motor/vocal/severity), Premonitory Urge Score, Korean Attention-Deficit Hyperactivity Disorder Rating scale, and Kovac Depression scale which were performed prior to the treatment were 5, 21/5/50, 100, 17, and 18 points, respectively. Two weeks after the injection of botulinum toxin, the scores were 4, 17/5/40, 50, 16, and 19 points, respectively. Eight weeks after the injection of botulinum toxin, they had become 3, 15/5/30, 25, 16, and 20 points, respectively, which clearly indicates a noticeable decrease of motor tic symptom.

• Journal of Digital Convergence
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• v.13 no.12
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• pp.291-301
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• 2015

It was conducted to investigate effects of the group art-therapy for abused children with depressed, anxiety, negative self image. The subjects were 4 children at OOcity OOgroup home. They lived at group home for 4years 5months with any treatment. Group art therapy had been conducted once a week from Sept. 2013 through Aug. 2014. There were 48sessions and each session lasted 60 minute. To verify the effects of Group art therapy(art activity, works & contents), researchers recorded the subjects' emotional reactions, attitudes, behaviors with the therapeutic purpose in each session and measured CDI, STAIC(TAIC, SAIC), Self-IQYA Korean version Inventory for validity. Pre test(Aug. 2013) & post-test(Aug. 2014) were executed. To do a sum of test reliability, the SPSS 21.0 program is used. The results were: firstly, abused children expressed their emotional state in the works, they changed behaviors and improved relations with friends. Secondly, the score of depression & anxiety in the post_test was lower than in pre_test. Thirdly, the score of self-image in the post_test was higher than in pre_test. Depression & anxiety were reduced and self image changed positively. Exactly, they reduced impulsive act and maintained friendly relationships. Fosterer understood well the children so she would reduce difficulty.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.23 no.3
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• pp.134-142
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• 2012

Objectives : Childhood depressive disorder one of the most prevalent chronic health conditions affecting school aged children. The objective of this study was to examine the prevalence and epidemiological characteristics of childhood depressive disorder in Korea. Methods : In this study, a survey was conducted of elementary school children in the Cheonan area from September 2009 to August 2010. A total of 12,084 children were included in the analyses. The primary measure of depression was the 27-item Kovacs' Children's Depression Inventory (CDI), the Korean Dupaul attention-deficit hyperactivity disorder Rating Scales (K-ARS), Autism Spectrum Screening Questionnaire (ASSQ) and Restless Legs Syndrome Questionnaire (RLSQ) were also administered. Results : The prevalence rate of childhood depressive disorder was 3.07%. The mean age was $9.21{\pm}1.81$ years for the control group (5,969 male, 6,054 female) and $9.91{\pm}1.83$ years for the depression group (CDI score${\geq}$22 ; 159 male, 210 female). Age, height, weight, and economic status were similar for the two groups. However, there were statistically significant differences in the distribution of sex. The distribution of school grade also differed between the two groups. Scores for CDI, K-ARS, and ASSQ in the depressive group were higher than those of the control group. Conclusions : This is the first large-scale population-based study to report on the prevalence of childhood depressive disorder in South Korea. Increased rates of childhood depressive disorder, as reported by primary caretakers, might reflect the increasing negative impact of environmental risk factors on neurobehavioral health. Longitudinal study of the prevalence of childhood depressive disorder should be considered for further evaluation.

• Child Health Nursing Research
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• v.19 no.3
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• pp.187-197
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• 2013

Purpose: The purpose of the study was to develop an emotional self-regulation program for obese children and to examine the program's effectiveness on depression, eating habits, and body mass index. Methods: The emotional self-regulation program was developed from theory-based strategies and a pre-post pilot study was conducted with 46 children (19: intervention, 27: control). The program included 6 weekly group sessions over 2 months. The embedded experimental model of concurrent mixed methods was used to better understand research outcomes by converging both quantitative and qualitative data. Anthropometric measurements and surveys were performed before and after the intervention. Three focus group interviews were conducted with all participants after intervention to explore their experiences. Results: The intervention group displayed decreased depression levels in the quantitative outcomes. The participants also expressed positive outcomes such as improvements in confidence, impulse management, intimacy, happiness, and losing weight. Conclusion: These findings suggest that emotional self-regulation skills are crucial factors for obese children not only to manage their emotional problems but also to control their weight. Further research is needed with a larger sample size and randomized controlled trials.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.17 no.1
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• pp.3-9
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• 2006

Objectives: Obesity is one of risk factors for psychological and social adjustment problems (depression, low self esteem, low school function etc). Quality of life(QOL) is comprehensive and multidimensional construct including physical, emotional, social and school functioning. Some authors reported that child and adolescent obesity is associated with impaired QOL. This study was to examine the association between QOL and body mass index (BMI) in middle school students. Methods : Cross sectional analysis of 471 adolescents between the ages of 13 and 14 years ($mean{\pm}SD,\;13.4{\pm}0.6$), who attended one of middle schools in Seoul, Korea. Participants' QOL were scored by using Korean version of pediatric QOL inventory generic score scale ($PedsQL^{TM}$ 4.0). Participants had a $mean{\pm}SD\;BMI\;of\;21.3{\pm}4.0$. Self reports and parent proxy reports using $PedsQL^{TM}$ 4.0 were administered to measure participant's QOL. Participants were divided into four groups by BMI (Male: obesity group >26.5, at risk group 23.2-26.5, normal weight group 15.8-23.1, underweight group <15.8, Female : obesity group >25.2, at risk group 22.9-25.2, normal weight group 16.0-22.8, underweight group <16.0). Results : Compared with other groups, obese adolescents reported significantly(p<0.01) love. QOL in all domains. Obese adolescents were more likely to have impaired QOL than normal weight adolescents (Odds Ratio, 8.3, 95% confidence interval, 4.0-16.7). Conclusion : Obese adolescents have lower QOL than normal weight adolescents. Psychiatrist, parents, and teachers need to be informed of the risk fur impaired QOL in obese adolescents to target interventions that could enhance health outcomes.

• Journal of the Korean Home Economics Association
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• v.43 no.11 s.213
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• pp.197-210
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• 2005

The purposes of this study were to examine: (1) the extent to which school-age children used computer games; (2) whether there were differences between children who played computer games to a greater extent and children who played computer games to a normal extent in their levels of depression, anxiety, self-esteem, and social anxiety; and (3) whether children's social withdrawal, aggression, and mothers' psychological control explained the extent of children's computer game playing. The subject were 270 children in the 6th grade. It was found that $55.6\%$ of the children were normal users, $39.3\%$ of the children were somewhat heavy users, and $5.2\%$ of the children were heavy users of computer games. There was a gender difference in the proportions of heavy computer game playing. That is, there were more heavy users among boys than among girls. It was also found that social withdrawal, aggression, and mothers' psychological control were significant predictors of the extent of children's computer game playing. That is, the levels of children's social withdrawal, aggression, and their perceptions of mothers' psychological control predicted the degree to which children played computer games.

• Korean Journal of Human Ecology
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• v.20 no.3
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• pp.521-532
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• 2011

The study's purpose was to clarify childcare's impact on the psychological well-being of fathers with an infant. This study included 1,250 households that used 15 nursery centers. The questionnaire asked about the fathers' age, income, working conditions, participation in childcare, recognition of sense of usefulness to their family, marital satisfaction, mental health, health-related quality of life(QOL), and the mothers' age, number of children, age of the youngest child, and working conditions. A casual model was examined using SEM. The results were as follows: first, fathers' participation in childcare contributed to health-related QOL through the recognition of feeling useful to their family. Second, fathers' participation in childcare contributed to marital satisfaction, directly and indirectly through health -related QOL and improved mental health. Third, fathers' participation in childcare contributed to health related QOL through the recognition of feelings of usefulness, marital satisfaction, and mental health, indirectly. These results suggest that promoting fathers' participation in childcare is important to help prevent many problems and to improve QOL.