• Title/Summary/Keyword: child's depression

Search Result 437, Processing Time 0.025 seconds

Experiences of Parents as Suicide Survivors (자살로 자녀를 잃은 부모의 경험 -참척(慘慽) 고통과 화해-)

  • Kim, Ka Duc
    • Korean Journal of Social Welfare
    • /
    • v.64 no.4
    • /
    • pp.5-29
    • /
    • 2012
  • This study aimed to express the experiences of the parents who lost their children by suicides in their own words from their own perspectives by van Manen(2000)'s hermeneutic phenomenological approach. The analysis of the words expressed by the research participants led to the following five fundamental themes. These are 'broken heart, sinner's grief, land of exile and time stood still, pains to be comforted, and days ahead with half-stitched wounds'. Several distinctions are found due to cultural differences from Korean parents. First, whereas the Western parents see the cause of their child's suicide as his/her independent issue, the Korean parents blame themselves entirely. This may have stemmed from the overly inter-dependency between the parents and the child. Second, whereas the Western perspective views the suicide as a type of illness from the individual's depression. The Korean perspective views the suicide as a shame that disgraces the parents or the family. This negative social perspective intensifies the self-blame and social isolation. Third, the Westerners recognize the prevention and responsibility of suicide resting with the society and government, but the Korean society recognize suicide as personal or family matter. Based on the finding above, I proposed a number of practical measures to aid the surviving parents who belong to a group with extremely high suicidal rates.

  • PDF

The Influences of Self-Differentiation and Psychological Discomfort on Antenatal Attachment of Pregnant Couples in Their Third Trimester of Pregnancy (임신 후반기 부부의 자아분화와 심리적 불편감이 태아애착에 미치는 영향)

  • Chae, Jin-Young;Chung, Hye-Jeong
    • Journal of Families and Better Life
    • /
    • v.33 no.2
    • /
    • pp.89-101
    • /
    • 2015
  • This study examined the effects of self-differentiation and psychological discomfort on antenatal attachment of pregnant couples in their third trimester of pregnancy. The subjects were 182 couples in J province who had participated in the first wave of the Korea Attachment Longitudinal Study (KALS). Data were analyzed by means of frequency, percentages, Pearson's correlations, and stepwise multiple regression models using SPSS 20.0. The findings were as follows. First, the independent t-test showed that the mean scores of pregnant women's self-differentiation were lower than their spouses in all subscales except emotional cutoff, and higher than in all psychological discomfort subscales. There was no significant difference in antenatal attachment quality between women and men, but the pregnant women significantly spent more time thinking about the fetus than their spouses. Second, the stepwise multiple regression models revealed that pregnant women's emotional cutoff in self-differentiation influenced the most on both quality and quantity of antenatal attachment. Among subscales of their spouses' self-differentiation, only emotional reactivity had an impact on quality of antenatal attachment, and fusion with others had the most impact on quantity of antenatal attachment. Among the pregnant women's and their spouses' psychological discomfort subscales, only depression influenced each quality and quantity of antenatal attachment. This is the very first and only study in which the impact of the pregnant couples' self-differentiation on antenatal attachment has been examined.

A SURVEY OF THE PSYCHOSIS AMONG SCHOOL VIOLENCE VICTIMS (학교폭력 피해자의 정신병 실태 조사)

  • Kwon, Seok-Woo;Shin, Min-Sup;Cho, Soo-Churl;Shin, Sung-Woong
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
    • /
    • v.11 no.1
    • /
    • pp.124-143
    • /
    • 2000
  • Objectives:The primary purpose of this study is to understand the psychopathology of the victims of school violence in terms of early psychosis. By doing this, the early detection of psychosis among the victims is possible, and early detection may lead to early intervention. Methods:Two-thousand and nine-hundred seventy two students from 16 middle schools in Seoul were asked to fill out questionnaire comprised of popularity and intellectual and school status of Piers-Harris Children's Self Concept Inventory, Symptom Check List-90-Revised, and Ostracism Scale. The subjects whose scores upon Ostracism Scale were higher than average by two standard deviation were labeled as ‘Repelled and Isolated group', and subjects whose scores on popularity were significantly lower than average and whose scores on psychoticism of SCL-90-R were higher than average were defined as 'tentative early psychosis group'. Odds ratios were calculated from the numbers of subjects with and without high psychoticism scores and high ostracism scores. On the subjects of 'tentative early psychotic group', we examined every clinical characteristic and conducted correlation analysis and regression analysis in order to find out the risk factors and to construct theoretical model that explains the psychoticism scores. Results:The results were as follows:1) Total 157(5.3%) subjects were rated significantly higher on ostracism scale, and among them, 47 subjects(29.9%) were rated significantly higher than average on psychoticism scale, while only 50 subjects among 2,135 students who were rated within normal range showed significantly higher score on psychoticism scale. Odds ratio for psychotic group of isolated group were 17.82 and it was statistically significant. 2) Forty-seven subjects(31 boys, 16 girls) who were rated as they were unpopular and rejected from peers had significantly higher psychoticism scores. They were not significantly different from simply high psychoticism subjects in anxiety, social anhedonia scale, magical thinking, obsessivecompulsive symptoms, phobic anxiety, psychoticism, somatization, but showed higher ostracism scores and paranoid tendencies. Among school violence victims, who rated themselves unpopular and showed higher psychoticism scores, the psychoticism scores were mainly explained by anxiety, depression, hostility, interpersonal sensitivity, obsessive-compulsive symptoms, paranoid tendency, somatization scales($r^2=0.93$). Conclusion:Thus, it can be concluded that the subjects with higher ostracism score have the substantially high risk for psychosis development. By these results, we propose that school violence victims with anxiety, depression, hostility, interpersonal sensitivity, obsessive-compulsive symptoms, paranoid tendency, somatization should be tested individually considering school adjustment, attentional deficit, concept formation problems.

  • PDF

The Impacts of Childhood Trauma on Psychosocial Features in a Chinese Sample of Young Adults

  • Wang, Dandan;Lu, Shaojia;Gao, Weijia;Wei, Zhaoguo;Duan, Jinfeng;Hu, Shaohua;Huang, Manli;Xu, Yi;Li, Lingjiang
    • Psychiatry investigation
    • /
    • v.15 no.11
    • /
    • pp.1046-1052
    • /
    • 2018
  • Objective The aims of the present study were to explore the occurrence of childhood trauma and importantly to determine the impacts of childhood trauma on psychosocial features in a Chinese sample of young adults. Methods A survey was carried out in a group of 555 university students by using Childhood Trauma Questionnaire (CTQ), Self-rating Depression Scale (SDS), Self-rating Anxiety Scale (SAS), Dysfunctional Attitudes Questionnaire (DAS), Eysenck Personality Questionnaire (EPQ), and Social Support Rating Scale (SSRS). The moderate-severe cut-off scores for CTQ were used to calculate the prevalence of childhood trauma, and then psychosocial features were compared between individuals with and without childhood trauma. Results A proportion of 18.6% of university students had self-reported childhood trauma exposures. Subjects with childhood trauma reported higher scores of SDS, SAS, DAS, and psychoticism and neuroticism dimensions of EPQ (t=4.311-5.551, p<0.001); while lower scores of SSRS and extraversion dimension of EPQ (t=-4.061- -3.039, p<0.01). Regression analyses further revealed that scores of SAS and DAS were positively (Adjusted B=0.211-0.230, p<0.05), while scores of SSRS were negatively (Adjusted B=-0.273- -0.240, p<0.05) associated with specific CTQ scores. Conclusion Childhood trauma is still a common social and psychological problem. Individuals with childhood trauma show much more depression, anxiety, distorted cognition, personality deficits, and lower levels of social support, which may represent the social and psychological vulnerability for developing psychiatric disorders after childhood trauma experiences.

A Systematic Review of Interventions with Siblings of Pediatric Cancer Patients (소아암 환자의 형제자매 중재에 관한 연구논문의 체계적 문헌고찰)

  • Han, Soo-yeon;Hwang, Ji-Hye;Kim, Cho-hee;Jang, Hye-young;Bang, Kyung-Sook
    • Child Health Nursing Research
    • /
    • v.23 no.3
    • /
    • pp.394-404
    • /
    • 2017
  • Purpose: The purpose of this study was to review interventions available to nurses caring for siblings of children with cancer. Methods: Searches of CINAHL, MEDLINE, PubMed, EMBASE, and RISS identified ten intervention studies published from January, 2000 to November, 2016. Results: Ten studies on interventions for siblings of pediatric cancer patients were identified as follows: 4 included camps, 4 included support groups, and 2 provided individual interventions. Theoretical frameworks were mainly cognitive behavioral theory and most studies were led by psychologists and multidisciplinary teams. The purpose of the interventions was primarily enhancing psychosocial adjustment. Siblings' fear of disease, self-esteem, and social support were improved significantly after the interventions. Findings were inconsistent with regard to depression, anxiety, behavioral problems, post-traumatic stress, health-related quality of life, and siblings' perceptions of the illness. Conclusion: Study findings showed the potential for enhancing emotional and behavioral outcomes in siblings of children with cancer. However, the number of studies was very small, and several methodological limitations were identified. In the future, more randomized controlled trials with larger samples are needed to extend the evidence base. Moreover, future research should identify sibling's characteristics and circumstances most likely to bring benefits to the siblings.

Perinatal and Developmental Risk Factors of ADHD Children Diagnosed with a Structured Interview (구조적 면담으로 ADHD로 진단받은 아동의 주산기 요인 및 발달력상 위험인자)

  • Park, Subin;Jeong, Hae-Won;Kim, Bung-Nyun;Cho, Soo-Churl;Kim, Jae-Won;Shin, Min-Sup;Yoo, Hee-Jeong;Han, Doug Hyun;Cheong, Jae Hoon
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
    • /
    • v.23 no.4
    • /
    • pp.181-187
    • /
    • 2012
  • Objectives:The objective of this study was to examine the perinatal and developmental risk factors of attention-deficit hyperactivity disorder (ADHD) diagnosed with a structured interview among Korean children. Methods:The current study included 924 children (6-15 years) recruited from schools in five Korean cities or a child psychiatry outpatient clinic of Seoul National University Children's Hospital. The parents of the children completed the structured diagnostic interview for attention-deficit hyperactivity disorder, as well as questionnaires on perinatal and developmental risk factors. Results:Preterm delivery, severe maternal stress during pregnancy, change in primary care taker during the first three years, postpartum depression, and delayed first sentence showed a significant association with ADHD diagnosis. Conclusion:These findings suggest that perinatal and developmental factors contribute to development of ADHD in Korean children. Conduct of future research using a prospective design is needed in order to identify the causal relationship between observed risk factors and development of ADHD.

Factors Influencing Smartphone Addiction in Adolescents (청소년의 스마트폰 중독에 영향을 미치는 요인)

  • Lee, Eun Jee;Kim, Yune Kyong;Lim, Su-Jin
    • Child Health Nursing Research
    • /
    • v.23 no.4
    • /
    • pp.525-533
    • /
    • 2017
  • Purpose: The purpose of this study was to verify the relationship among depression, school adjustment, parent-child bonding, parental control and smartphone addiction, and to identify factors which influence smartphone addiction in adolescents. Methods: A cross-sectional design was used, with a convenience sample of 183 middle school students from 3 middle schools. Data collection was conducted through self-report questionnaires from April to May, 2017. Data were analyzed using ${\chi}^2$ test, Fisher's exact test, t-test, one-way ANOVA, correlation coefficient analysis, and binary logistic regression with SPSS Ver. 21.0. Results: The mean score for smartphone addiction was 29.40. Of the adolescents, 21.3% were in the smartphone addiction risk group. Logistic regression analysis showed that gender (OR=7.09, 95% Cl: 2.57~19.52), school life (OR=0.86, 95% Cl: 0.79~0.93), smartphone usage time (OR=1.32, 95% Cl: 1.04~1.66), and parental control (OR=4.70, 95% Cl: 1.04~21.29) were effect factors for the smartphone addiction risk group. Conclusion: Findings indicate that school satisfaction was an important factor in adolescents' smartphone addiction. Control oriented parent management of adolescents' smartphone use did not reduce the risk of smartphone addiction and may have worsen the addiction. Future research is needed to improve understanding of how teachers and parents will manage their adolescents' use of smartphones.

A Study on the Evaluation of Maternal Child Health Services in Public Health Centers (일개 시 보건소의 모자보건 선도보건사업 평가에 대한 연구)

  • Kim, Yong-Soon;Park, Jee-Won;Bang, Kyung-Sook;Jung, Soon-Re;Woo, Hea-Suk;Lee, Hea-Jung;Jang, Hyeon-Soon
    • Research in Community and Public Health Nursing
    • /
    • v.13 no.2
    • /
    • pp.280-291
    • /
    • 2002
  • Objectives: This study was conducted to evaluate the maternal child health services provided by public health centers in Pyungtaek city. Methods: Data were collected based on multiple sources of official records. A questionnaire survey was obtained from 50 mothers with premature babies, and 89 mothers with full- term babies, in order to compare their demographic factors, and physical, obstetrical, and emotional status. In addition, the investigators collected data on pre and post follow-up care for the remature group to evaluate the effects of home visiting services on them. Moreover, additional data were collected from 135 pregnant women and 315 mothers with infants, to assess their degree of satisfaction for prenatal education course and breast feeding practices. Results: 1) The pregnant women's satisfaction for the prenatal education course, knowledge, and practices on self care were considered to be high. 2) Of the mothers with infants, 62.9% experienced breast feeding, but only 35.9% of them did it for six months. 3) Premature birth rate in the region was 5.6%, and 75.6% of all premature babies received follow-up care. 4) The mothers with premature babies experienced premature rupture of membrane. placenta previa, preeclampsia, and cesarean section more frequently than the mothers with full-term babies. 5) At the pre-intervention data collection point. mothers with premature babies experienced significantly less social support than mothers with full-term babies. In addition, mothers with premature babies reported higher levels of stress and care-giving burdens, and lower level of self esteem, than mothers with full-term babies, although the differences were not statistically significant. 6) In the premature group, stress, care giving burdens, and postpartum depression decreased after the intervention, whereas maternal self esteem, and the husband's support were increased after the intervention. Social support from significant others were somewhat decreased. 7) Satisfaction for the home visiting service in the mothers with premature babies was very high. Conclusion: These results showed a possibility that the recently started maternal child health services provided by the public health centers may be efficient. Although statistically significant differences were not found, the investigators found a potential for changes in a positive direction. Long-term effects of the health services on maternal child health needs should be addressed in future studies.

  • PDF

Change of Quality of Life in Children with ADHD after 12 Weeks OROS-Methylphenidate Treatment (12주 OROS-Methylphenidate 약물 치료 후 ADHD 아동의 삶의 질 변화)

  • Kim, Hyung-In;Kim, Bung-Nyun;Cho, Soo-Churl;Shin, Min-Sup;Yoo, Hee-Jeong;Kim, Jae-Won;Kim, Ji-Hoon;Son, Jung-Woo;Shin, Yun-Mi;Chung, Un-Sun;Han, Doug-Hyun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
    • /
    • v.23 no.3
    • /
    • pp.103-108
    • /
    • 2012
  • Objectives : The aim of this study is to investigate the effectiveness of treatment with osmotic-release oral system methylphenidate (OROS-MPH) on quality of life (QOL) in children with attention-deficit hyperactivity disorder (ADHD). Another aim is to assess the relationship between change in QOL and other factors including children's symptoms and academic performance or parents' depression and parenting stress. Methods : A total of 111 medication-naive children with ADHD in a multicenter, open-label, 12-week trial of OROS-MPH completed an evaluation using diverse rating scales at two time points; at baseline and after 12 weeks of treatment. Scales for investigation of children included the Parent Report Form-Children's Health and Illness Profile-Children's Edition (PRF-CHIP-CE) on QOL, the ADHD Rating Scale-IV on symptoms, and the Academic Performance Rating Scale (APRS). The Beck Depression Inventory and Parenting Stress Index were used for assessment of their parents. Results : Total scores for mean PRF-CHIP-CE increased from $207.9{\pm}26.7$ at baseline to $226.3{\pm}25.9$ after 12 weeks of treatment (p<.001). The change of APRS showed the strongest correlation with the increment of PRF-CHIP-CE scores (Pearson coefficient=0.561, p<.001), even after controlling for other factors (partial correlation coefficient=0.420, p<.001). Conclusion : Treatment with MPH-OROS results in improvement of QOL in children with ADHD in Korea. The advance in academic performance plays a key role in this change of QOL.

Relationships Parent-child Relationships and Psychological Well-being with Eating Attitude of Female Adolescents (여자청소년들의 부모자녀관계와 심리적 복지 및 섭식태도의 관계)

  • Hwang, Mi-Jin;Chung, Hye-Jeong;Lee, Eun-A
    • Journal of Families and Better Life
    • /
    • v.26 no.4
    • /
    • pp.103-117
    • /
    • 2008
  • The purpose of this study was to investigate the relationships between female adolescents's relationships with their parents, psychological well-being, and attitudes towards eating. General characteristics of the subjects such as their school grades, and religion, and their parents' level of educational, marital status, and income were also analyzed in relation with the three major variables. Female adolescents' psychological well-being consisted of two indices: self-esteem and depression. The sample of this study consisted of 419 female students from 4 middle schools and 2 high schools located in Jeollabuk-Do province and the data were collected by using the method of self-administered questionnaires. The results of the analyses showed that there were significant differences in the level of parental attachment across parents' marital status, father's education level, and family income. Participants' psychological well-being levels were also different according to their grades, parents' marital status, and father's education level and income; and the level of eating attitude was different according to their school grades. The correlation analyses results indicated that parental attachment was positively related to self-esteem but negatively to a depressive mood. In addition, female students' eating attitudes were negatively associated with parental attachment and self-esteem, but positively with a depressive mood. Finally, multiple regression analysis found that a negative eating attitude was strongly influenced by a depressive mood, while parental attachment seemed to influence eating attitude indirectly through a depressive mood.