• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제26권3호
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• pp.165-175
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• 2015

Objectives : The purpose of this study was to investigate changes in child and adolescent outpatients at a university hospital in Daegu from 2004 to 2013. Methods : The subjects were first-visit patients under 18 years old, who visited Dongsan Medical Center, Keimyung University, from January 1, 2004 to December 31, 2013. Computerized medical records of 2,738 patients (male 1,906, female 832) were reviewed. Results : The ratio of male to female was 2.3 : 1 in the period of study. The most prevalent age category was 7-9 years. The mean age was $10.12{\pm}4.68$ years ($9.84{\pm}4.59$ years in males, $10.76{\pm}4.81$ years in females). The ratio of child and adolescent patients to total outpatients was 27.0%. The most common diagnostic category was the attention-deficit hyperactivity disorder (ADHD) group, followed by the mental retardation (MR) group. In males, the ADHD, MR, communication disorder groups were more prevalent, but in females, the MR, ADHD, depressive disorder groups were more prevalent. Conclusion : The female to male ratio and total mean age were on the rise. The ADHD group was the most prevalent and the depressive disorder group was also on the rise in this period.

• 사회복지연구
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• 제42권2호
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• pp.443-465
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• 2011

본 연구는 장애아동 아버지의 양육참여와 양육행동, 장애자녀에 대한 태도 및 친밀감을 향상시킬 수 있는 가족탄력성 증진 프로그램을 개발하고 적용하여 그 효과성을 검증하는데 목적이 있다. 프로그램은 가족탄력성의 개념을 기반으로 하위요인인 신념체계, 조직패턴, 의사소통과정을 포함하는 내용으로 구성하였고, 서울소재 복지관의 초등학생 장애자녀를 둔 아버지를 대상으로 주 1회 매 2시간씩, 총 7회기로 진행되었다. 연구결과, 통제집단은 결과에 유의미한 차이를 보이지 않았지만 프로그램에 참여한 실험집단 아버지들은 양육참여 정도와 장애자녀에 대한 태도에서 유의미한 향상을 보였다. 따라서 가족탄력성 증진 프로그램을 통해 장애아동 아버지들이 적극적으로 양육에 참여하게 되고 장애자녀에 대해 긍정적으로 인식하게 되었음을 보여줌으로써 가족탄력성 프로그램의 효과성을 입증하였다. 이러한 결과를 바탕으로 장애아동 아버지에 대한 사회복지 실천현장에서의 개입 방안에 대한 함의를 제언하였다.

• 아동학회지
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• 제16권1호
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• pp.3-20
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• 1995

This study assessed the needs and aspirations for after-school programs for 421 employed mothers with a school-age child. Furthermore, 20 cases of after-school programs presently opened in Seoul and Kyungkido were analyzed and evaluated in terms of the factors related to quality of child care programs. A tentative after-school program model was developed on the basis of data from the assesment of parental requests and the evaluation of the present programs. The objectives of after-school programs, program activities, caregiver's role, group constellation, supervision of the programs, and care service time were discussed in the model.

• 대한치과교정학회지
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• 제16권1호
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• pp.107-118
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• 1986

This study was designed to investigate the variation of mandibular pattern and cranial base and their association in the craniofacial malocclusion. The material was the 165 cephalometric radiographs taken from craniofacial malocclusion. The sample was devided into two groups by age child group aged from 10 to 13 years and adult group aged over 18 years, and each group was devided into 3 types of malocclusion; class I, Class II div. 1 and Class III malocclusion. Child group consist of 35 samples and adult group consist of 20 samples in each malocclusion type. Various angular and linear measurements on the cephalometric radiographs were recorded and statistically analyzed. The results of the study were as follows; 1. The cranial base angle was largest in Class II div. 1 malocclusion and smallest in Class III malocclusion 2. The anterior cranial base length was largest in Class II div. 1 malocclusion but posterior cranial base length did not show statistical difference. 3. The mandibular body length of Class III malocclusion was larger than those of Class I and Class II div. 1 malocclusion in the adult group but did not shown difference in the child group. The ramus height of Class III malocclusion was larger than those of Class I and Class II div. 1 malocclusion in the child and adult group, but there were no difference between Class I and Class II div. 1 malocclusion. 4. The mandibular position was showed low correlation with the cranial base angele.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제8권1호
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• pp.22-33
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• 1997

본 연구는 반응성 애착 장애 아동(Reactive Attachment Disorder, 이하 ‘RAD’)의 혼란된 부모-아동 관계를 애착이론의 입장에서 체계적으로 살펴보고자 하였다. 이를 위해 1994년 8월에서 1995년8월 사이 소아정신과에 내원한 RAD 아동과 어머니 20쌍과 비교집단으로 정상 아동과 어머니 20쌍을 대상으로, 아동에 대한 내적 실행 모델 면접(Working Model of Child Interview, 1986)과 낯선 상황 절차(Strange Situation Procedure, 1978), 부모-아동 상호작용 척도(Dyadic Parent-child Interaction Coding Scales, 1983)을 실시하여 어머니의 아동에 대한 내적 표상과 어머니의 내적 표상 유형과 아동의 애착 유형과의 관계, 내적 표상 유형에 따른 어머니-아동 상호작용 양상을 살펴보았다. 1) 대상 어머니들을 3가지 내적 표상 유형으로 분류해 본 결과, 비교 집단 어머니는 모두 균형된 표상으로 분류되었고 RAD 집단 어머니는 비개입된 표상(55%), 왜곡된 표상(45%)으로 분류되었다. 2) 어머니의 아동에 대한 내적 표상 유형은 아동의 애착 유형과 체계적으로 연관되었다. 균형된 표상의 어머니의 아동은 모두 안정 애착이었고 비개입된 표상 어머니의 82%는 그 아동이 불안/회피 애착으로 분류되었고 왜곡된 표상 어머니는 56%가 그 아동이 비조직/비일관 애착, 33%는 불안/저항 애착으로 분류되었다. 3) 어머니-아동 상호작용에서, 비개입된 표상의 어머니는 아동 중심 놀이에서 균형된 표상의 어머니에 비해 묘사적 진술, 반영적 진술, 묘사/반영적 질문을 적게 사용하였고 왜곡된 표상의 어머니는 균형된 표상의 어머니에 비해 직접 명령과 간접 명령을 많이 사용하였다. 장난감 정리하기 과제에서 비개입된 표상과 왜곡된 표상의 어머니는 균형된 표상의 어머니보다 직접명령, 간접명령을 더 많이 사용하였다. 위의 결과를 통해서 볼 때, 어머니의 아동에 대한 내적 실행 모델은 아동과의 애착 관계와 어머니-아동 상호작용에 중요한 요인으로서 혼란된 어머니-아동 관계를 이해하는데 효율적인 접근을 제공하며 아동에 대한 치료적 개입에 유용한 정보를 제공해 줄 것으로 생각된다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제26권5호
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• pp.239-248
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• 2023

Purpose: The parents of adolescents with inflammatory bowel disease may experience impaired mental health and quality of life. This longitudinal study aimed to verify whether the mental health and quality of life of the parents of adolescents with inflammatory bowel disease declined when their children had active disease. Methods: Sociodemographic data, parental anxiety, depression, and quality of life were analyzed using validated questionnaires for each variable. After the baseline survey, the second and follow-up surveys were conducted at 3 and 12 months, respectively. The active disease group comprised eight parents whose children had active disease during the baseline and second surveys. The remission group comprised 14 parents whose children remained in remission during both surveys. The improved group comprised nine parents whose children experienced active disease at baseline and remission during the second survey. Parental mental health and quality of life were compared among the groups. Results: Significantly higher levels of anxiety were observed in the active disease group in all surveys (p<0.050). Although depression levels and quality of life did not differ significantly among the three groups, pairing the active disease group with other groups showed some large effect sizes. Conclusion: Parents tended to experience decreased mental health and quality of life when their adolescents experienced active inflammatory bowel disease. Consequently, our hypothesis was partially verified. Therefore, parents need support when their children have active disease; this finding highlights the need for parental support systems.

• 대한가정학회지
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• 제47권4호
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• pp.25-35
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• 2009

The purpose of this study is to examine the effect of group game play program on ADHD-liked children’s executive function. The game play program was implemented for children in experiment group to find out the effect of the group game play program on ADHD-liked executive function. The subjects of this study were 12 children (4th year elementary students), showing ADHD characteristics. 6 were put in experiment group and other 6 were put in control group randomly. The effectiveness of group game play on ADHD children’s executive function are as followings: The attention ability, behavior inhibition ability, cognitive flexibility of children in experiment group was improved more than in control group. It is concluded that group game play program is effective for ADHD-liked children’s executive function.

• 가정과삶의질연구
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• 제17권3호
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• pp.103-116
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• 1999

This study was executed to examine the effect of group-psychotheray oriented psychodrama on child's depression. For this study self-reporting Kovacs's children's depression inventory(C.D.I) was administered for primary school children. and 8 children were selected in experimental and control group each. The experimental group acted the psychodrama for 15 session. The first follow-up test was executed at 8 weeks after pre-test and second follow-up test at 10 weeks after first follow- up. Every time children acted the psychodrama all behaviors had been recorded. Also in order to find out any changes in daily life after the psychodrama their parents class teachers and children themselves were interviewed. Basal depression level was 23.38 for experimental group and 23.63 for control group. Depression level of experimental group was reduced to 12.38(p<0.01) There was significant difference in depression level between experimental and control group (p<0.01) Reducing effect of experi ental group by the psychodrama was maintained as well. As a result group psychotherapy oriented psychodrama was effective to reduce depression level of childern. Group psychotherapy oriented psychodrama program for children need to be developed for more effectiveness.

• Child Health Nursing Research
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• 제3권1호
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• pp.83-98
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• 1997

The purpose of this study were to find out the practical way to enlarged child-raising knowledge and to enhance their satisfaction with out-patient care by evaluating how effectively the education is done by nurses for mothers with ill-child and how their satisfaction with out-patient care changed. This study was designed as a Nonequivalent Control Group study. The subjects studied were consisted of the experimental and control group. Each consisted of 50 mothers with ill-child in pediatric department at one university hospital in Seoul. The period of this study is from May 20, 1996 to J one 28, 1996. The first data were collected from both of experimental and control groups in which mothers with ill-child come to the hospital for the first time. After this being done, the experimental group had been educated by the planned program and then the second data were collected from them. On the contrary, as for the control group, there had been no education and the second data were col looted on the same method. The data analysis was done by SPSS program. The results of this study are as follow, 1 The child-raising knowledge level of mothers with education was higher than that of with no education. (t=18.84, df=49, p=0.000) 2. The satisfaction with out-patient care level of mothers with education was higher than that of no education. (t=10.51, df=49, p=0.000) Based on these results, I suggest as follow, 1. The research on the patients and their family should be made not only in pediatric department, but in every out-patient department. 2. For more effective education, it is required for all out-patient nurses to research the education demand of patients and their family. 3. To increase the effect of education, there must be the consultation room in out-patient department. 4. The meetings with the mothers with ill-child of the same illness have to be established and periodical education must be executed. 5. Audio-visual education programs like video tapes are needed to make use of waiting time for the medical treatment. 6. On-line consulting programs are needed.

• 아동학회지
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• 제25권5호
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• pp.73-94
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• 2004

The study examined the effects of an intervention program for improving mother-child interaction behaviors of mothers with developmentally delayed young children. The program consisted of three main activities, lectures for good parenting, video-feedback of mother-child interactions, and consultation for problem behaviors of children. The subjects were 4 mothers of 5-6 years old children with developmental delays who were referred to a social competence program of a child counseling center. The mothers were identified to have problematic mother-child interaction behaviors through clinical interviews. The program ran for 16 sessions, one parent group leader implemented each session for 90-120 minutes once a week. The videotaped data of mother-child interactions for 10 minutes every 4 sessions were estimated by Maternal Behavior Rating Scale(MBRS) and qualitatively analyzed by transcription of communications between mothers and their children. It concluded that the intervention program enhanced mother-child interaction behaviors.