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The effectiveness of cognitive behavioral therapy for ego-integrity of depressed elderly women living alone (우울한 여성독거노인의 자아통합감 증진을 위한 인지행동치료 프로그램 개발 및 효과)

  • Kim, Ji Hyun;Jeong, Hyo Un;Kim, Jung Min
    • Journal of Family Relations
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    • v.21 no.3
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    • pp.49-72
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    • 2016
  • Objectives: The purpose of this study is to develop a cognitive behavioral therapy program for ego-integrity of depressed elderly women living alone, and to verify its effectiveness. Method: The subjects of this study were composed of elderly women(age 65 and older) living alone who had basic literacy skills, 24 or higher in mental state examination(MMSE-K), and 6 or higher in elderly depression(GDS). 29 women were randomly assigned into an experimental group(cognitive behavioral therapy), a comparison group(reminiscence therapy) and a control group. The experimental group and the comparison group retrospectively participated in a 90-minute therapy session twice a week for a total of 12 weeks. The effectiveness of the program was assessed through a pretest, posttest, and 2-month follow-up test. The data collected were analyzed with SPSS 22.0 statistical program. Results: The main findings of this study are as follows. First, at posttest ego-integrity and self-esteem marked higher scores in both of the experimental group and the comparison group than in the control group, but the experimental group marked comparatively higher scores than the comparison group. For dysfunctional attitude, only the experimental group showed lower scores compared to the comparison group and the control group. Second, at posttest depression marked lower scores in the experimental group compared to the comparison group and the control group. Third, at posttest problem-solving and support-seeking coping strategies marked higher scores in the experimental group compared to the comparison group and the control group. Fourth, the significant improvements remained at 2-month follow-up test. Conclusions: Cognitive behavioral therapy resulted in improvements of the ego-integrity and related symptoms of depressed elderly women living alone at posttest and 2-month follow-up test respectively.

How the Bidi Tobacco Industry Harms Child-workers: Results From a Walk-through and Quantitative Survey

  • Kim, Jihyun;Rana, Sohel;Lee, Wanhyung;Haque, Syed Emdad;Yoon, Jin-Ha
    • Safety and Health at Work
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    • v.11 no.2
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    • pp.143-151
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    • 2020
  • Objective: Bidi is an inexpensive, low-processed, hand-rolled tobacco product. In Bangladesh, especially in Rangpur, tobacco farming and bidi processing are common. In this study, we aimed to evaluate the impact of bidi making on children working in bidi factories. Methods: This qualitative(walk-through survey) and quantitative(questionnaire-based survey and a urine cotinine level quantitation) study was conducted in Rangpur, Bangladesh in 2017. Study population included child-workers aged ≤14 years who were regularly employed as bidi makers. Findings: The results of the walk-through survey revealed hazardous working environments at bidi factories. For the quantitative survey, 171 child-workers were categorized into "less-working"(<5 hours/day) and "more-working"(≥5 hours/day) groups; additionally, "forced-working"(forced into work by parents) and "voluntary-working"(working voluntarily) groups were delineated within the same population. In the logistic regression analysis, odds ratios(ORs) of respiratory symptoms and unusual absence(absent ≥5 days/month) were higher in the "more-working" group than in the "less-working" group(unusual absence: OR, 2.91; 95% confidence interval[CI], 1.43-5.94), and this association became higher in the "forced-working" group with longer working hours(OR, 5.68, 95%CI 2.30-14.00). Conclusions: Cheap, hand-rolled tobacco(bidi) is harmful to the health of bidi-making child-workers. Children in poverty bow to the demands of cheap labor and poverty and jeopardize their health and future prospects by working in bidi factories. Tobacco control policies should consider the social effects of tobacco beyond its biological effects.

Relation between Internet Game Addiction in Elementary School Students and Student's Perception of Parent-Child Attachment (초등학생의 인터넷 게임중독과 아동이 지각한 부모-자녀 애착과의 관계)

  • Kim, Young-Hae;Son, Hyun-Mi;Yang, Young-Ok;Cho, Young-Ran;Lee, Nae-Young
    • Child Health Nursing Research
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    • v.13 no.4
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    • pp.383-389
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    • 2007
  • Purpose: In this study, the Internet game addiction level was assessed, and parent-child attachment level associated with the addiction was analyzed. Method: From December 5 to 23, 2005, self-reported questionnaire data were collected from 990 Busan City elementary school students of the 5th and 6th grades. The questionnaire consisted of questions about their characteristic features in playing Internet games based on the K-scale developed by KADO. The data were analyzed using the SPSS WIN 10.0 program. Frequency, percentage, arithmetic mean, and standard deviation, $X^2$-test, ANOVA analysis and Scheffe test were used to analyze the data. Results: 1. With regard to the level of Internet game addiction, 71.2% of the students responded that they were general users, and 6.3%, at high risk for addiction. Mean scores were 103.3 for the high-risk group, 77.7 for the potential risk group, and 55.86 for the general user group. The total mean was 63.74. 2. Mean scores for parent-child attachment levels were 97.1 and 99.6 for father and mother, respectively. Conclusion: These results suggest that a collaborative program to educate and counsel parents to increase the parent-child attachment level needs to be established in protection and recovery programs for Internet game addiction.

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Perceived Social Support and Parent-child Relationship ,Coping in Late Adolescents (후기 청소년의 부모-자녀 관계, 사회적 지지 및 대처)

  • Lee Eun Young;Tak Young Ran
    • Child Health Nursing Research
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    • v.5 no.3
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    • pp.358-367
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    • 1999
  • The Purpose of this study was to identify of parent-child relationship, Perceived social support and coping of female in late adolescents and its relationships. The underlying assumption is that Parent-child relationship based on internal working cognition affects on perceived social support and coping. The sample was consisted of 277 female students of college. The instruments used in this study were Parental bonding instrument (PBI)(Parker, Tupling & Brown. 1979), Personal resources questionnaire : PRQ-part II (Weinert ' Brant, 1987), and Way of coping (Folkman & Lazarus, 1985). The data was analyzed using frequencies, correlation coefficient, ANOVA. and t-test. As a result. perceived social support correlated positively with Parental care and negatively with parental overprotection. Perceived social support showed positive relationship with coping. Perceived social support differed according to parent-child relationship type. The group of 'affectionate constraint' high care and high overprotection. reported high perceived social support, but 'affectionless control'(low care and high overprotection) reported low perceived social support. The group of high perceived social support showed higher parental care and higher coping than low one. The group of high coping showed higher parental care, lower parental overprotection and higher perceived social support than low one. Findings from this study linking retrospective accounts of early parental relationships to current working models concerning the nature of supportive relationships are consistent with attachment theory that individual who, as children, experienced relationships with their parents that were independent-encourage. affectionate, and not overprotective developed working models of others as available to provide social support. This study confirmed that perceived social support significantly related to coping in dealing with stress.

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A qualitative study on the experiences of community child center workers to deal with the mental health of children and adolescents (지역아동센터 종사자의 아동청소년정신건강 문제 대처경험에 관한 질적 연구)

  • Bae, Eun Kyung
    • Journal of the Korean Society of Child Welfare
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    • no.56
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    • pp.33-68
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    • 2016
  • This study aimed to explore the experiences of community child center workers about how they have dealt with the mental health of children and adolescents who use such centers. For this study, we used a sample of ten community child center workers, who were divided into two groups and who participated in four focus group interviews. The results revealed four themes and twelve sub-themes: "the reality of facing children's mental health issues," "dealing with children's mental health issues and limitations," "know-hows accumulated from experiences and visible changes," and "remaining tasks--the workers who cannot give all." Based on the results the implications of promoting the mental health of children at community child centers were discussed.

The Effects of Paper Folding Activities on the Understanding of Geometric Figures by Kindergarten Children (유아의 종이접기 활동이 기하 도형의 이해에 미치는 영향)

  • Kim, Hae Suk;Hong, Hae Kyung
    • Korean Journal of Child Studies
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    • v.20 no.3
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    • pp.325-337
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    • 1999
  • In this intervention study, an experimental group of kindergarten children participated in paper folding activities 2 times per week for 10 weeks while the control group did ordinary art activities. Subjects were 43 five-year-old children enrolled in N and D public kindergartens in Hwa-soon Chonnam province. Data were analyzed with a two-sample t-test. The ability to draw and to manipulate geometric figures increased significantly in the experimental group but there was no difference between the two groups in the discrimination of geometric figures.

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Effects of Training in Art Criticism on Children's Aesthetic Responses and Expressive Abilities (미술비평 활동이 유아의 미적 반응 및 표현 능력에 미치는 영향)

  • Lim, Soo Jin;Lee, Jeong Wuk
    • Korean Journal of Child Studies
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    • v.20 no.2
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    • pp.187-204
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    • 1999
  • The 20 five-year-old kindergarteners in the experimental group participated in 14 art criticism activities over an 8 week period. Analysis of the data by frequency, percentage, and t-test showed differences between the experimental and control groups. The experimental group improved in Visual Cue-Attendance and Evaluative Judgmental categories. Children in the experimental group also showed higher scores in organization of pictures and materials in their expressive art work. There were no differences between groups in sequence and contents of expression.

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Suicidal Behavior, Violent Behavior, and Neurocognitive Function in Child and Adolescent Mood Disorder Patients (기분 장애 소아 청소년 환자에서 자살 행동, 공격 행동과 인지기능과의 관계)

  • Yoon, Hee Joon;Oh, Yunhye;Joung, Yoo Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.27 no.1
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    • pp.39-47
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    • 2016
  • Objectives: The aim of this study was to examine the association between current suicidal or violent behavior and deficits of specific neurocognitive variables in child and adolescent inpatient samples diagnosed with mood disorder. Methods: A retrospective review of the charts of mood disorder patients hospitalized at Samsung Medical Center between April 2004 and April 2015 was conducted. Child and adolescent patients aged between 10 and 18 years old and those who finished neurocognitive function testing during their hospitalization were included. Among them patients whose full scale IQ was between 85 and 115 were selected (N=111). Participants were first divided into two age-groups-group Y ($10{\leq}age{\leq}15$, N=54) and group O ($16{\leq}age{\leq}18$, N=57)-because neurocognitive function test tools were different according to age [Wechsler Intelligence Scale for Children (WISC) for 10 to 15-year-old patients, Wechsler Adult Intelligence Scale (WAIS) for 16 to 18-year-old patients]. They were then divided according to their suicidal or violent behavior-non suicidal/violent group (NG), suicidal group (SG), violent group (VG), and both suicidal/violent group (BG). The Child Behavior Checklist (CBCL) was checked for measurement of participants' behavior and the Gordon Diagnostic System was checked for measurement of their attention efficiency. Kruskal-Wallis Test and Tukey test was used to determine the differences in neurocognitive function between groups. Results: O-SG patients showed lower scores on the comprehension subscale of WAIS-III than O-NG patients (${\chi}^2=8.454$, p=.015). O-VG patients showed lower scores on the block design subscales of WAIS than O-SG patients (${\chi}^2=7.496$, p=.024). Y-VG patients showed higher scores in aggressive behavior, externalizing problems, and total problems scores of CBCL. Conclusion: This study showed relationship between specific neurocognitive deficits and suicidal or violent behavior. These relationships were significant in relatively older adolescents.

Epidemiological Investigation of a Measles Outbreak in a Preschool in Incheon, Korea, 2006 (2006년 인천의 한 유치원에서 발생한 홍역 유행 역학조사)

  • So, Jae-Sung;Go, Un-Yeong;Lee, Dong-Han;Park, Koang-Suk;Lee, Jong-Koo
    • Journal of Preventive Medicine and Public Health
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    • v.41 no.3
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    • pp.153-158
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    • 2008
  • Objectives : This study describes a plan that was designed to prevent a measles outbreak that showed a changed outbreak pattern. This study is based on the epidemiological investigation of a measles outbreak in a preschool in Incheon, Korea, 2006. Methods : The subjects were 152 students at a preschool where a measles outbreak occurred. A questionnaire survey was conducted and serological testing for measles-specific IgM was preformed. Results : Of the fifteen confirmed, identified cases, eleven patients had been vaccinated with one dose, one patient had received two doses and three patients were unvaccinated. The three unvaccinated cases consisted of one 5-year-old child, one 3-year-old child and one 16-month-old infant. For the cases with one dose of the vaccination, there were 11 cases, which consisted of six 5-year-old children, two 4-year-old children, two 3-year-old children and one 2-year-old child. The case with two doses of the vaccination was one 4-year-old child. The attack rate of measles was 100% in the 0-dose group, 11.2% in the 1-dose group and 2.0% in the 2-dose group. The vaccine's efficacy was 88.8% in the 1-dose group and 98.0% in the 2-dose group. The vaccine effectiveness for the 2-dose group was higher than that of the 1-dose group. Conclusions : High coverage with a 2-dose vaccination should be maintained, and the vaccination should be given at the suitable time to prevent a measles outbreak with a changed outbreak pattern.

The Factors Influencing Service Outcomes of Group Homes and Residential Care Centers : Focusing on Blinder-Oaxaca Decomposition (그룹홈과 아동양육시설의 운영성과에 영향을 미치는 요인 : Blinder-Oaxaca 분해를 중심으로)

  • Chung, Ick Joong;Woo, Seok Jin;Kang, Hyun Ah;Chun, Jong Serl;Lee, Jung Ae
    • Korean Journal of Child Studies
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    • v.33 no.4
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    • pp.107-127
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    • 2012
  • This study investigates the factors influencing service outcomes of group homes and residential care centers, as well as the factors causing any differences between the two service outcomes. 119 and 137 5-6th graders were selected from group homes and residential care centers respectively, using the cluster sampling method. Multiple regression and Blinder-Oaxaca decomposition were used in this study. The results revealed that 'stigma', 'school adjustment', and 'social support' were significant factors influencing service outcomes among children in group homes, while 'stigma', 'primary caregivers' attitude', and 'peer relations' were identified as significant factors among children in residential care centers. The study also found that the mean service outcome score for group homes was higher than that of residential care centers. The 74 percent of this difference in the mean scores was due to the difference in children' characteristics of the two out-of-home care service types. The remaining 26 percent of this difference was due to unobserved characteristics. Finally, the implications of this study in child welfare practices were also discussed.