• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제20권3호
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• pp.129-139
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• 2009

Objectives : This study evaluated the effectiveness of school-based mental health screening and treatment linkage programs, focusing on attention-deficit hyperactivity disorder (ADHD) and adolescent depression. Methods : All 11,158 children and adolescents aged 8-14 years in Seoul received a school-based mental health screening, consisting of the Korean versions of the ADHD rating scale and the Child Behavior Checklist (CBCL), for ADHD, and the Center for Epidemiological Studies Depression Scale (CES-DS) and the Suicidal Ideation Questionnaire-Junior (SIQ-JR), for depression. The high-risk children's and adolescents' diagnoses were confirmed using the Diagnostic Interview Schedule for Children-IV (DISC-IV). Treatment linkage programs were managed by the Seoul Metropolitan Community Mental Health Center (Program 1), the Seoul Metropolitan Office of Education (Program 2), or the Dongjak District Office of Education (Program 3). We estimated and compared the referral rates of the three programs. Results : Program 1 screened and referred 22.9% of ADHD youths to mental health services, Program 2, 68.8%, and Program 3, 40.0%. Program 1 screened and referred 22.8% of depressed youths to mental health services, Program 2, 53.8%, and Program 3, 88.9%. Key elements for successful screening and referral programs were an effective school/community mental health center/Office of Education network, the parents' financial support and perception of their child's mental health status as being problematic, and the teachers' active engagement. Conclusion : This is the first study investigating the effectiveness of school-based mental health screenings' linkage to treatment for primary and middle school students in Korea. An effective network for community mental health and improvements in parents' and teachers' perceptions regarding mental health are needed for more successful treatment linkage.

• Child Health Nursing Research
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• 제21권4호
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• pp.347-354
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• 2015

Purpose: This descriptive study was performed to explore trends in child health nursing research by analyzing the themes, contents and structure of articles published in 2014 in Child Health Nursing Research, the official journal of the Korean Academy of Child Health Nursing. Methods: Thirty-eight articles were reviewed using keywords, author (s), subjects, ethical considerations, designs, statistics involved, funding resources, and others. Results: Ten domains from 160 keywords were identified as follows, child related, psycho-social variable related, parents and family related, nursing and health related, and others. A mean of 2.9 authors per article was identified and 71% of the authors were academic- affiliated. Twenty-eight articles were human-participant related while 21 articles addressed both Institutional Review Board and written consent. Non-experimental design was the most commonly used method followed by experimental design, and qualitative design. The duration for acceptance was a mean of 89.1 days from submission with most articles requiring a second round of article review. Half of the articles were supported by grant organizations such as Korean National Research Foundation. Conclusion: The findings of the analysis show an improvement in the scientific quality with a diversity of articles in Child Health Nursing Research.

• 부모자녀건강학회지
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• 제11권1호
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• pp.49-60
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• 2008

This is an underlying study for expanding child growth and developmental screening program, which had been implemented as a part of maternal child health service in a certain public health center located in P City. This study attempted to develop system model to discover, consult and follow-up developmental disabilities in children in early stage. For the purpose of providing groundwork for further development of screening program, the system model was analyzed and evaluated. One of the focuses of this study was developing practical tool that can aid small number staffs of public health center to handle large number of patients. 9 types of developmental checklist by key month was developed to support understaffed public health center. These checklists were also supplied to other public health centers, greatly improving qualitative and quantitative development of screening project. Also, the 4-step program of operating and managing child growth and developmental screening was proved to be quite effective. Total 632 children were evaluated and 21 of them were suspected to have developmental problem. Among these children, 8 children were determined to receive regular supervision of public health center. Other 13 children were recommended to visit professional institution, but only 7 of them actually visited institution. Four of these children who visited professional institution are currently receiving treatment, while the other 3 children were determined to require close observation. Five times of screening education were provided to the staffs in public health center and personnel in charge of children in every district public center in P City. The purpose of this training was to improve individuals' capability to implement project and to establish basis for expanding child growth and developmental screening program. The participants were guided to have continuous attention for the project, and their knowledge, skill and recognition were greatly improved through educational training. Also, professional child consulting and education, including lecture for baby food and baby food menu exhibition, were given to parents. Through this opportunity, parents acquired higher understanding about baby food while the local residents' recognition for maternal child health service was greatly improved.

• Child Health Nursing Research
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• 제26권1호
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• pp.23-34
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• 2020

Purpose: This study was conducted to investigate factors affecting health behaviors in late school-aged children from multicultural families. Methods: This study included 401 children (112 from multicultural families and 289 from non-multicultural backgrounds) in grades 4~6 in 11 elementary schools. Data on health behaviors and related factors (school adjustment, the mother-child relationship, self-efficacy, etc.) were collected from the children using self-reported questionnaires between May and June in 2019. The collected data were analyzed through a univariate analysis and multiple regression analysis. Results: The health behavior score of multicultural children was lower than that of non-multicultural children (t=3.32, p=.001). In multicultural children, school adjustment (β=.55, p<.001), mother-child relationship (β=.25, p=.001), and perceived health status (very healthy=1; β=.19, p=.011) were significant factors affecting their health behavior and explained 47.0% (F=30.93, p<.001) of the variance. Conclusion: Multicultural late school-aged children are at risk to engage in a lower level of health behaviors than their non-multicultural counterparts. More attention should be paid to ways of improving multicultural children's perceptions of their health status, maternal relationships, and school adjustment in order to promote health behaviors.

• 부모자녀건강학회지
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• 제15권2호
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• pp.51-59
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• 2012

Purpose: The purpose of this study was to identify factors influencing health promoting behavior of school-aged children on community child center. Methods: Participant were 207 elementary school student located in Mokpo. For data analysis descriptive statistics, t-test, ANOVA pearson correlation coefficients and stepwise multiple regression were used with SPSS/WIN ver 18.0 program. Results: The mean score for health promoting behavior was below the lower point at $3.39{\pm}0.61$. There were significant differences in health promoting behavior according to gender (t=9.41, p=.002), father's job (F=2.28, p=.048), perceived health status (F=5.70, p=.001), There were significant correlations between health promoting behavior and self-esteem (r=.655, p=.001), self-efficacy (r=.530, p=.001). The explanatory power of these variables accounted for 47.1% of health promoting behavior. The most significant variable was self-esteem (t=7.60, p=.001) and explained 42.8%. Conclusion: The finding indicate that self-esteem of children on community child center are important variables for health promoting behavior. This result suggests that interventions focusing on self-esteem, on enhance health promoting behavior.

• 부모자녀건강학회지
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• 제8권1호
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• pp.3-16
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• 2005

Purpose: This study was to investigate the stress of parents while they were rearing their children. Method: This study reviewed the preceding research related to parents' stress and breeding stress with consideration of modem society, family system and parents' role. Results: In the parent-child relationship, parents feel stressed when they found it difficult to come up with an expectation to the parents' role of rearing child. Therefore, considering the health of parents and children, it is important to mediate parents who are under stress. Moreover, since parents cannot handle this problem all alone, it should be discussed and solved not only by individual but also by family, and further by social context. The parent-child relationship in early infancy is a core element to the development of an individual. Parents have influence on a child's development the most and play a big role. In particular, many parents these days believe that parent-child relationship is changing in a democratic way and a couple breeds their child together. However, in reality, the relationship has not been changed and is even regarded as more difficult situation than it was in the traditional society. Parents are oppressed with not being adapted to social changes and advance, and child also feels the same. Conclusion: Parents need education and support for child rearing without having any stresses. Health care provider consider this issues and to build a healthy parent-child relationship by helping parents.

• Child Health Nursing Research
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• 제17권2호
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• pp.120-126
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• 2011

Purpose: The purpose of this study was to explore the concept of Mother-Child Interaction (MCI). Methods: The concept analysis method described by Walker & Avant (2005) was used. Results: The attributes of MCI were as follows; 1) MCI involves positive or negative affective and verbal communication. 2) MCI involves mother, child, and dyadic activity. 3) MCI involves sensitivity, responsiveness, and child developmental stimulation. 4) MCI is reciprocal, goal-oriented partnership process. The antecedents of MCI are need for goal attainment, relationship, and child development (cognitive, physical, emotional, and social). The consequences of MCI are goal attainment, promotion of mother-child relationship, and promotion of child development. Conclusion: MCI is a reciprocal, goal-oriented partnership process and is an important concept in child development and health. Appropriate instruments to operationalize the concept need to be developed.

• 한국사회복지학
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• 제62권4호
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• pp.129-148
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• 2010

본 연구는 2004년 초등학교 4학년에 재학 중인 아동 1,785명과 그 부모를 대상으로 한 서울아동 패널 1~5차년도 자료를 이용하여 빈곤이 아동건강에 미치는 영향을 종단적으로 분석하였다. 아동건강에 영향을 미치는 것으로 확인되어 온 특성들을 통제한 상태에서 빈곤은 아동의 건강에 부정적인 영향을 미쳤다. 특히 지속빈곤, 일시빈곤, 비빈곤으로 나눠 살펴본 결과 지속빈곤의 아동건강에 대한 악영향이 두드러지게 나타났다. 이러한 빈곤의 아동건강에 대한 악영향은 주로 부모-아동간 유대관계 약화와 부부간의 갈등을 통해 작용하는 것으로 판단된다. 이러한 발견은 빈곤아동의 건강을 향상시키기 위해서는 소득지원 등 경제적 차원의 정책적 개입이 중요하고, 가족 관계에 대한 지지활동도 고려될 필요가 있음을 시사한다.

• 보건의료산업학회지
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• 제5권2호
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• pp.131-146
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• 2011

The purposes of this study were to identify and compared the selection conditions of spouses and the perceptions of marriage and childbirth by sex. Moreover, this study tried to find the number of child the study subjects want to have in their marriage and what factors were important for whether they have no or one child or more than two children. The study subjects were college students who were belong to 6 health care related departments selected randomly from all health care related departments in one metropolitan area. In the selection conditions as their spouses, they ranked 'love', 'personality' and 'wealthiness' as important factors in order. Male ranked females' employment as 10th but female ranked it 5th. In conclusion, there were concordances and dis-concordances on the perceptions of marriage and child birth by sex. Understanding these factors caused by gender roles in our society could contribute to making new policies for promoting marriage rate in younger age and overcoming the problems of low birth rates by giving more specific data to policy makers for increasing child birth rate.

• 아동학회지
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• 제30권6호
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• pp.61-74
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• 2009

The purpose of this study was to examine the realities of physical health conditions of children aged from 0 to 11 for the last decade. On the basis of the analyzed results, the pragmatic and policy issues are as follows : First, in the perspective of child development, studies of physical health are needed for the benefit of integrative development of children. Second, appropriate health education programs suitable for ages of children need to be developed and made compulsory for them. Third, the prohibition of adopting the ranking evaluation in physical education is to be required at the policy level. Forth, for sustainment of the health-related activities for children, the space or facilities specifically prepared for families to exercise and rest are needed. Lastly, new regulations and management systems are needed in order to resolve the safety problems with food for children.