• 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.

• Clinical and Experimental Pediatrics
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• v.63 no.4
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• pp.141-145
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• 2020

Background: For children and adolescents with cancer, going back to school is a key milestone in returning to "normal life." Purpose: To identify the support vital for a successful transition, we evaluated the parents' needs and the challenges they face when their children return to school. Methods: This multi-institutional study was conducted by the Korean Society of Pediatric Hematology and Oncology. The written survey comprised 24 questions and was completed by 210 parents without an interviewer. Results: Most parents (165 of 206) reported that their children experienced difficulties with physical status (n=60), peer relationships (n=30), academic performance (n=27), emotional/behavioral issues (n=11), and relationships with teachers (n=4) on reentering school. Parents wanted to be kept informed about and remain involved in their children's school lives and reported good parent-teacher communication (88 of 209, 42.1%). Parents reported that 83.1% and 44.9% of teachers and peers, respectively, displayed an adequate understanding of their children's condition. Most parents (197 of 208) answered that a special program is necessary to facilitate return to school after cancer therapy that offers emotional support (n=85), facilitates social adaptation (n=61), and provides tutoring to accelerate catch up (n=56), and continued health care by hospital outreach and school personnel (n=50). Conclusion: In addition to scholastic aptitude-oriented programs, emotional and psychosocial support is necessary for a successful return to school. Pediatric oncologists should actively improve oncology practices to better integrate individualized school plans and educate peers and teachers to improve health literacy to aid them in understanding the needs of children with cancer.