• Korean Journal of Family Social Work
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• no.56
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• pp.197-224
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• 2017

The purpose of this study was to examine how various dimensions of social exclusion experienced by married immigrant women are affected longitudinally. Autoregressive cross-lagged analysis between sub-dimensions of social exclusion of married immigrant women was conducted to investigate the direction of interrelationships. The data were collected each year through a three-wave longitudinal survey from 2011 to 2013. The results showed that statically significant autoregressive effects appeared among economic exclusion, community exclusion, educational exclusion, and ethnic exclusion. The cross-lagged effects of the sub-dimensions of social exclusion showed that married immigrant women with higher levels of the economic exclusion tend to experience higher levels of the educational exclusion, and ethnic exclusion at the later measurement point, even when controlling for their previous level of social exclusion. It was found that economic exclusion as a more fundamental precedent factor positively predicted other dimensions of social exclusion. The results suggested that financial support and job-related services should be strengthened for active social inclusion of married immigrant women, and early intervention to prevent chronicization of social exclusion should be needed.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.9
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• pp.362-371
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• 2019

The purpose of this study is to recognize kindergarten teachers' experiences of child violence for identifying the site's needs for the implementation of preventive education in early childhood and to provide basic data on child violence. To this end, nine teachers were interviewed in-depth. From the study results, first, child violence-related child behavior, which usually occurs in kindergartens, includes physical assault, aggression, verbal violence, threats and threats, and bullying. Second, teachers usually use direct intervention laws in cases of child violence, but were finding it difficult to intervene properly with many tasks or high teacher-to-child ratios. Teachers recognized the need for lower teacher-to-child ratios and placement of each class burden. Third, teachers were aware of the need for prevention education for child violence targeting infants, and instigated the following appropriate interactions immediately after problem behavior occurred: large group activities, specific multimedia education data and parent education. Fourth, teachers are concerned about the possibility of problem behavior being learned and imitated through education in the implementation of prevention education for children's violence. Therefore, this study proposed the need to develop various teaching methods that could be applied to infant education sites, focusing on the types of child violence-related problem behaviors that occur in kindergartens.

• Journal of the Korean Society of School Health
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• v.34 no.1
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• pp.22-32
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• 2021

Purpose: Discrimination experienced in the early stages of life among ethnic minority adolescents is known to affect depression and also adversely affect health throughout adulthood and old age. The purpose of this study was to identify whether discrimination experienced by ethnic minority adolescents and their mothers and depression among mothers affect depression in ethnic minority adolescents according to gender. Methods: This was a cross-sectional study using the data of 2018 National Multicultural Family Survey in Korea. The study sample comprised 2,446 ethnic minority adolescents aged 11~18 and their mothers. The data were analyzed using descriptive statistics, pearson correlation analysis, and ordinal logistic regression with SPSS/WIN 25.0 and STATA IC 16. Results: 18.4% of the adolescents (boys: 15.1%, girls: 20.5 %) felt sad or frustrated sometimes or more often for at least two weeks during the past year. Also, 8.3% of the adolescents and 29.6% of their mothers experienced discrimination during the past year. Boys were influenced more than girls by bullying at school (OR=5.17, 95% CI: 2.85~9.38), academic performance (very bad's OR=5.79, 95% CI: 1.54~21.63) and mother's depression (often's OR=2.31, 95% CI: 1.14~4.64). Girls were influenced more than boys by experience of discrimination (OR=2.72, 95% CI: 1.69~4.39). Conclusion: The findings showed that discrimination experienced by ethnic minority adolescents and their mothers in Korean society increases depression in ethnic minority adolescents and has different effects by gender. Therefore, a gender-specific and mother-inclusive intervention is recommended to prevent depression in ethnic minority adolescents.

• Journal of Ecology and Environment
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• v.44 no.4
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• pp.264-274
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• 2020

Background: Climate change has altered the various ecosystem processes including forest ecosystem in Himalayan region. Although the high mountain natural forests including treelines in the Himalayan region are mainly reported to be temperature sensitive, the temperature-related water stress in an important growth-limiting factor for middle elevation mountains. And there are very few evidences on growth performance of planted forest in changing climate in the Himalayan region. A dendrochronological study was carried out to verify and record the impact of warming temperature tree growth by using the tree cores of Pinus roxburghii from Batase village of Dhulikhel in Central Nepal with sub-tropical climatic zone. For this total, 29 tree cores from 25 trees of P. roxburghii were measured and analyzed. Result: A 44-year long tree ring width chronology was constructed from the cores. The result showed that the radial growth of P. roxburghii was positively correlated with pre-monsoon (April) rainfall, although the correlation was not significant and negatively correlated with summer rainfall. The strongest negative correlation was found between radial growth and rainfall of June followed by the rainfall of January. Also, the radial growth showed significant positive correlation with that previous year August mean temperature and maximum temperature, and significant negative correlation between radial growth and maximum temperature (Tmax) of May and of spring season (March-May), indicating moisture as the key factor for radial growth. Despite the overall positive trend in the basal area increment (BAI), we have found the abrupt decline between 1995 and 2005 AD. Conclusion: The results indicated that chir pine planted population was moisture sensitive, and the negative impact of higher temperature during early growth season (March-May) was clearly seen on the radial growth. We emphasize that the forest would experience further moisture stress if the trend of warming temperatures continues. The unusual decreasing BAI trend might be associated with forest management processes including resin collection and other disturbances. Our results showed that the planted pine forest stand is sub-healthy due to major human intervention at times. Further exploration of growth climate response from different climatic zones and management regimes is important to improve our understanding on the growth performance of mid-hill pine forests in Nepal.

• Korean Journal of Psychosomatic Medicine
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• v.29 no.1
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• pp.42-48
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• 2021

Objectives : Based on the fact that cognitive functions decline known as comorbid symptoms of depression can precede depression, this study seeks to observe the effects of depressive symptoms and anxiety symptoms on cognitive function in healthy subjects. Methods : To recruit 50 general populations to evaluate cognitive and clinical symptoms and to find out the effects of clinical symptoms on cognitive functions, Pearson correlation and multivariate regression were conducted. Correlation analysis of subdomain cognitive function was conducted for reliability analysis. Results : Trail making test-B that evaluates the execution function correlates with depressive symptoms (r=0.300, p=0.03) and age (r=0.323, p=0.02). Depressive symptoms (β=0.304, p=0.03) and age (β=0.335, p=0.01) were significantly related to Trail making test -B (Adjusted R²=0.148). Subjective cognitive tests correlates with anxiety symptoms (r=0.434, p=0.002). In the correlation between cognitive functional items, Subjective cognitive tests was found to be correlated with other test except Spotter. Conclusions : In this study, depressive symptoms contribute independently to executive functions in addition to demographic characteristics such as age and duration of education. Given that cognitive decline is a common long-term clinical outcome in depression, we expect active early intervention and evaluation of cognitive function to be helpful.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.22 no.2
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• pp.676-684
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• 2021

This study examined how much Korean male middle school students used YouTube to determine if the social support from parents, teachers, and friends might moderate the relationships between YouTube overuse and internalizing and externalizing problems. Three hundred and twenty male middle school students completed questionnaires asking about their YouTube use, levels of YouTube addiction, internalizing and externalizing behaviors, and the degree of social support from parents, teachers, and friends. The results indicated that the YouTube addiction was positively related to the levels of internalizing and externalizing problems. Parental support moderated the relationships between YouTube addiction and internalizing problems. On the other hand, the moderating effects of teachers' or friends' supports were not significant. In contrast, teachers' support was the most crucial moderating factor regarding externalizing problems, while parental and friends' supports were only related to delinquency but not to aggression. These results suggest that the role of parental or teacher supports should be unique depending on the types of problem behaviors. Furthermore, the 'protective effects' of social support were not found in the highly addicted group, suggesting that the early prevention of YouTube overuse is a crucial intervention.

• The Journal of the Korea Contents Association
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• v.22 no.4
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• pp.1-12
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• 2022

Since the early 20th century, along with the interest and development of alternative psychotherapy, the field of art therapy has also been developed and expanded. In particular, the recent development of technology and the untact era brought about by the COVID-19 Pandemic is accelerating the development of new digital art therapy contents. Among them, the hot interest in virtual reality is raising expectations and questions about the effectiveness of psychotherapy given by new media beyond traditional art therapy. In this study, the characteristics of VRAT (Virtual Reality Art Therapy) content therapeutic factors were investigated through qualitative literature analysis based on the conceptual framework and therapeutic components of ETC (Expressive Therapies Continumm), an integrated art therapy theory. As a result of the study, VRAT contents showed mostly therapeutic factors in the left hemisphere that triggered the user's dynamic, perceptual, and cognitive factors, and the therapeutic factors in the right hemisphere, which focused on sensory, emotional, and symbolic factors, were relatively few. The reason seems to be due to the nature of the experimental stage, the absence of active intervention by the therapist and long-term session composition, and the fear, clumsiness, and unfamiliarity of users about VRAT in addition to the characteristics and technical limitations of the VRAT medium. The limitations of the study include the small number of documents to be analyzed and the insufficient form of current VRAT to be called art therapy. It is expected that the characteristics of the therapeutic factors of VRAT content media and environment derived as a result of this study will be usefully used for the appropriate development of VRAT content in the future.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.24 no.3
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• pp.288-294
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• 2021

Purpose: Despite aggressive medical and nutritional management, patients with methylmalonic acidemia (MMA) often suffer from multi-organ damage. Early deceased donor liver transplantation (DDLT) has emerged as an intervention to prevent disease progression. We investigated the efficacy of living donor LT (LDLT) with a potential carrier of MMA and a small volume of graft in patients with MMA as an alternative to DDLT. Methods: Of five patients (three male, two female; median age 5.7 years; range, 1.3-13.7 years), four underwent carrier LDLT, while one underwent non-carrier auxiliary LDLT. All patients received pre- and post-LT continuous renal replacement therapy and were provided with minimal restriction diet according to serum MMA level after LT. MMA levels in the serum and urine, the incidence of metabolic crisis, and clinical findings before and after LT were compared. Results: The survival rate was 100% during 2.2 years of follow up period after LT. In all five cases, MMA titer in the serum after transplantation decreased with less restrictive diet. Metabolic crisis was not observed during the follow-up period. In addition, no patient showed progression of severe renal impairment requiring hemodialysis. Progression of delayed cognitive development was not observed. Social functioning with improved neuropsychiatric development was observed. Conclusion: This study showed that LDLT achieved improved quality of life with less restrictive diet, therefore it could be a feasible alternative option to DDLT for the treatment of patients with MMA, even with an auxiliary LT.

• Korean Journal of Schizophrenia Research
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• v.23 no.1
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• pp.1-7
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• 2020

Objectives: This study aimed to identify factors affecting the duration of untreated psychosis (DUP) in patients with schizophrenia spectrum disorder. Methods: Six-hundred patients with schizophrenia spectrum disorder were recruited from mental health welfare centers in Gwangju Metropolitan City and Gyeonggi-do. Subjects were categorized into two groups according to median DUP. Demographic and clinical characteristics were compared between the two groups. Results: The mean DUP was 80.8 weeks, and the median DUP was 15.9 weeks. Patients with Medicaid, higher age, and longer duration of the schizophrenia prodrome were more likely to have a longer DUP. The DUP was shorter in patients who were consulted by family/relatives prior to treatment. Patients visiting university hospitals were more likely to have a shorter DUP compared with those visiting psychiatric clinics or small-sized mental hospitals, i.e., with less than 100 beds. A multivariate regression analysis showed that the duration of the prodrome was a factor that significantly affected DUP. Conclusion: The vulnerable group of patients with schizophrenia with a long DUP should be monitored closely. Moreover, it is necessary to develop a strategy to identify patients who have an insidious course of psychosis to reduce the DUP.

• Therapeutic Science for Rehabilitation
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• v.11 no.2
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• pp.39-51
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• 2022

Objective : This study aimed to investigate the awareness and experience of community-based dysphagia therapy and related education in community-dwelling older adults. Methods : A total of 89 older adults were recruited from a public health center in Gyeonggi-do. Awareness, experience, and related education regarding community-based dysphagia therapy were analyzed using descriptive statistics. Results : We analyzed 89 questionnaires. Awareness, treatment experience, and education regarding dysphagia were low; however, the importance and intention to participate were high. Respondents wanted education about proper chewing and safe swallowing, oral health, oral motor exercise, and participation in community-based dysphagia programs in public health centers. The reason for the lack of experience in dysphagia education and therapy is insufficient information and opportunities. The respondents had a good understanding of dysphagia symptoms. Conclusion : Dysphagia therapy maintains swallowing and eating functions as a life-long Activity of Daily Living, and is a very important area in community rehabilitation. Based on the results of this survey, the necessity and importance of community-based dysphagia were identified. It is time to provide correct information and develop a systematic education program for community-based dysphagia therapy. Occupational therapists need to play an active role in improving quality of life by early detection and providing proper intervention.