• Title/Summary/Keyword: family counseling

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Clinical Approaches to Patients with Congenital Malformations (선천성 기형의 임상적 접근)

  • Lee, Jin-Sung
    • Journal of Genetic Medicine
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    • v.5 no.2
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    • pp.94-99
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    • 2008
  • Congenital malformation is observed in about 2-5% of newborns and is a leading cause of infant mortality. The prognosis of malformation is dictated mainly by proper treatment followed by correct diagnosis at an early age. In practice, etiological consideration and classification of a malformation is critical for diagnosis. Malformations can be classified as belonged to minor or major anomaly. It is clinically important to clarify the pathogenesis of the anomalies among malformation, deformation, disruption, and dysruption. Genetic counseling aids this process by helping patients or family members understand and the nature of the malformation and risk assessment.

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The Mediating Effect of Self-Esteem in the Relation between Parental Abuse, Neglect and School Life Adjustment in Adolescent (부모의 학대, 방임과 청소년의 학교생활적응간의 관계에서 자아존중감의 매개효과)

  • Lee, Yoon A;Choi, Jin Ah
    • Human Ecology Research
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    • v.53 no.3
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    • pp.331-339
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    • 2015
  • This study investigates the effects of parental abuse and neglect on school life adjustment mediated by self-esteem in adolescents. Participants consisted of 2,259 middle school students from the Korean Children and Youth Panel Study 2012. Secondary questionnaire data on parental abuse and neglect, self-esteem, and school life adjustment are used for this study. Data were analyzed using descriptive analysis, Cronbach's a, Pearson's correlation analysis and multiple regression analysis. Baron and Kenny's method determined the mediation effect. SPSS ver 18.0 was adopted. The results were as follows. First, parental abuse and neglect were negatively correlated with the adolescent school life adjustment; however self-esteem was positively correlated with adolescent school life adjustment. Second, the results of the regression analysis revealed that adolescent school life adjustment was influenced both directly and indirectly; parental abuse had a direct effect on adolescents' school life adjustment and also had an indirect effect on mediated by self-esteem. Parental neglect had a direct effect on adolescent school life adjustment and had an indirect effect on adolescent school life adjustment mediated by self-esteem. The results indicated that self-esteem plays a crucial variable in the relationship of parental abuse and the school life adjustment. Also, self-esteem plays a crucial variable in the relationship between parental neglect and school life adjustment.

What Made Her Give Up Her Breasts: a Qualitative Study on Decisional Considerations for Contralateral Prophylactic Mastectomy among Breast Cancer Survivors Undergoing BRCA1/2 Genetic Testing

  • Kwong, Ava;Chu, Annie T.W.
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.5
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    • pp.2241-2247
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    • 2012
  • Objective: This qualitative study retrospectively examined the experience and psychological impact of contralateral prophylactic mastectomy (CPM) among Southern Chinese females with unilateral breast cancer history who underwent BRCA1/2 genetic testing. Limited knowledge is available on this topic especially among Asians; therefore, the aim of this study was to acquire insight from Chinese females' subjective perspectives. Methods: A total of 12 semi-structured in-depth interviews, with 11 female BRCA1/BRCA 2 mutated gene carriers and 1 non-carrier with a history of one-sided breast cancer and genetic testing performed by the Hong Kong Hereditary Breast Cancer Family Registry, who subsequently underwent CPM, were assessed using thematic analysis and a Stage Conceptual Model. Breast cancer history, procedures conducted, cosmetic satisfaction, pain, body image and sexuality issues, and cancer risk perception were discussed. Retrieval of medical records using a prospective database was also performed. Results: All participants opted for prophylaxis due to their reservations concerning the efficacy of surveillance and worries of recurrent breast cancer risk. Most participants were satisfied with the overall results and their decision. One-fourth expressed different extents of regrets. Psychological relief and decreased breast cancer risk were stated as major benefits. Spouses' reactions and support were crucial for post-surgery sexual satisfaction and long-term adjustment. Conclusions: Our findings indicate that thorough education on cancer risk and realistic expectations of surgery outcomes are crucial for positive adjustment after CPM. Appropriate genetic counseling and pre-and post-surgery psychological counseling were necessary. This study adds valuable contextual insights into the experiences of living with breast cancer fear and the importance of involving spouses when counseling these patients.

The Need for Home Care Services and Awareness of U-healthcare in Nurses of the Catholic Parish Home Care Center (성당연계 가정간호사의 가정간호 서비스 필요도와 유헬스케어 인식정도)

  • Oh, Jeong-Ah;Kim, Hee-Seung;Yoon, Kun-Ho;Song, Min-Sun;Park, Min-Jeong;Jung, Hyun-Sook
    • Journal of Home Health Care Nursing
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    • v.15 no.2
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    • pp.67-74
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    • 2008
  • Purpose: We analyzed the need for home care services and awareness of U-healthcare in nurses of the Catholic Parish Home Care Center to link the ubiquitous health care system and the home care. Methods: We recruited 46 nurses from a home care center in the catholic parish of the C medical center from April 4th to June 8th, 2007. Results: The highest needs were 'assessment and diagnosis of the problem', 'management of hypertension & diabetes patients', 'counseling of the patient', and 'counseling of major caregiver and family problems'. Therapeutic nursing showed the highest needs in bedsore care. Nurses want hospital medical records available through the ubiquitous health care system. Conclusion: Home care services are supported from the agency, with high needs in assessing and diagnosing the problem, counseling, and managing of hypertension & diabetes patients. Education and public relations efforts on the U-healthcare system should improve system awareness.

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Path Model Analysis of the Maternal Childhood Attachment, Emotions, Parenting Behaviors and Children's Behavioral Problems (어머니의 아동기 애착, 정서, 양육행동과 아동의 문제행동의 경로모형 분석)

  • Kwahk, So-Hyeon;Kim, Soon-Ok
    • Journal of Families and Better Life
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    • v.24 no.6 s.84
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    • pp.95-116
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    • 2006
  • The purpose of this study was to validate a hypothetical path model of maternal childhood attachment, emotions, parenting behaviors, and child behavioral problems. The research was conducted with 240 sets or mothers and their children 70 mother-child teams from seven counseling organizations including the Children's Counseling Clinic, Community Social Welfare Service Center, and Welfare Service Center for the Disabled in Seoul, Incheon, and Pyeongtaek, and 170 elementary school children from Seoul and their mothers. Consequently, a total of 200 mother-child teams were selected for this study. The data in this study were analyzed with SPSS 12.0 program and LISREL 8.3 program. The result of this study is as follows: (1) Examining the path of paternal attachment and the internalizing and externalizing behavioral problems, it was noted that paternal attachment had the indirect effect of anxiety and over-protection on the path to internalizing problems and the indirect effect of anxiety also noted is that there is a full-mediation of anxiety and over-protection between paternal attachment and the internalizing problems. (2) Examining the path of maternal attachment and the internalizing problems, it was noted that maternal attachment has direct effect on the internalizing problems. Maternal attachment has the indirect effect of self-esteem depression, anxiety and over-protection on the Path, and the indirect effect of self-esteem, anxiety and over-protection. (3) Examining the path of maternal attachment and the externalizing problems, it was noted that maternal attachment has direct effect on the externalizing problems and on the path to the externalizing problems, and maternal attachment has the indirect effect of depression, the indirect effect of self-esteem and authoritarian control, and the indirect effect of self-esteem and depression.

A Study on the Improvement Programs of Shelters for Domestic Violence Victims (가정폭력 피해자 보호시설의 문제점과 개선방안)

  • Lee Gi Ryean;Park Ok Im;Kim Chong Sung;Lee Jeong Suk
    • The Korean Journal of Community Living Science
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    • v.16 no.4
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    • pp.103-114
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    • 2005
  • This study aims to lay the foundations for domestic welfare through solving domestic problems. The major results of this study were as follows: First, there are many domestic violence facilities, but their poor financial condition and lack of human resources make it difficult to meet all need of shelter users. Second, people who use domestic violence shelters can't receive proper care and they go back to their homes in which violence still remains. It is like a vicious cycle making their situation worse and worse. Third, counseling given to abused women in shelters is arranged individually or in groups, but there are not enough programs providing proper care for them. On the basis of the realities mentioned above, this study was intended to pave the way to work out the improvement programs as follows: First, it is critical that the financial support from the government should be increased. Second, it is necessary to improve the training of personnel concerned with the handling of domestic violence cases. Third, it is important to make sure that children of abused women should be taken care of safely, and temporary jobs for the women should be secured. This will allow domestic violence shelters to serve their true purpose. Lastly, more adequate counseling services such as more instrumental 1366 phone lines, the development of various programs and the follow-up counseling should be reinforced.

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Relationship between Mental Health Counseling and Depression Prevalence in the Korean Adult Population (한국 성인 인구집단의 정신건강 상담과 우울증 유병과의 관계)

  • Kim, Sang-Dol
    • The Journal of the Korea Contents Association
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    • v.22 no.5
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    • pp.416-423
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    • 2022
  • This study was a secondary data analysis study to determine the relationship between mental health counseling and the current prevalence of depression in the Korean adult population. Data were extracted from raw data of the 7th 3rd year (2018) of the National Health and Nutrition Examination Survey (NHANES) conducted by the Korea Centers for Disease Control and Prevention. The subjects of this study were 6,238 adults aged 19 years or older who participated in the NHANES conducted from January to December 2018. The collected data were analyzed by frequency analysis and logistic regression analysis of the complex sample by the SPSS/WIN 27.0 version program. The mental health counseling statistically significant associated with variables such as sex, marital status, economic activities, and family income level, respectively (p<0.05). The prevalence of depression statistically significant associated with age group (p<0.0001). The odds-ratio of current prevalence of depression was 5.09 times (OR, 5.085; p<0.0001) lower in subjects who had undergone mental health counseling for the past year compared to subjects who did not. These findings could be useful as evidence-based data for the prevention and management of depression by predicting the vulnerable factors for mental health in the Korean adult population.

Future Scenarios Regarding Domestic Labor and Caregiving by the Baby Boomer Generation in the Age of the Fourth Industrial Revolution (4차 산업혁명 시대, 베이비부머 세대의 가사노동과 돌봄의 미래 시나리오 - 시나리오 플래닝 기법 활용을 중심으로 -)

  • Lee, Sunhyung;Kim, Sunghee
    • Journal of Family Resource Management and Policy Review
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    • v.27 no.1
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    • pp.1-12
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    • 2023
  • This study forecasts the outlook 10 years from now regarding domestic labor and caregiving by the Baby Boomer generation and the preparations needed in the context of the Fourth Industrial Revolution. The scenario-planning method was used to explore changing trends in domestic labor and caregiving, the rationale for which has been questioned by both seniors and family welfare experts. Based on the results of the survey and our researchers' opinions, it was concluded that the changing trends were caused by two factors: the probability of alterations in domestic labor and the strength of family relationships. On the basis of these conclusions, four scenarios regarding baby boomers' domestic labor and caregiving in 10 years were proposed using two axes: the "high and low probability of alterations" and the "strengthening and weakening of family relationships." The first scenario is a "preference for the self-caring form of family," which has a high probability of domestic labor alterations and weak family relationships. The second scenario is a "preference for the flexible form of family," which has a high probability of domestic labor alterations and strong family relationships. The third scenario is a "preference for the traditional form of family," which has a low probability of domestic labor alterations and strong family relationships. The fourth scenario is a "preference for the public caregiving form of family," which has a low probability of domestic labor alterations and weak family relationships. These results provide basic information about the various aspects of baby boomers' lives-including the development of various goods and services, the establishment of policies regarding seniors, and programs for successful aging-and can help equip our society to take the actions needed for a super-aged population.

A Study on the relationship between family relations of grandparent-grandchildren family adolescent and resilience -centering around the parameters of self esteem, empathy and internal·external locus control - (조손가족 청소년의 가족관계와 적응유연성의 관계 -자아존중감, 공감, 내·외통제감의 매개효과를 중심으로-)

  • Song, Yoo-Mee;Lee, Sun-Ja
    • Korean Journal of Social Welfare Studies
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    • v.42 no.3
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    • pp.329-353
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    • 2011
  • Adolescence is the important period of experiencing primary social relations through family relations. Adolescent of grandparent-grandchildren family who are provided social welfare service, however, causes many psychological and social problems on account of the negative family relationship, so it is needed resilience in order to recover from those circumstances through easing their negative family relations. This study set self esteem, empathy and internal·external locus control as parameters in order to know how negative family relations of grandparent-grandchildren family could influence the resilience of adolescent, then tried to reveal the entire and synthetic causal relationship in paths of them. For this, we analyzed 492 cases of grandparent-grandchildren family adolescent, which had negative family relations. In this process, we used Amos 19.0, analyzed interrelation and path, and examined significance of type and statistical significance in direct-indirect effect between paths. As the analysis result, we proposed that the development of social welfare program and use of it centered on self-esteem, empathy and internal-external control to the family relations of grandparent-grandchildren family adolescents was a practical approaching task of social welfare for them.

An Analysis Study on Family and Socio-environmental Factors of Adolescents' School Dropout (청소년 학업중단의 가족 및 사회환경적 요인 분석 연구)

  • Son, Chung-Ki;Bae, Eun-Ja;Kim, Young-Tae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.6
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    • pp.2504-2513
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    • 2012
  • The purpose of this study is to examine what is the path that family and socio-environmental factors of adolescents lead to school dropout called educational crisis behavior. To investigate these research problems, the path was analyzed on the basis of the related data and variations after interview with 120 crisis adolescents in 'J Youth Counseling Center' in Jeon-ju City. By the results of this analysis, the family ties as a familial factor and the deviation friends as a socio-environmental factor had an effect on adolescents' school dropout behavior. These results indicate the need to reform the interpersonal relationship in family and school friends for preventing and solving the adolescents' crisis behavior such as school dropout behavior.