• Korean Journal of Child Education & Care
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• v.19 no.1
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• pp.75-86
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• 2019

Objective: The study looked at the relationship between the mother's adult attachment, the children's problematic behavior and the mother's nurturing attitude. In doing so, this study tried to determine whether the mother's nurturing attitude would play a moderating role in the context of the effect of mother' adult attachment on the children's problematic behavior. Methods: we surveyed 352 mothers of 3~5 year old infants who were financially dependent on day care centers. Results: The problematic behavior of being daunted is high when mothers' adult attachment of avoidance is high and when mothers have low level of controlling pattern in their nurturing of their children. The problematic behavior of anxiety and depression was observed when adult attachment of anxiety was high and low level of controlling pattern in their nurturing. Meanwhile, when the externalized problematic behaviors were examined, no interaction effect of mothers' adult attachment and nurturing pattern was observed in all sub-levels of the children's externalized problematic behaviors. Conclusion/Implications: We could see how the influence of parenting attitude appears in mothers with unstable adult attachment. In addition, mothers with unstable adult attachment may be able to confirm that the quality of the interaction of the parent-child relationship and the form of the child's problem behavior differ according to the level of the mother's parenting attitude in the child's problem behavior. The results of this study showed that mothers with unstable adult attachment differed in the form of problem behaviors of infants according to mother's parenting attitude in infant problem behaviors.

• Korean Journal of Child Studies
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• v.26 no.6
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• pp.17-28
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• 2005

To understand further the differences in the distribution of attachment classifications assigned to 12-15 month old infant raised in Korea(N=85) and the U.S.(N=104), detailed analyses of maternal and infant behavior during the Strange Situation was undertaken. Indices of infants' attachment behavior with their mothers and distress during separations were rated. The percentage of Korean infants classified as secure versus insecure mirrored the global distribution, however, fewer Korean babies were classified as avoidant, As predicted, secure Korean babies were less likely than secure U.S. babies to approach their mothers, maintain contact or show resistant behavior and more often displayed distress during the second separation from their mother. Resistant Korean babies, however, did not significantly differ from resistant U.S. babies with respect to their attachment behavior but more often displayed distress when left with a stranger. These findings are discussed with respect to cultural differences in caregiving.

• Child Health Nursing Research
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• v.10 no.2
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• pp.153-164
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• 2004

The purpose of this study is to investigate the effect on mother-fetus attachment through mother-fetus interaction promotion program of talking and tactual stimulation aimed at enhancing sensitivity of primipara Non-equivalent control group posttest design was used. Fifty primiparas (26 mothers for intervention group and 24 mothers for control group) were recruited from three general hospital and an OBGY clinic located in Gang Nung city. Data was collected from January 30th to December 20th in 2001. For the intervention group, programed education which focused on mother-fetus interaction promotion of talking and tactile stimulation in the 1st trimester. Telephone counselling was provided with interval of two weeks. For two groups, home visiting for data collection of mother-fetus attachment was conducted at 36 to 38 weeks of gestational age. The data were analyzed using chi-square test and Fisher' Exact test to test the equivalence of two groups, and the effect of intervention program was determined with t- test. The result was as follow: The significant difference was found in mother-fetus attachment between two groups(t= 2.772, P= 0.0079). It indicated that intervention program was effective in improving mother-fetus attachment. In conclusion, this study has shown that the applied nursing intervention aimed at enhancing sensitivity of primiparas to fetus's movement promoted mother-fetus attachment. Therefore, this study suggests that this nursing intervention to increase maternal sensitivity to the fetus's movement should be broadly applied to primiparas, which can be beneficial for formation of mother-infant relationship, and for promotion of the social, affective, and cognitive developments of their children.

• Korean Parent-Child Health Journal
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• v.3 no.1
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• pp.73-94
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• 2000

This study was designed to compare the education needs in LBW infant's mother at discharge and after one month at home for development of the educational program. The subjects of this study consisted of 61 mothers of LBW infant's at discharge and 51 mothers of LBW infant's after one month at home. They were selected by convenience from 3 general hospitals and 1 pediatric hospital in Seoul, Kangreung and Inchon. The data were collected during the period from January, 5 to March, 15, 2000. The Education Needs for LBW infant Care was measured by Questionnaire that has developed by researchers. The data were analized by descriptive statistics, non-paired t-test & ANOVA using SAS. The results of this study were as follows: 1) The educational need, of the mothers of LBW infant at discharge were higher than the mothers of LBW infant after one month at home(t=8.72, p=.00). 2) There were significant associations between the educational needs of the mothers of LBW infant after one month at home and numbers of children(F=3.61, p=0.03). 3) There were significant associations of the educational needs between the mothers of LBW infant at discharge and the mothers of LBW infant after one month at home in categories and items. (1) There were significant associations by categories such as Infant care(t=8.34, p=.00), feeding(t=6.71, p=.00), unusual behavior (t=6.54, p=.00). Management disorder (t=8.67, p=.00), attachment between parents and infant(t=5.19, p=.00) and environment (t=6.14, p=.00). (2) There were two items that represented the highest educational needs in all items. That were "How about we can do when infant has a breathing disorder" and "How about we can do when infant has a seizure". These two items included Management of disorder category. In Conclusion, when the nurse teaching the method of infant care to mother, educational contents must be included about Management of disorder emphatically.

• Child Health Nursing Research
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• v.1 no.1
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• pp.5-15
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• 1995

The quality of mother-infant interaction during early postpartum period has a significant influence on the child growth and development in many aspects. The mother's initial perception of the newborns might have the lasting influence on the development of the mother-infant attachment and mother-infant relationship. Therefore the proper mother-infant interaction should be developed after infant birth. However, it is acknowledged that the high risk infants influence on the mothers' perception because of their abnormalities or disorders of physical condition and the restricted maternal contacts and interactions. The object of this study is to identify the difference of mother's perception of their normal and high-risk newborn during the early postpartum period. The ultimate goal is to contribute to use this basic data to develop nursing intervention toward the promotion of healthy mother-infant relationship and the helping of growth and development of children. The data were collected for this study from Sep. 21, 1990 to Oct. 1. 1991 at E University Hospital. The sample was 83 of mothers who had normal newborns and 73 mothers who had high risk newborns .The instrument was Neonatal Perception Inventory(NPI) designed by the Broussard for the measurement of mothers' perception of newborns about Average Baby and Your Baby. The data were analysed by using an SPSS Program and include percentage mean, SD, t-test, ANOVA. The results of this study are as follows : 1. The normal newborn mothers' perception is more positive than the high-risk newborn mothers(t=7.94, p=0.000). 2. Mothers' perception of the newborns is not related significantly to mothers' general characteristics. In conclusion, in order to promote positive, healthy mother-infant relationship, the nurse need to support, give information, and educate high-risk newborn mothers through early nursing assessment.

• Journal of Korean Academy of Nursing
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• v.42 no.5
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• pp.671-679
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• 2012

Purpose: This study was conducted to evaluate the effectiveness of a mother/infant-toddler health program developed to enhance parenting knowledge, behavior and confidence in low income mothers and home environment. Methods: A one-group pretest-posttest quasi-experimental design was used. Sixty-nine dyads of mothers and infant-toddlers (aged 0-36 months) were provided with weekly intervention for seven session. Each session consisted of three parts; first, educating to increase integrated knowledge related to the development of the infant/toddler including nutrition, first aid and home environment; second, counseling to share parenting experience among the mothers and to increase their nurturing confidence; third, playing with the infant/toddler to facilitate attachment-based parenting behavior for the mothers. Results: Following the programs, there were significant increases in parenting knowledge on nutrition and first aid. A significant improvement was found in attachment-based parenting behavior, but not in home safety practice. Nurturing confidence was not significantly increased. The program led to more positive home environment for infant/toddler's health and development. Conclusion: The findings provide evidence for mother-infant/toddler health program to improve parenting knowledge, attachment-based parenting behavior and better home environment in low income mothers. Study of the long term effectiveness of this program is recommended for future research.

• Journal of the Korean Home Economics Association
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• v.17 no.1
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• pp.45-55
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• 1979

The purpose of this study is to investigate to what extent and how the infant's Object Attachment occurs. For this purpose, 28 mothers with their infants showing or having shown this phenomenon were interviewed. They were selected by the whole scale smpling method from 310 household -wives living at a delux Apt. in Seoul. The results are summarized as follows : 1. About 27% of the infants aged between 6 months and 6 years turned out to show this phenomenon. 2. Qulits, bed clothes, pillows and blankets, which infants have been closely contacted since their babyhood, were the major source of attachment objects. In general, these objects were proved to have soft, wasm, smooth, and glassy tactile sensation. 3.This phenomenon, in average, appeared since 13 months after birth, About 50% of the whole began to show this phenomenon between 9 and 14 month after birth. 4. Half of the infants didn't show a change of attachment strength, but as for the other half, the attachment strength increased after one year of age, and decreased after three years of age, as the social period commenced. 5. Infants needed attachment objects especially when they were driven by sleep, sense of emptiness, and monotonous or boring feeling. 6. There were little difference between Object Attachment behavior and motherinfant attachment behavior except "babbling", "using her as a base for exploration". Those behaviors did not appear in Object Attachment. 7. mothers said that their children's attachment objects played the role of substitute mother, pacificater, warmer, friend , etc. And they attributed this phenomenon's appearance to lack their physical contact with, ocnstant and warm care toward, their children or bottle feeding.

• Child Health Nursing Research
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• v.12 no.2
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• pp.204-214
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• 2006

Purpose:　The purpose of this study was to investigate the effects of Yakson therapy conducted by mother of preterm infants on the maternal attachment and attachment behavior. Method: A quasi experimental pre-post test design was used. The data were collected from January, 2005 to October, 2005. The participants were 30 mothers of preterm infants hospitalized in a neonatal intensive care unit (15 in the Yakson therapy group and 15 in control group). Yakson therapy consists of three phases: laying a hand, caressing by hand, and laying a hand again taking 5 minutes for each phase. Yakson therapy was provided to infants in the experimental group for 15-minutes 5 times for 15 days. Data were analyzed using the SAS program with x2-test, repeated measures ANOVA, and Fisher's exact test. Result: Compared to the control group, the experimental group had significantly higher scores in maternal attachment (F=5.54, p=.0258). And the attachment behavior of the experimental group was higher than that of the control group. Conclusion: The results suggest that Yakson therapy can be used to improve maternal attachment and attachment behavior.

• Perspectives in Nursing Science
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• v.8 no.1
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• pp.20-31
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• 2011

Purpose: The purpose of this study was to review the concept of Mother-Child Interaction (MCI) as well as its theoretical model and measurement methods. Methods: A review of related theories and research was done to identify the concept and present status of MCI measuring techniques. Results: The concept of MCI contains the two aspect of attachment and child rearing. MCI is unique in that it includes a dyadic process. The concept of MCI was developed based on attachment theory, Barnard's theory, and the goodness of fit model, MCI involves sensitivity, responsiveness, reciprocity, contingency, mutual satisfaction, and child developmental stimulation including positive and negative affection. Most instruments involved observation, especially in structured situations, and most were developed for mother-infant interaction. Conclusion: MCI is a reciprocal, goal-oriented partnership process and is an ongoing process during childhood. Instruments for measuring MCI for preschoolers as well as appropriate self-reporting instruments need to be developed for wide use in practice and in research.

• Clinical and Experimental Pediatrics
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• v.53 no.5
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• pp.634-638
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• 2010

Purpose: In Kyung Hee East-West Neo Medical Center, Seoul, Korea, efforts to raise rooming-in care success rate have been undertaken since when the hospital was established in 2006. We intended to analyze our experience over the past 3 years of period and to discuss the advantages of rooming-in. Methods: We analyzed the rooming-in practice rate, failure rate, and the breast feeding rate. Subjects were 860 normal healthy neonates from June 2006 to June 2009. Results: Among these 860 cases, 83 babies were required separation out of rooming-in in the middle of the course. Among these 83 cases, 70 cases had to stop the course due to poor condition of babies and 13 cases due to maternal condition. 70 cases of infant's causes consist of 68 cases of NICU admission and 2 cases of poor feeding support. The other 13 cases of separation include refusal by maternal condition. Therefore the success rate of rooming-in for the last 3 years was 90.3%, that is 777 cases among the total 860 cases. The percentage of exclusive breast feeding was 64%, that of mixed feeding with breast and formula feeding was 25%, and formula feeding only was 11%. Conclusion: We experienced successful rooming-in care for the last 3 years. Nursery facilities should educate and encourage the advantages of rooming-in, including the good formation of attachment between mother and infant, emotional stability, protection from infection, and increased breast feeding rate so that rooming-in care can be fully established.