• Women's Health Nursing
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• v.13 no.3
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• pp.149-156
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• 2007

Purpose: This study aimed to elucidate the prevalence of breast feeding and maternal psychosocial predictors affecting the breast feeding practice at six months postpartum. Method: One hundred and sixty one mothers at six months postpartum were conveniently recruited in two public health center in Jeju-city. Subjects completed a well-structured questionnaire regarding the feeding types of the child, maternal self-esteem, the Edinburgh Postnatal Depression Scale (EPDS), husband support, and marital adjustment scale. The data was analyzed using the $X^2-test$, t-test, Pearson correlation coefficients, and logistic regression. Result: The prevalence of breast feeding at six months postpartum was 29.9%. Predictors of breast feeding practice identified by the logistic regression analysis include first feeding type after delivery, marital adjustment, readiness for maternal role and work state. Conclusion: The prevalence of breast feeding practice was lower than WHO desired at six months postpartum. Therefore, the findings support the need for breast feeding education including interventions focused on improving readiness for maternal role and marital adjustment.

• Perspectives in Nursing Science
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• v.11 no.1
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• pp.63-73
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• 2014

Purpose: This study examine the effects of music therapy and phone counseling on postpartum depression and maternal identity in high risk women. Methods: A nonequivalent control group time series research design was employed. Eighteen women comprised the experimental group and seventeen women, the control group. Experimental group received 4 weeks of music therapy and phone counseling. Postpartum depression and maternal identity were measured prior to intervention and on the 1st, 2nd, and 4th weeks after its introduction. Results: The first hypothesis (i.e., "the degree of postpartum depression would be lower in the experimental group than in the control group in a month's time") was not supported (z=-0.47, p=.641). The second hypothesis (i.e., "the degree of maternal identity would be lower in the experimental group than in the control group in a month") was not supported as well (z=1.08, p=.285). Conclusion: There is the need to monitor long-term effects of music therapy and phone counseling on high risk postpartum women, beyond 4 weeks observed in this study. Additionally, the development of music therapy tailored to high risk individuals and systematic phone counseling protocols for postpartum depression is required.

• Journal of Korean Academy of Nursing
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• v.27 no.3
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• pp.588-600
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• 1997

Postpartum depression is one of the most serious problems in maternal health because it affects not only the mother but also her family. Postpartum depression disturbs the maternal-infant interaction and attachment. However, most postpartum depression patients ignore this problem and do not seek treatment. Many clinicians and researchers realiza there is a need to develop a postpartum depression scale. Thus, this study has been designed to development of a postpartum depression scale. Data were collected through a survey over a period of three months. Subjects who participated in the study were 167 Korean mothers in their postpartum period. The author used a convenience sampling method. The analysis of the data was done with SPSS PC/sup ＋/ for descriptive statistics, item analysis and factor analysis. Initially 62 items were generated from the interview data of eight postpartum depression patients and from a literature review. This preliminary scale was analyzed for reliability and validity. The results of this analysis are as follows. 1. Initially 62 items were analyzed through the Index of Content Validity(CVI) and 48 items were selected. 2. Seven factors were extracted through the principal component analysis, and these contributed 61% of the variance in the total score. Finally 46 items in the scale loaded .41∼ .84 on one of seven factors. 3. Each factor was labeled. Factor 1 was labeled 'emotional phenomena-emotional upset' and included 13 items, factor 2 was labeled' cognitive phenomena-self concept disturbance' and included seven items, factor 3 was labeled 'relationship to baby-negative feeling' and included six items, factor 4 was labeled 'relationship to baby- overload' and included eight items, factor 5 was labeled 'negative maternal identity' and included five items, factor 6 was labeled 'biophysiological phenomena-disturbance of physical functioning' and included four items, and factor 7 was labeled' interpersonal relationship phenomena-blamed others' and included three items. 4. Cronbach Coefficient Alpha for internal consistency was .95 for the total 46 items. Finally, the author suggests that this scale could be adequately applied in assessing the postpartum depression of mothers during the postpartum period. The results of this study can contribute to designing an appropriate postpartum depression prevention strategy.

• Korean Journal of Child Studies
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• v.24 no.1
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• pp.47-59
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• 2003

The influence of depression, self-esteem, and well-being components of maternal psychological environment on child behavior problems was examined in Korean and American populations. Findings were that the level of mother's self-esteem was lower in Korean than in American mothers; the level of mother's "autonomy" and "environmental mastery" was lower in Korean than in American mothers; and "somatic complaints" were more frequent in the Korean group. The relationship between maternal psychological environment and child behavior problems was greater in the American group. In the Korean group, autonomy and enviornmental mastery were negative components causing both internalized and externalized behavor problems in children. Mothers' depression was the most powerful variable, affecting internalized and externalized behavior problems in both Korean and American groups.

• Journal of Families and Better Life
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• v.22 no.3
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• pp.23-34
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• 2004

This study was conducted to identify the characteristics of paternal and maternal grandmothers' social support, and to investigate the relationship between paternal and maternal grandmothers' social support and their school-aged grandchildren's psychological adaptation. The participants of this study were 215 students in the 5th and 6th grades and their mothers residing in Daegu. Collected data were analyzed using t-test, paired t-test, ANOV A, Scheffe's test, and hierarchical multiple regression. Findings of this study are as follows: 1. School-aged children perceived that their maternal grandmothers rendered more emotional and informational support than their paternal grandmothers. 2. Paternal grandmother's social support as perceived by the grandchild varied significantly with the frequency of face-to-face contact, the frequency of phone contact, and the friendship between the paternal grandmother and the mother. Maternal grandmother's social support as perceived by the grandchild, on the other hand, varied significantly by the level of grandmother's education, the frequency of face-to-face contact, and the frequency of phone contact. 3. Perceived paternal and maternal grandmothers' social support had indirect impacts on grandchildren's depression, which was mediated by their mothers' parenting.

• The Korean Journal of Community Living Science
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• v.23 no.1
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• pp.41-50
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• 2012

This study was performed to understand the depression of children with hearing impairment with relation to their mothers' nurturing attitude and sign language level. The subjects were 131 hearing impaired children aged from 9 to 16 years and their mothers, who had no hearing impairments. The children's depression was assessed by CDI(Kovacs 1983) adapted by Cho and Lee(1990), and the maternal attitude was measured through the instrument developed by Oh and Lee(1982) and revised by Lim(1987). The results were as follows. First, the girls' depression was higher than the boys', and children in a dormitory type of school showed higher depression than those in a general type of school. Second, children's depression did not show differences according to mother-child communication methods but differed according to mothers' sign language level. Children whose mothers had high level of sign language showed the highest depression and those whose mothers had beginning level of sign language showed the lowest depression. And mothers' affective, goal- achieving and rational attitude were negatively related with children's depression. Third, the depression of hearing impairment children was influenced mainly by the maternal affective attitude, and the next order was the type of school the children attend.

• Journal of Korean Academy of Nursing
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• v.29 no.1
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• pp.9-20
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• 1999

Postpartum depression is one of the most serious problems in maternal health because it affects not only the mother but also her family. Postpartum depression disturbs maternal -infant interaction and attachment. However, most postpartum depression patients ignore this problem and do not seek treatment. Thus this study in conducted to development of a Home-Based Multimedia Tutoring System for postpartum depression management. With this computerized system, mothers in the postpartum periods can check the level of postpartum depression using a personal computer. This system will go through each mother's data and screen those who have abnormal values. In addition this system includes intervention programs -education for nutrition, hygiene care, sleep, postpartum exercise, methods of relaxation, deep breathing, visualization, music therapy and family therapy-to relieve postpartum depression. Using this system, a mother who has a minor level of depression can manage it by herself. Computer language used in this study were html 3.2, OS used was Microsoftware NT Server 4.0, the graphic tool was Adobe Photoshop 4.0, and the Webpage tool was Notepade. The results of this study are show at internet “URL : http : //203.241.225.42/”. Finally, the author suggests that this system could be adequately applied to assessing postpartum depression and as a intervention strategy for mothers during the postpartum period. Further this study contributes to designing an appropriate postpartum depression prevention strategy.

• Korean Journal of Child Studies
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• v.37 no.5
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• pp.33-52
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• 2016

Objective: This study aimed to investigate the trajectory of maternal parenting stress during infancy according to the employment status of mothers when each year's depression was controlled and examine the longitudinal effects of parenting stress on affective parenting and socioemotional developmental outcomes for preschoolers. Methods: Using latent growth modeling, the first 4 waves of panel data collected from 2,078 mothers and their babies were analyzed. This nationwide data was provided from the 2008 Panel Study on Korean Children, conducted by the Korea Institute of Child Care and Education. Results: First, maternal parenting stress showed a linear increasing pattern, and there were individual differences in intercept and slope. Second, when each year's maternal depression was controlled, the intercept of parenting stress was lower, but the rate of increase was higher. In multiple group analyses, this increasing pattern of parenting stress was significant only in unemployed mothers. Lastly, the increase of unemployed mothers' parenting stress had direct effects on child emotionality and peer interaction and had an indirect effect on child peer interaction (mediated by affective parenting). Conclusion: The current study verified that the longitudinal effects of increasing parenting stress of unemployed mothers on affective parenting and child socioemotional development when maternal depression level was controlled. These results imply that we need to pay more attention to emotional health and resources of unemployed mothers and provide them with social support as well as employed mothers.

• Korean Journal of Child Studies
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• v.36 no.3
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• pp.19-34
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• 2015

The purpose of this study was to explore the influence of marital satisfaction and depression of adoptive mother on the problem behaviors of adopted children and the mediating effects of parenting competency between them. Contextual variables such as family background and adoption-related characteristics were also included as control variables. The results of multiple regression analysis showed marital satisfaction had significant influence on the problem behavior of adopted child through flexibility of parenting competency, while depression was not significantly related to parenting competency of adoptive mother. Yet, maternal depression had direct influence on the problem behavior of adopted child. Based on the limitations of the study, suggestions for further study were made.

• Korean Journal of Human Ecology
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• v.16 no.2
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• pp.251-257
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• 2007

The combined impact of maternal depression, parenting stress, infant cry, and infant temperament on family functions was examined. The sample included 257 mothers in the near communities. Questionnaires completed by the mothers who had 0-36 month old children were used to measure depressive symptoms in mothers, infant cry, infant temperament, parenting stress, and family function. Maternal depression, parenting stress, infant crying and infant temperament had negative influence on family adaptability and family cohesion. Mother's depression had negative effect particularly on infant cry. Infant cry had positive effect on infant temperament. Infant temperament had high direct effect on parenting stress. As a result, it had negative influence on family function.