• Korean Journal of Psychosomatic Medicine
• /
• v.7 no.1
• /
• pp.124-133
• /
• 1999

Objective : Postpartum depression(PPD) was known to be caused by many factors including various psychosocial risk factors. This study was performed to identify the psychosocial risk factors for ppd, preliminarily in Korea. Methods : A group of 119 postpartum women, each of whom was at 6 to 8 weeks after delivery was identified at the time when they visited to the child health clinic or postnatal check-up clinic. The risk factors were surveyed by the self-reported questionnaire. The items of questionnaire were consisted of known risk factors in other studies and other possible stress-related factors. PPD was assessed by the Edinburgh Postnatal Depression Scale(EPDS) and the degree of postpartum depression was determined by its score. Results : 16 women(13.45%) in the high risk group were diagnosed as PPD among the 119 women. Risk factors including past experience of depressive symptoms and low level of marital satisfaction were founded more frequently in women in the high risk group than in the low risk group. The score of EPDS was significantly high in the group who experienced depressive symptoms in the past, anxiety or depression during pregnancy, stressful life event during the period of recent pregnancy and postpartum, and who had low level of marital satisfaction. There was a positive correlation between age and the score of EPDS. However, the postpartum depressive symptoms were not influenced by the level of education, job, retirement due to pregnancy and delivery, wanted or unwanted pregnancy, delivery method, feeding method, the hospitalization of infant, expected and real gender of infant. Conclusion : These results suggest that PPD is quite frequent at postpartum period. Various risk factors contribute to the development of PPD. If clinicians pay attention to the risk factors of PPD and give appropriate psychiatric intervention to the mothers during pregnancy and postpartum, it will be easy for the clinicians to recognize and treat PPD in the early stage.

• Journal of Dairy Science and Biotechnology
• /
• v.36 no.3
• /
• pp.133-145
• /
• 2018

Breastfeeding is highly recommended due to its benefits for both the infant and mother; however, most mothers predominantly use formula feed. Breastfeeding affords protection against a wide variety of medical conditions that may emerge at different time points over the lifespan, including hospital admissions for respiratory infections and neonatal fever, offspring childhood obesity, and cancer as well as cardiovascular disease, hyperlipidemia, hypertension, and diabetes. Moreover, breastfeeding is expected to decrease the risk of adolescent depression and other psychopathologies. It is also important for the development of the gut, gut-brain axis, and immune system, and night-time breast milk is likely to have higher antioxidant, anti-inflammatory, and immune regulatory effects due to the impact of breast milk melatonin on the infant's developing microbiome and gut permeability. Melatonin can be added to a night-time-specific formula feed; however, it is not included in the Korean Food Additive Codex.

• Korean Journal of Child Studies
• /
• v.36 no.4
• /
• pp.209-227
• /
• 2015

The present study investigated maternal parenting stress trajectories, using data gathered from the Korean Children Panel Survey. Four factors-monthly income, maternal depression levels, infants' negative emotionality, marital conflict-which were taken from reports made by the mothers' used in this study, were examined as predictors of maternal parenting stress trajectories. The effects of maternal parenting stress trajectories, parenting styles and toddlers' peer interruptive behaviors were also examined. The findings were as follows: First, maternal parenting stress trajectories somewhat increased from the 1st year period to the 4th year period. Second, infants' negative emotionality and marital conflict within the first year were observed to have a connection to the initial level and slope of maternal parenting stress trajectories. Third, maternal parenting stress trajectories predicted positive parenting styles, and parenting styles had a longitudinal impact on toddlers' peer interruptive behaviors at the 5th year period.

• Korean Journal of Child Studies
• /
• v.34 no.6
• /
• pp.77-96
• /
• 2013

The purpose of this study was to examine the relationships among mother's psychological characteristics(self-esteem, self-efficacy, and depression), parenting related factors(maternal parenting stress and mother's knowledge on infant development), maternal parenting style, and two-year-old infants' development. The participants consisted of 1735 mothers and their two-year old infants selected from a sample of the 3rd Panel Study of Korean Children(PSKC) by the Korea Institute of Child Care and Education(KICCE), conducted in 2010. Data were analyzed by means of a Structural Equation Model(SEM) to identify the structure and relationships among the various factors. The significance of direct and indirect effects to test the mediating effect of maternal parenting style were identified via bootstrapping. The results indicated that maternal parenting style most definitely mediated the relationship among the mother's psychological characteristics(self-esteem and self-efficacy), parenting related factors(maternal parenting stress and mother's knowledge on Infant development) and the development of their two-year-old infants.

• The Journal of Korean Medicine
• /
• v.30 no.5
• /
• pp.88-101
• /
• 2009

Objectives: Since Korean traditional medicine has an integrative perspective by its nature, the patients' psychological and physical problems in a Korean traditional clinic may be resolved through a more integrative approach. The purpose of this study was to describe the latent characteristics of psychological health of child outpatients and their parents visiting Korean traditional clinic with physical complaints and was to propose an alternative curriculum to meet their needs based on their psychological and physical aspects. Methods: Subjects studied consisted of 100 outpatients (59 boys, 41 girls, mean age 55 months, age range 18 to 83 months) and their parents. Behavior characteristics for children were measured by Korean version of Child Behavior Checklist for Ages 1.5-5 (CBCL1.5-5) while parenting stress, depression, and anxiety for parent were measured by Korean-Parenting Stress Index-Short Form (K-PSI-SF), Center for Epidemiologic Studies Depression Scale (CES-D) and State-Trait Anxiety Inventory (STAI), respectively. The data of subjects were compared to those of standardized groups and then were compared according to child's gender within sample. Results: Child participants were reported to have significantly higher scores of all CBCL 1.5-5 subscales than the standardized group. When compared, no differences of K-PSI-SF, CES-D, and STAI was found between parents of participants and the standardized groups. However, parents of child participants with at-risk psychological problems showed significantly higher scores of all parenting stress subscales than those of all child participants. In addition, the mothers of boy participants demonstrated significantly higher anxiety, depression and parenting stress than those of girl participants irrespective of psychological severity. Conclusions: We discussed the implication of these results in clinical situation and make recommendations for curriculum of psychiatry and pediatrics with the aim of improving proper diagnosis, consulting and treatment.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• v.15 no.1
• /
• pp.75-81
• /
• 2004

Objectives：This study was designed to compare the emotional/behavioral characteristics between the siblings of children with autism and normally developing children. Methods：The subjects were 34 children between 10 and 16 years of age, 17 siblings of children with autism, 17 siblings of nonhandicapped children. Both groups performed CDI(Kovacs' Children Depression Inventory), RCMAS(Revised Chidren's Manifest Anxiety Scale), SPPC(Self-Perception Profile for Children), Self-esteem scale. Their mothers performed K-CBCL(Korean -Child Behavior Checklist). The results of those test were analysed by Student's-test. Results：Both social competence and total social competence subsclae scores were significantly lower in sibling group of children with autism than in control group. However, each group was not significantly different on the scores of internalizing symptom, externalizing symptom subscale of CBCL, CDI, RCMAS, Self-Perception Profile and Self-esteem scale. Conclusion : Siblings of children with autism had a lower social competence than normal control group. Group comparisons indicated that siblings of children with autism and normal children did not differ on any self-report measures such as anxiety, depression, self-concept and self-esteem. Further research using more subjects will be needed.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.21 no.1
• /
• pp.468-476
• /
• 2020

This study investigated how latent groups depend on the longitudinal trajectories observed in fathers' involvement in parenting over a five year period, and the study also determined differences in children's behavioral problems and mother's parenting stress, marital satisfaction, and depression among these groups. By utilizing 1,316 sets of data from 1st to 5th Panel Survey of PSKC beginning in 2008, we examined the patterns of the latent groups and the differences among them. The results showed that, first, a changing pattern of fathers' involvement in parenting is classified into four groups: a low-stable group, a decreasing group. a middle-high changeable group, and a highest changeable group. According to the results of the latent groups, the fathers' involvement in parenting commonly started to decrease at the children's age of 4 years old. Second, problematic behaviors of children appeared more from the fathers in the decreasing group. Third, parenting stress, marital conflict, and depression were more often found in the low-stable group that in the decreasing group. the middle-high changeable group and the highest changeable group (in that order), while marital satisfaction showed a completely opposite pattern. Based on these results, political intervention and the future direction of research for fathers' involvement in parenting are needed in order to increase better behaviors of their children as well as the psychological well-being of their mothers.

• The Journal of Korean Obstetrics and Gynecology
• /
• v.32 no.4
• /
• pp.116-131
• /
• 2019

Objectives: The aim of this study was to observe the changes of women's postpartum symptoms, the quality of life and depression scale over the first six weeks after childbirth. Methods: Twenty seven mothers who received Korean medical treatment in the outpatient department treatment (from September 27th, 2017 to January 5th, 2018) were evaluated for Verbal numerical rating scale (VNRS), edema index, EuroQol Visual Analogue Scale (EQ-VAS), and Edinburgh Postnatal Depression Scale (EPDS). Results: There were 17 high risk participants (63.0%) and 10 normal participants (37.0%). The VNRS of edema is the highest in the first week, and the VNRS of joint pain is the highest from the second week to the sixth week in all patients. The Extra Cellular Water/Total Body Water (ECW/TBW) of high risk group significantly decreased from $0.403{\pm}0.011$ to $0.387{\pm}0.006$(p<0.05) in the first 2 weeks. The ECW/TBW of normal group significantly decreased from $0.393{\pm}0.070$ to $0.383{\pm}0.011$ (p<0.05) in the first 2 weeks. The EQ-VAS of high risk group increased from $64.12{\pm}13.941$ to $69.35{\pm}18.155$ (p<0.05) in the first 2 weeks. But this difference was not significant statistically (p=0.234). The EQ-VAS of normal group significantly increased from $62.50{\pm}21.763$ to $74.00{\pm}9.661$ (p<0.05) in the first 2 weeks. The difference of EPDS was not statistically significant between the first week and the sixth week in every participants. Conclusions: VNRS was the highest in edema in the first week, joint pain was the highest from the second week to six week. The edema index of high risk groups was higher than that of the normal group in the first week (p<0.05). The EQ-VAS of normal group significantly increased (p<0.05) in the first 2 weeks but high risk group didn't. In the EPDS, the ratio of nine or more points of high risk group was more than twice than normal group in the first 2 weeks.

• Korean Journal of Acupuncture
• /
• v.29 no.2
• /
• pp.260-270
• /
• 2012

Objectives : Hippocampus, a region of temporal lobe, plays an important role in the pathogenic mechanisms of brain diseases such as Alzheimer's disease, depression and temporal lobe epilepsy. This research is designed to investigate hippocampal changes after acupuncture stimulation at Shinmun(HT7) using 2-dimensional gel electrophoresis(2-DE). Methods : On postnatal-day 15, rat pups were randomly devided into Normal(NOR) or HT7 group. All of Pups kept with their mothers for 7 days, but pups in HT7 group received acupuncture stimulation at HT7 daily. On postnatal-day 21, hippocampus of each rat pup was dissceted 30 minutes after last acupuncture stimulation and the protein expressions were investigated using 2-DE. Results : After acupuncture stimulation at HT7, expression of 20 proteins were significantly increased. Succinate semialdehyde dehydrogenase, glyceraldehyde-3-phosphate dehydrogenase-like, transketolase, aconitate hydratase and phosphoglucomutase-1 were related to glucose methabolism. Eukaryotic initiation factor(eIF) 4A-II, eIF 4A-III, mitochondrial Tu translation elongation factor and chain A of crystal structure of the 70-Kda heat shock cognate protein involve in the protein synthesis in ribosome. Tubulin ${\beta}$-4 chain, tubulin T ${\beta}$-15 and tubulin ${\alpha}$-1B chain comprise cytoskeleton. Glutathione S-transferase(GST) ${\omega}$-1, GST P and GST Yb-3 can reduce oxidative stress. ${\beta}$-soluble N-ethylmaleimide-sensitive fusion protein attachment protein is required for vesicular transport between the endoplasmic reticulum and the Golgi apparatus, glycerol-3-phosphate dehydrogenase plays a major role in lipid biosynthesis, creatine kinase U-type catalyses the conversion of creatine and consumes adenosine triphosphate to create phosphocreatine and adenosine diphosphate. Platelet-activating factor acetylhydrolase IB subunit alpha and voltage depedent anion-selective channel protein 2 were also increased. Conclusions : The results suggest that acupuncture stimulation at HT7 may enhance glucose and lipid metabolism, protein synthesis, cytoskeletal substance and anti-oxidative stress in hippocampus.

• Korean Journal of Human Ecology
• /
• v.20 no.3
• /
• pp.521-532
• /
• 2011

The study's purpose was to clarify childcare's impact on the psychological well-being of fathers with an infant. This study included 1,250 households that used 15 nursery centers. The questionnaire asked about the fathers' age, income, working conditions, participation in childcare, recognition of sense of usefulness to their family, marital satisfaction, mental health, health-related quality of life(QOL), and the mothers' age, number of children, age of the youngest child, and working conditions. A casual model was examined using SEM. The results were as follows: first, fathers' participation in childcare contributed to health-related QOL through the recognition of feeling useful to their family. Second, fathers' participation in childcare contributed to marital satisfaction, directly and indirectly through health -related QOL and improved mental health. Third, fathers' participation in childcare contributed to health related QOL through the recognition of feelings of usefulness, marital satisfaction, and mental health, indirectly. These results suggest that promoting fathers' participation in childcare is important to help prevent many problems and to improve QOL.