• 동서간호학연구지
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• 제20권2호
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• pp.81-92
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• 2014

Purpose: As a cultural descriptive research, this study investigates the joys and sorrows that mothers who have been taking care of a child with mental illness in the Korean culture. Methods: The data were collected from June 2011 to July 2012 targeting a total of 11 mothers who were looking after chldren with mental illness in their own places. Recorded and transcribed data though in-depth interviews were analyzed by Spradley's classification and analysis method. Results: The joys and sorrows of the mothers focused on the cultural topic, "social sense of isolation', and the joys and sorrows were confirmed to be 'fury to reality', 'despair of illness', 'blame on family', 'remorse for the life' and 'little pleasure earned by emptying mind'. Conclusion: It is suggestive that the results of this study can be used to understand the joys and sorrows of the mothers with the mental patients; may be used to improve sociocultural understanding of the mothers; and may be applied to nursing practice.

• 한국사회복지학
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• 제60권2호
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• pp.77-98
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• 2008

본 연구는 여성정신장애인의 양육능력에 사회적 지지와 모성역할을 격려하는 사회적 맥락이 주요 영향요인이라는 전제하에 자녀를 직접 양육하고 있는 정신분열병과 기분장애를 가진 여성정신장애인 145명을 대상으로 정신장애 특성(유병기간, 진단, 증상정도, 입원횟수)과 인구사회학적 특성(나이, 자녀수, 주관적 경제수준)을 통제한 상태에서 부부관계와 사회적 지지가 양육능력의 세 차원(애정표현, 자율성 격려, 합리적 통제)에 미치는 영향력을 분석하였다. 그 결과 애정표현능력에는 부부관계, 사회적 지지, 경제적 수준이, 자율성 격려 능력에는 부부관계가 주요 예측요인으로 나타났다. 그러나 다른 차원과 달리 합리적 통제능력은 진단, 증상정도, 유병기간과 같은 장애특성과 경제적 수준이 주요 예측요인으로 나타났고 부부관계와 사회적 지지는 의미 있는 예측력을 가지지 못했다. 이러한 결과를 바탕으로 연구자는 여성정신장애인의 양육능력 향상을 위해 가족중심의 서비스와 임상적 서비스를 포함한 포괄적인 심리사회적 개입을 제안하였다.

• 한국보건간호학회지
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• 제21권2호
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• pp.206-216
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• 2007

Purpose: The purpose of this study was to investigate the perceived social support of mothers with disabled children. Method: This study was a cross-sectional, descriptive study using a questionnaire survey which included the standardized measure: personal resource Questionnaire 2000. Results: The participants were 98 mothers, each with one with disabled children. Of the 98 participant's children, 39.8% suffered mental retardation, 34.7% was developmentally disability, 16.3% was brain diseases and 9.2% was multiple disabled. The mean age of the disabled children was 8.2 years and of their mothers was 38 years. The order of the life events for which the need help for the subjects required help were 'when anger and frustration arise happened', 'difficulties in human relationship' and 'emergency situations'. The personal resources were spouse (38.1%), friends (20.9%) and parent (12.9%). The mean score of perceived social support was 5.48 out of a total of 7, indicating a slightly high on social support score. Significant differences were found in the level of perceived social support according to the school grade of disabled child's school grade (F=4.04, p= .02) and the mother having a job presence of mothers (t=2.49, p= .01). Conclusion: These findings indicate a need for nursing intervention programs for mothers with disabled children, including anger management, methods of human relationship, support for leisure time and long term illness and providing information.

• 영재교육연구
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• 제6권1호
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• pp.53-72
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• 1996

The present study dealt with the emotional characteristics, emotional development of gifted children and emphasized the emotional intelligence as the meta-ability for the development of creativity and intellectual abilities. The emotional vulnerability of gifted children was also hscussed with endogenous and exogeneous problems, internal dyssynchrony, and social context. To find out the real chief problems the gifted children have, the contents of individual counselling with mothers of the gifted in KAGE were categorized based on the Lazarus' BASIC ID and DSM-IV dagnosis. Total 128 cases were analyzed. Among them, 61 cases were from elementary schoolers, however, percentile data showed the most, 34% of infant class aged 30 months - 48 months. Usually, the number of counselling in each person was 1, but 17 cases were done more than 3 times. And, 8 cases had experiences to visit the other counseling center or neuropsychiatric clinic. The categories of chief problems were 10: information about gifted program, behavior, affect, sensation, school and cognitive functions, imagery and self concept, interpersonal relationship, personality, mental illness, and others. Many problems in each category were listed. Finally, the present study suggested the several guidance plan possibly useful in the gifted education center for the purpose of prevention of emotional difficulties and support for the mental health, including professional personnel, child counselling, emotional education, and parent counseling & education.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제9권1호
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• pp.13-25
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• 1998

본 논문에서는 부모학대의 주이유가 무엇보다도 가족내 역동과 정신병리에 있다고 생각되어, 부모학대를 주소로 입원한 청소년들을 대상으로 임상적인 소견과 병력을 심도 있게 알아보고, 그 저변에 있는 정신병리와 가족역동, 특히 모자관계를 중심으로 알아보았다. 국립서울정신병원내의 1987년부터 1997년까지 입원한 환자중 부모에게 신체 공격 또는 신체적 위해를 가하겠다는 언어적, 비언어적인 위협을 가한 환자중 정신증, 기질적인 뇌질환, 자폐아, 정신지체아동을 제외한 21명 환자의 면담과 병록지 검토를 통하여 대상 청소년들에 대한 고찰을 하였다. 부모학대로 입원한 21명의 환자중 남자 14명, 여자 7명으로 진단은 품행장애, 경계선 인격장애가 가장 많았으며, 평균 연령은 10대 중반이었다. 가족역동과 발달병리상 4개의 소집단으로 나눌 수 있었다. 1) 어머니와의 공생적인 관계군；(1) 어머니와 공생적인 관계에서 분리되지 않은 상태로 청소년 시기를 맞이하였고, 아버지의 정서적. 실제적 부재상태에서 어머니의 가정내 유일한 남자인 환자에 대한 과도한 밀착이 두드러졌다. 제2차 분리개별화시기인 청소년을 맞이하여 어머니와의 갈등적 관계에서 오는 내적 긴장감과 분노를 표현함과 동시에 나름대로 분리를 획득하고자하는 시도로서 어머니를 향한 신체적 공격을 이해할 수 있겠다. (2) 이 환자들은 탄생 이후부터 중한 질환과 발육부진으로 부모의 과잉보호로 공생적 관계에 머물며 유아적인 전지전능감, 힘에 대한 환상의 비현실적인 감각을 제대로 처리하지 못하고 현실적응을 못하고 부모에게 과도하게 의존하고, 자신의 요구가 충족되지 않으면 쉽게 과격행동으로 표출하였다. 2) 경계선 인격장애군：이들은 양육상의 적절한 모성의 결핍과 부모자체의 성격상의 문제와 미숙함으로 의존성이 조장되고 분리가 방해받아 발달상 재접근시기에 머물고 있었다. 제2차 분리개별화시기인 청소년기를 맞이하여 의존과 독립에 관한 그들의 위기 갈등이 되살아나고, 이 갈등의 표현으로 부모학대가 일어났다. 3) 품행장애군：이들은 부모와 기본적인 애착관계를 형성하지 못하였고, 부모의 존재는 이들에게 단지 자신의 필요 충족의 대상이었다. 환자 자신의 전지전능한 요구가 충족되지 못하고 갈등 상황에 빠졌을 때 공격성과 충동 조절 능력의 결여 상태에서 부모를 향한 폭력을 행사하게 된 것으로 이해된다.

• Parasites, Hosts and Diseases
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• 제61권3호
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• pp.304-309
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• 2023

Intestinal parasitic infections are a public health burden and a major cause of illness in developing countries. The diseases lead to various health threats, including growth retardation and mental health-related disorders, especially in children. We assessed the risk factors for intestinal parasitic infections among children aged 12-59 months residing in Nyamasheke District, Rwanda. A cross-sectional descriptive study was conducted using secondary data from 1,048 children aged 12-59 months whose stool samples were examined for the presence of intestinal parasites and whose results were registered in the laboratory information system in 2020. The prevalence of intestinal parasites in children aged 12-59 months was 53.2%. The dominant parasites were Ascaris lumbricoides (13.1%), followed by Giardia lamblia (10.9%), Entamoeba histolytica (7.9%), Trichuris trichiura (6.5%), hookworms (1.7%), and Taenia species (1.4%). A significant association was observed between intestinal parasites and the literacy of mothers or children's caregivers (odds ratio (OR)=5.09, P<0.001). Children from farming households were 2.8-fold more likely to contract intestinal parasitic infections than those from nonfarming households (OR=2.8, P<0.001). A significant association was also observed between intestinal parasites and food safety (OR=4.9, P<0.001). Intestinal parasitic infections were significantly associated with hand hygiene practices after using the toilet and washing fresh fruits before eating (P<0.001). The information gathered will help public health providers and partners develop control plans in highly endemic areas in Rwanda.