• Clinical and Experimental Pediatrics
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• 제58권2호
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• pp.64-68
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• 2015

Purpose: The purpose of this study was to investigate the importance of initial screening tests for depression and anxiety disorders in children with headache. In addition, this study evaluated whether the Children's Depression Inventory (CDI) and Revised Children's Manifest Anxiety Scale (RCMAS) are suitable for screening symptoms of depression and anxiety. Methods: A retrospective chart review was conducted of 720 children aged 7-17 years who had visited a pediatric neurology clinic for headaches and were referred to a pediatric psychiatric clinic for psychiatric symptoms from January 2010 to December 2011. All patients completed the CDI and RCMAS. Among them, charts of patients with clinically significant total scores (cutoff>15) for psychiatric symptoms, as defined by the CDI and RCMAS scoring scales, were reviewed. Results: Nineteen patients had headaches and clinically significant total scores for psychiatric symptoms. The mean age at headache diagnosis was 11.7 years, and 57% were male. Mean duration of headache was 11.5 months. Two point eight percent of the patients were diagnosed with psychiatric disorders including major depression (1.7%), generalized anxiety disorder (1.1%), and bipolar disorder (0.1%). Four patients (0.6%) were diagnosed with attention deficit/hyperactivity disorder (ADHD). Total mean CDI and RCMAS scores of patients referred to the psychiatric clinic were 18.8 and 22.2, respectively. There was no correlation between CDI or RCMAS total scores and headache frequency, duration, or severity. Conclusion: We recommend that all patients with headache should be screened for depression and anxiety by CDI and RCMAS scores.

• 가정과삶의질연구
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• 제22권3호
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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.

• 대한가정학회지
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• 제50권3호
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• pp.1-14
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• 2012

This research focuses on the characteristics of children of divorced families, particularly their psychological adaptations. A questionnaire was given to elementary school-aged children(grades 3-6). 310 children from divorced families were surveyed. The major findings were as follows: first, there were no statistically significant differences between depression scores by family structure among these children. Second, the variables that affected depression among the divorced family children were relatively different. Third, through this comparison, this study examined the relative influence of variables that affected children's depression. This study proposes interventions to improve their psychological adaptation mechanisms.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제34권2호
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• pp.63-68
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• 2023

Objectives: The coronavirus disease (COVID-19) pandemic has had various effects on mankind, especially children and adolescents. Because children and adolescents spend a lot of time at school, COVID-19 has had a great impact on school mental health. In this study, we investigated the effect of prolonged COVID-19 on school mental health. Methods: We prepared self-report questionnaires for depression (Children's Depression Inventory, CDI), anxiety (Korean version of the Penn State Worry Questionnaire for Children; Generalized Anxiety Disorder-7, GAD-7), and post-traumatic stress (Primary Care Post-traumatic Stress Disorder, PC-PTSD) for administering to students aged between 7 and 18 years, recruited by a COVID-19 psychological prevention support group in the Gwangmyeong Mental Health Welfare Center for 2 years, in 2020 and 2021. Results: For children aged 7-12 years, there was no significant difference between the years 2020 and 2021 in the assessment of depression, anxiety, and post-traumatic stress. Conversely, for adolescents aged 13-18 years, there was a significant increase in the scale scores (CDI, PC-PTSD, and GAD-7). Conclusion: Prolonged COVID-19 might have had a significant impact on the mental health of adolescents who spent a lot of time at school. When comparing the years 2020 and 2021, middle and high school students were more affected by COVID-19 than elementary school students.

• 한국산학기술학회논문지
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• 제18권8호
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• pp.231-239
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• 2017

본 연구는 학령기 부모의 가족 상호작용과 자아존중감이 우울에 미치는 자기효과와 상대방효과를 확인하여 학령기 부모의 우울에 대한 기초자료를 제공하고자 시행되었다. 이를 위해 한국아동패널 7차 년도(2014년)의 1,475쌍의 자료를 SPSS 18.0 프로그램과 AMOS 18.0 프로그램을 이용하여 분석하였다. 가설적 모형을 분석한 결과, 총 10개의 가설 중 3개의 가설은 기각되었다. 부모의 가족 상호작용은 자아존중감에 자기 효과(어머니 ${\beta}=0.47$, p<0.001; 아버지 ${\beta}=0.47$, p<0.001)가 있는 것으로 나타났으며, 어머니의 가족 상호작용(${\beta}=-0.19$, p<0.001)과 자아존중감(${\beta}=-0.46$, p<0.001)은 우울에 자기효과는 있으나 아버지의 우울에 영향을 미치는 상대방 효과는 통계적으로 유의미 하지 않았다. 아버지의 가족 상호작용(${\beta}=-0.42$, p<0.001)과 자아존중감(${\beta}=-0.21$, p<0.001)은 우울에 자기효과는 있으나 아버지의 가족 상호작용은 어머니의 우울에 영향을 미치는 상대방 효과는 통계적으로 유의미 하지 않았으며, 아버지의 자아존중감(${\beta}=-0.15$, p=0.011)만이 어머니의 우울에 상대방 효과가 있는 것으로 나타났다. 본 연구 결과는 아동의 우울과 직접적인 연관이 있는 학령기 부모의 우울에 대한 영양요인들을 확인함으로써 부모의 정서적 안정을 도모하기 위한 간호 중재의 기초자료를 마련하고 임상에서 간호사들이 부모의 우울을 조절하기 위한 전문적인 지식을 전달할 수 있는 자료로 활용될 것으로 기대한다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제19권3호
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• pp.175-181
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• 2008

Objectives: This study was conducted to compare the mothers' rearing attitude of ADHD children and that of children with depressive disorder. Methods: The participant consisted of 58 school-aged children diagnosed as ADHD, 14 children diagnosed as depressive disorder based on DSM-IV criteria. Normal control group consisted of 34 school-aged children who are free of any diagnosis of psychiatric disorders. Parental Acceptance-Rejection Questionnaire, Parenting Style Questionnaire, Children's Depression Inventory, Marital Satisfaction Scale, Beck's Depression Inventory were administered to all children and their mothers. Results: The parents of ADHD children showed more aggressive/hostile, neglecting/indifferent and less warm/affectionate parenting styles to their children than those of the depression and control groups. The depressive group perceived their parents as more rejecting than the control groups. Conclusion: The externalizing symptoms of ADHD might provoke parental distress and make it difficult for the parents to show positive rearing attitude toward their children. The depressive children might be more sensitive and perceptive to the negative sign of their parents' rearing attitude.

• 여성건강간호학회지
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• 제12권4호
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• pp.273-281
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• 2006

Purpose: The purpose of this study was to provide basic data for nursing programs to reduce fatigue among middle-aged adults by looking at age group differences. Method: The study used a secondary analysis design and participants were 315 middle-aged adults. The data was analyzed using $x^2$-test, ANOVA, Pearson's correlation coefficient analysis, and stepwise multiple regression. Results: The findings revealed significant age group differences in socio-demographic variables for educational level, job, religion, economic status, consumption of cigarettes, experience with disease, satisfaction with spouse and children, and number of children. Scores of fatigue showed a significant difference between age groups. The factors influencing fatigue for subjects in their thirties were depression, level of education and self-efficacy. For those in their forties, factors were stress, depression, and self-efficacy. For those in their fifties, the factor was stress. Conclusion: For people in their thirties, school education or lifelong learning programs are needed to reduce fatigue. A disease prevention program and a family support program for people in their forties and fifties. Nurses need to provide customized nursing programs related to depression, stress and self-efficacy to reduce fatigue among middle-aged adults based on age groups.

• 아동학회지
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• 제31권1호
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• pp.65-82
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• 2010

This study investigated the longitudinal effects of family risk factors, parent-child relationships, and language abilities of children in low-income families in terms of both school adjustment and academic performance. The subjects were 176 children aged 5 to 7 and their mothers. They participated in follow up studies over the next 3 years. The children were tested using the Wechsler Intelligence Scales and language tests; and classroom teachers rated their levels of both school adjustment and academic performance. Mothers reported parent-child relationships, maternal depression, and family economic resources. Data were analyzed using Pearson's correlation, and structural equation modeling (SEM). Our results indicated that there were direct effects of language abilities, and indirect effects of parent-child relationships and maternal depression upon children's school adjustment and academic performance. It was also revealed that language abilities had a mediating effect between parent-child relationship and school adjustment/ academic performance.

• 대한가정학회지
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• 제36권7호
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• pp.83-96
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• 1998

The purpose of this study was the development of a scale to assess daily hassles coping behaviors for school aged children. The subjects were 398 children consisted of 197 3rd grade an 201 6th grade. They were selected from elementary school in Seoul, InCheon, DaeJeon, GwangJu and Pusan(202 males and 196 females) A questionnaire as the methodological instrument composed of 65-item daily hassles coping scale, demographic questions, 27-item Children's Depression Inventory and 20-item Locus of Control Scale. Statistics such as mean, %, X2, Cramer's V, Cronbach's α, factor analysis and Person's γ was used for used data analysis. The major findings of this study were as follows; 1)55 items of the 65-item scale were selected through item discriminant method. The discriminant coeffcients of the items(Cramer's V) ranged from .35 to .68. 2)5 factors were extracted from the 1st and the 2nd factor analysis. The subscales labelled 'active' 'passive' 'aggressive' 'avoidant' and 'social support seeking' coping. The criterion validity of this scale was assessed by computing the correlation measures of Children's Depression Inventory and Locus of Control Scale with this scale. Most coefficients were significant(ranging from r=-.16 to r=.40,p<.01,p<.001), although their correlations were modest. 3)Finally, the internal consistency of this scale appeared to be at an acceptable level(Cronbach's α=.90)

• 여성건강간호학회지
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• 제3권2호
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• pp.129-156
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• 1997

The purpose of this study is to investigate the relationship between depression and ego identity of middle-aged women and to identify the variables that show differences in the depression and ego identity of middle-aged women. The subjects in the study were 321 mothers of high school students whose age were 40-59 years old. The instruments for this study were Beck Depression Inventory(BDI) developed Beck(1978) and translated by Lee(1981) and Ego identity Scale developed Suh(1975) and modified by Nam(1975). The reliability values of BDI range from 0.83 to 0.87 and Ego identity range from 0.81 to 0.85 using Cronbach alpha. The data were analysed by using the SAS program and included Frequency, percentage Pearson Correlation MANOVA, t-test, ANOVA. The conclusion obtained from this study were as follows ; 1) There was a negative correlation(r=-0.21, p=0.0002) between depression and ego identity of middle-aged women. Thus the lower depression the higher ego identity for middle-aged women. 2) According to the analysis of interacting effects of depression and ego identity, there were significant differences in the household income(F=0.38, p=0.0035), level of education (F=6.50, p=0.0001), satisfaction of marriage(F=10.45, p=0.0001), family pattern (F=6.18, p=0.0001), menopausal status(F=7.23, p=0.0001), present disease(F=4.85, p=0.0110) and health status(F=9.00, p=0.0001). 3) There were significant differences on the level of education(F=12.98, p=0.0001) household income(F=5.78, p=0.0007), support of spouse(F=8.58, p=0.0002), satisfaction of marriage(F=20.08, p=0.0001), menopausal status(F=11.32, p=0.0001), present disease(t=2.76, p=0.0062) and health status(F=17.23, p=0.0001) of the depression of middle-aged women. 4) There were significant differences on the patterns of household(t=-2.64, p=0.0086), support spouse(F=3.58, p=0.0291), satisfaction of marriage(F=3.90, p=0.0212), menopausal status(F=4.59, p=0.0108) and disease(t=2.11, p=0.0359) of the ego identity of middle-aged women. On the basis of the above findings the following recommendations are made ; 1) According to results of this study, middle-aged women's depression is correlated with ego identity. Thus when the nurse plans the preventive strategy of middle-aged women's depression, the nurse must be considered with level of ego identity. 2) To study for middle-aged women in depth, further research is need to study regard to middle-aged men and their children.