The Journal of Korean Medicine (대한한의학회지)

The Society of Korean Medicine (대한한의학회)
권호 표지

Psychological Characteristics of Infant Outpatients and their Parents in Korean Traditional Clinic

한의원 내원 환아 및 보호자의 정신건강 특성 연구

  • 이수진 (연세대학교 심리학과) ;
  • 변순임 (분당함소아한의원) ;
  • 김경선 (분당함소아한의원) ;
  • 김혜진 (연세대학교 심리학과) ;
  • 양유진 (연세대학교 심리학과) ;
  • 강기림 (부산대학교 한의학전문대학원) ;
  • 김명근 (한국한의학연구원) ;
  • 최현 (함소아한의원네크워크) ;
  • 채한 (부산대학교 한의학전문대학원)
  • Published : 2009.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

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.

Keywords

References

  1. Flisher AJ, Kramer RA, Grosser RC, Alegria M, Bird HR, Bourdon KH et al. Correlates of unmet need for mental health services by children and adolescents. Psychological Medicine. 1996;27:1145-54.
  2. Oh EY, Kim SK, Park JH, Park MK. A study on the degree of agreement to detect high-risk children between parents and teachers using the K-Child Behavior Checklist(CBCL). Ajou Medical Journal. 1998;3(2):122-30.
  3. Eun B-L. A suggestion of health insurance for children. Korean Journal of Pediatrics. 2008;51(4):339-42. https://doi.org/10.3345/kjp.2008.51.4.339
  4. Pavuluri MN, Luk SL, McGee R. Help-seeking for behavior problems by parents of preschool children: A community study. Journal of American Academy of Child & Adolescent Psychiatry. 1996;35(2):215-22. https://doi.org/10.1097/00004583-199602000-00015
  5. Choi HY. Future of traditional medical clinics. pp. 103-123. 2009 Material for orientation and education for university entrants. Pusan National University School of Oriental Medicine. 2009.2.13-2.19.
  6. Jeong MJ, Lee SY. Investigating the present situation for oriental-medical examination and treatment of ADHD children. J Korean Oriental Pediatrics. 2006;20(3):105-16.
  7. Sim M, Lee JH, Kim TH, Ryoo YS, Kang HW. A study on Oriental-medical Understanding of Tic Disorders (Within Dong yui bo gam Book). Journal of Oriental Neuropsychiatry. 2007;18(2):1-12.
  8. Achenbach TM, Rescorla LA. Manual for the ASEBA preschool forms and profiles. Burlington, VT: University of Vermont, Research center for the Children, Youth & Families. 2000.
  9. Oh KJ, Kim YA. Korean version of CBCL for Ages 1.5-5 (CBCL 1.5-5). Seoul: Huno consulting, Inc. 2008.
  10. Abidin RR. Parenting Stress Index (PSI) manual. 3rd rev, ed, Odessa, FL: Psychological Assessment Resources, Inc. 1995.
  11. Chung KM, Lee KS, Park JA. K-PSI manual Seoul: Hakjisa. 2008.
  12. Radloff LS. The CES-D Scale: a self report depression scale for research in the general population. Applied Psychology Measurement. 1977;1:385-401. https://doi.org/10.1177/014662167700100306
  13. Radloff LS, Locke BZ. The community mental health survey and CES-D scale: in community survey of psychiatric disorders. In Weissman MM, Myers JD, Ross CE eds. ew Burniswick NJ: Rutters University Press. 1986.
  14. Cho MJ, Kim KH. Diagnostic Validity of the CES-D(Korean Version) in the Assessment of DSM- -R Major Depression. Journal of the Korean Neuropsychiatry Association. 1993;32(3):381-99.
  15. Spielberger CD, Gorsuch RL. Lushene RD. Manual for the state-trait anxiety inventory, Palo Alto, CA: Consulting Psychologists Press, Inc. 1970.
  16. Kim JT. STAI and Sociability. Seoul: Korea University. 1978.
  17. Kim YA, Lee J. Moon SJ, Kim YJ, Oh KJ. Standardization Study for the Korean Version of the Child Behavior Checklist for Ages 1.5-5. The Korean Journal of Clinical Psychology. 2009;28(1):117-36.
  18. Lee KS, Chung KM, Park JA, Kim HJ. Reliability and Validity Study for the Korean version of Parenting Stress Index Short Form (K-PSI-SF). The Korean Journal of Woman Psychology: 2008;13(3):363-77.
  19. Lee BH, Cho SH, Kwak DI. The Evaluation of Minor Stressor in Psychiatric Patients. Journal of the Korean Neuropsychiatry Association. 1996;35(5):969-81.
  20. Kim KS, Kim MR. Study on the recognition and execution of father role. Journal of Mokpo National University. 1988
  21. Han EG, Kim SA. A Study on Fair Parental Role Model of Dual Earner Couples, their Expectation for Parental Nursing Capability and Real Nursing Practices. Journal of Korean Home Management Association. 2007;25(2):37-46.
  22. Kee CY. Qualitative Process Analysis about the Outcome of Parent Counseling in Play Therapy Journal of Korean Association for Play therapy. 2006;9(2):38-55.
  23. Jung KH. Development of curriculum and entrance examination for School of Oriental Medicine. KRF. 2007.
  24. Ahn KS. Curriculum for traditional medical education. Seoul: KOMEEI. 2007.
  25. Cole S, Saravay S, Levinson R. The biopsychosocial model of illness. In: Stoudemire A, eds. An introduction to human behavior. 3rd ed. Philadelphia: JB Lippincott. 1997.
  26. Steven A. Cole JB. Medical Interview. Seoul:Hakjisa. 2002.
  27. Chae H, Shin SW, Jang WC, Baik YS. Review on Teaching the Traditional Korean Medical Students with Article Writing Program. The Journal of Oriental medical Classics. 2008;21(1):285-94.
  28. Lee BH, Chae H, Kwon YK. Development of an Integrated Education Model for Acupuncture and Physiologyin Traditional Korean Medicine with Needling Practice and Pain Sensitivity. J Korean Oriental Med. 2007;28(3):173-82.
  29. Lee SJ, Park S, Shin SW, Chae H. Development of Complementary and Alternative Medicine Curriculum for Undergraduate Students at College of Oriental Medicine. J Korean Oriental Med. 2008;29(1):25-38.