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외과적 뇌질환을 가진 학령기 아동의 수술 전 정서적 불안정감과 어머니의 양육스트레스에 관한 예비연구

The Emotional Distress Prior to the Surgery and the Parenting Stress in Elementary School Children with Neurosurgical Diseases : The Preliminary Study

  • 원주식 (세브란스 어린이병원 소아정신과) ;
  • 엄소용 (세브란스 어린이병원 소아정신과) ;
  • 김동석 (연세대학교 의과대학 신경외과학교실 소아신경외과) ;
  • 심규원 (연세대학교 의과대학 신경외과학교실 소아신경외과) ;
  • 송동호 (세브란스 어린이병원 소아정신과)
  • Won, Joo-Sik (Department of Child and Adolescent Psychiatry, Severance Children's Hospital, Yonsei University College of Medicine) ;
  • Eom, So-Yong (Department of Child and Adolescent Psychiatry, Severance Children's Hospital, Yonsei University College of Medicine) ;
  • Kim, Dong-Seok (Department of Pediatric Neurosurgery, Severance Children's Hospital, Brain Korea 21 for medical science, Brain Research Institute, Yonsei University College of Medicine) ;
  • Shim, Kyu-Won (Department of Pediatric Neurosurgery, Severance Children's Hospital, Brain Korea 21 for medical science, Brain Research Institute, Yonsei University College of Medicine) ;
  • Song, Dong-Ho (Department of Child and Adolescent Psychiatry, Severance Children's Hospital, Yonsei University College of Medicine)
  • 투고 : 2010.05.27
  • 심사 : 2010.06.23
  • 발행 : 2010.10.30

초록

Objectives: This study was conducted to compare emotional problems in children with neurosurgical diseases prior to surgery as well as levels of parenting stress experienced by mothers of children treated with surgery and those without surgery. The goals was to provide a basis on which comprehensive treatment interventions could be established. Methods: Subjects included 78 elementary school children who visited the Department of Pediatric Neurosurgery as well as their mothers. The Children's Depression Inventory (CDI) and the Revised Children Manifest Anxiety Scale (RCMAS) were administered to children. The Parenting Stress Indexs (PSI) and Beck Depression Inventory (BDI) were administered to their mothers. Results: The children with neurosurgical diseases showed higher levels of depression prior to surgery. In their mothers, parenting stress was relatively higher and parenting competence was lower. In particular, for those children who underwent surgery, depression was significantly higher. Specifically, they exhibited more negative expectations, and negative self-image. In mothers of children who underwent surgery, depression was significantly higher. Conclusion: Our results suggest higher levels of emotional distress and parental stress in children who undergo neurosurgical operations and their mothers, respectively. Based on this, the necessity for surgical and comprehensive psychological intervention is suggested.

키워드

참고문헌

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피인용 문헌

  1. The Characteristics of Intellectual and Psychological in the Children with Moyamoya Disease vol.21, pp.2, 2015, https://doi.org/10.4094/chnr.2015.21.2.123