• Journal of Korean Academy of Nursing
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• v.41 no.2
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• pp.276-283
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• 2011

Purpose: Prenatal depression is associated with potential negative consequences for the mother and infant. The purpose of this study was to examine pregnant women's stress, and depression and their impact on maternal-fetal attachment and fetal growth. Methods: Data were collected by means of a questionnaire and fetal sonogram from a convenience sample of 166 pregnant women. Results: Women who have a low educational level, poor health and are dissatisfied with their marriage showed low maternal-fetal attachment. Prenatal depression had significant correlations with length of pregnancy and level of stress. Even though correlation between maternal stress and fetal weight (r=-.15, p=.099) and correlation between maternal depression and maternal-fetal attachment (r=-.13, p=.095) were not statistically significant, the impact of the prenatal psychological state of mothers can not be ignored as it relates to fetal health. Conclusion: Maternal-fetal attachment and fetal growth can be affected by maternal emotional state, including stress or depression. These findings suggest that primary care nurses in hospitals and public health centers should provide prenatal depression screening and nursing intervention programs for management and prevention of prenatal stress and depression.

• Korean Journal of Child Studies
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• v.33 no.6
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• pp.149-168
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• 2012

This study explored the effects of maternal ambivalence over emotional expressiveness (AEE) and mother-adolescent communication on adolescent depression (depressed affect, positive affect, somatic symptoms and activity inhibition, interpersonal difficulties). Data were taken from 233 middle school students (128 boys, 105 girls) and their mothers. Regression analyses showed varying gender differences in the relationships among these variables. Boys with high maternal AEE had lower positive affect, and higher depressive affect, somatic symptoms and activity inhibition, and interpersonal difficulties, whereas girls' moods were not influenced by maternal AEE. In addition, boys with problems in mother-dolescent communication exhibited lower positive affect, higher depressed affect and interpersonal difficulties, but open communication was not related to any depressive symptoms. The mother-adolescent communication type did not appear to be associated with depression in girls either. Both boys and girls both had less open communication and more problem communication with mothers experiencing high AEE. Problem communication with mothers partially mediated the relationship between maternal AEE and interpersonal difficulties in boys only. Examination of maternal ambivalence over emotional expressiveness provides a deeper context for our understanding of negative family communication patterns and the psychological consequences, especially in mother-adolescent boy dyads.

• Korean Journal of Child Studies
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• v.35 no.6
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• pp.153-170
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• 2014

The purpose of this study was to examine the moderating effects of mother-adolescent communication time on the relationship between maternal meta-emotion philosophy, adolescent psychological adjustment and depression. The participants for this study comprised 181 first and second grade high school students and their mothers, residing in Seoul. The results of the analyses indicated that, (a) maternal disapproving is negatively correlated to adolescents' positive world views, and that maternal laissez-faire is also negatively correlated to adolescents' emotional responsiveness. However, a positive correlation is revealed between maternal emotion-coaching and adolescents' positive self-esteem. (b) It is evident that adolescents' emotional responsiveness is influenced by maternal laissez-faire, and that adolescents' positive self-esteem is influenced by emotion-coaching. It also indicated that mother-adolescent communication time is influenced by dismissing as well as laissez-faire meta-emotion philosophy. (c) It revealed that mother-adolescent communication time, in part, has a meaningful moderating effect on the relationship between meta-emotion philosophy and adolescent depression. Therefore, the present study indicates that even if maternal disapproving, laissez-faire, or dismissing is practiced, adolescent depression levels decrease as mother-adolescent time lengthens.

• Korean Journal of Child Studies
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• v.35 no.4
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• pp.145-165
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• 2014

The main purpose of this study was to examine the relationships between marital conflict, parental control and children's depression. The participants were composed of 243 elementary school 5th and 6th graders (of which 121 were boys and 122 were girls) from Gyeonggi-do province. They completed questionnaires on marital conflict, parental control and children's depression. The data were analyzed by means of Pearson's correlation coefficients and multiple regression analysis. It was observed that marital conflict (content) had an effect on children's depression. Parental psychological control was also found to have an effect on children's depression. However, parental behavioral control did not appear to have an effect on children's depression. In addition marital conflict (frequency/content) had an effect on parental psychological control. Additionally, marital conflict (resolution) had an effect on parental behavioral control. It was further found that paternal psychological control and maternal psychological control partially mediated the relationship between marital conflict and children's depression. These results clearly indicate that parental psychological control plays an important role in marital conflict and children's depression.

• Journal of the Korean Home Economics Association
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• v.40 no.7
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• pp.53-68
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• 2002

The purpose of this study is to clarify the influence of positive interactions between the low-income female householders and children on the mothers'psychological well-being and quality of life. The major findings are as following: First, there were high level of life satisfaction and low level of depression among the low-income female householders who perceived high level of children's emotional support. The difference from the existence of the low-income female householder\`s husband was not found in the life satisfaction and depression. After controling for the low-income female householder's health, the differences were maintained. Second, the low-income female householders who communicated with their children open-heartedly felt higher level of life satisfaction and lower level of depression than those who had less communication with their children. The difference from the existence of the low-income female householder's husband was not found in the life satisfaction and depression. After controlling for the low-income female householder\`s educational level and health, the differences were maintained. finally, the low-income female householders felt higher level of life satisfaction and lower level of depression when they listened to their children closely, and were satisfied with mother-child communication.

• Child Health Nursing Research
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• v.13 no.4
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• pp.416-426
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• 2007

The purposes of this descriptive survey study were to describe antenatal depression and level of mother-fetal interaction, and to assess mother's behavior and feeling during mother-fetal interaction, in order to develop a base for nursing intervention programs for mothers who have antenatal depression. Method: Data were collected from 174 pregnant women who visited one public health center and OBGY clinic in Gangneung city. The instrument used for this study was a self-report questionnaire to identify depression (BDI), and mother-fetal interaction. Results: Of the mothers 63.2% were in the normal range for antenatal depression, 21.3% in the mild group and 15.5% were in the moderate to severe group. For antenatal depression, there were significant differences among the income, planned pregnant, health status, marriage satisfaction, family support, husband's love. The mean for mother-fetal interaction was $29.88{\pm}4.91$. For mother-infant interaction, there were significant differences in education, income, pregnant number, delivery number, feeding plan, marriage satisfaction, family support, husband's love. There was a weak correlations between antenatal depression and mother-fetal interaction but it did not reach statistical significance. Conclusion: Antenatal depression and mother-fetal interaction influence fetal development. It is essential to assess and provide immediate care to mothers who have antenatal depression and lower level mother-fetal Interaction.

• Horticultural Science & Technology
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• v.28 no.6
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• pp.1066-1071
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• 2010

To evaluate the effect of horticultural therapy (HT) on the emotional improvement of depressed patients, computer-based heart rate variability (HRV) was compared with self-report scale (SRS) known as existing subjective evaluation method. SRS included four test areas: mental stress scale (MSS), physical stress scale (PSS), Beck anxiety inventory (BAI), and Beck depression inventory (BDI). HRV was itemized into four parameters: standard deviation of the N-N intervals (SDNN), square root of mean squared difference of successive N-N intervals (RMSSD), total power (TP), and low-frequency/high-frequency ratio (LF/HF ratio). Thirty patients with depression at the same mental hospital participated in this study. 15 patients of the treatment group received HT once a week for three months, but the control group did not during the same period. As a result, the emotional improvement in treatment group was clearly identified through HRV as well as SRS. The significant difference was shown at three test areas (MSS, BAI, and BDI, $p$ < 0.001) in SRS and at one parameter (total power, $p$ < 0.05) in HRV. There was noticeable increase in SDNN, RMSSD, and LF/HF ratio in treatment group after HT activity, but no significant difference. Although all parameters of HRV did not show significance, the possibility of HRV as an objective evaluation method to HT was recognized in this study. These results also implied that HT was efficient in the mental and physical regeneration of the depressed patients in both subjective and objective evaluation methods.

• Korean Journal of Psychosomatic Medicine
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• v.12 no.2
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• pp.135-144
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• 2004

Objectives: The aim of this study was to examine the effectiveness of a qigong-based stress management program in pregnant women. Method: A 8 week controlled clinical trial compared 52 pregnant women assigned qigong-based stress management program to 40 pregnant women assigned pregnancy health education program. Edinburgh postnatal depression scale(EPDS), Beck depression inventory(BDI), Spielberger trait state inventory-1(STAI-1), Hamilton depression rating scale(HAM-D), Hamilton anxiety scale(HAM-A) were used to measure anxiety and depression level. Result : Qigong-based stress management group showed significant improvement compared to the education control group on four measures above. Qigong-based stress management group also showed significant improvement at 8 weeks termination on all measures of anxiety and depression compared to pretreatment level. Conclusion : This study showed that qigong-based stress management program can be an effective method for pregnant women.

• Journal of Sasang Constitutional Medicine
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• v.12 no.1
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• pp.136-143
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• 2000

1. Purpose of study : In Oriental Traditional medicine, especially in Sasang Constitutional Medicine the mind and the body are not separated. Psychological characteristics are very important as well as physical characteristics in Sasang Constitutional Medicine. This study was performed to investigate the psychological characteristics of Sasang Constitution. 2. Subjects and Methode of Study : Subjects were 63 persons. There were male 54 and female 9 who were healthy. There were Taeumin 35, Soumin 17, and Soyangin 11. We judged Sasang Constitution in QSCC II and the diagnosis by a medical specialist. The degree of depression and anxiety was determined by Beck's Depression Inventory(BDI) and State-Trait Axiety Inventroy(STAI, State Anxiety : S-A, Trait Anxiety : T-A). We studied the psychological characteristics - Depression and Anxiety - in the Sasang Constitution by analyzing BDI and STAI scores. 3. Result of study : 1) The score of STAI(S-A) in Soeumin(少陰人) group was significantly higher than that in Taeumin(太陰人) group. 2) The score of STAI(T-A) in Soeumin(少陰人) group was significantly higher than that in Taeumin(太陰人) group and Soyangin(少陽人) group. 3) The score of BDI in Soeumin(少陰人) group was higher than that in Taeumin(太陰人) group and Soyangin(少陽人) group, but it was not significant statistically. 4. Conclusion of study These result suggest that Soeumin(少陰人) is more anxious than Soyangin(少陽人) and Taeumin(太陰人).

• The Journal of the Korea Contents Association
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• v.21 no.3
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• pp.518-528
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• 2021

Based on the Self-Determination Theory and previous studies, this study confirmed that basic psychological needs among Self-Determination Theory have an indirect influence on the postpartum depression through mediation of spousal support and marital satisfaction. A sample of 313 mothers who raises her child within a year of giving birth completed a questionnaire survey, and a structural equation model was utilized to analyze the data. Results indicated that both the measurement model, and the hypothesized structural model fit to the data. Meanwhile, when compared with the hypothesized model in which the path between all variables is established, the competitive model excluding the path from spousal support to postpartum depression has no difference in fitness, and was relatively simple and adopted as the final model. In the final model, the link between basic psychological needs and postpartum depression was partially mediated by spousal support and marital satisfaction. In addition, marital satisfaction was found to mediate completely the relationship between spousal support and postpartum depression. Based on the results, it would be helpful to identify the status of basic psychological needs, spouse support, and marriage satisfaction in counseling related to postpartum depression.