• Title/Summary/Keyword: 신체적 학대

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The Pathway Linking Childhood Trauma and Stress Perception: Mediating Role of Theory of Mind (아동기 외상과 마음이론이 스트레스 지각에 미치는 영향)

  • Jang, Eun-young
    • Science of Emotion and Sensibility
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    • v.21 no.3
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    • pp.17-28
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    • 2018
  • This study investigated the differential effects of childhood trauma, especially neglect, emotional abuse, and physical abuse on stress perception in relation to the ToM (theory of mind), among one-hundred and fifty five college students. For this purpose, self-reported childhood neglect, emotional abuse, physical abuse, and stress levels during the previous week were measured. Social cognition was measured using a ToM questionnaire which asked respondents to guess the intentions of the person in each vignette by providing additional hints. In order to examine the predicting role of childhood trauma and mediating role of ToM, two distinct structural models assuming full (Model 1) and partial (Model 2) mediational effects were compared using structural equation modeling. The partial mediational model was supported and the main results were as follows. First, childhood neglect indirectly predicted stress perception through the effect of the ToM. Second, childhood emotional abuse directly predicted stress perception. Third, childhood physical abuse had no distinct effect on stress perception. Finally, the limitations of this study and the implications for future studies are discussed.

Multiple Sequential Physeal Injuries with Vitamin D Deficiency (비타민 D 결핍이 동반된 다발성 연속적 골단판 손상)

  • Kim, Byoung-Kook;Kim, Yong-Gun;Lee, Ho-Jae;Choi, Dae-Sung;Dan, Jinmyoung
    • Journal of the Korean Orthopaedic Association
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    • v.53 no.6
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    • pp.552-557
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    • 2018
  • Vitamin D plays a major role in bone metabolism, and its deficiency has an impact on fracture risk and healing. Low vitamin D levels are a cause of poor bone mineralization and have been associated with a significantly higher risk of physeal injury in children. This paper presents a case of a 13-year-old boy with a vitamin D deficiency, who sustained multiple sequential epiphyseal injuries at various areas. This report suggests that vitamin D deficiency is not only a significant cause of the clinical disease itself, but also an important factor affecting the successful recovery of injuries.

Pain and Stress (통증과 스트레스)

  • Sihn, Woo-Yong;Yu, Bum-Hee
    • Korean Journal of Psychosomatic Medicine
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    • v.15 no.1
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    • pp.29-34
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    • 2007
  • Pain is subjective and greatly influenced by prior experiences, but it is real. Pain associated with an organic(objective) pathology is more easily explained and treated. However, atypical or unexplainable pain is usually a source of greater confusion and frustration. Pain may be divided into four general diagnostic categories. 1) pain with anatomic features and objective findings 2) pain with anatomic features and without objective findings 3) pain with non-anatomic features associated with stress and somatization 4) pain with non-anatomic features associated with perceived physical injury. There is a well-established relationship between emotional, physical and/or sexual abuse history and development of chronic pain. It has been suggested that the link between somatization and abuse involves a paradoxical pattern of hiding feelings and reality, while seeking acknowledgment of suffering. History of abuse may physiologically and developmentally increase a person's susceptability to pain and organic changes can be associated with psychogenic disease. Patients with chronic pain should be treated with multidisciplinary approaches including exercise, meditation, cognitive therapy, medications, and biofeedback. Cognitive therapy alters patient's cognition and management of pain and alleviates pain, especially associated with stress. Antidepressants are the most commonly used medications and pain control effects have no relation with mood changes. Biofeedback with relaxation training, exercise and meditation may also be effective in pain control.

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A Study on Neurosis According to Experience of Sexual Abuse among Female High School Students in Taegu (대구지역 여고생들의 성(性)적 학대 경험에 관련된 신경증에 관한 연구)

  • Park, Hyung-Bae;Kim, Jin-Sung;Jang, Sang-Ruyl;Rho, Tae-Yong;Suh, Hye-Soo;Kim, Chang-Su;Lee, Kwang-Hun;Kim, Young-Uck
    • Journal of Yeungnam Medical Science
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    • v.12 no.1
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    • pp.113-123
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    • 1995
  • This study was intended to identify the neurotic traits related to sexual abuse in female high school students. The Neurosis Scale of Middlesex Hospital Questionnaire was conducted to 320 female high school students in Taegu, Korea from July 10 to July 17, 1994. The results were as follows: 1) The sexual abuse victim group showed significantly higher neurotic traits of Free floating anxiety (p<0.05), Phobic(p<0.01), Obsession(p<0.01), Somatic(p<0.05), Depression(p<0.01) than the control group. 2) The Neurotic traits of Somatic(p<0.01), Depression(p<0.01), Hysteric(p<0.01) were higher in the multiple-abused than the single-abused. 3) When the duration of being abused was concerned, subjects with more than 1 year duration had significantly higher neurotic traits of Obsession(p<0.05), Somatic(p<0.05), Depression(p<0.05) than subjects with less than 1 year duration. 4) The neurotic traits of Phobic, Somatic, Depression were significantly higher in the subjects with higher intensity of sexual abuse than with lower intensity. S) Among 68 victims, 31 girls(45%) were assaulted by strangers, 10(14%) were by relatives, 7(10.3%) were by siblings, 6(8.8%) were by neihbors. Among them, 34 girls(50%) bad counselling or psychotherapy and the people to whom they had sought for help were friends(23 girls; 68%), parents (7 girls; 11.7%) and mental health professonals (2 girls; 5.9%).

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A Study on the Relationship of Job Stress and Somatic Symptoms of Nurses Working in Cancer Unit and General Unit of General Hospital (종합병원 암병동 간호사와 일반병동 간호사의 직무 스트레스와 신체화 증상간의 관계)

  • Jummi Park;Nayeon Shin
    • Journal of Digital Policy
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    • v.2 no.2
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    • pp.15-20
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    • 2023
  • The purpose of this study was to compare the stress from nursing care between nurses in cancer unit and nurses in the general unit. A total 114 of nurses were recruited from a general hospital. The job stress level of the nurses and the somatic symptoms level of the nurses working in cancer unit was significantly higher than the level of the nurses working in general unit. It is important to eusure the methods that contrive to perform care efficiently by generating hospice nurses.

Influence of neglect and abuse by parents on the emotional problems of youth: The Mediating Effect of Self-esteem and relationship with teacher (부모의 방임과 학대가 청소년의 정서문제에 미치는 영향: 자아존중감과 교사관계의 매개효과를 중심으로)

  • Nam, Tae Hyun;Han, Chang Soo;Kim, Boyoung
    • Korean Journal of School Psychology
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    • v.16 no.3
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    • pp.381-400
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    • 2019
  • This study investigated how abuse and neglect experience by parents affect self-respect, relationship with teachers and variance of emotional problem. Also we verified whether self-respect and relationship with teachers mediates relation between abuse and neglect experience and variance of emotional problem. The results of this study are as follows. First, adolescents who experienced abuse and neglect appear to have emotional problems such as depression, social withdrawal, and somatic symptoms. Furthermore, youth who have abuse and neglect experience have difficulties in self-respect and relation with teachers. Second, self-respect and relationship with teachers have significant indirect effect on relation between abuse and neglect experience and variance of emotional problem. Third, although relation between abuse and neglect experience and relationship with teachers represent positive correlation, the regression coefficients in the direct path are significant in the opposite direction, resulting in a suppression effect. Finally, implications for interventions, limitations of the study, and suggestions for future research were discussed.

A Study on the Change of Perceptions of Child Abuse Before and After Special Law (아동학대 범죄의 처벌 등에 관한 특례법 전후의 아동학대 인식 변화에 대한 고찰)

  • Lee, Keung-Eun;Kim, Do-Hee
    • The Journal of the Korea Contents Association
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    • v.19 no.9
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    • pp.629-636
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    • 2019
  • In order to infer whether the Special Act on the Punishment of Child Abuse Crimes, etc. actually brought about a change in the social perception shared about child abuse in our society, we used big data to examine the change in the perception of child abuse by the public. This study selected 'child abuse' as the keyword and collected and analyzed. The results of this study are as follows. First, before the implementation of the Special Act in 2013, the words "china" are kindergarten, teacher, body, problem, reporting obligation and neglect compared to the following. After the implementation of the special law, daycare centers, incidents, eradication, campaigns, domestic violence and preventive education were newly introduced. Second, the interconnection of key words in the previous picture of 2013 shows that the left group focuses on measures to introduce to prevent child abuse while the right group consists of keyword intended to view child abuse in conjunction with domestic violence. They are still seen as a group of divorces, discipline, neglect and parental education, which they still perceive as a family problem. Since the implementation of the Special Act in 2013, it will be divided into four groups, and the top group will be highlighted by the keyword related to child abuse cases, part of suspected cases and awareness of child abuse. In addition, the Act on the Special Cases of Child Abuse and the Child Protection Agency clearly appear as a child protection system.

Classifying Predominant Type and Examining Risk Factors for Recurrence of Child Maltreatment (아동학대사례의 잠재유형화와 유형별 재학대 위험요인)

  • Lee, Sang-Gyun;Lee, Bong Joo;Kim, Sewon;Kim, Hyun-Soo;Yoo, Joan P.;Jang, Hwa Jung;Chin, Meejung;Park, Ji-Myung
    • Korean Journal of Social Welfare Studies
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    • v.48 no.3
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    • pp.171-208
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    • 2017
  • The purpose of this study is to classify the underlying and parsimonious types of child maltreatment and examine whether the effects of risk factors on child maltreatment recurrence differ by type of maltreatment. We utilized the multiyear national administrative data from the National Child Maltreatment Information System collected by Child Protection Agency in Korea. Of 26,921 child maltreatment victims reported and substantiated on or after January 1, 2012, 1,447 children who had recurrence of child maltreatment until December 31, 2015 were selected as maltreatment recurrence group and 4,580 children who had not experienced maltreatment since first substantiation were assigned as maltreatment non-recurrence group. Latent class analysis(LCA) and latent transition analysis(LTA) were used to group children with similar maltreatment subtypes into discrete classes of child maltreatment recurrence. Logistic regression is employed to examine the association between the child maltreatment predominant types and risk factors for recurrence. Results of LCA and LTA showed four latent classes representing predominant type of child maltreatment: 'physical abuse predominant type', 'emotional abuse predominant type', 'sexual abuse predominant type', and 'neglect type'. Significant differences in the effect of risk factors among latent classes were found in child's age and gender, perpetrator's gender, family poverty, biological parent as the perpetrator, domestic violence toward partner, perpetrator's alcoholic problem, insufficient parenting skills, and out-of-home care service, Based on these findings, results suggested how the typology can be used to guide decision about who to target in prevention and intervention programs, and which features of risk factors to target. Practice and policy implications as well as further research tasks were discussed in the lights of searching for useful and important strategies to prevent recurrence of child maltreatment.

Older Parents with Disabled Adult Children in Later Life: Health and Welfare Needs (성인장애자녀를 돌보는 저소득 노인부모의 보건복지 욕구)

  • Kim, Eunhye;Suk, Min-Hyun;Youn, Jung-Hye
    • 한국노년학
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    • v.30 no.4
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    • pp.1213-1223
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    • 2010
  • The purpose of this study is to explore and describe the health and welfare needs experienced by old parents living with disabled adult children, and to help generate research interest and public policy attention on this critical issue. For the purpose of this study, the survey was conducted with older parents who are living with dependent adult children with physical or mental disability. Among collected data for this study, data for 105 older parents were analyzed. The results showed that older parents have suffered with care responsibilities for their disabled adult children as well as special needs resulted from their old age. And older parents have little or even nothing prepared for later life because of lifetime economic, physical and social difficulties related to their disabled children. Also these difficulties had a significant impact on their idea of health and welfare needs in later life. It showed that older parents had mainly concerned and wanted to have the direct cash benefits and medical provisions but hardly recognised the importance of other services such as leisure activities. Preliminary suggestions of this study therefore may be helpful to improve the public policy approach in order to better serve older parents with disabled adult children in the coming aging society.

A Comparative Study on Policies of Elderly Abuse in the Long-Term Care Facilities on WHO, Main countries (장기요양시설내 노인학대 대응정책에 관한 연구: WHO 및 주요국의 정책 비교를 중심으로)

  • Moon, yongpil;Lee, hoyong
    • 한국사회정책
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    • v.24 no.1
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    • pp.67-95
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    • 2017
  • This study compared policies of elderly abuse of long-term care facilities on WHO, Main countries for improvement of Korean policy. So, This study reviewed policies of elderly abuse of long-term care facilities on WHO, Main countries. So, This study reviewed risk factors that may increase the potential for abuse of an older person can be identified at individual level, care-woker levels, socio-cultural levels and facilities levels. The results of the study were as follows: First, The openness of long-term care facilities are emphasized on many countries. There are a need for a policy considerations such as policies of Ombudsman, Adult guardianship for visiting facilities, external monitoring. Second, There was a difference of facilities infrastructure and workers of treatment condition long-term care facilities each other countries. So It is important to improve facilities infrastructure and workers of treatment condition. Third, It is necessary to consider traits of elderly in long-term care facilities. Especially, it is required to manage dementia elderly and elderly on night time in long-term care facilities. Finally, implications and future directions of policies of elderly abuse of long-term care facilities were discussed based on the finding of the study.