• Child Health Nursing Research
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• v.12 no.3
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• pp.314-321
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• 2006

Purpose: The purposes of this descriptive survey study were to describe postpartum depression level and to identify the influence of postpartum depression on maternal role confidence, parenting stress and infant temperament, in order to develop a base for nursing intervention programs for mothers who have postpartum depression. Method: Data were collected from 183 mothers of infants who visited one public health center in Goyang city. The instrument used for this study was a self-report questionnaire to identify the postpartum depression (BDI), maternal role confidence, parenting stress (PSI) and infant temperament (WBL). Results: Of the mothers 42.1% were in the normal range for postpartum depression, 33.3% in the mild group and 24.6% were in the moderate to severe group. There were significant differences in parenting stress, and infant temperament according to level of postpartum depression. There were correlations between maternal role confidence (r=-0.13), infant temperament (r=-0.20), parenting stress (r=0.51) and postpartum depression, and weak negative correlation between parenting stress and infant temperament (r=-0.30). Conclusion: Postpartum depression in the infant period when the mother's role is very important and the effect is not only on the mother's role but also on the infant's growth. It is essential to assess and provide immediate care to mothers who have postpartum depression.

• Child Health Nursing Research
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• v.24 no.2
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• pp.252-261
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• 2018

Purpose: This study aimed to evaluate the effects of an empowerment program on maternal stress, anxiety, depression and parenting confidence. Methods: A total of 44 mothers of preterm infants were assigned into an experimental or a control group (n=22 each). The experimental group received the usual nursing care and 7 sessions of an empowerment program. The control group only received the usual care. The program was implemented from June to December, 2016 in the neonatal intensive care unit of K university-affiliated hospital in Daegu, Korea. The outcome variables measured were parental stress (PSS: NICU), anxiety (STAI), depression (CES-D) and parenting confidence. Data were analyzed using t-test or repeated measures ANOVA. Results: Scores for both parental stress (t=3.07 p=.004) and depression (F=3.76, p=.26) were significantly lower in the experimental group than in the control group. However, there were no significant differences in anxiety between the groups (F=0.79, p=.505). Parenting confidence scores (F=9.05, p=.001) were significantly higher in the experimental group than in the control group. Conclusion: A maternal empowerment program can be an effective means of reducing parental stress and depression as well as enhancing parenting confidence, for mothers of preterm infants.

• Journal of Home Health Care Nursing
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• v.24 no.2
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• pp.200-209
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• 2017

Purpose: This study aimed to evaluate the effects of sociodrama on mothers of adolescents receiving special education at school. Methods: The participants were 30 mothers of adolescents with autism and intellectual, physical, emotional, and behavioral disability (experimental group=8, control group=16, 4 excluded). Sociodrama was conducted over 6 weeks (6 sessions). Data were collected using a mixed method. A constructed questionnaire on parenting stress, depression, and parenting self-efficacy was distributed before and after the intervention. A focus group interview was conducted subsequently. Data were collected from May to June 2016 and analyzed using Wilcoxon-Mann-Whitney test and a content analysis. Results: The intervention group showed significant changes in parenting stress (Z=-2.34, p=.019), depression (Z=-.3.46 p=.001), and parenting self-efficacy (Z=-2.82, p=.029) compared with the control group. Results of the qualitative analysis exhibited two themes, namely "changes" and "healing and challenges," which were divided into 4 categories and 9 sub-categories. Conclusion: Sociodrama was effective in reducing the level of parenting stress and depression, and increased the level of parenting self-efficacy in participants. Sociodrama can be recommended as an intervention program for parents raising adolescents receiving special education.

• Korean Journal of Child Studies
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• v.37 no.2
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• pp.95-109
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• 2016

Objective: This study used a pre-test and post-test quasi-experimental design to evaluate the effectiveness of the Respected Parents & Respected Children parent education program developed for mothers of toddlers. Methods: A total of 40 mothers were assigned to two groups, an intervention group (n = 20) and a waiting group (n = 20). Mothers in the intervention group participated in six weekly sessions of the parent education program. After the termination of the program, differences between the preand post-test in terms of mothers' parenting characteristics (i.e., parenting behaviors, parenting efficacy, and parenting stress) and toddlers' social and emotional characteristics were compared in both groups. Results: Mothers in the intervention group showed significant improvement in their parenting behaviors and parenting efficacy and decreased parenting stress, whereas mothers in the waiting group did not show any significant differences between pre- and post-test scores. Mothers in the intervention group also reported a significant improvement in their toddlers' level of imitation/play. Conclusion: These findings indicate that the Respected Parents & Respected Children parent education program is effective in bringing about positive changes in both mothers' and toddlers' characteristics, which can be crucial for the future developmental outcomes of children.

• The Korean Journal of Community Living Science
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• v.24 no.1
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• pp.99-118
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• 2013

The purpose of this study was to examine the effects of parenting efficacy, parenting behavior, and parenting stress on children's problematic behavior in Korea and China. The subjects were 292 children and their mothers who are caring for their 3-5 years old children in Korea and China. Data was collected using a parenting efficacy index, parenting behavior index, parenting stress index and child behavior check list. The data were statistically analyzed using t-test, one-way ANOVA (Scheff$\acute{e}$ test), correlation analysis and multiple regression analysis. The study showed that there were no significant differences in parenting efficacy, parenting behavior, parenting stress and children's problematic behavior in Korea and China. There were some significant differences in children's problematic behavior according to the socio-demographic variables, that is the gender of the child, the mother's education, the father's education, in Korea and China. Correlation analysis indicated that the parenting efficacy, parenting behavior, parenting stress and children's problematic behavior in Korea and China had significant correlations in some sub-variables. It was also found that the gender of the child, the mother's education, the father's education, the frustration and uneasiness of the parents, the control behavior, and the stress of parent-child dysfunctional interaction, were all significant predictors of the preschool children's problematic behavior in Korea, and the mother's education, the family income, the affection behavior, the rejection behavior, and the control behavior, were all significant predictors of the preschool children's problematic behavior in China.

• The Journal of Korean Academy of Sensory Integration
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• v.21 no.3
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• pp.65-78
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• 2023

Objective : In this study, we aimed to investigate the effectiveness of family-centered intervention conducted with caregivers of children with autism spectrum disorder (ASD) in South Korea through a systematic literature review. Methods : Previous studies published from 2011 to 2021 were searched through RISS, KISS, and DBpia. The search terms applied included "autism spectrum" OR "general developmental disorder" OR "high-functioning autism" OR "Asperger's" AND "parent education" OR "family-centered intervention" OR "parent coaching" OR "parent training" OR "family participation." A total of 11 experimental studies were chosen based on the selection criteria. Results : According to the findings on the general characteristics of the study participants, intervention strategies, and effects of the intervention, it was observed that the majority of children with ASD who participated in the study were preschool-aged, and the majority of participating caregivers were mothers. The effects of family-centered interventions were evident in both children and parents. In children, the most significant effects were observed in interaction and communication skills. In parents, a reduction in parenting stress and an improvement in parenting efficacy were observed. The intervention strategies employed in the study varied, with sensory integration intervention, responsive communication, and interaction-centered intervention being the most commonly used, followed by developmental-centered intervention, positive behavior support (PBS), and parent-mediated intervention based on pivotal response treatment (PRT). Conclusion : The results of this study are significant in that they confirm that family-centered intervention is effective not only in improving the functioning of children with autism spectrum disorder, but also in reducing parenting stress and enhancing parenting efficacy, and provide evidence for clinical use.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.11 no.1
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• pp.70-78
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• 2000

This study was to develop Korean version of Parenting Stress Scale. Primary research was processed thru Abidin's PSI(Parenting Stress Index) scale. For the pilot primary study, distri-buted questionnaire to the mothers who have three to twelve age children and tried factor analysis with 382 data sheets. At the result, 29 items and 5 factors among the 47 items of child domain, 28 items and 5 factors among the items of parent domain were extracted. At the secondary pilot study survey, reanalyzed the 57 items extracted by primary pilot survey with the 392 data collected from three to six age children's parents. For the item discrimination analysis, calculated item-total correlation and deleted the items under r=.20. For the validity test, reviewed content validity and construct validity. For the verification of construct validity, tried factor analysis. At the result, in child domain area, the four factors, 'Reinforces Parent's, 'Accep-tability', 'Attention Distractiveness', 'Demandingness' and 24 items were extracted. Among the common variance of child domain, 'explained common variance' was 82.05%. In parent domain area, the five factors, 'Restriction of Role', 'Depression', 'Social Isolation', 'Parent Health', 'Spouse Relationship' and 24 items were extracted. Among the common variance of parent domain, 'explained common dominator' was 82.40%. For the verification of reliability, Cronbach's ${\alpha}$ coefficient was calculated and in child domain, .69, .70, .67, .66 were produced by each item, respectively and total reliability coefficient was ${\alpha}$=.81. Reliability coefficient of parent domain was .73, .70, .70, .55, .73 by each item, respectively and total reliability coefficient was ${\alpha}$=.83. This study was processed as a primary research to develop the Korean version of parent stress scale which is originally from U.S.A. version of PSI and apply it to proper Korean culture. Therefore, the necessity of continuous study was discussed with more localized items and factors.

• Women's Health Nursing
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• v.14 no.4
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• pp.270-277
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• 2008

Purpose: Although Hemophilia is a relatively rare hereditary disease, and is treatable with blood products, the parenting stress and guilt of hemophilic patients and their mothers are always high. This study was done to assess the extent of parenting stress, guilt, parenting attitude and parenting satisfaction of mothers with a hemophilic child. Method: The participants in this study were 119 mothers with a hemophilic child who were registered members of the Korea Hemophilia Foundation, and 287 mothers with a healthy child. In order to measure the dimensions related to parenting stress, guilt, parenting attitude and parenting satisfaction, the Questionnaire on Parenting Stress Index, Maternal Guilt Scale, Parenting Attitude Scale & Parenting Satisfaction Scale were administered. We analysed the differences between mothers with a hemophilic child and a healthy child in the questionnaire scores using the SPSS program. Result: Parenting stress and guilt of mothers with a hemophilic child were higher than with a healthy child. Parenting attitude and parenting satisfaction of mothers with a hemophilic child were lower than with a healthy child. Conclusion: The results may help medical professionals understand mothers with a hemophilic child and give basic assistance to develop a nursing intervention by exploring possible ways to alleviate such parenting stress and guilt.

• The Korean Journal of Community Living Science
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• v.19 no.1
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• pp.87-99
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• 2008

The purpose of this study was to examine the effects of child rearing behavior and child rearing involvement on elementary school children's stress. The subjects were 201 children selected from 2 elementary schools and their parents. Data was collected using the children's stress index, the child rearing behavior questionnaire, and the child rearing involvement questionnaire, and was statistically analyzed using t-test, one-way ANOVA (Duncan test), correlation analysis and multiple regression analysis. The study showed that there were some significant differences in children's stress according to the child's gender, grade, and scholastic achievement. Correlation analysis indicated that the child's stress and the mother's child rearing behavior had significant correlation, especially the warmth acceptance behavior of the mother indicated negative high correlation. Also, the child's stress and father's child rearing behavior had significant correlation, especially the rejection restriction behavior of the father indicated positive high correlation. Correlation analysis indicated that the child's stress and the mother's child rearing involvement had significant correlation, especially the family activities involvement of the mother indicated negative high correlation. As well, the child's stress and the father's child rearing involvement had significant correlation, especially the day to day guidance involvement of the father indicated negative high correlation. It was also found that rejection restriction behavior of the father, permissiveness non-intervention behavior of the father, day to day guidance involvement of the father, family activities involvement of the father, and warmth acceptance behavior of the mother were all significant predictors of the elementary school child's stress.

• Human Ecology Research
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• v.54 no.6
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• pp.621-629
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• 2016

This study investigated the moderating effects of marital fondness and admiration as well as the father's involvement in child rearing on the association between parenting stress and marital satisfaction for a comparison of unemployed and employed mothers. The subjects were 159 unemployed mothers and 103 employed mothers with children under 3 years of age. The major findings of this study were as follows. First, unemployed mothers who had a lower level of marital fondness and admiration were dissatisfied with their marriage when they had higher parenting stress. Marital fondness and admiration are necessary for unemployed mothers in their transition period to parents. Especially, it is important for fathers to understand challenging conditions and encourage and support the spouse. However, there was no moderating effect of the father's involvement in child rearing in the association between parenting stress and marital satisfaction. Second, employed mothers who had a lower level of father's involvement in child rearing were dissatisfied with their marriage when they had higher parenting stress. The father's involvement in child rearing is necessary for employed mothers in their transition period to parents. Furthermore, it is important to implement policies at the national level to support childcare hours for balanced work and life. However, there was no moderating effect of marital fondness and admiration for the association between parenting stress and marital satisfaction.