• Title/Summary/Keyword: 영유아 정신건강

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Development of a Scale for Identification of Mental Health and Developmental Disorders in Newborn- to Three-Year-Old Children (0-3세 영유아의 정신건강 및 발달장애 조기진단을 위한 척도제작 연구)

  • Jang, Mikyung
    • Korean Journal of Child Studies
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    • v.26 no.1
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    • pp.47-59
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    • 2005
  • The Early Life Problems Scale consisting of 5-point rating for each item was prepared from the results of a questionnaire of 163 items with two sub scales constructed on the basis of Diagnostic Classification: 0-3. Respondents were 361 parents with newborn to 3-year-old children (197 boys and 164 girls). Hypothetical constructs of mental and developmental problems were identified by exploratory factor analysis. The resulting 22 factors explained 58.5% and 72.9% of the common variance for scales I and II, respectively. The rotation procedure yielded 134 items of which 118 had factor loadings of more than .30. Face validity was obtained on the basis of 18 items. The coefficients of correlation between and within factors suggest that there are interrelationships. The reliability of total scales by Cronbach's Alpha was relatively high.

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The current child and adolescent health screening system: an assessment and proposal for an early and periodic check-up program (현행 영유아 및 소아청소년 건강검진제도의 평가 및 대안)

  • Eun, Baik-Lin;Moon, Jin Soo;Eun, So-Hee;Lee, Hea Kyoung;Shin, Son Moon;Seong, In Kyung;Chung, Hee Jung
    • Clinical and Experimental Pediatrics
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    • v.53 no.3
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    • pp.300-306
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    • 2010
  • Purpose : Recent changes in the population structure of Korea, such as rapid decline in birth rate and exponential increase in old-aged people, prompted us to prepare a new health improvement program in children and adolescents. Methods : We reviewed current health screenings applied for children and adolescents in Korea and other developed countries. We collected and reviewed population-based data focused on mortality and morbidity, and other health-related statistical data. We generated problem lists in current systems and developed new principles. Results : Current health screening programs for children and adolescents were usually based on laboratory tests, such as blood tests, urinalysis, and radiologic tests. Almost all of these programs lacked evidence based on population data or controlled studies. In most developed countries, laboratory tests are used only very selectively, and they usually focus on primary prevention of diseases and health improvement using anticipatory guidance. In Korea, statistics on mortality and morbidity reveal that diseases related to lifestyle, such as obesity and metabolic syndrome, are increasing in all generations. Conclusion : We recommend a periodic health screening program with anticipatory guidance, which is focused on growth and developmental surveillance in infants and children. We no longer recommend old programs that are based on laboratory and radiologic examinations. School health screening programs should also be changed to meet current health issues, such as developing a healthier lifestyle to minimize risk behaviors—or example, good mental health, balanced nutrition, and more exercise.

The Effects of Working Conditions and Job Satisfaction on the Mental Health and Presenteeism of Early Childhood Teachers (영유아 교사의 근무여건 및 직업만족도가 정신건강과 프리젠티즘에 미치는 영향)

  • Kim, Jaehee
    • Korean Journal of Occupational Health Nursing
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    • v.27 no.3
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    • pp.171-179
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    • 2018
  • Purpose: The purpose of this study was to examine the mental health and presenteeism of early childhood teachers and to explore the effects of working conditions and job satisfaction on these. Methods: Data from the 4thKorean Work Environment Survey were used. The sample consisted of 474 female early-childhood teachers from private facilities. Mental health was measured using the WHO-Wellbeing Index. Presenteeism was attributed to a participant upon indication that, during the past 12 months, she had ever attended work, despite being sick. The data by complex sample design were analyzed through the Rao-Scott $x^2$ test and logistic regression analysis. Results: 37.9% of early childhood teachers reported poor mental health and 34.2% had experienced presenteeism. Early childhood teachers in permanent employment, who did not work evening shifts, and with sustainable jobs, were more likely to have better mental health. Moreover, those in permanent employment and remunerated appropriately were less likely to experience presenteeism. Conclusion: Type of employment, number of days working in the evening, and job sustainability affect mental health. Further, type of employment, number of workers, and being well paid have an effect on presenteeism. We suggest that improved working conditions should precede the improvement of early-childhood teachers' mental health.

Differences of Obstetric Complications and Clinical Characteristics between Autism Spectrum Disorder and Intellectual Disability (자폐스펙트럼장애와 지적 장애의 산과적 합병증 및 임상적 특성의 차이)

  • Lee, Seul Bee;Kim, Ji Yong;Chung, Hee Jung;Kim, Seong Woo;Im, Woo Young;Song, Jung-Eun
    • Korean Journal of Psychosomatic Medicine
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    • v.24 no.2
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    • pp.165-173
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    • 2016
  • Objectives : Since the awareness of autism spectrum disorders(ASD) is growing, as a result, it is increasing numbers of infants and toddlers being referred to specialized clinics for a differential diagnosis and the importance of early autism spectrum disorders detection is emphasized. This study is to know the difference between ASD and intellectual disability(ID) from comparison of the demographics, clinical characters and obstetric complications. Methods : The participants are 816 toddlers who visited the developmental delay clinic(DDC) in National Health Insurance Ilsan hospital. The number of toddlers diagnosed as ASD and ID was 324 and 492. 75 toddlers out of 114 who returned to DDC were diagnosed as ID at the first visit but 7 of them had changed diagnosis to ASD at the second visit. After compared ASD with ID from the first visit, we analyzed characters of toddlers who had the changed diagnosis to ASD at the second visit. Results : As a result, the comparison between ASD and ID at the first visit shows that the boys have higher ratio, lower obstetric complication and lower language assessment score in ASD. The toddlers who had the changed diagnosis at the second visit were all boys and they had more cases of family history of developmental delay and had lower score of receptive language developmental quotient. Conclusions : These findings suggest that sex, language characteristics and obstetric complication could be useful in the early detection of ASD.

Implementation of Thematic Apperception Test BCI-based system (BCI기반 Thematic Apperception Test 시스템 구현)

  • Yoon, Chung-Joo;Park, Dae-Hyoen;Shin, Jeong-Hoon
    • Proceedings of the Korea Information Processing Society Conference
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    • 2008.05a
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    • pp.725-728
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    • 2008
  • 최근 급격한 사회발전으로 인한 인간소외, 과도한 업무 스트레스, 가족관계 등의 사회 문제가 야기되고 있으며, 이는 전문적인 심리상담 도움을 받아야 할 만큼 심각한 정신건강의 위기상태라 할 수 있다. 이에 따라 심리검사에 대한 중요성이 부각되고 있음에도 불구하고, 검사자의 전문적 훈련정도에 따른 해석 차이로 인하여 검사의 신뢰성 저하와 같은 다양한 문제점이 발생되고 있다. 또한 심리검사는 특성상 검사자와 피험자간의 커뮤니케이션을 통해 이루어지는 주관적인 검사이므로 의사소통에 문제가 있는 중증 장애우 및 외국인, 영유아 피험자들의 검사가 힘든 실정이다. 이에 본 논문에서는 사용자 뇌파 패턴분석을 통해 기존의 주관적인 심리검사 기법을 객관화함으로써 뇌파측정만으로도 심리검사가 가능한 BCI기반 심리검사 시스템을 구현한다.

Psychosocial Characteristics of Infants with Genital Anomalies and Their Caregivers (생식기 기형을 가진 영유아와 모의 심리 사회적 특성)

  • Lee, Ji-Yeon;Chung, Kyong-Mee;Han, Sang-Won;Jo, Sang Hee;Jung, Hyun Jin;Im, Young Jae
    • Korean Journal of Health Psychology
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    • v.16 no.1
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    • pp.169-187
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    • 2011
  • The present study explored psychosocial characteristics of infants with genital anomalies (GA) and their caregivers against normal controls. Participants were female caregivers and infants between the ages of 6to38months diagnosed with hypospadias(HS;n=103) or cryptorchidism (CR;n=49). Normalcontrols(n=131) were recruited and selected via Internet. Caregivers completed measures on parenting stress, coping style, social support, and infant temperament. Within the GAgroups, HScaregivers reported their greatest parental concerns as infant urination/bodily functioning difficulties whereas CRcaregivers reported worries related to surgical anesthesia issues. Both groups reported concern about their children's potential reproductive problems. Per caregiver report, infants with GA had lower ability to self-soothe. HS infants in particular were perceived as exhibiting greater negative emotion. Compared with controls, HS and CRcaregivers overall employed coping strategies more frequently and had lower interpersonal sensitivity and parental distress. However, HScaregivers emerged as experiencing higher stress when compared to the CRgroup. There were no differences in to tal parenting stress and social support scores between groups. Further, CRcaregivers reported lower levels of family discord than controls. Despite temperament-related differences between infants with GA and normal controls, HS and CRcaregivers reported lower parental distress and greater use of coping skills as compared to controls. Clinical implications are discussed.

The Effects of Beauty Program on Parenting Stress and Depression (미용 프로그램이 양육 스트레스 및 우울증에 미치는 효과)

  • Kong, Mi-Jin;Yoo, Wang-Keun;Han, Sam-Seong;Kang, Mae-Hee
    • The Journal of the Korea Contents Association
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    • v.21 no.8
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    • pp.580-592
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    • 2021
  • This study was conducted on mothers with infants to identify the relevant factors affecting parenting stress and depression, and to verify the effectiveness of the beauty therapy program on parenting stress and depression. After conducting a self-administered survey of 450 mothers with infants under 36 months old in Busan city from May 1 to 20 May, 2018 through convenient sampling method, the final analysis of 402 women. In addition, experimental research through one group pretest-posttest design was also conducted on 17 people to verify the effectiveness of the beauty therapy program on parenting stress and depression. The multiple regression analysis showed that the higher appearance-management behavior, the less parenting stress and depression. Also, parenting stress and depression after participating in beauty therapy programs are significantly reduced compared to those before participating in beauty programs. This study could confirm that beauty therapy program is one of the effective measures to improve women's mental health and self-esteem.

Analysis of Health Related Intervention Research for Married Immigrant Women (결혼이주여성의 건강관련 중재 연구 동향 분석)

  • Ahn, Hyun-mi;Kim, Mi-ok
    • Journal of Digital Convergence
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    • v.14 no.12
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    • pp.245-256
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    • 2016
  • The purpose of this study was to determine the trends of health related intervention researches for married immigrant women in order to develop health promotion programs for married immigrant women. Among ninety six health related research papers published between 2000 and 2015, nine intervention researches were reviewed and analyzed. Among these researches, three were related to pregnancy and delivery and one was related to the prevention of infections in children and women's diseases respectively. Four researches provided information pertaining to the intervention and handling of mental and social or physical health issues, two researches pertained to only mental health and three researches covered only physical health. The researches related to physical health for married immigrant women needed to take into consideration various issues related to life span including child birth and child rearing. Also, researches that focused on social and mental health issues required additional planning to enhance relationships with others in addition to personal coping skills.

Child Abuse Experience, perception of the Cause of the Child Abuse and Need for counseling among Day Care Center Teachers (어린이집 아동학대에 대한 보육교사의 경험, 인식 및 상담 요구도 실태조사)

  • Kyung-Sook Lee;Jin-Ah Park;Myung-Hee Choi
    • Korean Journal of Culture and Social Issue
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    • v.21 no.2
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    • pp.227-252
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    • 2015
  • This study was intended to examine child abuse experience, response to child abuse, perception of the cause of child abuse, and need for counseling to prevent and eliminate child abuse among 514 day care center teachers across the country. First, 17.9% (92) of the teachers had experience of witnessing child abuse at day care centers. After such witness, the teachers mostly "paid attention to abused children and provided them with warm treatment" when they were abused by other teachers and "took no actions" when they were abused by directors of the day care centers. The biggest reason of not taking any actions was: they "had no authority to intervene in child care of other teachers" in case of child abuse by other teachers and "were afraid of responsibilities or roles that could be placed on them after reporting" in case of child abuse by day care center directors. Second, the biggest reason of child abuse by teachers was job stress followed by excessive work and mental health of teachers. Third, necessary actions when child abuse cases were found and confirmed were suspension of involved teachers and psychological evaluation for involved children and parents. Fourth, 88.9% (457) of the teachers responded that they would use an organization specialized in child abuse if such organization was built and that the organization would help them to decide on whether to report child abuse and prevention of and intervention in child abuse. They also said that such organization should be installed in the Counseling Center in the Comprehensive Child Care Support Center. Fifth, 95.3% (490) of the teachers answered professional counselors specialized in development and counseling of infants and toddlers were needed to address child abuse at day care centers. They demanded that such counselors should be able to administer psychological evaluation for young children and assess child abuse cases. Qualification of the counselors was at least college graduates who majored in psychology and child care, three to five years of experience in the field, and appropriate certificates or licenses. Finally, the teachers said that training and professional counseling about child abuse were required to prevent and eliminate child abuse at day care centers. Implications and follow-up studies were provided and suggested based on these findings.

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Influence of Early Childhood Care and Education on Children's Mental Health (I) - Status and Prospects of Child Care and Education Policies of Korea - (영유아보육이 아동의 정신건강에 미치는 영향 : 국내 영유아보육 정책의 실태와 전망)

  • Bahn, Geon Ho;Hong, Minha;Lee, Yeon Jung;Kwack, Young Sook;Joung, Yoo-Sook;Lee, Soyoung Irene;Kim, Bongseog;Sohn, Seok Han;Chung, Un-Sun;Yang, Jaewon;Bhang, Soo-Young;Hwang, Jun-Won;Oh, So Young;Han, Jaehyun;Lee, Jongwon
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.24 no.1
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    • pp.3-12
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    • 2013
  • Most preschool children in Korea attend kindergarten (KG) or a child care center (CCC). CCCs, which focus on caring for the child, belong to the ministry of health and welfare. On the other hand, KGs are responsible for education, and belong to the ministry of education, science and technology. In order to resolve the decline in population due to low birthrates, the government is expanding the free child care and education policies. CCCs and KGs are combined together to form the 'NURI curriculum' and supporting funds have been increased in both governmental departments. In addition, economic support is provided for homeschooling households. Because this is a nationwide policy and applies to every single household, thorough preparation regarding the effect and side effects must be made. This policy is currently being implemented, and as child and adolescent psychiatrists, great consideration should be given to the influence on the population. Therefore, the Korean Academy of Child and Adolescent Psychiatry intends to investigate the effects and problems of the nationwide policy by analyzing the current condition of Korea's free child care and education and foreign policies. In the current paper, we reviewed the developmental process of Korea's free child care and education policy, as well as suggested future directions.