• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제33권4호
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• pp.106-112
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• 2022

Objectives: We aimed to evaluate the clinical and psychological factors influencing depressive symptoms in children and adolescents with epilepsy. Methods: We administered self-reported questionnaires assessing children's depressive symptoms (Children's Depression Inventory, CDI) and anxiety (Revised Children's Manifest Anxiety Scale, RCMAS) to children and adolescents with epilepsy (n=87, age range=6-17 years). We asked their parents to complete questionnaires on epilepsy-related variables, parental stress (Questionnaire on Resources and Stress, QRS), parental anxiety (State-Trait Anxiety Inventory, STAI), family functioning (Family Adaptability and Cohesion Evaluation Scale, FACES), children's attention problems (Abbreviated Conners Parent Rating Scale Revised, CPRS), and children's behavioral problems (Korean Child Behavior Checklist, K-CBCL). Stepwise multiple regression analysis was performed to identify predictive variables affecting depressive symptoms. Results: Family adaptability (r=-0.240, p=0.026), family cohesion (r=-0.381, p<0.001), children's attention problems (r=0.290, p=0.006), children's anxiety (r=0.714, p<0.001), children's behavioral problems (r=0.371, p<0.001), parental anxiety (r=0.320, p=0.003), and parental stress (r=0.335, p=0.002) were significantly correlated with children's depressive symptoms. Children's anxiety (β=0.655, p<0.001) and parental stress (β=0.198, p=0.013) were significantly related to their depressive symptoms (adjusted R²=0.539). Conclusion: Clinicians should detect and manage children's anxiety and parental stress, which may affect depressive symptoms in children and adolescents with epilepsy.

• 아동학회지
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• 제35권3호
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• pp.31-47
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• 2014

This study investigates the moderating effects of the teacher-child relationship on the relationship between young children's self-control and behavior problems. 150 young children aged 3, 4, and 5 and their 40 classroom teachers participated in this study. The results of this investigation reveal the following: (1) Young children's self-control is significantly related to behavior problems. (2) The teacher-child relationship (conflict, dependence, intimacy) is significantly related to young children's behavior problems. (3) The effects of self-control on young children's anxiety and withdrawal behavior are significantly moderated by conflict driven teacher-child relationships. (4) The effects of self-control on young children's aggression and impulsive behavior are significantly moderated by dependent teacher-child relationships.

• Child Health Nursing Research
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• 제11권1호
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• pp.90-98
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• 2005

Purpose: To provide basic information for developing a nursing program by examining health risk behavior of students rewriting college entrance examinations. Method: Data were gathered using questionnaires from 804 examinees in Seoul and Gyeonggi Province and analyzed with the SAS program using t-test, ANOVA, Scheffe's test, and Pearson correlation coefficients. Results: The mean score for health risk behaviors was 17.70 and the highest score for sub-areas of health risk behavior was drinking alcohol while substance use ranked lowest. There were significantly different scores for health risk behavior according to the following general characteristics; frequency of rewriting college entrance examinations, parents' marital status, level of father's education, grades, satisfaction with rewriting of college entrance examinations, parents' health concerns, need for health education and health status. Each behavior had positive or negative correlation with more than one other behavior. A negative correlation was found between health risk behavior and family support and self-esteem, while positive correlations were found between health risk behavior and general stress, studying stress and anxiety. Conclusion: This study suggest that these results be used to developed a prevention program to decrease health risk behaviors by promoting family support and self esteem and decreasing stress and anxiety.

• 동서간호학연구지
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• 제28권2호
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• pp.160-169
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• 2022

Purpose: This study was conducted to identify predictors related to aggressive behavior of patients with mental illness admitted to a closed psychiatric ward. Methods: This study adopted a retrospective design which analyzed the hospital medical records of 363 patients with mental illness admitted to the psychiatric closed ward of a university hospital in Seoul, Korea. The collected data were analyzed using SPSS IBM 20.0 and STATA 12.0 SE. ZIP (Zero-Inflated Poisson) and count data analysis were used for the factor influencing the occurrence and frequency of aggressive behavior. Results: The results of ZIP model showed that the factors influencing non-probability of aggressive behavior were anxiety, non-adherence, and frustration. In addition, the factors influencing frequency of aggressive behavior were bipolar disorder and personality disorder trait. Conclusion: We found that bipolar disorder, frustration, and non-adherence are more likely to increase the likelihood of aggressive behavior in patients with mental illness. In particular, patients diagnosed with bipolar disorder were 1.95 times more likely to engage in repetitive aggressive behavior compared to those without a diagnose. However, since the results were different form previous studies, further studies on the traits of anxiety and personality disorders are needed.

• Child Health Nursing Research
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• 제10권2호
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• pp.188-195
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• 2004

Purpose: This study was to identify and to search the related disposition of the pattern of anxiety and coping in mothers of children with nephrotic syndrome through the use of Q-methodology. Method: 34 Q-samples were finally selected in the concept of anxiety and coping. A P-sample of 35 was selected the mothers of children with nephortic syndrome. The result of the Q-sorting was coded and analyzed using QUANL PC program. Result: There were 3 types of special opinion. The first type is called ' Pursuit of hope type.' Members of this type were cope with the anxiety by spiritual behavior like a pray, positive thinking. The second type is called 'Worry about reality type.' Members of this type were to be filled with apprehension like an indigestion, insomnia. The third type is called ' Solving problem type.' Members of this type were cope with the humanity effort by conversation. Conclusion: The mothers of children with nephrotic syndrome were used various coping patterns to cope with the anxiety conditions that their child were result from admission to hospital and treatment of the disease. Therefore, nursing assessment and nursing intervention skills have to develop in consideration of the subjectivity of coping about anxiety in each individual.

• 아동학회지
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• 제30권4호
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• pp.155-171
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• 2009

This study aimed to identify children's emotional variables (anxiety and emotional expressiveness) and parenting variables supporting emotional development (affection and concern for, respect, and trust of children) which influence somatic symptoms. Subjects were 311 6th grade children. Instruments were the Korean version of the State-Trait Anxiety for Children (Spielberger, 1973), Children's Somatization Inventory (Walker & Green, 1991), Emotional Expressiveness Questionnaire (King & Emmons, 1990), and the Parenting Behavior Test by the researcher. Analysis by t-test showed that children's anxiety influenced somatization. The children who perceived that both parents respect their thoughts, feelings and choices and that their fathers trust their behaviors and abilities showed low somatic symptoms. Supporting children's emotional development through good parenting practices was discussed.

• 감성과학
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• 제7권4호
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• pp.43-49
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• 2004

본 연구는 중학생을 대상으로 지속적인 음악청취가 발표불안에 미치는 영향을 밝히고자 하였다. 실험 참여자는 여중생 두 개 반을 대상으로 통제집단 33명, 실험집단 33명씩 총 66명이고, 음악처치를 받는 집단과 아무런 처치가 주어지지 않는 집단으로 나누었다. 처치 전, 처치 1주 후 및 2주 후에 자기보고식으로 이루어진 발표불안척도(SAS)와 교사의 평가로 이루어진 발표행동 평가척도(SBES)를 통하여 발표불안을 측정하였다. 결과는 음악처치를 받은 실험집단에서 발표불안이 의미 있게 감소하는 것으로 나타났다. 따라서 음악에 의한 감성 유발이 발표상황에서 받는 스트레스에 긍정적인 효과가 있었다.

• 한국간호교육학회지
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• 제28권3호
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• pp.284-295
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• 2022

Purpose: This study aimed to describe Coronavirus disease 2019 (COVID-19)-related knowledge, health beliefs, anxiety levels, and preventive behaviors among nursing students and to identify factors that influence their preventive behaviors. Methods: A descriptive survey was conducted, targeting a total of 192 nursing students from March 4, 2021 to March 25, 2021. A structured questionnaire was used to identify nursing students' knowledge, health beliefs, anxiety, and preventive health behavior regarding COVID-19. Data were analyzed using descriptive statistics, a t-test, analysis of variance, Pearson's correlation coefficients, and multiple regression. Results: The nursing students' knowledge level was 15.08±1.70 out of 5, and their health belief level was 3.72±0.32 out of 5. These scores were considered high. Their anxiety score was 3.29±3.84 and considered very low. COVID-19 preventive behaviors had a positive correlation with benefits (r=.29, p<.001) and cues to action (r=.28, p<.001). Factors influencing COVID-19 preventive behaviors by multiple regression were identified as health beliefs and living arrangements (F=8.95, p<.001, Adjusted R²=14.3%). Conclusion: The findings suggest that health beliefs and living arrangements could be important factors affecting preventive health behavior in nursing college students during the COVID-19 pandemic. This study highlights the need for appropriate education and widespread awareness campaigns aimed at potential health care professionals about the prevention of new emerging diseases.

• 한국생활과학회지
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• 제15권1호
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• pp.17-29
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• 2006

This study investigated the behavior problems of children, both institutionalized and home-reared, depending on their sex, age, and entry to institution. The subjects included 621 children (274 institutionalized, 347 home-reared; 298 boys and 323 girls; 209 preschoolers, 223 first to third graders, 189 fourth to sixth). The data collected were analyzed with t-test, 3-way ANOVA, Scheffe test, and Pearson's correlation. Children's emotionality had two sides: Positive (happiness) and negative (sadness, anger, and fear). Measures of behavior problems included internalization (anxiety, immaturity, withdrawal, physical symptom) and externalization (hyperactivity, aggression). The results of this study indicated that the institutionalized were higher in negative emotionality than their counterparts, whereas the home-reared higher in positive emotionality. The institutionalized children also had higher externalizing problems than the home-reared. Furthermore, children's negative emotionality was positively related to their internalizing and externalizing behavior problems, while their positive emotionality was negatively related to the internalizing behavior problems.

• 대한불안의학회지
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• 제12권2호
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• pp.69-78
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• 2016

Objective : Disaster causes psychological distress to a large number of people in a short period of time, by both direct and indirect exposure to traumatic events embedded in various realms of disaster experience. Optimal, well-planned treatment interventions should follow from the early acute period to recovery phase, extending up to several months later. In this context, there is an increasing need for systemic review to gain comprehensive insights for disaster interventions. These need to be added to public policy, and for the prevention and treatment of disaster-related psychopathology. Here, we review the published studies on psychological interventions for disaster-related posttraumatic stress disorder. Methods : Specific psychological interventions regarded as effective treatments for have been selected for this review, such as CBT (Cognitive-Behavior Therapy), Exposure Therapy, EMDR (Eye Movement Desensitization & Reprocessing), SIT (Stress Inoculation Therapy) and Psychoeducation. In addition, natural disasters, industrial disasters, and accidents involving aircraft and ships were also categorized as disasters, along with war and combat trauma. Results : Cognitive behavior therapy and exposure therapy had the strongest research support for effectiveness, and could be considered as the first-choice treatment for disaster-related PTSD. The second line of treatment is EMDR, although this treatment modality has the advantage of reaching certain treatment improvements in fewer sessions. However, the effects of SIT and psychoeducation to the survivors of disasters, remains unclear at this point. Additionally, we propose the possibilities of using virtual reality component and imagery rescripting as modified forms of traditional cognitive behavior therapy and exposure therapy. Conclusion : Cognitive behavior therapy and exposure therapy, deemed effective treatments for various trauma, are considered to be effective for survivors from disasters. However, the efficacy of other interventions has not yet been examined methodologically in well-designed studies, such as randomized controlled trials. In particular, future empirical studies are needed, since it is difficult to conclude that psychological interventions have similar effects on different types of disasters.