• 정신신체의학
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• 제3권2호
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• pp.185-196
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• 1995

The author reviewed cognitive-behavioral approach to A type behavior pattern and hypertension which are known to be risk factors for coronary heart diseases. Those cognitive distortions frequently found in persons with A type behavior include all-nothing thinking, selective attention, personalization, and attribution of causality. Cognitive-behavioral techniques were also described, which can be applied to management of each characteristic of A type behavior pattern such as time urgency, perfectionism, achievement striving, low self-esteem, excessive work involvement, hostility, and depression. Cognitive-behavioral intervention for hypertension might help the patients to recognize and monitor anger-engendering conflicts, identify characteristic styles of responding, and experiment with alternative ways of managing conflict and anger. Since different features predominate in different individuals, it is necessary to develop treatment plan on the basis of individual characteristics and problems.

• 한국보육지원학회지
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• 제12권6호
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• pp.103-121
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• 2016

This study examined the effects of marital relationships, mother's parenting stress and positive parenting behavior on the behavioral problems of preschoolers. For this purpose, we created a structural equation model and examined the goodness of fit of the model using the RMSEA, SRMR, TLI, and CFI. The participants were 986 4-year-old preschoolers and their mothers taken from the 5th year of the Korea Children's Panel. The results of this study were as follows: First, a negative marital relationship had a significant negative effect on behavioral problems of preschoolers directly. And a negative marital relationship had a significant indirect effect on behavioral problems of preschoolers through the parenting behavior. Second, parenting stress had a significant negative effect on behavioral problems of preschoolers directly. And parenting stress had a significant indirect effect on behavioral problems of preschoolers through the parenting behavior. These findings imply that both improving marital relationships and regulating mothers' parenting stress and parenting behavior need to be emphasized when designing prevention and intervention programs aimed at improving the behavioral problems of preschoolers.

• 대한지역사회영양학회지
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• 제22권3호
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• pp.238-247
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• 2017

Objectives: This study was conducted to investigate providers' perspectives on current challenges in implementing a program for prevention and management of childhood obesity and adoption of mobile phone as a potential solution of leveraging multimodal delivery and support in a school setting. Methods: The qualitative data were collected through face-to-face in-depth interviews with 23 elementary-school teachers, 6 pediatricians, and 6 dieticians from community health centers and analyzed using a qualitative research methodology. Results: Current challenges and potential solutions of obesity-prevention and -management program for obesity program for elementary school children were deduced as two themes each. Lack of tailored intervention due to limited recipient motivation, lack of individualized behavioral intervention, and different environmental conditions can be solvable by mobile technology-based personalized intervention which brings about interactive recipient participation, customized behavioral intervention, and ubiquitous accessibility. Lack of sustainable management due to stigmatization, limited interactions between program providers and inconsistent administrative support can be handled by multimodal support based on school setting using mobile platform providing education of health promoting behaviors toward larger scale and interactive networking between program participants, and minimizing administrative burden. Conclusions: Adoption of mobile-based health management program may overcome current limitations of child obesity program such as lack of tailored intervention and sustainable management via personalized intervention and multimodal supports although some concerns such as increased screen time need to be carefully considered in a further study.

• 대한보건연구
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• 제44권4호
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• pp.1-13
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• 2018

연구목적: 이 연구는 문제음주자 관점에서 조기개입 프로그램의 효과를 조명함으로써 탐색적 이해를 보여주는데 있다. 연구방법: 이 연구는 질적 기술 연구 설계가 사용되었다. 프로그램에 참여한 13명의 문제음주자와 개별 면담을 통해 연구자료를 수집하였으며, 질적 내용 분석으로 분석하였다. 연구결과: 조기개입 프로그램에 참여한 문제음주자는 알코올 정보, 알코올의 효과에 대한 기대, 자기효능감과 행동 변화 측면에서 4개의 주제 및 9개의 하위주제가 도출되었다. 이들은 직장 내에서 운영된 조기개입 프로그램에 참여하였기 때문에 개인별로 동기 수준에 차이가 있었으나, 프로그램의 필요성은 대체로 수용하였다. 프로그램 진행자를 신뢰하는 참여자일수록 음주행동 변화를 긍정적으로 생각하였다. 결론: 조기개입 프로그램에 참여한 문제음주자는 충분한 정보를 습득함으로써 음주 폐해에 대한 인식과 변화 동기의 증진 및 행위기술인 자기효능감의 획득을 통하여 문제음주 행동 변화에 유용한 접근임을 보여주었다. 이러한 결과는 직장 등 다양한 일차건강관리 현장에서 알코올중독 예방을 위한 조기개입을 적용하기 위한 기초자료로 활용될 수 있을 것이다.

• Child Health Nursing Research
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• 제19권3호
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• pp.198-206
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• 2013

목적 본 연구는 신생아중환자실에 입원해 있는 저출생체중아를 대상으로 '어머니의 노래 들려주기 중재'의 효과를 규명하기 위해 수행되었다. 방법 서울 시내에 소재하는 일개 대학병원의 신생아중환자실에 입원한 대상자를 임의표출하여 비동등성 대조군 전후설계로 총 48명의 영아중 실험군 24명, 대조군 24명을 대상으로 하여 본 연구를 수행하였다. 결과 어머니의 노래 들려주기 중재를 제공받은 저출생체중아는 활력징후의 생리적 반응인 심박동수, 호흡수와 산소포화도에서 실험군과 대조군 사이에 통계적으로 유의한 차이가 없었다. 행동상태 점수는 두 집단 간 통계적으로 유의한 차이가 검증되었다. 즉, 노래 들려주기 중재를 제공받은 저출생체중아는 행동상태가 안정되는 결과를 보였다. 결론 본 연구를 통해 신생아중환자실에서 오랜 기간 치료를 받아야 하는 저출생체중아를 위한 긍정적인 청각자극으로서 어머니의 노래 들려주기 중재를 활용할 수 있는 객관적인 근거자료를 마련하였다는 데 의의가 있다. 또한 이러한 중재를 통해 재원기간 동안 저출생체중아의 돌봄에 어머니의 참여를 독려할 수 있을 뿐만 아니라 영아와 부모 사이의 이른 상호작용을 증진시키는 기회를 제공할 수 있다는 점에서 아동간호실무의 발전에 기여할 수 있을 것이다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제20권1호
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• pp.29-38
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• 2009

Objectives : This preliminary study evaluated the efficacy of two short-term programs for reducing depressive symptoms in female adolescents with depressive disorder. Methods : The participants were 23 middle school students who were randomly assigned to three groups : the cognitive-behavioral program group, the psycho education-program group and the no-intervention control group. Results : At postintervention, the students in cognitive-behavioral program group reported significantly lower levels of depressive symptoms, negative self-statement, automatic thought and psychiatric symptoms than did those in the no-intervention group and those in the psychoeducation-program group. Conclusion : The results suggest that the cognitive-behavioral program for female adolescent with depressive disorder was more effective in reducing depressive symptoms than the psychoeducation-program.

• Child Health Nursing Research
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• 제13권3호
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• pp.299-307
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• 2007

Purpose: To investigate the effect of nonnutritive sucking(NNS) on the heart rate, oxygen saturation, and behavioral state of premature infants. Method: From December 15, 2004 to February 15, 2005, 20 premature infants hospitalized in the neonatal intensive care units were assigned to an experimental group (10), or a control group (10). Circular pacifiers for premature infants (Johnson, U.S.A.), which had been packed with $2{\times}2$ gauzes to create a vacuum, were used for 5 minutes, one hour after feeding for 5 days. Heart rates and oxygen saturation were checked every minute for 10 minutes once a day and behavioral states were monitored through video recording at the same time. Results: Changes in heart rate, oxygen saturation and behavioral state were found to show significant differences between the experimental group and the control group according to the point in time, and interactions were found between the group and the point of time. However, for behavioral state, no significant difference was found between the experimental group and the control group after the NNS was removed. Conclusion: From the results of this study it is possible to conclude that NNS is a positive intervention to bring about increased oxygen saturation and soothed behavioral state for premature infants.

• 한국보건간호학회지
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• 제31권1호
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• pp.135-148
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• 2017

Purpose: This study was conducted to predict the effects of behavioral intention on pap screening tests in unmarried college women using a path model. Methods: The study subjects were 216 university students and data were collected through self-report questionnaires including knowledge, attitude, subjective norms, perceived behavioral control, behavioral intentions to take the Pap test, and health responsibility. Results: Knowledge regarding the Pap test was moderate. The factors of knowledge, attitude, and perceived behavioral control negatively influenced the behavioral intention of the Pap test. However, the factors of subjective norms and health responsibility positively influenced behavioral intention. Conclusion: Subjective norms are the most importance factor to increase the intentions of the Pap test among unmarried college women. It is also necessary to eliminate barriers to undergoing pap testing, as well as to provide nursing intervention to obtain correct knowledge and a positive attitude regarding the Pap screening test.

• Human Ecology Research
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• 제52권5호
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• pp.541-549
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• 2014

The purpose of this study was to analyze the effects of preschool children's behavioral and emotional regulation on their peer play behavior, focusing on gender differences. A total of 214 4- and 5-year-old children attending a child care center in South Korea participated in this study. The instruments used in this study were the Child Behavior Rating Scale, Emotion Regulation Checklist, and Penn Interactive Peer Play Scale. The collected data were analyzed using a Student's t -test, Pearson's partial correlation, and multiple regressions with the SPSS software ver. 16.0. The main results of this study are as follows: first, there was a significant gender difference in preschool children's behavioral regulation, emotional control, play interaction, and play disruption. However, there was no gender difference in preschool children's play disconnection. Second, preschool children's emotional control and behavioral regulation had positive effects on their play interaction irrespective of gender. Third, preschool children's emotional instability and emotional control had a positive influence on their play disruption irrespective of gender. Finally, the factors of behavioral regulation and emotional instability significantly predicted the boys' play disconnection, while for the girls, the significant predictor was emotional control. Further, implications for the use of early intervention targeting specific behavioral and emotional regulation problems have been discussed.

• Human Ecology Research
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• 제53권4호
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• pp.363-373
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• 2015

This study examined the direct and indirect influences of parental behavioral control on adolescents' school related adjustment by exploring pathways between parental behavioral control, adolescents' anxiety, and school related adjustment. Participants were composed of 319 high school 1st graders (153 male and 165 female students) from the Seoul area. They completed questionnaires on parental behavioral control, adolescents' anxiety, and adolescents' school related adjustment. The collected data were analyzed using Pearson's correlation coefficients, Factor Analysis, and Structural Equation Modeling. It was adapted to SPSS version 19.0 and Amos version 21.0 for Windows. The results indicated that adolescents' anxiety partially mediated the association of parental behavioral control and adolescents' school related adjustment. More concretely, direct effect of adolescents' anxiety on adolescents' school related adjustment were slightly greater than the direct/indirect effects of parental behavioral control on adolescents' school related adjustment. The effect of adolescents' anxiety on adolescents' school related adjustment was the greatest among all associations between research variables. The findings of this study have implications for research and practice that highlights the important considerations for proper parental behavioral control and reducing adolescents' anxiety that should be emphasized to improve adolescents' school related adjustment. We believe that improved parental behavioral control needs to be emphasized when designing prevention and parent intervention education programs for adolescents' psychological problem and school related adjustment.