• Korean Journal of Psychosomatic Medicine
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• v.27 no.1
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• pp.13-24
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• 2019

Objectives : The goals of the study are how to establish the cohort systems for the children and adolescents victims with sexual abuse in Korea and to identify the risk and protective factors that influence mental health in child sexual abuse (CSA). This is initial assessment data based on the analysis of cohort variables for baseline evaluation of subjects. Methods : We constructed the cohort systems for CSA victims recruited by Seoul Sunflower Children Center, CSA victims protection center. The initial assessment data which consisted of demographic and psychological inventories of CSA victims and their parents/families, psychiatric diagnoses were the results of statistical analysis of 65 subjects under 19 years old for 3 years 7 months. Results : The initial data were followings : female participants, N=56; mean age, 11.6 (SD=4.5); the most sexual assault, molestation 71.8%; victims, family and acquaintance 87.1%; 61.5% of the subjects diagnosed with psychiatric disorder; 29.2% diagnosed with PTSD and 23.1% diagnosed with depression. Mean duration for abuse to report is 1.5 years. Mean score of IES-R-K, TSCYC-avoidant and CBCL-problematic behavior were increased above clinical cut-off. Conclusions : CSA victims tend to have high risks in mental health problem. The cohort study could provide the risk and protective factors of CSA in mental health, and construct the predictive model for mental illness in Korea.

• Child Health Nursing Research
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• v.7 no.1
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• pp.5-20
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• 2001

The purpose of this study was to analyze and identify the higher-grade primary school children's needs for sexual education. We got the data with open question from 481 children from March to July 1999. We analyzed them according to the framework suggested by the Sex Information and Education Council of USA. The framework involves the six domains such as human development, relationship, personal skills, sexual behavior, sexual health, and society & culture. In the analysis of need for sexual education according to domain, need for human development was highest (79.2 ％), after that followed society & culture (8.3 ％), sexual health (5.8％), sexual behavior (3.6％), and relationships (3.1％). There was no need for personal skills. By topics, there were needs for puberty (38.0％), reproduction (32.5％), gender roles (6.0％), body image (4.9％), sexual abuse (2.4％) and reproductive health (2.4％). Girls and boys all mostly wanted to know human development 41.0 ％ and 38.2 ％ each. Society & culture (3.4 ％), sexual behaviour (2.7％), sexual health (2.6％), relationship (2.4％) were domains selected by boys. Girls wanted to know society & culture (4.9％) and 'sexual health (3.2％). Comparing by grade, fourth, fifth and sixth grade children are commonly interested in development, society & culture. Fourth grade children scarcely show attention on the relationship, sexual behaviour and sexual health; meanwhile sixth grade children would like to know sexual behaviour and sexual health. When their grade became higher, they would like to know more precise, concrete and deep information. We suggest that the textbook/guidebook for sexual health for the higher-grade primary school children should be developed considering the sex and grade.

• Korean Journal of Biological Psychiatry
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• v.23 no.3
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• pp.116-121
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• 2016

Objectives Experience of early childhood abuse elevates the risk of developing schizophrenia in later period of life, incidence of psychiatric comorbidity, symptomatic severity and complexity. In this context, we hypothesized that the pattern of psychotropic medication used would reflect this; those with childhood trauma will received more types and higher doses of psychotropic medication. Methods From our database of 102 outpatients diagnosed with Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) schizophrenia, we analyzed experiences of childhood trauma measured by the Childhood Trauma Questionnaire-Short Form and types and dose of prescribed psychotropic medication. Results We found significant positive correlations between child sexual abuse and the number of psychotropic medications (p = 0.029) and between child emotional neglect and the number of psychotropic medications other than antipsychotics (p = 0.045). Conclusions This preliminary study suggests that the pattern of psychotropic use may be affected by types of childhood trauma. Further studies will have to shed light on mediating factors such as symptoms or comorbid conditions that lead to prescription of certain psychotropic class.

• Journal of Families and Better Life
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• v.18 no.1
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• pp.1-16
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• 2000

The purpose of this study was to explore marital violence from a communication perspective. A total of 352 marital couples in Pusan completed a structured questionnaire. The major findings were as follows: 1,. Husbands and wives reciprocally inflicted psychological aggression and physical violence. But husbands were more to inflict sexual violence and injury toward their wives. 2. When husbands have more the distractor and the blamer of communication style. they inflicted more physical violence toward their wives. When wives have more the blamer of communication style they inflicted more psychological aggression and physical violence toward their husbands. 3, Housbands inflicted psychological aggression toward their wives when husbands experienced child abuse from their parents. husbands inflicted physical violence toward their wives when husbands have the distractor of communication style experienced witness of spousal violence between father and mother and experience of scho l violence experience in the middle and high school. Wives inflicted psychological aggression toward their husbands when wives experienced witness of spousal violence between father and mother and have the blamer of communication style. Wives inflicted physical violence toward their husbands when wives experienced child abuse from their parents.

• Journal of the Korean Society of Child Welfare
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• no.36
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• pp.197-230
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• 2011

This study is aimed to examine the emotional experiences of parents with children who have been sexually abused by others. Five mothers whose child was sexually abused participated in this study. They were first recruited through recommendations made by social welfare agencies that provided services to these children. We conducted two or more in-depth interviews for each mother to collect the data. The mothers' emotional experiences were analyzed using phenomenology. Mothers expressed that they felt like the whole world came crashing down around them, felt "totally lost", and felt deep pain together with their children, such that "my family and I were so devastated". Nevertheless, they gradually came to believe that they could overcome this tragedy by continuously making efforts to protect their children from the dangers outside. Despite their efforts, however, they kept the feeling of "hopelessness, neglect, and their children's wounds", deep inside them. The results indicate that it is necessary to have an intervention for mothers whose child has been sexually abused from a companions' perspective within 10 days after the sexual abuse incident.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.12
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• pp.6330-6339
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• 2013

The aims of this study were to identify the significant predictors of the sexual behavior of middle school students. The subjects consisted of 603 middle school students (male 344, female 259). The data was collected through self-report questionnaires, which were constructed to include the attitudes to sexual behavior, sexual permissiveness, perceived behavioral control, sexual behavioral intention, father's child-rearing attitudes, mother's child-rearing attitudes, friends' attitudes to sex, exposure to pornography, and sexual behavior. The data was analyzed using the SPSS 19.0 program. The significant predictors of sexual behavior of middle school students that explained 51.0% of the variance in sexual behavior were the friends' attitudes to sex, alcohol drinking experience, experience of sexual abuse, sexual permissiveness, exposure to pornography, sexual behavioral intention, perceived behavioral control, father's child-rearing attitudes, and mother's child-rearing attitudes. These findings suggest that the approach to a sexual education promotion program for middle school students should consider multisystemic predictors.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.3 no.1
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• pp.73-83
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• 1992

The purpose of this study was to undrstand the emotional and behavioral sequela in the abused child caused by phygical abuse. To achieve the purpose. the emotional and behavioral differences between not or less abused children group and severely abused children group were compared in this study. The subjects in this study were 61 male children who were selected among children under custody at 4 child-welfare institutions in Seoul. A violence scale in CTS(Conflict Tactics Scale) developed by Straus(1979) was modified and used as a research tool to measure the children's physical abuse. The Korean text of Child Behavior Checklist(CBCL) was also used to measure the emotional and behavioral problems of abused children. The results of this study were as follows : 1) The total scores of behavioral problems in physically abused children were significantly higher than those in control group. 2) The comparison of behavioral problems has shown significant differences between two groups in social withrawal. somatic symptom, emotional disturbance, obsessive-depressive behavior, hyperactivity and psychotic-sexual factors. However. there were no differences in aggressive and delinquent factors. The above results presents us the profile of children's emotional and behavioral problems caused by physical abuse, and can be used as a framework for the treatment protection and preservation of abused children in the course of social work practice.

• The Journal of the Korea Contents Association
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• v.17 no.1
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• pp.692-700
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• 2017

Based on the sexual offenses committed in school, the present study investigated differences between habitual/repeated sexual offenses and one-off sexual offenses in terms of offender characteristics, victim characteristics, and offense characteristics. We examined a total of 218 sexual offense cases committed in school. As a result, we found significant differences in the age, job, and residential area between habitual/repeated and one-off sexual offenders in school. In addition, notable differences were found between habitual/repeated and one-off sexual offense cases in the age and alcohol use of the victim. Moreover, habitual/repeated and one-off sexual offenses in school differed significantly by offense planning, method of approaching the victim, type of sexual behavior, and victim resistance. Furthermore, we conducted regression analyses and identified multiple factors that contributed to lasting of the sexual offense in school. Finally, we discussed limitations of the present study and made suggestions for future research.

• Journal of Yeungnam Medical Science
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• v.19 no.2
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• pp.92-98
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• 2002

Emergency medicine(EM) is the specialty of evaluating, stabilizing and initiating treatment for patients with life or limb-threatening illnesses or injuries. Techniques unique to the specialty of EM are the triage systems, quick stabilization methods, and emergency surgery procedures. The field of EM encompasses areas such as emergency department management, disaster planning and management, the management of emergency medical service(EMS) systems, research into such areas as brain and heart resuscitation, trauma and disaster management, survival medicine, and environmental emergencies(cold and heat injuries, poisioning, decompression sickness and barotrauma). Today, in addition to providing emergency care, the emergency specialists have moral and legal obligations to assess and report probable cases of child and spouse abuse, sexual assault, and alcohol and drug abuse. Future, the EM should provide surveillance, identification, intervention, and evaluation of injury and disease, therefore EM will remain as a key component of evolving community health care system.

• Korean Journal of Social Welfare Studies
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• v.48 no.2
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• pp.71-95
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• 2017

This study aims (1) to identify whether real terms of imprisonment for sexual offenders against children are different between the first trial and appeal trial in 16 cases and (2) to assess which sentencing factors such as history of sexual crime of perpetrator, forgiveness of children, regretfulness of perpetrator, power of perpetrator, and relationship of perpetrator and victim influence sentencing period of imprisonment in the first and appeal trials, respectively. This study used cases which were prosecuted for sexual crimes against children since the protection act on the children and juveniles from sexual abuse was enacted in 2000. The target cases of the study include 8 first trials and 8 appeal cases which were appealed to the Supreme Court between 2000 and 2015. Result condition is the real term of imprisonment. Cause conditions include sentencing factors such as history of sexual crime, regretfulness, and power of perpetrator, forgiveness of child, and relationship between offender and victim. We employed Qualitative Comparative Analysis (QCA) for data analysis. We found that there are sentences in the first trial with lower terms than appeal trial regarding child sexual crimes. In addition, we found that (1) power of perpetrator and forgiveness of victim significantly influenced sentencing periods of imprisonment at levels of courts; (2) cause condition considered as comparatively more important in the first trial was regretfulness of perpetrator(but not in the appeal trial); and (3) relationship of perpetrator and child was not important in sentencing for sexual crime at both levels of trials.