• Journal of the Korean Home Economics Association
• /
• v.44 no.4 s.218
• /
• pp.191-205
• /
• 2006

The purpose of the study was to develop family-based intervention program to be implemented and disseminated via "Healthy Family-Support Center." This preventive-empowerment program was designed to intervene with parenting mildly handicapped children enrolled at integrated kindergarten. The theoretical backgrounds employed were ecological theory, preventive family-based intervention approach, and theraplay theory. The pretest-posttest control-group design with random assignment was applied. The research model yielded a significant intervention effect(t=-1.294, p<0.05) on mothers' parenting stress. With proven effectiveness of family-based intervention program, the study further discussed why an ecological, family-based intervention model was a relevant alternative to investigate issues in family welfare, and why an individualized family service plan was a relevant tool to deliver services-in-context for the families who needed supports from exo-and macrosystems.

• Journal of Family Relations
• /
• v.21 no.1
• /
• pp.51-76
• /
• 2016

Objectives: This study aims to investigate the effect of marital relationship on parenting stress among dual- and single-earner families. In particular, this study focuses on the interaction effect of marital relationship and father's child-rearing involvement on the parenting stress. To access factors associated with parenting stress, we included marital satisfaction and marital conflict as the dimensions of marital relationship in this study. Method: We employed data from the 5th wave of the Panel Study of Korean Children(PSKC) data. Our analysis sample consisted of 1,515 parents having at least one child aged under 4 years. Also, this study conducted descriptive statistics and multiple regression analysis. Results: First of all, marital satisfaction and marital conflict were significantly related to parenting stress for both mother and father in dual-earner families. While both indicators were significantly related to parenting stress for father, marital conflict only was a significant predictor for mother in single-earner families. Second, father involvement was a significant predictor for parenting stress for father in both dual- and single-earner families. Third, interaction effects were found between father involvement and marital conflict in the dual-earner families and between father involvement and marital satisfaction in the single-earner families. Conclusions: Based on the results, we recommended programs designed to enhance father's child-rearing involvement such as parenting education and community-based campaign. In addition, we recommended that policy and practice need to identify marital relationship dynamics to promote father's involvement and to reduce marital conflict in both dual- and single-earner families accordingly.

• The Korean Journal of Pain
• /
• v.35 no.3
• /
• pp.311-318
• /
• 2022

Background: Ketamine is widely used in infants and young children for procedural sedation and anesthesia. The aim of this study was to evaluate the efficacy and safety of low dose oral ketamine to control pain and distress in children during intravenous (IV) cannulation. Methods: This is a prospective, randomized, double-blind study, including children aged between 3 and 6 years requiring a non-emergent IV-line placement. Children were randomly assigned to two groups, treated either with oral ketamine or a placebo. All patients were monitored for vital signs. Pain was assessed using the Children's Hospital of Eastern Ontario Pain Scale (CHEOPS) and Wong-Baker Faces Pain Rating Scale (WBFS) scales and sedation using a 5-point sedation score. The facility of IV-line placement was measured by a 3-point scale. Adverse effects were recorded after 1 and 24 hours. Results: A total of 79 and 81 children were entered in the ketamine and placebo groups, respectively. The heart and respiratory rates increased significantly in the placebo group. The median CHEOPS 4 (95% confidence interval [CI]: 3, 4, P < 0.001) and WBFS 6 (95% CI: 4, 6, P < 0.001) scores decreased statistically in the ketamine group. IV-line placement was 50% easier in the ketamine group (95% CI: 37%, 63%, P < 0.001). No serious adverse effects were observed in all cases. Conclusions: Low dose oral ketamine effectively decreased the pain and distress during IV cannulation in children without any significant adverse reactions.

• Journal of Families and Better Life
• /
• v.27 no.2
• /
• pp.227-241
• /
• 2009

This study examined to find out mediating variable between ordinary stress and anxiety-depression. The subjects were 2,844 4th grade elementary school in Korea. The instruments used were questionnaires about anxiety-depression, ordinary stress, anger control ability and negative self-concept. Data were analyzed by t-test and regression. Major findings were as follows: (1) There were significant difference in parent-, appearance-, possession-related stress, anger control ability, negative self-concept and anxiety-depression according to sex. (2) Parent-, schoolwork-, peer-, appearance-related stress and anger control ability had a significant effect on the anxiety-depression. The principal finding was that anger control ability had mediating role between ordinary stress(schoolwork-, peer-, appearance-related stress) and anxiety-depression in male, one side parent-related stress and anxiety-depression in female. (3) Parent-, schoolwork-, peer-, appearance-related stress and negative self-concept had a significant effect on the anxiety-depression. The principal finding was that negative self-concept had mediating role between ordinary stress(parent-, schoolwork-, peer-, appearance-, possession-related stress) and anxiety-depression in male, one side parent-, peer-related stress and anxiety-depression in female.

• Journal of Korean Academy of Nursing
• /
• v.24 no.4
• /
• pp.529-544
• /
• 1994

For most parents their child's illness and hospitalization is strssful. Internal stress and over anxiousness leads to uncertainty. Parents have a variety of ways of coping when faced with such stress factors, especialy when the child has cancer. The purpose of this study was to examine the relationship between uncertainty in illness and mastery and coping styles in parents of pediatric cancer patients, and further to identify differences between three groups of subjects. A cross-sectional descriptive correlational design was used in this study to investigate the relationship among the three groups. The sample was composed of 59 parents of children with cancer in pediatric wards in three hospitals in Seoul : 21 in Group 4 with a child newly diagnosed with cancer : 25 in Group B, with a child under treatment and rehospitalized with a relapse : and 13 in Group C, with a child with a terminal cancer, A formalized questionnaire which included demegrapic information and consisted of 75 items was used in this study ; The Parent Perception of Uncertainty Scale(PPUS) adapted form Mishel’s Uncertainty in Illness Scale, Pearlin & Schooler's Mastery Scale(MS) and Folkman & Lazarus’s Ways of Coping Checklist(WCC) were used to measure the variables : uncertainty in illness, mastery, and coping styles. A pretest was conducted on the questionnaire items for reliability. The results gathered were analyzed using SPSS /PC/sup +/. Data analysis included descriptive correltional statistics such as ANOVA, Pearson Correlation Coefficient, amd chi square test. The conclusions of this analysis are summarized as follows : 1. A higher level of uncertainty was seen among parents of children with terminal cancer. 2. The first hypothesis that uncertainty in illness would differ among the three groups was supported(F=4.182, P=.020). The second and third hypotheses that mastery and coping styles would differ among the three groups were not supported. There was a correlation between uncertainty, mastery, and coping styles which was positive, also there was a positive correlation between mastery and coping style(r=.3744, P<.001) but a negative correlation between uncertainty md mastery(r=-.4749, P<.01). From the above results, it can be concluded that prediciting and controlling uncertainty in illness by considering coping styles and mastery are necessary for improved, efficient nursing interventions.

• Journal of Families and Better Life
• /
• v.31 no.1
• /
• pp.11-27
• /
• 2013

The purpose of this study was to investigate the overall developmental characteristics of Korean children ages 0 to 8, and then explore specifically how children's social and emotional developmental levels are related to mothers' psychological states. This study was part of newly launched Boryung Baby Panel Study using web-based survey in 2011. The subjects were all mothers of 940 infants(0-2 years), 654 toddlers(3-5 years), and 484 school-age children(6-8 years) The mothers were asked to administer the web-based standardized developmental checklist for their child and fill out the questionnaires of psychological variables(life satisfaction, depression, parenting attitude, parenting efficacy, and parenting stress). The data was analyzed using descriptive analysis, t-test, and logistic regression for SPSS 20.0 windows. Major findings were as follows: 1. Infants(0 to 2) showed higher developmental level in cognition and fine motor skill domain compared to other domains. 2. Most toddlers(3 to 5) showed normal development in the most domain such as gross motor skill, fine motor skill, language, letter, number, self-help behavior. 3. In socio-emotional development domain, the ratio of risk or delay group were highest at both infant and toddler. 4. The 6-8 years old children that belong to risk group by the result of SDQ(emotion and behavior assessment) were also relatively high. 5. The relation of the children's socio-emotional developmental level and the mother's psychological variables were reciprocal. Based on these findings, the implications and the limitations of current study were discussed.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• v.12 no.1
• /
• pp.79-93
• /
• 2001

Objectives：The children with ADHD have some deficits in social skills including the peer relationship. There are several approaches to teaching social skills to children with ADHD, and many are combined in comprehensive programs to maximize treatment effects. We conducted this study to explore the direct effects of social skills training program applied to children with ADHD. Method：Five children and their mothers who were diagnosed to Attention Deficit-Hyperactivity Disorder(ADHD) in Y elementary school survey participated to the study. We performed the 8-session program with the modified the Pfiffner and McBurnett's program(1997), and assessed the social skills, problem behaviors, peer acceptance, parenting behaviors, and parenting stress. Results：Parent's reports were some different from teacher's reports；teacher reported improvement in social skills and peer acceptance, but parent notified decrement in problem behaviors. And also, there were no changes in maternal behaviors, but significant reducing effects in parenting stress. Conclusion：The stimulants are mainstream in treatment of children with ADHD. The social skills training programs are combined in comprehensive treatment programs in children with ADHD to maximize treatment effects.

• Korean Journal of Childcare and Education
• /
• v.12 no.3
• /
• pp.1-19
• /
• 2016

The purpose of this study was to examine the effect of parenting efficacy measured at 6 months of infancy, and on parenting stress at 9-months of infancy through a short-term longitudinal approach. Participants were 116 couples living in Seoul and Gyeonggi-do, whose first born children were in infancy. The results of the 116 couples were analyzed through the APIM analysis method. The results of the APIM showed that mothers' and fathers' actor effect was significant, which meant that parenting efficacy at 6 months of infancy could predict the existence of parenting stress at 9 months of infancy. However, the partner effect of both mothers and fathers was insignificant. This research demonstrates the significance of parenting efficacy at early infancy, which in turn affects parenting stress as well as factors that need to be considered in pre-parental education.

• Korean Journal of Childcare and Education
• /
• v.10 no.6
• /
• pp.333-346
• /
• 2014

This study looked into changes in the parenting stress and the depression of mothers whose children at the age of three or younger have been suffering from developmental risk, and discussed how the parenting stress would constantly influence the depression. In order to achieve the research goal, the study used the data from the Panel Study of Korean Children. According to the findings of the study, first of all, the parenting stress increased significantly for the next four years after the childbirth. The study also understood that there are personal differences among the mothers in relation to how much the stress gets worse overtime. Second, more severe the parenting stress during the year of the childbirth, the greater the depression during the same year, and this parenting stress's being intensified even more greatly for the four years right after the childbirth turned out to have a significant effect on how much the depression develops. What this study has found out so far confirms that the depression of the mothers will get reduced when the mothers of the children with the developmental risks before the age of three try to efficiently deal with their parenting stress.

• Women's Health Nursing
• /
• v.12 no.4
• /
• pp.273-281
• /
• 2006

Purpose: The purpose of this study was to provide basic data for nursing programs to reduce fatigue among middle-aged adults by looking at age group differences. Method: The study used a secondary analysis design and participants were 315 middle-aged adults. The data was analyzed using $x^2$-test, ANOVA, Pearson's correlation coefficient analysis, and stepwise multiple regression. Results: The findings revealed significant age group differences in socio-demographic variables for educational level, job, religion, economic status, consumption of cigarettes, experience with disease, satisfaction with spouse and children, and number of children. Scores of fatigue showed a significant difference between age groups. The factors influencing fatigue for subjects in their thirties were depression, level of education and self-efficacy. For those in their forties, factors were stress, depression, and self-efficacy. For those in their fifties, the factor was stress. Conclusion: For people in their thirties, school education or lifelong learning programs are needed to reduce fatigue. A disease prevention program and a family support program for people in their forties and fifties. Nurses need to provide customized nursing programs related to depression, stress and self-efficacy to reduce fatigue among middle-aged adults based on age groups.