• Journal of Korean Academy of Nursing
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• v.35 no.5
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• pp.888-895
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• 2005

Purpose: This cross-sectional study was designed to identify anger-expression types in late school-age children and investigate the relation between the identified anger-expression types and their health status. Method: One thousand twenty seven children in elementary school fifth and sixth grades were recruited from November to December, 2004. Data was analyzed using descriptive statistics, cluster analysis, 2-test, ANOV A, Duncan's multiple comparison test, and Wilcoxon rank sum test. Results: Three anger-expression types in late school-age children were found; Anger-out/in, Anger-control, and Low anger-expression types. Children frequently using the anger-out/in type among the three types and with a higher state anger reported higher psychosomatic symptoms and depression. Children from a divorced or separated family reported higher state anger. Conclusion: This study suggests that a specific anger management program needs to be developed for late school-age children with high state anger and frequently using the anger out/in expression type. For understanding the anger level and the anger expression types of Korean school-age children, further research needs to be done with large samples using a randomized sampling method.

• Child Health Nursing Research
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• v.15 no.2
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• pp.127-135
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• 2009

Purpose: This cross-sectional study was designed to identify anger-expression types in late school-age children and to investigate the relation of anger and the anger-expression type to their eating disorders. Method: Two hundred fifty four children in elementary school were recruited from 14 to 25, April, 2008. The data were analyzed by using descriptive statistics, cluster analysis, t-test, ANOVA, and Tukey's multiple comparison test. Result: Three anger-expression types in late school-age children were found; Anger-in/out, Anger-control, and Low anger-expression types. Children frequently using the anger-out/in type among the three types and with a higher trait anger reported higher eating disorders. Particularly trait anger and unhealthy anger expression type were linked to eating disorders. Conclusion: This study suggests that a specific anger management program needs to be developed for late school-age children with high trait anger and frequently using the anger out/in expression type and Anger-control type than low anger-expression types. Further research needs to be done with large samples and discussed in terms of the role of gender in eating disorders.

• The Journal of Korean Academic Society of Nursing Education
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• v.18 no.1
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• pp.149-158
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• 2012

Purpose: The purpose of this study was to identify the factors influencing mental health among late elementary age children. Methods: The research design was a secondary data analysis. Data were collected from 746 students in grades 5 or 6, and analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients and stepwise multiple regression with the SPSS/PC 18.0 program. Results: The average score of mental health was $3.42{\pm}0.55$. There were significant differences in mental health according to health status, economic status, scholastic performance, relationships with friends, relationships with the teachers, atmosphere of the home, number of siblings and the source of trouble. Stepwise multiple regression analysis showed influencing factors of stress, negative reaction under stress, self-esteem, teacher support, and friend support support and explained 41.4% of total variance in late elementary age children's mental health. Conclusion: These results may contribute to a better understanding of mental health in late elementary age children. The results of the present study indicate a need to develop nursing interventions to prevent and manage elementary school-age children's negative reaction under stress.

• Child Health Nursing Research
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• v.13 no.3
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• pp.308-317
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• 2007

Purpose: The purpose of this study was to develop a MOL instrument for school-age children in grades 4 through 6. Method: The research design was a methodological study. A four-phase design involved. 1) Interview data generated from professors, nurses, and elementary school students (n=8). 2) Content validation by expert panel (n=14) 3) Initial items corrected by elementary school students (n=20) 4) Instrument validation by survey (n=574). Finally, 24 items were chosen as a meaning of life scale for late school-age children. Results: The Cronbach's alpha coefficient of 24 items was .893 indicated a high internal consistency of the instrument, 2) Through factor analysis, 5 factors were extracted. These factors were labeled as 'relational experience', 'positive attitude', 'satisfaction/ hope', 'pursuit of goal', and experience of family love. These factors explained 52.311% of the total variance. Conclusion: The MOL scale for late school-age children can be used in nursing programs to improve the meaning of life. Studies on difference in meaning of life for late school-age children are needed for reverification.

• Journal of the Korean Society of School Health
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• v.23 no.1
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• pp.1-10
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• 2010

Purpose: The purpose of this study was to investigate factors influencing health promoting behavior of the late school age children and to analyze the difference of health promoting behavior according to personal factors of children. Methods: The subjects consisted of 169 school-aged children in the 6th grade in Gyeonggi-do. Data were collected from Dec. 1 to Dec. 10, 2008. The data were analyzed by using frequency, percentage, mean, standard deviation, t-test, ANOVA, Pearson's correlation coefficients and Stepwise multiple regression with the SPSS/WIN 12.0 program. Results: 1) Health promoting behavior was proved to be relatively high. The average item score for the health promoting behavior was $3.85{\pm}.41$. The highest degree of health promoting behavior was stress management (4.13). whereas the one with the lowest degree was exercise (3.40). 2) In the relationship between personal factors and health promoting behavior, there were statistically significant differences in gender, perceived health status, family mood, father's drinking habits, school performance, school satisfaction. 3) Health promoting behavior was showed significant positive correlations with perceived self-efficacy (r=.55), social support (r=.65), prior related behaviors (r=.44), perceived benefits of action (r=.42), and significant negative correlations with perceived barriers of action (r=-.37). 4) Stepwise multiple regression analysis was revealed that the most powerful predictor of health promoting behavior was social support ($\beta$=0.36) Conclusion: The combination of social support, perceived self-efficacy, perceived benefits of action, gender, and family mood accounted for 57.8% of the variance in the health promoting behavior of the late school age children.

• Clinical and Experimental Pediatrics
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• v.63 no.6
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• pp.219-225
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• 2020

Background: There is increasing concern that moderate preterm (32-33 weeks' gestation) and late preterm (34-36 weeks' gestation) birth may be associated with minor neurodevelopmental problems affecting poor school performance. Purpose: We explored the cognitive function, cognitive visual function, executive function, and behavioral problems at school age in moderate to late preterm infants. Methods: Children aged 7-10 years who were born at 32⁺⁰ to 36⁺⁶ weeks of gestation and admitted to the neonatal intensive care unit from August 2006 to July 2011 at the National Health Insurance Service Ilsan Hospital were included. We excluded children with severe neurologic impairments, congenital malformations, or chromosomal abnormalities. Neuropsychological assessments consisted of 5 neuropsychological tests and 3 questionnaires. Results: A total of 37 children (mean age, 9.1±1.2 years) participated. The mean gestational age at birth was 34.6±7.5 weeks, while the mean birth weight was 2,229.2±472.8 g. The mean full-scale intelligence quotient was 92.89±11.90; 24.3% scored between 70 and 85 (borderline intelligence functioning). An abnormal score was noted for at least one of the variables on the attention deficit hyperactivity disorder diagnostic system for 65% of the children. Scores below borderline function for executive quotient and memory quotient were 32.4% and 24.3%, respectively. Borderline or clinically relevant internalizing problems were noted in 13.5% on the Child Behavior Check List. There were no significant associations between perinatal factors or socioeconomic status and cognitive, visual perception, executive function, or behavior outcomes. Conclusion: Moderate to late preterm infants are at risk of developing borderline intelligence functioning and attention problems at early school age. Cognitive and executive functions that are important for academic performance must be carefully monitored and continuously followed up in moderate to late preterm infants.

• Korean Parent-Child Health Journal
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• v.16 no.1
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• pp.27-36
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• 2013

Purpose: The purpose of this study was to develop a nocturnal emission and menstruation education program using CAI for Korean elementary school children. Methods: The research design was methodological study a ISD model 4 fields into sub contents in each field of the nocturnal emission and menstruation by CD titles. And to verify the effect of the education program, performance evaluation of the educational program for structured questionnaire was conducted on 120 late school-age children on June, 2010. Results: The results of this study were as follows; Through this, developed program was proved its effectiveness in enhancing knowledge level on nocturnal emission and menstruation in late school-age children(t=14.03, p<.001, t=11.52, p<.001). Conclusion : Accordingly, this program is expected to be an educational program to be used in various educational institutes, communities, and home as well as self-study that allows children themselves to study repeatedly, choosing the contents they want, whenever they hope as an educational program on nocturnal emission and menstruation in school-age children. In addition, it is suggested that various fields of programs should develop in consideration of early sexual maturity.

• Korean Journal of Child Studies
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• v.28 no.5
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• pp.19-36
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• 2007

This study explored proverb comprehension and use in elementary school children by familarity and concreteness of proverbs and children's age, sex, experience of living with grandparents. The 529 fourth and sixth grade participants completed a questionnaire probing knowledge of 16 proverbs; 4 each in four categories(familiar-concrete, familiar-abstract, unfamiliar-concrete, and unfamiliar-abstract). Results showed highest comprehension scores for familiar-concrete proverbs. Sixth graders obtained higher comprehension score than fourth graders in all four proverb categories. There was no difference between grades in frequency of proverb usage. An interaction effect between grade and sex showed that female sixth graders had the highest comprehension score. These results suggest a possibility of relationship between figurative language and cognitive development related to abstract thinking in late school-age children.

• Journal of the East Asian Society of Dietary Life
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• v.23 no.5
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• pp.519-532
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• 2013

The purpose of this study was to make a comparative analysis of dietary habits, snacks, eating out and fast-food intake between students with a relatively early sexual maturity and others with a relatively late sexual maturity in a bid to grasp the impact of dietary behaviors on sexual maturity. The subjects in this study were 565 boys and girls who resided in Seoul and Gyeonggi province. They included fifth- and sixth-grade school children and seventh-grade middle school students. To classify the selected students according to the level of sexual maturity, the students of the same month age were divided into two groups in consideration of the stage of their sexual maturity and that of the other age groups. The early mature group was significantly taller and weighed more than the late mature group irrespective of gender. According to Tanner stages, the boys of the early mature group reached a 3.03 stage of sexual maturity when the sexual organs were taken into account, and those of the late mature group reached a 1.50 stage of sexual maturity. The girls of the early mature group reached a 3.43 stage of sexual maturity on the basis of breast, and those of the late mature group reached a 2.73 stage of sexual maturity. Concerning eating out, the early mature group ate out more frequently than the late mature group. In regard to snacks, the early mature group had a snack more often. The findings of the study indicated that there were differences in physical development and some dietary behaviors according to sexual maturity. The early mature group had a snack and ate out relatively more often than the late mature group, which showed that some dietary behaviors had an impact on the sexual maturity of the teens who arrived at the age of puberty.

• Research in Community and Public Health Nursing
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• v.21 no.4
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• pp.458-467
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• 2010

Purpose: This study was conducted in order to identify factors related to the health behavior in elementary school children at a late school age and to provide basic data to develop more concrete and practical applications for health promotion and disease prevention. Methods: The participants were 2,775 4th, 5th and 6th graders sampled from 10 elementary schools in Busan Metropolitan City and data were collected from 15th May to 30th June, 2010. The collected data were analyzed by mean, percentile, t-test, ANOVA, Pearson s correlation coefficient, and stepwise multiple regression using the SPSS/WIN 17.0 program. Results: The average percentiles for self-rated health, body satisfaction, stress, parent attachment, self-esteem, and health behavior were 82.8, 69.5, 40.9 79.3, 75.9 and 75.9, respectively. There was significant relationship among the levels of self-rated health, body satisfaction, stress, parent attachment, self-esteem, and health behavior. Body satisfaction was the most powerful factor to the health behavior of elementary school children at a late school age, and was followed by parent attachment, self-rated health, self-esteem, and grade in order. These variables explained 26.6% of the total variance in health behavior. Conclusion: Health promotion behavior programs including body satisfaction and self-esteem elevation programs should be applied to children at home and in school and community. To achieve this, institutional and economic support should be continued.