• Title/Summary/Keyword: Mental Health of Children

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Assessment Tools for the Mental Health of School-Aged Children and Adolescents Exposed to Disaster: A Systematic Review (1988-2015)

  • Lee, Mi-Sun;Bhang, Soo-Young
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.29 no.3
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    • pp.88-100
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    • 2018
  • Objectives: In this study, we aimed to conduct a systematic review of studies investigating psychosocial factors affecting children exposed to disasters. Methods: In total, 140 studies were retrieved. The studies were published from 1988 to 2015. A systematic review was performed using the PRISMA guidelines. MEDLINE, EMBASE, Cochrane Central, Web of Science, PsycINFO, PubMed, and Google Scholar were searched. Each database was searched using the following terms: 'Child,' 'Adolescent,' 'Youth,' 'Disaster,' 'Posttraumatic,' 'Psychosocial,' 'Assessment,' 'Evaluation,' and 'Screening.' The identified studies were subjected to data extraction and appraisal. Results: The database search identified 713 articles. Based on the titles and abstracts, the full texts of 118 articles were obtained. The findings of this review can be used as a basis for the design of a psychosocial evaluation tool for disaster preparedness. Conclusion: Given the paramount importance of post-disaster evaluation and the weaknesses of current disaster evaluation tools, the need to develop valid and reliable tools and psychometric evaluations cannot be overstated. Our findings provide current evidence supporting various assessments in children, who are very vulnerable psychologically following disasters.

Multidisciplinary Approaches in Developing Guideline for Mediating Behavioral Problems in Children and Adolescents with Neurodevelopmental Disorders (발달장애 문제행동 치료 가이드라인 제작을 위한 다학제적 접근)

  • Hong, Kyungki;Song, Hokwang;Oh, Maehwa;Oh, Yunhye;Park, Subin;Kim, Yeni;Choi, SungKu
    • Journal of Korean Neuropsychiatric Association
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    • v.57 no.2
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    • pp.190-208
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    • 2018
  • Objectives To initiate and develop a treatment guideline in multidisciplinary approaches for related professions who are either working and/or living with children and adolescents with neurodevelopmental disorders who show behavioral problems. Methods To collect and reflect opinions from multiple professions who assumedly have different interventions or mediations on behavioral problems, a self-report survey and Focus Group Interview (FGI) were conducted for a group of child and adolescent psychiatrists, behavioral therapists, special education teachers, social welfare workers, and caregivers. Results According to a self-report survey and FGI results from multiple professional groups, aggressive behavior is the mostly common behavioral problem necessitating urgent interventions. However, both mainly used intervention strategies and effective treatment methods were different depending on professional backgrounds, such as pharmacological treatment, parent training, and behavior therapy, even though they shared an importance of improving communication skills. In addition, there was a common understanding of necessity to include parent training in a guideline. Lastly the data suggested lack of proper treatment facilities, qualified behavior therapists, and lack of standardized treatment guideline in the field needed to be improved for a quality of current therapeutic services. Conclusion It is supported that several subjects should be included in the guidelines, such as how to deal with aggressive behavior, parent training, and biological aspects of neurodevelopmental disorders. Also, it is expected that publishing the guideline would be helpful to above multiple professions as it is investigated that there are lack of treatment facility and qualified behavioral therapists compared to need at the moment.

Effects of Emotional Dissonance and Job Burnout on the Psychological Health of the Nursery Teachers (어린이집 보육교사의 감정부조화, 직무소진이 정신건강에 미치는 영향)

  • Choi, Kwang Il;Lee, Won Jae
    • Journal of radiological science and technology
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    • v.39 no.4
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    • pp.669-681
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    • 2016
  • This study collected data from 467 nursery teachers and it aimed to investigate the association between mental health and emotional dissonance and job burnout of the day care nursery teachers. Measurement tool was developed, most of the questions having 5-point scale. The data were analyzed structural equation model with the statistical package IBM SPSS 23 and AMOS 21 with 5% percent of significance level. Main results are as follows. First, it was found that emotional dissonance of nursery teachers working in day care centers showed significant effect on the mental health such factors as job-stress (relationships with children and parents and work overload). Second, emotional dissonance were found to have a significant effect on job burnout, too. Third, job burnout had a significant effect on the mental health, job stress and psychological wellbeing. Fourth, job burnout was found to mediate partially on mental health and emotional dissonance. These findings suggest the importance of mental health promotion programs for child care teachers working in the day care centers.

The Development and Validation of a Scale for the Mental Health Screening of Toddlers (걸음마기 아동의 정신건강 위험요인 선별척도의 개발 및 타당화)

  • Lee, Jung Hwa;Lee, So Hee
    • Korean Journal of Child Studies
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    • v.27 no.2
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    • pp.195-213
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    • 2006
  • Development of the 3 scales comprising the present research was based on review of literature, existing screening scales, and empirical research pertaining to (Scale I) the development of social and emotional problems of children, (Scale II) parent-child relations, and (Scale III) assessment of children's environment. Professionals in each area approved a draft of the new screening scale. The clinical group was classified into normal and at-risk groups based on the Denver II scale and the Child Behavior Check List(ages 1.5-5). The clinical groups were administered the newly developed screening scale to see whether the same classification pertained. Results proved the cross-validity of the new scale.

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A Study on Factors Impacting on the Mental Health level of the Elderly People Living Alone (독거노인의 정신건강 수준과 영향요인)

  • Han, Hyekyung;Lee, Yu-Ri
    • 한국노년학
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    • v.29 no.3
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    • pp.805-822
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    • 2009
  • This study aims to investigate the mental health level of the elderly people living alone and examine the difference in mental health level by socio-demographic factors and analyze the factors impacting on mental health level. The study subjects were 131 elderly people living alone who lived in "G" city. Symptom Check List-90-Revision(SCL-90-R) was used to measure mental health level. The results of this study were as follows. First, the study subjects' mental health level(3.53, 5 rating scale) was very severe and this means the mental health level of elderly people living alone is more severe than the mental health level of general elderly people. The study subjects showed depression symptom most seriously and also had severe somatization symptom. Second, there was significant difference in mental health level by gender and education level among socio-demographic factors. Third, in the final regression model, statistically significant factors impacting on the mental health level of the elderly people living alone were life satisfaction, ADL, IADL, welfare service support, informal support, contact frequency with children, duration of living alone, subjective state of economy. And comprehensive(macro and micro) implications were recommended.

Correlation between Stress, Anxiety, Depression, and Quality of Life in Parents of Children with Disabilities during COVID-19 (COVID-19 발생 상황에서 장애아동 부모의 스트레스, 불안, 우울과 삶의 질의 관련성)

  • Kim, Woong-Hee;Lee, Hye-Rim
    • The Journal of Korean Academy of Sensory Integration
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    • v.20 no.2
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    • pp.22-35
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    • 2022
  • Objective : This study was conducted to investigate the stress, anxiety, depression, and quality of life that parents of children with disabilities have according to their general characteristics and determine the correlation between stress, anxiety, depression, and quality of life. Methods : The subjects were 242 parents of children with disabilities under the age of 13 receiving treatment at rehabilitation centers for the disabled, rehabilitation hospitals, and child development centers located in D, B, and U metropolitan cities. Results : According to the result of analyzing the correlation between stress, anxiety, and depression that the parents of children with disabilities felt and the quality of their lives, the quality of their lives correlated negative with their stress, anxiety, and depression. In the case of the results according to the parents' general characteristics, stress showed a significant difference depending on the education level, monthly income, and anxiety showed a significant difference depending on child rearing time, occupation, and public transportation. Additionally, depression and the quality of life had a significant difference depending on child rearing time, education level, occupation, and monthly income. Conclusion : The results of this study identified the importance of the mental health of the parents of children with disabilities and the correlation between their mental health and quality of life. Social distancing and quarantine rules that children with disabilities must follow have limited their opportunities to receive education and treatment, so the influence of stress, anxiety, depression that the parents of children with disabilities who should continue to take care of their children should be considered. Based on these results, it is necessary to develop support services for the parents of children with disabilities for enhancement in their mental health in preparation for other disasters in the future.

The Interrelations among Nutrition Education, Satisfaction with School Lunch, School Lunch Leftovers and Self-rated Mental or Physical Health - The Elementary School Children in Daejeon Area - (영양교육, 급식 만족도, 잔반, 정신적.신체적 건강에 관한 자각증상간의 관련성 - 대전지역 일부 초등학생을 중심으로 -)

  • Kwon, Sun-Ja;Sung, Soon-Jung;Ly, Sun-Yung
    • Korean Journal of Community Nutrition
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    • v.15 no.1
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    • pp.94-107
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    • 2010
  • The purpose of this study was to examine the interrelations among current status of nutrition education, satisfaction with school lunch, school lunch leftovers and self-rated mental or physical health in order to find out the effective method of nutrition education. For this, a questionnaire survey of 623 primary school 5th and 6th-graders in Daejeon area was carried out. The eating places were classrooms (41.1%) and restaurants (58.9%). A 59.2% of students have received nutrition education and the opportunity of receiving nutrition education was more in 5th-graders than in 6thgraders (p < 0.001). The score of nutrition knowledge was $9.4\;{\pm}\;2.8$ out of 15. When the score of nutrition knowledge was higher, the practical use of nutrition knowledge was higher (r = 0.134, p < 0.01); the score of school lunch leftovers were less (r = -0.116, p < 0.01); and the score of self-rated mental health was more positive (r = 0.198, p < 0.01). The practical use of nutrition knowledge was $2.9\;{\pm}\;1.1$ out of 5. When the practical use of nutrition knowledge was higher, satisfaction with school lunch was higher (r = 0.105, p < 0.01); school lunch leftovers were less (r = -0.103, p < 0.01); the score of self-rated positive mental health was higher (r = 0.293, p < 0.01); and the scores of self-rated negative mental health (r = -0.119, p < 0.05) and physical health (r = -0.126, p < 0.01) were lower, thus rating their health more positively. The score of satisfaction with school lunch was $3.4\;{\pm}\;1.0$ out of 5. When the satisfaction with school lunch was higher, the score of school lunch leftovers was less (r = -0.216, p < 0.01); the score of self-rated positive mental health was higher (r = 0.147, p < 0.01); and the score of self-rated negative health was lower (r = -0.121, p < 0.01). The score of school lunch leftovers was $2.9\;{\pm}\;1.4$ out of 5. When the school lunch leftovers were less, self-rated positive mental health was significantly higher (r = -0.146, p < 0.01); and the scores of self-rated negative mental health (r = 0.135, p < 0.01) and physical health (r = 0.223, p < 0.01) were significantly lower, thus presenting positive health. Therefore, in order to maintain positive health condition, it is necessary to carry out nutrition education, which is able to raise the nutrition knowledge and practical use of nutrition knowledge, school lunch satisfaction and to reduce the school lunch leftovers.

Health Problems and Related Factors of Socially Vulnerable School-age Children in Seoul (서울지역 학령기 취약계층 아동의 건강문제와 관련 요인)

  • Kang, Kyungim;Kim, Sungjae
    • Journal of the Korean Society of School Health
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    • v.30 no.3
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    • pp.181-193
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    • 2017
  • Purpose: This is a qualitative descriptive study with the purpose of identifyng the health problems and related factors of socially vulnerable school-age children in Seoul, South Korea. Methods: Two focus group interviews and two individual interviews were conducted with eleven participants. They were two class teachers, three school nurses and two daycare teachers working at elementary schools and three social workers and a welfare worker working at community childcare centers. Data were analyzed using qualitative content analysis. Results: The identified psychosocial problems were 'distracting and excessive behavior', 'depression and helplessness,' 'aggression and violent behaviors', and 'internet overdependence'. The revealed physical health problems were 'poor hygiene', 'obesity', and 'gastrointestinal problems'. In addition, the fact that physical and psychosocial problems are closely inter-linked was reaffirmed through practical examples. Meanwhile, socioeconomic, family environmental, social experiential and individual factors were found to affect children's health. Relationships within a family or a peer group and healthy lifestyle were considered critical issues to deal with in order to improve the childrens' health status. Conclusion: It was proved that socially vulnerable school-age children have various physical and mental health problems due to multiple factors. Therefore, it is required to design nursing approaches that help them achieve optimal health status.

A Comparative Study on Physical Self-concept, Academic Self-concept and Depression of Obese and Over-weight and Normal Weight Children in Elementary Schools (비만, 과체중 아동과 정상체중 아동의 신체자아개념, 학업자아개념 및 우울 정도 비교 연구)

  • Sung, Kyung Mi;Ham, Ok Kyung;Lee, Hanju
    • Journal of the Korean Society of School Health
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    • v.25 no.2
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    • pp.192-203
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    • 2012
  • Purpose: The purpose of this study was to compare physical self-concept, academic self-concept and depression among obese and over-weight and normal weight children. Methods: The 6th grade children in two elementary schools (n=287) completed self-report questionnaires measuring self-concept and depression. Results: The mean score of depression and self-concept in normal weight children were 9.76 and 92.59. In obese and over-weight children, depression and self-concept were 12.31 and 86.69 respectively. Subjects who were obese and over-weight showed significantly lower scores of physical self-concept (t=-4.621, p<.001) but not significantly low in academic self-concept (t=-1.065, p=.288) than normal weight children. Meanwhile, this study shows that subjects who were obese and over-weight were significantly higher level of depression than subjects in normal weight (t=2.480, p=.014). Conclusion: In conclusion, obese and over-weight children showed negative aspects in the developmental course. This study demonstrates that obese and over-weight children should be treated as a risk group who needs any professional help such as a school mental health program for normal development.

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