Purpose: This study aimed to identify the maternal functioning and related factors among early postpartum women. Methods: In this cross-sectional study, 243 women recruited from three women's hospitals. Participants completed a structured questionnaire in on-line or off-line between 6 and 12 weeks postpartum. Data were analyzed using descriptive statistics, the t-test, analysis of variance, Pearson correlation coefficients, and stepwise multiple regression with SPSS for Windows ver. 25.0. Results: The mean score for the maternal functioning was 73.28±16.78 out of 120 points. Maternal functioning was associated with postpartum depression (r=-.57 p<.001), and spousal and family support (r=.54, p<.001). According to the stepwise multiple regression, postpartum depression (β=-0.43, p<.001), spouse and family support (β=0.39, p<.001), employment (β=0.12, p=.012) and delivery method (β=-0.10 p=.026) had a significant relationship with the maternal functioning among postpartum women. These variables had an explanatory power of 49.0% for maternal functioning. Conclusion: It is necessary to develop and implement a maternal intervention program focused on alleviating postpartum depression and improving spouse and family support. This study will be the starting point for various studies by identifying the maternal functioning of postpartum women for the first time in Korea.
Remarriages constitute an increasing proportion of all marriage in Korea. In 2010, 21.9% of marriage were remarriages for one or both partners. In spite of such increasing of remarriage, not much attentions were given the issues of remarriage in the academic circle of social welfare in Korea. This study is conducted to understand the nature of remarriage, the family structure in remarriage, the relationship between the boundary ambiguity and the family functioning in remarriage. Although boundary ambiguity is believed to be more problematic for remarriage families than first-marriage families and as such has been the topic of research in the U.S.A and other countries, few studies have focused on this topic in Korea. This study examined degree of boundary ambiguity of 125 samples of remerried women and their family functioning. Also, the study examined the relationship between the boundary ambiguity and the family functioning in remarriage. This study conceptualized boundary ambiguity as an incongruence between physical and psychological presence or absence of family members. The findings indicated that the majority of respondents(67.6%) were categorized as having both no psychological and no physical ambiguity. 19.8% of respondents were categorized as having physical ambiguity, 9.9% as having psychological ambiguity, and 2.7% as having both psychological and physical ambiguity. Statistically significant differences of family functioning in remarriage were found among four groups having different type of boundary ambiguity.
Journal of the Korean Society of Physical Medicine
/
v.16
no.3
/
pp.65-80
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2021
PURPOSE: This study was conducted as a literature review to analyze the research trends related to the International Classification of Functioning, Disability and Health (ICF) in Korea from 2015 to 2020. METHODS: Precedent studies were searched with the search term "ICF" or "international classification of functioning, disability and health" from the databases of RISS, KISS, DBpia, and Pubmed. The inclusion criteria are that the studies have been carried out in Korea from 2015 to 2020 using ICF by researchers consisting of one or more Koreans and have been peer-reviewed. RESULTS: Of the total 269 studies, 107 that met the inclusion criteria were analyzed. It was found that these studies were published at a similar frequency each year. The most common area of expertise was identified as the clinical area (n = 67), followed by special education (n = 21) and social welfare (n = 13). The study subject groups were mostly patients (n = 39), disabled people (n = 25), and related experts (n = 13). The most common research topic was functioning evaluation (n = 49) and followed by a literature review (n = 29), and the most frequently used components in all the areas of expertise were activity and participation (n = 98), body function and structure (n = 73), and environmental factors (n = 61). CONCLUSION: For the past six years, domestic ICF-related research has been conducted in a wider range of expertise areas on more subdivised subject groups. Continuous research, development of standardized curricula and contents, and development of coding tools are considered to be important in vitalizing the use of the ICF.
The purpose of this study is to analyse the factors affecting rehabilitation of physically disabled persons . Data were collected from 118 physically disabled persons who were registered at facilities for disabled persons by an interview surevey Conducted from October 17 to October 26, 1988. The three facilities for the survey were selected by stratified random sampling. The results were as follows : 1. Using factor analysis, 10 variables were-grouped into 4 factors : physical need, need for social problem-solving, need for social interaction and educational need. The proportion of variance explained by these factors was $58.3\%$. 2. Age, religion and job were significantly related to the functional life scale score, but other variables were not. 3. Family APGAR score and severity of disability were significantly rotated to the functional life scale score. 4. From the multiple regression analysis on rehabilitation of the physically disabled person, the following: three variables were statistically significant : age, severity of disability and family functioning. These results suggest that age, severity of disability and family functioning variables are important factors for rehabilitation of physically disabled persons. Since the family functioning variable can be controlled by care, rehabilitation team should monitor the variable closely to improve the efficiency of rehabilitation. Because of their implication for further study, some variables, other than those considered here, are needed for studying rehabilitation of physically disabled persons.
The two main purposes of this study were to develop the 'Three Generation Family-Madang Program' and to examine its effects on enhancing family functioning and strengthening family relationships. The 'Three Generation Family-Madang Program' consisted of six sessions, each of which included various types of activities and educational materials to evoke interests of the three-generation family members. Subjects of this study were 21 triples, consisting of mothers and their family members, each for the experimental group and the control group, respectively. Mean, Standard Deviation, MANCOVA, and Discriminant Analysis were carried out for the data analyses. Our results showed that the 'Three Generation Family-Madang Program' was effective in enhancing family adaptability and family relationships. Our program focused on the parent generation to have a better understanding and a more positive perspective toward other family members, which would enhance family functioning and family relationships. Our program also received positive feedback from the grandparent and grandchildren generation participants.
Purpose: The purposes of this study were to assess social adjustment of childhood cancer survivors and to identify factors affecting social adjustment. Methods: Data were collected from 79 childhood cancer survivors and his/her parents. The survey consisted of questions related to characteristics, physical functioning, depression, self-esteem and coping strategies. The Social Competence Inventory was used to measure social adjustment in the children. Results: The level of social adjustment of childhood cancer survivors was 83.5 out of a possible 155. Physical functioning, depression, self-esteem, and aggressive or proactive coping strategies were associated with social adjustment. Only physical functioning independently affected social adjustment. Conclusion: The results of this study indicate that there are several factors influencing social adjustment of childhood cancer survivors, and therefore there is a need for programs that deal with all aspects of children's physical as well as emotional health in order to enhance their social adjustment.
Objectives: The purpose of this study was to identify personal and social environmental factors associated with physical activity and sedentary behavior among elementary school students. Methods: Cross-sectional self-reported data were collected from a conveniently clustering sample population of 1538 grade 5 to 6 students attending 19 elementary schools in Seoul metropolitan city and Gyeonggi province. Data were statistically analyzed using Chi-square test and multiple logistic regression analysis. Results: In multiple logistic regression analyses, significant factors that were associated with schoolchildren's physical activity were gender, father's job, social support for physical activity, friend support, participation in school physical education class. Father's education level, mother's job, family functioning and urban residents were significantly associated with TV viewing and gender, age, BMI(obesity), mother's job, family functioning and urban residents were significantly associated with playing computer games among elementary schoolchildren. These results showed that physical activity among elementary school students was most associated with social environmental factors and sedentary behavior among school students was most associated with personal and family environment factors. Conclusion: Health care providers should develop interventions to improve these family and social environmental factors to increase physical activity levels and to decrease sedentary behavior among elementary schoolchildren.
The purpose of this study is to explore further understanding of variables, besides father's alcoholism, which relates to psychosocial adjustment among ADAF(adult daughters of alcoholic fathers). This study examines the relationship between father's alcoholism, family functioning, parental attachment and the psychosocial adjustment among the ADAF. From a larger sample of 463 female college students, 160 ADAF and a matched group of non-ADAF were identified to participate in the study. This survey was conducted in Seoul and Gyungi-do area. Participants completed self-report questionnaires, "The Korean Version of Children of Alcoholics Screening Test", "Inventory of Parent and Peer Attachment", "Satisfaction With Life Scale", "Self-esteem", "Beck Depression Inventory" and "Family Environment Scale". Path analyses was used to test the research question. Findings indicated that father's alcoholism had no direct effect on both the psychosocial adjustment of the ADAF and the family functioning. But father's alcoholism was significantly related to parental attachment. Family functioning was significant predictor of attachment to parents as well as psychosocial adjustment. Finally family functioning is important cause for parental attachment and psychosocial adjustment, specifically self-esteem and life satisfaction outcomes only. Therefore parental attachment was function as a mediator in the relationship between family functioning and psychosocial adjustment. In conclusion, this study showed that father's alcoholism did not predict outcome. We need to reconsider the assumption that direct link exists between adult adjustment difficulties and the presence of father's alcoholism. Implications for clinical and theoretical work with ADAF are discussed.
Kim, Hyeong-Seob;Kim, Yong-Ku;Yoon, Choong-Han;Jeong, Han-Yong;Cheong, Young-Ki
Korean Journal of Psychosomatic Medicine
/
v.8
no.2
/
pp.212-227
/
2000
This study was designed to testify the reliability and validation on the Korean version of the Social Adaptation Self-rating Scale(SASS) which was developed from Bose et al. for the evaluation of social motivation and behavior of depressed patients in 1997. Interests for the social world, those of social functioning, of patients were involved in the addition of new measure of disturbance. And those were distinct from abnormalities of thought, mood and symptoms of patients with major depression. As the previous reports there were several evidences that treatments may be less likely to be effective if the system they act on is dysfunctional. Thus, a better social situation favoured better outcome. As a matter of fact, however, those reports were developed in the course of the evaluation of interpersonal therapy(IPT) and cognitive therapy. Accordingly the conversed question -whether pharmacological therapy with antidepressants can impact on social functioning in addition to addressing the core features of illness- has been addressed. To date, anyhow, it is accepted that enhancement of social functioning may be a therapeutic principle in its own right and illness rarely divorced from social context. In terms of those concepts the introduction of an assessment of social functioning into pharmacotherapeutic studies of depression has been welcomed and might be a potent instrument for evaluating the relative pharmacoeconomic benefits of different treatments. Despite of many scales which were applied for the evaluation of symptoms in the patients with depression, however, the scale for the evaluation of social functiong has not been introduced in Korea yet. Thus, this study was designed to introduce the concepts of social functioning in the patients with depression and to testify the reliability and validation on Korean version of SASS. This Korean version of SASS was submitted to a reliability and validation procedure based on the data from healthy general population survey in 291 individuals and 40 patients with major depression. Cronbach a was 0.790 in total subjects group and the correlation of test-retest was statistically significant(y=0.653, p<0.0l). Thus, the Korean version of SASS might be shown to be valid and reliable. The results of multivariate analyses allowed the identification of 3 principle factors(factor 1 = intersts in social activities, factor 2 = active interpersonal relationship, factor 3 = selfesteem) in normal group, however, it could be counted as only one factor in the depression group because nearly total items of SASS were involved in factor 1. In the view of these results, the Korean version of SASS may be useful additional tool for the evaluation of social functioning in depression.
Objective : The purpose of this study is to identify and analyze the vocational rehabilitation evaluation tool for the mentally disabled. Methods : For literature search, the Pubmed database was used, and for the analysis, the development year, evaluation method, number of items, scale, and evaluation items were analyzed. In the analysis method, each evaluation item was divided into four categories: function, internal factor, environment, and mental symptom, and the evaluation elements of each evaluation tool were identified. Results : When searching Pubmed through search terms, 161 documents were retrieved. According to the selection method, Griffiths Work Behavior Scale (GWBS), Occupational Functioning Scale (OFS), Social and Occupational Functioning Assessment Scale (SOFAS), Work Ability Index (WAI), Work Behavior Inventory (WBI), Work Environment Impact Scale (WEIS), and Work and Social Adjustment Scale (WSAS) were screened. The evaluation items of all evaluation tools included job-related functional evaluation. According to the purpose of each evaluation tool, internal factors, environment, and mental symptoms were measured. Conclusion : Occupational skills are skills in which various functions such as physical, cognitive, social skills, and coping skills act in a complex way. Therefore, it is necessary to include the four factors analyzed in this study: function, internal factors, environment, and psychiatric symptoms.
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