• Child Health Nursing Research
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• v.16 no.4
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• pp.297-303
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• 2010

Purpose: The purpose of this study was to identify the relationship of self-differentiation, family function and mental health among adolescents. Methods: The data were collected from 967 adolescents and analyzed using descriptive statistics, t-test, ANOVA, Scheffe's test, Pearson correlation coefficient and Stepwise multiple regression with the SPSS program. Results: Mental health differed according to grades, sibling position, father's education and mother's education. Self-differentiation and family function had a significant negative correlation with mental health. Multiple regression analysis showed recognition.emotional function, emotional cutoff and family projection as influencing self-differentiation. Grades, affective responsiveness in family function, and sibling position explained 20.8% of the total variance in mental health. Conclusion: The findings show that self-differentiation and family function influence mental health, indicating a need to develop nursing intervention programs to enhance adolescents' mental health and prevent negative outcomes. For these programs, the family must be included.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.14 no.1
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• pp.95-102
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• 2003

Objectives：This study was aimed at examining the emotional predictors of adolescent suicidal ideas in a community. Methods：The subjects were 1909 middle and high school students(936 males, 973 females) in Koyang-shi. We evaluated all subjects using Center for Epidemiologic Study for Depression(CES-D), Revised Children's Manifest Anxiety Scale(RCMAS), Korean-Youth Self Report(K-YSR), Psychological Self-1 of Offer's Self Image Questionnaire(PS-1 of OSIQ) and Suicide Ideation Questionnaire (SIQ). We compared the PS-1 of OSIQ scores of Anxious-depressive group(above cut-off points of CES-D, RCMAS and K-YSR) to those of control group, and conducted correlation analysis and stepwise multiple regression analysis to all subjects. Results：The number of anxious-depressive group was 126(6.58%) among 1909 subjects with significant gender difference(M：F ratio 1：1.5). Both PS-1 of OSIQ and SIQ scores were significantly higher in Anxious-depressive group than in control group. There were significant correlations among the scales：CES-D, RCMAS, A/D of K-YSR, PS-1 of OSIQ and SIQ. Through stepwise multiple regression analysis, we found that significant predictors of suicidal idea were CES-D, RCMAS and A/D of K-YSR. Conclusion：Anxious-depressive adolescents may be the high-risk group for suicidality and need preventive interventions of suicidality in a community.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.32 no.1
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• pp.28-34
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• 2021

Objectives: This study aimed to examine the effect of maternal adverse childhood experiences (ACEs) on the attention-deficit/hyperactivity disorder (ADHD) symptoms in the offspring and to examine the mediating role of antepartum health risk on the intergenerational transmission of maternal ACEs. Methods: The participants consisted of 461 mother-child dyads. Mothers completed the ACEs questionnaire and Diagnostic Predictive Scales. Multivariate logistic regression analysis was used to estimate the risk of ADHD symptoms in the offspring of mothers with ACEs and the mediating effect of antepartum health risks by path analysis. Results: In all, 35.4% (n=163) had at least one maternal ACE, and 11.1% (n=51) had three or more. Compared to the non-ADHD symptom group, the group of offspring with ADHD symptoms showed a significant association with maternal ACE score (p<0.001) and antepartum health risks (p<0.001). Multivariate analysis further showed a significant association between the sum of maternal ACEs [odds ratio (OR)=1.264, 95% confidence interval (CI)= 1.060-1.516, p=0.009], antepartum health risks (OR=1.236, 95% CI=1.036-1.475, p=0.019), and ADHD symptoms in the offspring. In the mediation model in which the mother's ACE score affected the offspring's ADHD symptoms, partial mediation through antepartum health risks was found to be significant (B=0.041, 95% CI=0.011-0.124). Conclusion: Maternal ACEs are significantly related to the incidence of ADHD symptoms in the offspring and antepartum health risks exert an indirect effect. These findings suggest that maternal ACEs have a negative impact on the offspring's brain development through intergenerational transmission, resulting in neurodevelopmental disorders such as ADHD.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.17 no.2
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• pp.124-130
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• 2006

Objectives : The objective of this study was to evaluate the differences in patterns of temperament and character, as assessed by the Junior Temperament and Character Inventory (JTCI), between the children with attention-deficit/hyperactivity disorder (ADHD) and the control group in a community sample. In addition, we examined the potential differences on JTCI profiles according to the ADHD subtypes. Methods : Parents of 185 ADHD subjects (mean age $9.0{\pm}1.7$ years), as diagnosed by the DISC-IV, and 185 age- and gender-matched comparison children have completed the parent's version of the JTCI. Results : The ADHD group scored significantly higher in Novelty Seeking and lower in Persistence than the comparison group on JTCI. However, there were no significant differences in the temperament or character profiles by the ADHD subtypes. Conclusion : The results of this study suggest that the temperamental factors of higher Novelty Seeking and lower Persistence are related to ADHD. The temperament or character profiles in this study do not provide support for the distinctiveness of the ADHD subtypes.

• Korean Parent-Child Health Journal
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• v.15 no.1
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• pp.1-13
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• 2012

Purpose: The purpose of this thesis is to investigate the experience of children with a schizophrenic parent. Methods: The research methods included biographical in-depth interviews, structured questionnaires, and child's drawings. Data were collected from September until November, 2005 at one university hospital, and interviews were recorded on audio tapes and thereby transcribed. The subjects were three adolescent children (10~15 years old) of a parent with schizophrenia. Results: This study has five themes: It is often the case that the children with a schizophrenic parent are uninformed about their parent's illness, have difficulties dealing with symptoms are confused about their parent's image and display contradictory feelings of fear and sympathy toward their father; The children tend to harbor expectations on mother's role in the family affairs, and simultaneously show pity for her; Family relations without solidarity caused by the absence of their father make the children feel severance, separation, and isolation in and out of the family; The children feel the burden to assume additional household responsibilities; The children are reluctant to mention their father's disease. Conclusion: the study subjects have met negativeness in both developmental characteristics and needs, which supports the need for intervention programs that meet their actual experience.

• The Journal of Korean Society for School & Community Health Education
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• v.10 no.2
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• pp.43-54
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• 2009

Objectives: Adolescent health risk behaviors are typically smoking, drinking, violence, and the use of harmful media. The articles published in the literature are about those behaviors which was individually studied. Teenagers, however, are likely to have those behaviors simultaneously such as smoking and drinking. Also, the use of media and harmful materials are common among adolescents. This study was conducted with the purpose of investigating the relationship of smoking, drinking, the use of harmful media. Methods: This study was a secondary analysis using the data drawn from National Youth Committee's survey of adolescent harmful environment in 2007. The self-reported questionnaires were administered to 7,409 students attending junior high schools between October 10 and November 20. The samples were randomly selected based on strata of geography, schools, and gender. Results: Junior high school students used the harmful media ranging from 13.9 % to 31% depending on the type of media. The most accessed one was adult-only games. The current smoking rates was 5.4% and drinking rates was 27.4%. There are statistically significant relationship between smoking and the use of harmful media, between drinking and the use of harmful media, and between smoking and drinking. The behavioral factors that can predict the use of harmful media based on logistic regression analysis are the grade and smoking. Conclusion: Students were at risk of engaging health risk behaviors as they were getting older. Like other literature, smoking was a significant predictor of adolescent behavioral problems.

• Journal of the Korean Society of School Health
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• v.33 no.3
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• pp.164-174
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• 2020

Purpose: The purpose of this study was to identify the factors affecting tuberculosis prevention behaviors in North Korean adolescent refugees. Methods: From September 16 to October 8, 2019, a survey was conducted to collect data from 143 North Korean adolescent refugees aged 13 to <25 at alternative and general schools in Seoul and Gyeonggi Province. The scale developed by Park (2008) and adapted by Cha (2012) was used to rate tuberculosis prevention behaviors in daily life with the aim of preventing high school students from getting infected with tuberculosis. The collected data were processed through frequency analysis, descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple linear regression, using SPSS 25.0. Results: The mean score was 13.65 for knowledge of tuberculosis, 44.23 for attitudes towards tuberculosis, and 41.33 for tuberculosis prevention behaviors. Significant differences were found according to gender, country of origin, duration of stay in South Korea, tuberculosis examination, pre-entry chest x-ray, education about tuberculosis, alcohol intake, and subjective health status. A positive correlation was found between knowledge, attitudes, and prevention behaviors. The factors affecting tuberculosis prevention behaviors were attitudes (β=.38, p<001) and subjective health status (β=.26, p<.001). Conclusion: It is necessary to provide attitude-based education that can reinforce positive attitudes in order to improve North Korean adolescent refugees' tuberculosis prevention behaviors. This is expected to help them pay more attention to health care and become better at prevention behaviors. It is, therefore, necessary to develop a tuberculosis prevention education program with the aim of making them more knowledgeable about tuberculosis and providing them with systematic and sustainable education.

• Journal of Nutrition and Health
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• v.50 no.4
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• pp.350-360
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• 2017

Purpose: This study examined and compared the associations of the iron status and food intake with the blood lead, mercury, and cadmium concentrations among Korean adolescent girls, premenopausal women, and postmenopausal women. Methods: The data from the 2010~2011 Korea National Health and Nutrition Examination Survey (KNHANES) was used. The subjects were classified into three groups: adolescent girls (n = 268), premenopausal women (n = 1,157), and postmenopausal women (n = 446). The iron status was assessed by hemoglobin, hematocrit, serum ferritin, and iron concentrations, as well as the total iron binding capacity (TIBC). The food intake was estimated by a food frequency questionnaire. Results: The blood heavy metal concentrations and poisoning rate in postmenopausal women were higher than in the other groups. The iron status in the adolescent girls and postmenopausal women was higher than that in the premenopausal women. In the adolescent girls, the iron status was inversely associated with the blood cadmium concentration. The dairy food intake was inversely related to the blood lead and cadmium concentrations. In premenopausal women, the iron status was inversely associated with the cadmium concentrations. The fish and shellfish food intakes were positively associated with the mercury concentrations. In postmenopausal women, the iron status was positively associated with the mercury and cadmium concentrations. Fast foods and fried foods were inversely associated with the lead concentration. Conclusion: The premenopausal women showed a lower iron status than the adolescent girls and postmenopausal women. The associations of the iron status with the blood heavy metal concentrations were different among the adolescent girls, premenopausal women, and postmenopausal women. In addition, the relationships of the food intakes with the blood heavy metal concentrations differed among adolescent girls, premenopausal women, and postmenopausal women. Further studies will be needed to confirm these findings.

• The Korean Journal of Health Service Management
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• v.11 no.2
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• pp.129-142
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• 2017

Objectives : The purpose of this study was to identify the main variables of difference in high school students' oral health promotion behaviors among adolescents and to improve their academic and oral health promotion behaviors. Methods : The research subjects consisted of 311 high school students in Jeonju. Results : The adequacy of the hypothetical model accounted for 46.9 % of the oral health promotion behavior. The Redundancy of all variables showed the value of the positive values, indicating that the Goodness of fit was greater than the optimum value of the model, and the model of the PLS was a desirable model. The effects of perceived benefits, self efficacy, and social support on oral health promotion behaviors were found to be higher in oral health promotion behaviors. Conclusions : This study is expected to have a significant impact on the perception of the oral health promotion for adolescents in the future and will contribute to the expansion and generalization of Pender's oral health promotion model.

• Korean Journal of Health Education and Promotion
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• v.27 no.2
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• pp.95-108
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• 2010

Objectives: The Purpose was to investigate the effects of the '5&6 smoking cessation program' and '5 days smoking cessation program' on the high school student's perception, urine cotinine, and smoking behaviors. Methods: This study was designed using nonequivalent control group pretest-posttest. The '5&6 smoking cessation program' was applied to the experimental group 1(28 students). The '5 days smoking cessation program' was applied to the experimental group 2(19 students). Control group was 53 students. Data was analyzed using descriptive statistics, $X^2$-test, Fisher's exact test, Independent-sample t-test, Paired t-test, ANOVA, Wilcoxon signed ranks test, Cronbach's coefficient alpha. Results: The '5&6 program' was significantly increased on smoking self-efficacy, stage of smoking cessation behavior change, Cons. for smoking and significantly decreased on daily smoking amount, urine cotinine level than control group. The '5 days program' was significantly decreased on urine cotinine level and Pros. for smoking than control group. The '5&6 program' was significantly increased on stage of smoking cessation behavior change than '5 days program'. Conclusion: This study showed that the '5&6 program and the '5 days program' are effective in adolescent's smoking cessation behaviors.