• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• v.24 no.3
• /
• pp.141-150
• /
• 2013

Objectives : The objective of this report is to identify the utilization of hospital school service during hospitalization among patients in their childhood and adolescence with psychiatric disorders. Methods : We retrospectively reviewed the medical record of child and adolescent psychiatric who were hospitalized during March 2009 through October 2012. We compared the one-year successful schooling and outpatient follow up rate between users and nonusers of the inpatient hospital school service. The hospital schooling experiences of the users were investigated upon follow-up visits to the outpatient clinic. Results : Sixty-three students received hospital school service during hospitalization among total 122 child and adolescent inpatients. Hospital school participants showed a significantly higher school reentry rate (61.9%) than non-participants (40.7%). However, there was no difference on follow up rate between the two groups. More than 60% of the 22 interviewed participants expressed an above-average level of satisfaction about hospital school service. Conclusion : Many patients with mental illness experience difficulty in receiving school education during treatment. That induces deterioration in disease, academic failure, poor social skills, low self-esteem, economic difficulties, and future job opportunities. The results of this study emphasize the importance of hospital school service and offer useful guidance for hospital school operation.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• v.25 no.4
• /
• pp.224-229
• /
• 2014

Objectives : This study was conducted in order to investigate the influences of school violence on the mental health of student victims and their parents. Methods : A total of 56 (aged 7-18) student victims and their parents were selected to participate in a survey. The students had experienced school violence from June 2012 to October 2013. They completed a set of self-report questionnaires, including socio-demographic characteristics, family relationship, Impact of Event Scale-Revised, Child Depression Inventory (CDI), Beck Depression Inventory, Revised Children's Manifest Anxiety Scale, and Parental Bonding Instrument to evaluate psychiatric complications and to understand the emotional bonding between them. Results : The student's level of impact of event was significantly related to the parent's level of impact of event (p<.001). The student's high CDI score showed positive correlation with high level of impact of event (p<.001). In addition, higher level of the student's perceived emotional support and understandability of family showed association with lower level of impact of event (p<.01, p<.05). Conclusion : The results of this study suggest that the psychiatric sequelae of school violence is seriously affected by family support and parent's level of impact of event. Therefore, more active intervention is needed for both students and their parents.

• Asian Pacific Journal of Cancer Prevention
• /
• v.15 no.1
• /
• pp.107-110
• /
• 2014

Background: Increasing uptake of human papillomavirus (HPV) vaccine should be a priority in developing countries since they suffer 88% of the world's cervical cancer burden. In many countries studies show that age at vaccination is an important determinate of parental acceptability. This study explores parental preferences on age-to-vaccinate for adolescent school-going girls. Materials and Methods: The sample was selected using a two-stage probability proportional to size cluster sampling methodology. Questionnaires were sent home with a random sample of 800 adolescent girls attending 12 schools in Mysore to be completed by parents. Descriptive statistics including frequencies, percentages and proportions were generated for independent variables and bivariate analyses (Chi square test) were used to assess the relationship between independent and appropriate age-to-vaccinate. Results: HPV vaccination acceptability was high at 71%. While 5.3% of parents felt girls should be vaccinated by 10 years or younger; 38.3% said 11-15 years; 14.8% said 16-18 years; 5.8% suggested over 19 years; and 33% didn't know. Only 2.8% of parents would not vaccinate their daughters. Conclusions: Delaying HPV vaccination until later ages may signifivantly increase uptake of the HPV vaccine in India.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• v.34 no.2
• /
• pp.63-68
• /
• 2023

Objectives: The coronavirus disease (COVID-19) pandemic has had various effects on mankind, especially children and adolescents. Because children and adolescents spend a lot of time at school, COVID-19 has had a great impact on school mental health. In this study, we investigated the effect of prolonged COVID-19 on school mental health. Methods: We prepared self-report questionnaires for depression (Children's Depression Inventory, CDI), anxiety (Korean version of the Penn State Worry Questionnaire for Children; Generalized Anxiety Disorder-7, GAD-7), and post-traumatic stress (Primary Care Post-traumatic Stress Disorder, PC-PTSD) for administering to students aged between 7 and 18 years, recruited by a COVID-19 psychological prevention support group in the Gwangmyeong Mental Health Welfare Center for 2 years, in 2020 and 2021. Results: For children aged 7-12 years, there was no significant difference between the years 2020 and 2021 in the assessment of depression, anxiety, and post-traumatic stress. Conversely, for adolescents aged 13-18 years, there was a significant increase in the scale scores (CDI, PC-PTSD, and GAD-7). Conclusion: Prolonged COVID-19 might have had a significant impact on the mental health of adolescents who spent a lot of time at school. When comparing the years 2020 and 2021, middle and high school students were more affected by COVID-19 than elementary school students.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.18 no.6
• /
• pp.343-355
• /
• 2017

This study compared the individual, family, environmental factors, and subjective sleep sufficiency according to gender among Korean adolescents and to examine relevance among the individual, family, environmental factors, and subjective sleep sufficiency. The subjects were 65,528 Korean adolescents(male: 33,803, female: 31,725), who were derived from the 12th Korea Youth Risk Behavior Web-based Survey 2016 in South Korea. As a result, the prevalence of the subjective sleep sufficiency in this study was 33.4% male and 19.5% female. The subjective sleep sufficiency was affected by the depression experience, suicidal ideation, school achievement, feeling of stress, feeling of happiness, subjective health status, alcohol experience, smoking experience, substance experience, allergic rhinitis, and atopic dermatitis in individual factors; economic status, educational level of parents and living arrangement in family factors; school grade, school type and emotional support in environmental factors in both males and females. In individual factors, breakfast eating and asthma affected the male's subjective sleep sufficiency and physical activity affected the female's. The mental health of the individual factors was the most influential factor in adolescent's subjective sleep sufficiency. Therefore, nursing intervention to improve Korean adolescent's subjective sleep sufficiency should be applied considering gender differences.

• Research in Community and Public Health Nursing
• /
• v.20 no.3
• /
• pp.296-306
• /
• 2009

Purpose: This study was to identify variables influencing health risk behaviors in adolescents on the basis of the PRECEDE model. Methods: Data were collected from 434 middle school students in Chungbuk Province for two weeks in July 2008. The instrument for this study was a self-reported questionnaire. The SPSS/WIN 12.0 program was used for data analysis, which included t-test, one way ANOVA, Scheffe's test, Pearson's correlation coefficients, and stepwise multiple regression analysis. Results: Adolescents' level of health risk behaviors ($47.32{\pm}7.98$) was below medium. Physical inactivity ($6.73{\pm}2.23$) and Internet addictive behavior ($6.36{\pm}2.11$) were major health risk behaviors. The perceived level of school health education ($30.74{\pm}9.84$) was low. Family function and general self efficacy explained 14.3% of variance in health risk behaviors. Family function was a major predictor of health risk behaviors ($R^2$=.108, p=.000). However, the perceived level of school health education was not a significant predictor of health risk behaviors. Conclusion: For the prevention of health risk behaviors in adolescents, it is necessary that the family and the school collaborate with each other in educational strategies in order to strengthen influential factors such as family function and general self-efficacy.

• Journal of the Korean Society of School Health
• /
• v.27 no.1
• /
• pp.50-57
• /
• 2014

Purpose: Smoking is one of the most important global health issues. This study aims to investigate how smoking behavior and the amount of smoking affect the youth's suicidal ideation. Methods: This study utilized the data of the Sixth Online Survey on Youth's Health Behavior. The subjects of the study were 73,238 middle school and high school students. Collected data were analyzed using SAS 9.3. The relationship between general characteristics and suicidal ideation among smokers and nonsmokers was analyzed through the ${\chi}^2$-test. Also, a multiple logistic regression analysis was conducted to investigate how smoking behavior and the amount of smoking affect suicidal ideation. Results: According to the study, adolescent smoking and suicidal ideation had a statistically meaningful relationship. In terms of suicidal ideation, those who smoked more than 20 cigarettes everyday had 1.81times higher odds ratio (95% CI 1.49~2.20) and those smoking 10~19 cigarettes everyday had 1.29times higher odds ratio (95% CI 1.13~1.48) than nonsmokers. Both of the results were found statistically significant. Conclusion: With regard to smoking adolescents, smoking behavior and the amount of smoking affect their suicidal ideation in a statistically meaningful manner. Current smokers are proven to have more suicidal ideation than nonsmokers. In addition, the study shows that the more a person smokes in a daily basis, the more suicidal ideation he/she has. The author recommends this result be utilized as basic data for the prevention of smoking among the Korean youth.

• Journal of the Korean Society of School Health
• /
• v.29 no.3
• /
• pp.189-200
• /
• 2016

Purpose: The purpose of the study is to examine the factors that influence Korean adolescents' depression and suicidal ideation from individual, social and environmental perspectives by gender. The study used the date of the 2015 Korea Youth Risk Behavior Web-based Survey and the subjects were 68,043 middle and high school students. The levels of depression and suicidal ideation were the dependent variables and the factors influencing the dependent variables included 11 individual factors, 3 social factors and 7 environmental factors. The data were analyzed using odds ratios (OR) from multi-variable logistic regression analysis. As a result, the most significant individual factors that influenced both depression and suicidal ideation were stress and subjective happiness both in boy and girls, the most significant social factor was participation in violence treatment programs, and the most significant environmental factors were economic status, father's educational level, and whether or not they lived with their family. Therefore, programs and policies to improve adolescents' mental health should be developed considering individual, social, and environmental factors.

• Journal of East-West Nursing Research
• /
• v.4 no.1
• /
• pp.44-56
• /
• 1999

Substance abuse, which leads to juvenile delinquency and other troubles, is one of the most serious problems for the adolescents today. The frequency of the adolescent substance abuse has been growing every year, but the effective methods to cope with the problem have not been well developed yet. The purpose of this study is to investigate into the more favorable ways by review the literature on substance abuse systematically. This study is a research based on the overview of the literature so that we may identify the present conditions of the adolescent substance abuse, its types, its problems and the nursing intervention. This literature review results in the following suggestions. Substance abuse is prevalent among the adolescents enough to be considered as one of our society's major problems. So policy makers as well as government and private agencies should recognize the seriousness of substance abuse and associated problem behaviors. Moreover, it is necessary that the adolescents should remind themselves of the seriousness of substance abuse. Once the health professionals notice the adolescents' involvement in substance abuse, they need to approach them with the parental concern in order to establish rapport with them by using tactful questions that can assess their feelings, behaviors, and experiences. The exploratory study is prerequisite to the solution of that problem. The development of the wholesome recreational programs and culture for the adolescents is also essential to prevent them from being involved in substance abuse.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• v.30 no.1
• /
• pp.42-44
• /
• 2019

Hashimoto's encephalopathy (HE) is a rare and underdiagnosed neuropsychiatric illness. We present the case of a 17-year-old girl who was admitted to a tertiary-care psychiatric center with acute onset psychosis and fever. Her psychotic symptoms were characterized by persecutory and referential delusions, as well as tactile and visual hallucinations. Her acute behavioral disturbance warranted admission and treatment in a psychiatric setting (risperidone tablets, 3 mg/day). She had experienced an episode of fever with a unilateral visual acuity defect approximately 3 years before admission, which was resolved with treatment. Focused clinical examination revealed an enlarged thyroid, and baseline blood investigations, including thyroid function test results were normal. Abnormal laboratory investigations revealed elevated anti-thyroid peroxidase (anti-TPO) and anti-thyroglobulin (anti-TG) levels (anti-TPO of 480 IU/mL; anti-TG of 287 IU/mL). Results of other investigations for infection, including cerebrospinal fluid examination, electroencephalography, and brain magnetic resonance imaging were normal. She was diagnosed with HE and was treated with intravenous corticosteroids (methylprednisolone up to 1 g/day; tapered and discontinued after a month). The patient achieved complete remission of psychotic symptoms and normalization of the anti-thyroid antibody titers. Currently, at the seventh month of follow-up, the patient is doing well. This case highlights the fact that in the absence of well-defined clinical diagnostic criteria, a high index of suspicion is required for early diagnosis of HE. Psychiatrists need to explore for organic etiologies when dealing with acute psychiatric symptoms in a younger age group.