• 한국치위생학회지
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• 제17권2호
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• pp.193-202
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• 2017

Objectives: The purpose of this study was to compare oral symptoms in middle school and high school students of multicultural and ordinary families in Korea. Methods: We used data from the web-based survey of the National 2014 Korean Youth Risk Behavior of Korean Center for Disease Control. A total of 71,174 subjects responded about their father or mother's Korean nationality. We classified a subject as an adolescent of a multicultural family if aparticipant's father or mother's nationality was not Korean. Data was analyzed using SPSS Ver. 19.0. Results: High school students of multicultural families have experienced more oral disease symptoms, compared to high school students of ordinary families. After adjusting general characteristics and oral health behaviors, high school students of multicultural families experienced 1.78 times higher frequency of oral disease symptoms compared to high school students of ordinary families. Conclusions: The family type and age characteristics of adolescents should be considered when establishing policies and institutions targeting adolescents to improve oral health.

• 가족자원경영과 정책
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• 제20권2호
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• pp.1-17
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• 2016

The purpose of this study was to promote emotional coaching communication and to contribute to the mental health of youth by investigating the perceptional discrepancy of emotional coaching between a mother and her child related to the maladjustment of adolescents. Two hundred junior high school students in the second and third grades and their 200 mothers living in Suncheon were purposefully sampled, and the data were analyzed using the program SPSSVIN 21. The results were as follows. First, the mothers' perception appeared to be higher than their children's in emotional coaching communications. Second, pairs of mothers and children were categorized into three types, depending on the degree of their emotional coaching communication. There were more pairs with discrepancies of perception of emotional coaching than pairs with corresponding perceptions. Third, the pairs with corresponding perceptions of emotional coaching showed fewer maladjustment problems. According to the mothers' descriptions, a sneering child appeared to have the worst effect with respect to maladjustment. From these results, it is suggested that education on emotional coaching for mothers should be developed and increased to prevent maladjustment problems of junior high school students.

• Obstetrics & gynecology science
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• 제61권6호
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• pp.684-687
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• 2018

Objective Primary dysmenorrhea occurs in more than 50% of women of reproductive age. This survey evaluated the effects of Menstrugole on the alleviation of primary dysmenorrhea. Methods This study was performed in western Iran between August 15 and December 15, 2017, in female students with primary dysmenorrhea. The students were randomly divided into 2 groups and received placebo or a Menstrugole capsule for 3 days in each of 2 menstrual cycles. The visual analog scale was used to assess pain severity. The ${\chi}^2$-test, one-way analysis of variance, and the paired t-test were used for statistical evaluation. Results We compared the severity of pain between the 2 groups. There was a significant change in the mean pain score during the first (P<0.001) and second months (P<0.001) after the use of Menstrugole, compared with that in the placebo group. Conclusion Menstrugole decreased pain severity in female students, and can be considered by health care providers for treatment of primary dysmenorrhea.

• The Korean Journal of Pain
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• 제36권2호
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• pp.230-241
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• 2023

Background: This study aimed to determine the prevalence of chronic pain and its contributing factors among teenagers aged 12-21 years in Shiraz, Iran. Methods: This cross-sectional study was conducted on adolescents aged 12-21 years. Demographic variables of the adolescents and their parents as well as the pain characteristics were assessed. Descriptive statistics, multinomial logistic regression, and regression models were used to describe the characteristics of the pain and its predictive factors. Results: The prevalence of chronic pain was 23.7%. The results revealed no significant difference between the male and female participants regarding the pain characteristics, except for the home medications used for pain relief. The results of a chi-square test showed that the mother's pain, education, and occupation, and the father's education were associated significantly with chronic pain in adolescents (P < 0.05). Multinomial logistic regression also showed the mother's history of pain played a significant role in the incidence of adolescents' chronic pain. Conclusions: The prevalence of chronic pain was relatively high in these adolescents. The results also provided basic and essential information about the contributing factors in this area. However, consideration of factors such as anxiety, depression, school problems, sleep, and physical activity are suggested in future longitudinal studies.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제10권2호
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• pp.244-251
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• 1999

자해행동은 정신지체에서 자주 나타나며, 특히 자폐증에서 더욱 많이 나타난다. 자해행동은 질환이라기보다는 하나의 증상군으로 다루어져왔지만, 사망률에 직접적인 영향을 줄만큼 응급인 임상적 상황이다. 본 증례는 반복적으로 머리를 때리는 자해행위를 보이는 난치성 자폐증 장애 환아가 입원한 상태에서 약물요법과 행동치료를 병행하여 치료하였기에 임상경험을 문헌고찰과 함께 보고하는 바이다. 환아는 7세된 남아로 99년 4월 20일 자해행동을 주소로 OO대학교 어린이병원 소아정신과에 내원하였으며 7월 10일까지 12주간 입원치료를 받았다. 약물치료로는 입원 4주경부터 haloperidol 0.5mg에서 1.0mg으로 증량하였고, naltrexone을 $25{\sim}50mg$을 입원기간중에 병합 투여하였다. 행동치료로는 차등강화(Differential Reinforcement of Other behavior)를 이용하여 정규적인 놀이학습을 수행하였고, 초기에 사용했던 신체적 강박을 해제하기 위해서 머리 보호대와 팔거리를 이용하였다. 현재 외래 통원치료중이며 약물은 haloperidol 0.5mg 및 naltrexone 50mg을 유지하고 있고, 환아 모를 교육하여 집에서 놀이학습을 한시간씩 수행하고 있다. 퇴원당시 자해행동은 중등도 이상 감소되었으며 외래에서도 호전된 상태를 계속 유지하고 있다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제7권1호
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• pp.23-33
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• 1996

본 논문은 근친강간의 사례분석을 통해 가족의 역동과 유형간의 관계를 근친강간이 발생한 가족의 유형을 부녀 근친강간, 모자 근친강간, 형제 근친강간으로 분류하여 유형별로 살펴보고자 한 것이다. 그 결과 근친강간은 유형별로 가족의 역동성이 서로 다른 양상으로 나타났다. 부녀 근친강간에서는 가해자인 아버지가 정신병질적이거나 사회병질적이고. 가정에서의 어머니의 역할이 적절히 수행되지 않거나 역할 자체가 부재하며, 대신에 피해 자녀가 어머니의 역할을 대신하는 양상을 보였다. 또한 가족간의 의사소통이 거의 이루어지지 않는 것도 하나의 특징으로 드러났다. 모자 근친강간에서 드러나는 가족역동의 가장 특기할 사실은 배우자가 없는 어머니가 자신의 성적, 정서적 욕구를 아들과의 성행위를 통해 해소하는 퇴행적인 모습이었다. 형제 근친강간은 대부분 손위 가해 형제의 성적 호기심이나 성욕구를 손아래 형제와의 성행위를 통해 분출하는 과정에서 발생되는 것으로서, 특히 부모의 역할이 제대로 수행되지 않는 역기능적인 가정환경 에서 촉발되는 경향을 보였다. 결론적으로 근친강간은 전체 가족병리의 표현으로 보아야 하며, 피해자, 가해자에 대한 개별적인 치료뿐만 아니라 가족의 역기능에 초점을 맞추고, 가족 전체가 치료 대상이 되어야 한다. 동시에 예방과 치료를 위하여 건강한 가족기능에 대한 적극적인 관심과 개입이 필요하다.

• 한국사회복지학
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• 제69권3호
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• pp.121-140
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• 2017

본 연구는 <한국의료패널>을 활용하여 어머니의 특성 및 가구특성변수가 아동 청소년기 자녀의 치과이용과 어떠한 관련성을 갖고 있는지를 살펴보고자 하였다. 로지스틱 회귀분석을 이용한 분석결과, 모(母)의 교육수준은 미성년 자녀의 치과이용에 통계적으로 유의한 양(+)의 상관성을 갖는 것으로 나타났으며, 양친가정에 비해 한부모가정에서 양육되는 자녀들의 치과이용 가능성이 낮은 것으로 나타났다. 질환별 치과이용 여부를 살펴본 결과에서는 충치로 인한 치과이용 가능성은 모(母)의 교육수준이 높을수록 높게 나타났으며, 한부모가정 자녀들은 양친가정 자녀들에 비해 낮은 것으로 나타났다. 발치의 경우 모(母)의 특성이나 가구특성에 따른 치과이용 차이를 살필 수 없었는데 이는 유치에서 영구치로 넘어가는 과정에서 연령의 영향이 절대적으로 작용하기 때문인 것으로 판단된다. 마지막으로 교정의 경우 모(母)의 교육수준 및 가구소득이 치과이용에 통계적으로 유의한 양(+)의 상관성을 갖는 것으로 나타났다. 본 연구의 결과는 아동 청소년의 구강건강증진을 위한 개선방안을 강구하는 데 아동의 성장단계 및 가구특성을 반영한 맞춤형 전략이 요구됨을 시사한다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제31권1호
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• pp.33-40
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• 2020

Objectives: There is an increasing number of North Korean adolescents in South Korea. These adolescents need clinical attention as they experience a high risk of suicidal behavior because of the childhood adversity and acculturative challenges that they face before and after arriving in South Korea. This study assessed the risk of suicide attempts among North Korean adolescents compared to South Korean adolescents, and investigated the contributing factors for each group. Methods: We used data from the Korean Youth Risk Behavior Web-Based Survey (KYRBS) spanning 2011 to 2018, in which 404 adolescents had a father and/or mother who was a North Korean native. Data on 1,212 propensity-matched South Korean adolescents were extracted from the 2011 to 2018 KYRBS. Prevalence was calculated and compared by group. Separate odds ratios were calculated by group. Results: The North Korean group had a significantly higher suicide attempt rate [unadjusted odds ratio (OR)=8.27; adjusted OR=8.45]. Multivariate analysis indicated that having a low or high socioeconomic status and depressive symptoms were significantly associated with suicide attempts in North Korean adolescents, while being female, having a high socioeconomic status, alcohol use, and depressive symptoms were significantly related to suicide attempts in South Korean adolescents. Conclusion: The results found similarities and differences in the factors associated with the likelihood of suicide attempts in the two groups. From these results, different approaches are needed when planning interventions for each group.

• Child Health Nursing Research
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• 제24권4호
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• pp.496-505
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• 2018

Purpose: The purpose of this study was to examine changes in the self-rated health of adolescents and to identify its predictors using longitudinal data from the KCYPS. Methods: A sample of 2,351 adolescents who were in the first grade of middle school in 2010 was analyzed. The study employed latent growth analysis using data from 2010 to 2016. Results: Results indicated that self-rated health of adolescents increased, following the form of a linear function. The analyses revealed that adolescent self-perception of health were conceptualized not only by their health-related behaviors, but also by personal, socioeconomic and psychological factors. Specifically, physical activity, passive leisure time activities, gender (initial: b=-.060, slope: b=.030), place of residence (initial: b=-.079), self-rated economic condition (b=.098), working status of mother (b=.016), monthly family income (b=-.001), aggression (b=.061), depression (initial: b=-.104, slope: b=.012), stress (initial: b=-.172, slope: b=.014, ego-resiliency (initial: b=.197, slope: b=-.021), and self-esteem (initial: b=.106, slope: b=-.017) had significant effects on the overall linear change of self-rated health (p<.05 for all estimators above). Conclusion: The findings of this study suggest that adolescents' self evaluation of their health is shaped by their total sense of functioning, which includes individual, health-related behavioral, socioeconomic, and psychological factors.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제15권2호
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• pp.132-142
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• 2004

반응성 애착 장애에 관한 미국과 영국으로부터의 대부분 논문들은 국외에서 입양한 탈억제형(Disinhibited Type) 반응성 애착장애를 보고하였다. 터키와 한국에서만 반응성 애착장애의 억제형(Inhibited Type) 아동들에 대한 보고를 하고 있는데 대부분 친부모에 의해 양육되고 있으며 그들의 증세는 자폐장애와 매우 유사하다. 반응성 애착장애의 치료, 특히 억제형의 치료에 대한 논문은 매우 드문 상태이기 때문에 저자는 1987년부터 한국의 반응성 애착장애 아동들을 치료해 온 경험을 이 논문에 자세히 기술하였다. 반응성 애착장애 환자와 그 부모들을 치료하기 위해서는 세가지 중요한 영역이 반드시 포함되어야 한다：1) 반응성 애착장애 아동에게 치료적인 환경을 조성해 주어야 한다. 2)개별 놀이치료, 엄마 놀이치료, 형제 놀이치료, 또래 놀이치료, 집단 놀이치료를 통해 반응성 애착장애 아동과 그 엄마와의 사이에 애착을 형성시켜 주어야 한다. 3) 언어치료, 인지치료, 치료교육등을 통하여 뒤진 발달을 촉진시켜 주어야 한다. 이 치료방법은 미국이나 영국을 포함한 서구에서의 다른 치료 방법보다 우리나라 환자들에게 좀더 쉽게 좀더 효과적으로 적용될 수 있을 것이다.