• Journal of the Korean Society of School Health
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• v.29 no.2
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• pp.53-62
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• 2016

Purpose: The purpose of this study was to compare the scales measuring adolescent depression. Methods: A cross-sectional survey was conducted using CES-D and RADS-2-K as sales measuring adolescent depression. The participants were 1,217 adolescents from two middle schools located in South Korea. Data were analyzed using SPSS/WIN 21.0. All the items included in the two instruments were analysed through content analysis. Results: The study revealed that the two instruments produced different results in the number of depressive students, depression levels according to subjects' characteristics, and item distribution based on content analysis. The total number of the students belonging to the depression group was 194, including 132 from CES-D and 183 from RADS-2-K. Based on the content analysis covering two categories, general and adolescent depression, the study determined fifteen subcategories in the items of the two scales. Conclusion: In this study, CES-D showed less sensitivity than RADS-2-K in depression levels according to factors relevant to adolescent depression, and both scales had no item for three subcategories of adolescent depression and one subcategory of general depression. The researcher suggests that further studies to evaluate the validity of adolescent depression scales will be useful for helping adolescents with depression.

• Journal of Korean Academy of Nursing
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• v.39 no.2
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• pp.217-228
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• 2009

Purpose: Guided by Newman's theory of health as expanding consciousness, this study was done to explore the health experience of adolescents having depression. Methods: The researcher engaged in six to eight in-depth interviews with six adolescents. To begin the dialog, the researcher asked each participant to recount the first important memory he/ she had. All the narrative and diagram sharing between the researcher and participants were summarized according to recognized patterns and later elaborated in following interviews based on Newman's praxis methodology. Results: The significant individual pattern of early health experience was during the binding stage. At the turning point, individual patterns for participants revealed a personal journey of self-discovery and then emergence of reflecting behaviors. After the turning point, the participants changed as they evolved from the initial period of disruption and disorganization to organization at a higher level. The results suggest that adolescents who are depressive find new ways of relating to friends, family, healthcare providers, and the community by expanding their consciousness. Conclusion: Newman's praxis methodology is a good way of helping and studying adolescents with depression because it emphasizes participant-nurse/researcher partnership and pattern recognition as nursing practice.

• Journal of Home Health Care Nursing
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• v.26 no.1
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• pp.27-35
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• 2019

Purpose: This study investigated sleep satisfaction and influencing factors in Korean adolescents with atopic dermatitis. Methods: Data were obtained from 4,570 subjects who completed the 2017 13th Korea Youth Risk Behavior Web-based Survey. For data analysis, descriptive statistics and multiple-sample logistic regression were used. Results: The results of this study were as follows. Gender, academic achievement, economic status, perceived stress, happiness, health status, and depression in the subjects showed a significant difference in terms of sleep satisfaction in atopic adolescents. Multiple-sample logistic regression analysis showed that male adolescents (odds ratio (OR)=0.48), academic achievement (low OR=0.67, middle OR=0.78), economic status (low OR=0.50, middle OR=0.64), lack of depression (OR=0.63), perceived stress (very OR=4.65, a little OR=2.25), perceived happiness (unhappy OR=1.99, moderate OR=1.22), perceived health status (unhealthy OR=2.17, ordinary OR=1.35), alcohol nondrinking (OR=0.75), and nonsmoking (OR=0.73) were not associated with sleep satisfaction. Conclusion: It is necessary to develop interventions that can relieve stress management and depression and develop positive emotions in atopic adolescents. In addition, there is a need to improve the environment to avoid health risks such as alcohol consumption and smoking and to minimize the effects of passive smoking.

• Child Health Nursing Research
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• v.14 no.4
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• pp.343-351
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• 2008

Purpose: This descriptive correlation study was designed to examine the relationship of inferiority to depression and psychosomatic symptoms in female adolescents. In addition, this study investigated the mediating effect of perceived entrapment in relation to inferiority and other variables. Method: Data were collected from 526 female high school students. Self-report questionnaires, which were constructed to include demographic factors, inferiority, perceived entrapment, depression and psychosomatic symptoms, were used for data collection. Results: Students with high inferiority showed significantly higher perceived entrapment, depression and psychosomatic symptoms. here were significant positive correlations among the variables. Perceived entrapment had a significant mediating effect in relation to inferiority, depression and psychosomatic symptoms. Conclusion: Further study is necessary to develop effective nursing interventions for managing inferiority and perceived entrapment in this population.

• Journal of Korean Academy of Nursing
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• v.44 no.3
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• pp.317-327
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• 2014

Purpose: This study was done to compare families of boys or of girls for actor and partner effect of stress, depression and parent-adolescent communication as perceived by mother, father and adolescent on adolescents' suicidal ideation. Methods: Participants were 183 families (104 boys' families, 79 girls' families) who met eligibility criteria. All measures were self-administered. Data were analyzed using SPSS 18.0 and AMOS 18.0 program. Results: In boys' families, boys' depression and communication with father showed actor effect on boys' suicidal ideation. Boys' stress showed indirect effect on boys' suicidal ideation through communication with father and boys' depression. Mothers' depression showed indirect partner effect on boys' suicidal ideation through boys' depression. In families of girls, girls' depression and stress showed actor effects on girls' suicidal ideation. Girls' communication with mother showed indirect effects through girls' depression. Also girls' stress showed indirect effect through girls' depression. Stress in mothers and/or fathers showed partner effect on girls' suicidal ideation. Conclusion: To intervene in adolescents' suicidal ideation and promote adolescents' mental health, programs should be developed differently according to gender and based on parent's psychological states.

• Journal of the Korean Society of School Health
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• v.25 no.2
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• pp.214-221
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• 2012

Purpose: This study was to assess the association of internet addiction and depression, stress and suicidal ideation among adolescents. Methods: The authors have surveyed 2 middle schools and 2 high schools located in Seoul and analyzed 525 questionnaires. The questionnaire included the Internet Addiction Self Diagnosis Index (K-index), Child Depression Index (CDI), Stress Index and Reynold's Suicidal Ideation Index. Structural equational model analysis was done to explore the association between internet addiction and suicidal ideation. Results: The adolescent internet addiction groups were classified as the high risk group 12 (2.3%), the potential risk group 64 (12.2%) and the normal group 449 (85.5%). When classified according to sex, the high risk group is consisted of 8 (3.9%) boys, 4 (1.3%) girls and the potential risk group is consisted of 41 (64.1%) boys and 23 (35.9%) girls which leads to the conclusion that boys are relatively more addicted compared with girls. The group with more addiction showed higher depression scores, stress scores and suicidal ideation scores. The correlation analysis showed the significant relations between internet addiction and depression (r=0.263), stress (r=0.265) and suicidal ideation (r=0.284). According to the structural equation model analysis, internet addiction had direct effects on the depression and indirect effects on suicidal ideation. Stress had the significant direct effects on both internet addiction and depression. Depression had a significant direct effect on suicidal ideation. Conclusion: Internet addiction affects directly and indirectly an depression and suicidal ideation among adolescent.

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

• The Korean Journal of Health Service Management
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• v.6 no.4
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• pp.295-308
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• 2012

This study aimed to investigate gender differences in prevalence and correlates of depression and suicidal ideation among Korean adolescents. The analysis was performed using data from the 2009 Korean Youth Risk Behavior Web-based Survey. Logistic regression models and Wald chi-square statistics were used to identify the difference in the coefficients between the gender-specific models. Female students reported higher prevalence for depression(42.9%) than male students(31.4%), as well as higher level of suicidal ideation(girls:23.1%, boys:14.7%). Lower school achievement, worse self-rated health status, more conflicts were associated with higher level of depression and suicidal ideation. The impact of school achievement and conflicts with friends on mental health was greater among girls than boys. We suggest that the efficient strategies focusing on the gender differences should be established to improve mental health among Korean adolescents.

• The Korean Journal of Emergency Medical Services
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• v.28 no.1
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• pp.21-34
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• 2024

Purpose: This study aimed to observe change in factors over time in the first cohort of the 2018 Children and Adolescent Panel Middle School. In addition, this study attempted to examine the causal relationship and influence between variables by setting a time gap between independent and dependent variables. Methods: Frequency and descriptive statistical analyses were conducted to determine the general characteristics of the study participants. Hierarchical regression analysis was conducted to analyze the effects of smartphone dependence on health, sleep quality, and depression. After inputting the control variables (Model 2), the influence of the variables was identified based on the input model. Results: Smartphone dependence positively impacted depression in both male and female students and negatively impacted sleep and health. Conclusion: Smartphones are closely associated with teenagers' lives. Additionally, as adolescents experience various psychological anxieties owing to rapid physical changes, there are concerns that psychological dependence may increase, considering that adolescence is the most emotionally unstable period. Therefore, the results of this study consistently prove that smartphone dependence has a causal relationship with emotion-related variables, such as emotional stress, depression, and anxiety.

• Journal of the Korea Convergence Society
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• v.7 no.1
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• pp.205-210
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• 2016

The purposes of this study were to find the correlation of variables, and to explore the mediating role of family resilience between stress, depression and internet game addiction. The subject of the survey was 204 multicultural adolescents. The data were analyzed with frequency, Pearson's correlation and structural equation modeling by SPSS and AMOS. The major findings were as follows; stress and depression were positively correlated with internet game addiction. Family resilience was negatively correlated with internet game addiction. Stress and depression influenced negatively family resilience. Family resilience influenced negatively internet game addiction. Family resilience mediated the effects of stress, depression and internet game addiction. In conclusion, it is important to intervene multicultural adolescents' internet game addiction through special education program and counseling in order to build family resilience.