• 제목/요약/키워드: children mental health

검색결과 424건 처리시간 0.024초

걸음마기 아동의 정신건강 위험요인 선별척도의 개발 및 타당화 (The Development and Validation of a Scale for the Mental Health Screening of Toddlers)

  • 이정화;이소희
    • 아동학회지
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    • 제27권2호
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    • pp.195-213
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    • 2006
  • Development of the 3 scales comprising the present research was based on review of literature, existing screening scales, and empirical research pertaining to (Scale I) the development of social and emotional problems of children, (Scale II) parent-child relations, and (Scale III) assessment of children's environment. Professionals in each area approved a draft of the new screening scale. The clinical group was classified into normal and at-risk groups based on the Denver II scale and the Child Behavior Check List(ages 1.5-5). The clinical groups were administered the newly developed screening scale to see whether the same classification pertained. Results proved the cross-validity of the new scale.

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독거노인의 정신건강 수준과 영향요인 (A Study on Factors Impacting on the Mental Health level of the Elderly People Living Alone)

  • 한혜경;이유리
    • 한국노년학
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    • 제29권3호
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    • pp.805-822
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    • 2009
  • 본 연구는 독거노인의 정신건강 수준이 어느 정도인지를 조사하고, 사회인구학적 변인들이 정신건강 수준에 어떤 차이를 가져오는지를 살펴보며, 정신건강의 영향요인을 분석하는 것이다. 이를 위해 G시에 거주하는 65세 이상의 독거노인 131명에 대해 면접조사를 실시하고, 간이정신진단검사(SCL-90-R)를 활용하여 정신건강 수준을 측정하였다. 주요 분석결과는 다음과 같다. 첫째, 본 조사대상자의 정신건강 수준은 3.53점(5점 척도)로서 상당히 심각한 수준인 것으로 나타났으며, 이는 독거노인의 정신건강 수준이 일반노인에 비해 훨씬 열악하다는 것을 보여주는 결과이다. 정신건강의 하위영역별로 우울증이 가장 심각했으며, 신체화 증상도 매우 심각한 수준인 것으로 나타났다. 공포불안, 강박증, 불안증 등의 증상도 심각한 수준이었다. 둘째, 사회인구학적 변인이 정신건강 수준에 어떤 차이를 가져오는지를 살펴보기 위한 변량분석 결과에 의하면, 성별과 교육수준이 유의한 변수로 나타났다. 셋째, 독거노인 정신건강 수준의 영향요인을 예측하기 위한 위계적 회귀분석 결과에 의하면, 본 연구에서 설정한 독립변수 13개를 모두 투입한 최종모델에서 독거노인의 정신건강 수준에 영향을 미치는 변수는 8개였으며, 설명력은 생활만족도, ADL, IADL, 복지서비스 지원, 비공식적 지지 등 사회적 지원 변수의 순서로 높게 나타났다. 본 연구에서는 위의 결과를 토대로 하여 거시적, 미시적 차원의 함의를 제시하였다.

COVID-19 발생 상황에서 장애아동 부모의 스트레스, 불안, 우울과 삶의 질의 관련성 (Correlation between Stress, Anxiety, Depression, and Quality of Life in Parents of Children with Disabilities during COVID-19)

  • 김웅희;이혜림
    • 대한감각통합치료학회지
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    • 제20권2호
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    • pp.22-35
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    • 2022
  • 목적 : 본 연구는 COVID-19 발생 상황에서 장애아동 부모의 일반적 특성에 따른 스트레스, 불안, 우울과 삶의 질을 알아보고 이에 따라 스트레스, 불안, 우울과 삶의 질 간의 관련성을 알아보고자 한다. 연구방법 : 2022년 2월 21일부터 3월 21일까지 경상지역 3개의 광역도시에 소재한 장애인 복지관, 재활병원, 아동발달센터에서 치료 서비스를 이용하고 있는 만 13세 미만 장애아동 자녀를 둔 부모 242명을 대상으로 실시하였다. 결과 : 장애아동 부모의 스트레스, 불안, 우울과 삶의 질의 상관관계를 확인한 결과 삶의 질은 스트레스, 불안, 우울과 음의 상관관계로 나타났다. 장애아동 부모의 일반적 특성에 따른 결과 스트레스는 교육 수준, 월 소득에서 유의미한 차이가 있었고 불안은 자녀양육시간, 교육 수준, 직업 유무, 교통수단, 월 소득에서 유의한 차이가 있었으며 우울과 삶의 질은 자녀양육시간, 교육 수준, 직업 유무, 월 소득에서 유의미한 차이가 있었다. 결론 : 장애아동 부모의 일반적 특성에 따른 스트레스, 불안, 우울과 삶의 질의 관련성을 확인하였다. 장애아동의 사회적 거리두기 및 방역수칙은 장애아동의 교육과 치료의 기회를 제한시켰고 이로 인해 다양한 어려움을 가지는 장애아동을 양육하는 부모의 스트레스, 불안 및 우울에 미친 영향을 고려해 볼 수 있다. COVID-19 발생 상황 뿐만 아니라 또 다른 재난 상황을 대비하여 장애아동 부모의 스트레스, 불안, 우울을 관리하고 삶의 질을 증진 시킬 수 있는 지원 서비스 개발의 기초 자료로 제공하는데 의의를 갖는다.

영양교육, 급식 만족도, 잔반, 정신적.신체적 건강에 관한 자각증상간의 관련성 - 대전지역 일부 초등학생을 중심으로 - (The Interrelations among Nutrition Education, Satisfaction with School Lunch, School Lunch Leftovers and Self-rated Mental or Physical Health - The Elementary School Children in Daejeon Area -)

  • 권순자;성순정;이선영
    • 대한지역사회영양학회지
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    • 제15권1호
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    • pp.94-107
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    • 2010
  • The purpose of this study was to examine the interrelations among current status of nutrition education, satisfaction with school lunch, school lunch leftovers and self-rated mental or physical health in order to find out the effective method of nutrition education. For this, a questionnaire survey of 623 primary school 5th and 6th-graders in Daejeon area was carried out. The eating places were classrooms (41.1%) and restaurants (58.9%). A 59.2% of students have received nutrition education and the opportunity of receiving nutrition education was more in 5th-graders than in 6thgraders (p < 0.001). The score of nutrition knowledge was $9.4\;{\pm}\;2.8$ out of 15. When the score of nutrition knowledge was higher, the practical use of nutrition knowledge was higher (r = 0.134, p < 0.01); the score of school lunch leftovers were less (r = -0.116, p < 0.01); and the score of self-rated mental health was more positive (r = 0.198, p < 0.01). The practical use of nutrition knowledge was $2.9\;{\pm}\;1.1$ out of 5. When the practical use of nutrition knowledge was higher, satisfaction with school lunch was higher (r = 0.105, p < 0.01); school lunch leftovers were less (r = -0.103, p < 0.01); the score of self-rated positive mental health was higher (r = 0.293, p < 0.01); and the scores of self-rated negative mental health (r = -0.119, p < 0.05) and physical health (r = -0.126, p < 0.01) were lower, thus rating their health more positively. The score of satisfaction with school lunch was $3.4\;{\pm}\;1.0$ out of 5. When the satisfaction with school lunch was higher, the score of school lunch leftovers was less (r = -0.216, p < 0.01); the score of self-rated positive mental health was higher (r = 0.147, p < 0.01); and the score of self-rated negative health was lower (r = -0.121, p < 0.01). The score of school lunch leftovers was $2.9\;{\pm}\;1.4$ out of 5. When the school lunch leftovers were less, self-rated positive mental health was significantly higher (r = -0.146, p < 0.01); and the scores of self-rated negative mental health (r = 0.135, p < 0.01) and physical health (r = 0.223, p < 0.01) were significantly lower, thus presenting positive health. Therefore, in order to maintain positive health condition, it is necessary to carry out nutrition education, which is able to raise the nutrition knowledge and practical use of nutrition knowledge, school lunch satisfaction and to reduce the school lunch leftovers.

서울지역 학령기 취약계층 아동의 건강문제와 관련 요인 (Health Problems and Related Factors of Socially Vulnerable School-age Children in Seoul)

  • 강경림;김성재
    • 한국학교보건학회지
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    • 제30권3호
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    • pp.181-193
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    • 2017
  • Purpose: This is a qualitative descriptive study with the purpose of identifyng the health problems and related factors of socially vulnerable school-age children in Seoul, South Korea. Methods: Two focus group interviews and two individual interviews were conducted with eleven participants. They were two class teachers, three school nurses and two daycare teachers working at elementary schools and three social workers and a welfare worker working at community childcare centers. Data were analyzed using qualitative content analysis. Results: The identified psychosocial problems were 'distracting and excessive behavior', 'depression and helplessness,' 'aggression and violent behaviors', and 'internet overdependence'. The revealed physical health problems were 'poor hygiene', 'obesity', and 'gastrointestinal problems'. In addition, the fact that physical and psychosocial problems are closely inter-linked was reaffirmed through practical examples. Meanwhile, socioeconomic, family environmental, social experiential and individual factors were found to affect children's health. Relationships within a family or a peer group and healthy lifestyle were considered critical issues to deal with in order to improve the childrens' health status. Conclusion: It was proved that socially vulnerable school-age children have various physical and mental health problems due to multiple factors. Therefore, it is required to design nursing approaches that help them achieve optimal health status.

비만, 과체중 아동과 정상체중 아동의 신체자아개념, 학업자아개념 및 우울 정도 비교 연구 (A Comparative Study on Physical Self-concept, Academic Self-concept and Depression of Obese and Over-weight and Normal Weight Children in Elementary Schools)

  • 성경미;함옥경;이한주
    • 한국학교보건학회지
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    • 제25권2호
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    • pp.192-203
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    • 2012
  • Purpose: The purpose of this study was to compare physical self-concept, academic self-concept and depression among obese and over-weight and normal weight children. Methods: The 6th grade children in two elementary schools (n=287) completed self-report questionnaires measuring self-concept and depression. Results: The mean score of depression and self-concept in normal weight children were 9.76 and 92.59. In obese and over-weight children, depression and self-concept were 12.31 and 86.69 respectively. Subjects who were obese and over-weight showed significantly lower scores of physical self-concept (t=-4.621, p<.001) but not significantly low in academic self-concept (t=-1.065, p=.288) than normal weight children. Meanwhile, this study shows that subjects who were obese and over-weight were significantly higher level of depression than subjects in normal weight (t=2.480, p=.014). Conclusion: In conclusion, obese and over-weight children showed negative aspects in the developmental course. This study demonstrates that obese and over-weight children should be treated as a risk group who needs any professional help such as a school mental health program for normal development.

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초등학생 대상의 건강 효능감과 지식을 중심으로 한 심혈관 건강증진 중재 효과 (Intervention Effect on Health Efficacy and Knowledge in Cardiovascular Health Promotion Behaviors in Children)

  • Tak, Young-Ran;Yun, E-Hwa
    • 보건교육건강증진학회지
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    • 제26권5호
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    • pp.97-113
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    • 2009
  • 목적: 본 연구는 학령기 아동 대상의 건강 효능감과 지식을 중심으로 한 심혈관 건강증진 중재 효과를 확인하기 위해 수행되었다. 방법: 본 연구는 반복측정 설계를 적용한 단일군 사전사후 연구 설계로 219명의 초등학생들 대상으로 하고 있다. 심혈관 건강증진 중재는 학교 수업을 기반으로 하는 주1회, 4주 교육으로 구성된 1차 중재와 부모에게 1차 중재 내용을 가정통신문의 형태로 전달하여 학생들의 건강 생활습관 유지에 있어서 부모의 역할을 강조하는 2차 중재로 구성되어 있다. 건강 효능감, 지식, 아동이 지각하는 부모의 모니터링에 대해 중재 전 기초 조사를 실시하고, 1차 중재 및 2차 중재 후 각각 실시하였다. 결과: 정신 건강 자아 효능감은 조사 시점에 따라 유의하게 증가하였다 (F = 32.88, p < 0.0001). 1차 및 2차 중재 후 신체 건강 자아 효능감의 경우 사전 조사에 비해 유의하게 증가하였으나 (F = 50.51, p < 0.0001), 부모 중재 기간 동안에는 건강 자아 효능감에 유의한 변화가 없었다. 지식수준은 전반적으로 증가하는 경향을 보였으나 (F =10.23, p < 0.0001), 부모 중재 후에는 오히려 감소하는 경향을 보였다. 또한 전반적인 자아 효능감에 영향을 미치는 요인으로 아동이 지각한 부모 모니터링인 것으로 나타났다. 결론: 본 연구의 결과는 학교 기반의 심혈관 건강 증진 프로그램이 건강 자아 효능감과 지식수준을 향상시키는 데 있어서 효과적이라는 기존 연구 결과를 지지하고 있다. 이 외에 학령기 아동의 건강 생활 습관 유도를 목적으로 건강 자아 효능감과 지식수준 향상을 위한 중재를 수행하는 데 있어서 부모의 영향을 고려해야 함을 제시하고 있다.

정신지체아 어머니의 양육 스트레스, 자아존중감 및 사회적 지지와의 관계 (Relationship among Parenting Stress, Self-Esteem and Social Support on Mental Retardation Child Mother's)

  • 정추영;서영숙
    • 한국임상보건과학회지
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    • 제4권4호
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    • pp.709-719
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    • 2016
  • Purpose. The study verified the relationship between the mental retardation child mother's parenting stress, self-esteem and social supports. Methods. The subjects were 250 mothers who had their children with mental retardation educated and who experienced to receive social services in U City. They were asked to answer the questionnaire and 134 subjects resent the questionnaire. The survey information was analyzed by SPSS 18.0. Results. Sociodemographic characteristic effected on the parenting stress; In accordance with the severity of handicap, the level of the stress was different, self-esteem are the mother's educational attainment. The social supports in functional perspective are the religion. Conclusions. The relationship between the parenting stress and social support, self-esteem and parenting stress the both have negative relationship, More information support, emotional support, economic support, evaluating support get the less the parenting stress, and self-esteem have. The parenting stress and self esteem are highly related.

학교폭력 가해 아동·청소년을 위한 중재의 통합적 문헌고찰 (An Integrative Review of Intervention for School-bullying Perpetrators)

  • 송열매;송문주;김선아
    • 정신간호학회지
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    • 제27권4호
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    • pp.355-369
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    • 2018
  • Purpose: This study was intended to integrate the evidence of intervention for child and adolescent perpetrators of school violence through an integrative literature review. Methods: Using combinations of the terms 'bullying', 'school violence', and 'intervention' as key words, the researchers searched eight electronic databases for relevant studies. Fifteen studies were selected through full-text screening of related research published in academic journals before June 2018. The framework was used to identify the selected studies' intervention patterns and classify the various intervention components. The extracted intervention components were grouped into potential themes to determine whether the researchers clearly showed the interventions in the studies. Results: The intervention components of 15 selected studies were categorized into five themes: 1) Utilizing intervention techniques for voluntary participation, 2) Enhancing self-awareness, 3) Strategies to improve emotional intelligence, 4) Promoting interpersonal skills, and 5) Emphasis on responsibility through future vision experience. Conclusion: As a result of analyzing interventions for children and adolescent perpetrators of school violence, five components were derived. It is suggested that these components should be considered in the field, and intervention programs development and research using them are needed.