• 한국융합학회논문지
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• 제9권3호
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• pp.265-277
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• 2018

이 연구는 양적인 증가 및 사회적으로 중요도가 높은 1인가구 노인의 성별에 따른 우울 영향요인을 비동거자녀 지원에 초점을 두어 살펴보았다. 2014년 노인실태조사자료의 65세 이상 1인가구 노인 2,354명(남자 407명, 여자 1,947명)을 대상으로 성별로 사회인구학적 특성, 건강수준 및 행태, 친인척 및 친구관계, 여가 및 사회활동, 비동거자녀 지원 및 지원유형에 따른 우울 분포와 우울에 영향을 미치는 주요 요인을 비교분석하였다. 다변량 로지스틱 회귀분석 결과 1인가구 남성노인은 도구적일상생활수행능력, 주관적건강상태, 친구 수, 여성노인은 주관적건강상태, 친구 수, 현재 일하는 여부, 만성질환수, 비동거자녀의 정서적 지원 등이 우울에 영향을 미쳤다. 특히 비동거자녀의 정서적 지원은 1인가구 남녀노인의 우울에 차이를 보이는 주요 요인으로 향후 1인가구 노인의 차별화된 정신건강증진 방안 마련 시 고려되어야 한다.

• Journal of Preventive Medicine and Public Health
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• 제56권1호
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• pp.95-96
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• 2023

• 한국학교보건학회지
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• 제29권2호
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• pp.116-122
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• 2016

Purpose: This study compared the effects of two six-week school-based intervention programs - a health promotion program using a school forest and a traditional school health promotion program (TSHPP) - on physical and mental health among elementary school students. Methods: A total of 73 students participated in the study: 21 students in the 6-week school forest program conducted in a rural area and 52 students in the 6-week TSHPP conducted in an urban area. Children's health promotion behavior, depression and hyperactivity were measured using a self-report questionnaire. To assess children's physical health, body mass index (BMI), body fat percentage, and heart rate variability (HRV) were used. Results: Overall, both intervention programs improved participants' physical and mental health. Both programs significantly decreased the body fat percentage; this effect was more prominent in the TSHPP group. Only the TSHPP significantly decreased the participants' BMI after the intervention. The school forest group showed significantly improved relaxation and diminished hyperactivity; the TSHPP group showed significantly improved health promoting behavior and social relationship after the intervention. Comparing the two groups'post-pre difference scores, the two groups significantly differed only in social relationship. Both group showed significantly improved depression after the intervention. Conclusion: These findings support the effectiveness of these 6-week school-based health promotion programs in improving physical and mental health among school-aged children.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제31권4호
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• pp.185-192
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• 2020

Objectives: Our study aimed to analyze the demographic and clinical characteristics of children and adolescents during their first visit to psychiatric outpatient departments for the management of suicidal ideation and behavior, and to compare the changes before and in 2012 or later. Methods: This multicenter study was conducted at five university hospitals in a metropolitan area in South Korea. Medical records of patients aged 6-18 years were retrospectively reviewed from January 2009 to December 2016. Patients were analyzed by classifying them into suicidal and non-suicidal groups based on their visit to the hospital for management of suicidal ideation or suicide attempt and other mental problems, respectively. Results: There were differences in the year of visit, diagnosis, education level, and referral sources between patients in the suicidal and non-suicidal groups. Multiple regression analysis was conducted based on the sex, education level, referral by school, and diagnosis of depression in patients in the suicidal group, which revealed significant association. Conclusion: Suicide-related problems were significantly associated with the sex, education level, referral by school, and a diagnosis of depression in the patients. A well-connected referral system would be necessary for professional mental health management of high-risk children and adolescents.

• 한국아동복지학
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• 제55호
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• pp.113-141
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• 2016

본 연구는 부모-자녀관계와 학교생활 행복의 관계에서 자녀의 대인관계와 정신건강이 매개역할을 하는지, 이러한 구조모형 속에서 한부모 자녀와 양부모 자녀는 차이가 있는지를 분석하고자 한다. 이를 위해 본 연구에서는 한국교육개발원의 한국교육종단연구 2013 자료(2차년)를 사용하였다. 분석 대상은 초등학교 6학년 6,643명(한부모 756명, 양부모 5,887명)이다. 연구방법은 AMOS 18.0을 이용한 구조방정식 분석을 통한 다집단 분석을 실시하였으며, 매개효과를 분석하기 위하여 Sobel test를 실시하였다. 본 연구의 분석결과는 다음과 같다. 첫째, 한부모 자녀는 양부모 자녀보다 대인관계, 정신건강, 학교생활 행복 모두에서 유의하게 낮은 수준인 것으로 나타났다. 둘째, 부모-자녀관계와 학교생활 행복의 관계에서 대인관계와 정신건강은 매개역할을 하는 것으로 나타났다. 셋째, 총효과를 통해 아동의 학교생활 행복에 가장 많은 영향을 미치는 변수를 살펴본 결과 대인관계인 것으로 나타났다. 넷째, 한부모 여부에 따른 다집단 분석결과 연구모형에서 유의미한 차이가 나타나지 않았다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제25권3호
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• pp.142-155
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• 2014

Objectives : The aim of this study was to develop an assessment tool for measurement of children's functioning in the mental health service. We conducted a preliminary study to develop a sensitive and inclusive scale focused on the functional changes of children rather than just focusing on their symptoms or screening. Methods : The Child and Adolescent Functional Assessment Scale and the Korean-Child Behavior Checklist (K-CBCL) were both administered to 134 parents of children with emotional or behavioral problems who participated in the Aizone program and also to 186 parents of elementary school children in the Seoul metropolitan area as a control group. SPSS version 12.0 was used for statistical analysis. Results : Most of the reliability coefficients were over 0.70 except those of the conduct behavior items, which showed relatively high internal consistency. The corrected item-total correlations ranged from .411 to 758, except those of conduct behavior items and special measure items. In a concurrent validity test with K-CBCL, the total behavior problem score of K-CBCL was highly correlated with the total score of the Child and Adolescent Functional Assesment Scale (r=.610). For the construct validity, confirmatory factor analysis was performed for each of four areas, including behavior (at home/school), achievement, peer relationship, and emotion. Conclusion : The results showed that the scale was statistically reliable and valid, except for conduct behavior items. This study was conducted only for parents with elementary children. An adolescents group should be included in future studies.

• 대한간호학회지
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• 제39권1호
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• pp.84-94
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• 2009

Purpose: This study was done to investigate community attitudes towards people with mental illness and to mental health services. Methods: From August to October of 2006, 474 citizens of Siheung city were asked to give demographic data and their personal attitude toward mental illness and mental health services. Results: The residents of Siheung community showed slightly negative attitudes, with a mean opinion about mental illness score of $93.38{\pm}17.29$. According to the study, health professionals and citizens showed a positive attitude to the establishment of day care centers and residential facilities (62.2% and 55.4% respectively). Civil servants showed negative attitudes (40.4%). There were significant differences in attitudes according to gender, age, education level, occupation, religion, and income. Positive attitudes were found for health professionals and negative attitudes for civil servants. Conclusion: The results of this study indicate a need to provide public information and education for civil servants, and for those who have negative attitudes, in particular, men, people in the younger age group, who have lower education levels, who are Buddhists, monthly renters, who have a monthly income below 1 million won, who have no children and no experience with people who have a mental illness.

• Journal of the Korean Data and Information Science Society
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• 제25권2호
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• pp.293-304
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• 2014

우울감과 불안감은 새로운 환경에 익숙하지 못한 사람들에게서 나타나는 일반적인 정서경험이며, 이것이 원인이 되어 인지장애, 정서장애, 행동장애를 야기 할 수 있다. 이러한 장애요인은 학업에 대한 집중력을 저하시키고 폭력성을 증가시켜 개인과 사회에 심각한 손실을 끼친다. 특히 아동들의 정서적 발달과정에서 정신건강은 매우 중요한 요소이다. 부모나 집단으로 부터의 학대나 피해는 우울감과 불안감을 야기해 개인의 정상적인 성장과정에 걸림돌이 되고 있고, 공격적인 성향이 증가되어 비행으로 발전도 할 수 있다. 본 연구는 이러한 이론적 배경을 근거로 아동들의 성장과정에서 부모나 집단으로 부터의 폭력이 얼마나 심각하게 아동정서에 영향을 미치는가를 구조방정식 모형을 통하여 분석하였다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제27권2호
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• pp.119-129
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• 2016

Objectives: The purpose of this study was to investigate mental health problems in obese child and adolescent patients. We assess the frequency of mental health problems and their differences according to sex, school grade and severity of obesity. Methods: The sample consisted of 106 children and adolescents aged 8-16 years (61 boys with mean age $10.98{\pm}2.26$, 45 girls with mean age $9.74{\pm}1.96$, p=.004) who were diagnosed with obesity and recruited at the Department of Pediatrics of Jeju National University Hospital. The participants completed the Korean-Child Behavior Checklist (K-CBCL), Children's Depression Inventory (CDI), Korean version of the Eating Attitude Test-26 (KEAT-26), and somatotype drawings. Results: The percentage of participants having a T-score in clinical range on one or more CBCL subscale was 37.7%. The percentage of participants in the high risk group for depression (CDI score above 17) was 20.8% and that in the high risk group for eating disorder (EAT-26 score above 20) was 6%. The girls showed significantly lower CBCL T-scores in social competence ($48.39{\pm}15.66$ vs. $38.91{\pm}22.04$, p=.011), adjustment function ($49.51{\pm}17.35$ vs. $40.38{\pm}22.58$, p=.020) and school competence ($53.34{\pm}10.47$ vs. $48.22{\pm}15.11$, p=.042) than the boys, but the percentages of boys and girls in clinical range were not significantly different. The middle school students showed (significantly) higher CBCL T-scores in somatic symptoms ($60.86{\pm}9.44$ vs. $55.74{\pm}6.76$, p=.005), aggressive behavior ($58.81{\pm}6.74$ vs. $54.68{\pm}6.22$, p=.009), total problems ($59.86{\pm}9.91$ vs. $54.88{\pm}9.76$, p=.039) and externalizing problems ($57.90{\pm}10.57$ vs. $52.44{\pm}9.38$, p=.022) than the elementary school students. The severe obesity group showed significantly higher CBCL T-scores in attention problems ($59.18{\pm}9.45$ vs. $54.15{\pm}5.34$, p=.001), social problems ($59.25{\pm}8.59$ vs. $55.96{\pm}6.50$, p=.038), delinquent behavior ($58.07{\pm}6.97$ vs. $54.73{\pm}6.00$, p=.017) and total problems ($59.21{\pm}11.65$ vs. $54.67{\pm}9.03$, p=.037) than the mild to moderate obesity group. Conclusion: Significant proportions of obese children and adolescents suffer from mental health problems. Clinicians need to pay attention to the mental health risk, especially in obese adolescents and severely obese children and adolescents.

• 한국치위생학회지
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• 제7권1호
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• pp.61-72
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• 2007

The purposes of this study were to investigate the oral health status of the disabled children attending special schools in Seoul and Gyeonggi area, which were to collect baseline data for set up a oral health center in special schools. The study group comprised 915 disabled children aged 12~15 year. They were examined clinically and surveyed on 4 oral health related characteristics according to the type and level of disabilities The results may be summarized as follows: 1. DMFT index was the highest in children with crippled disorder. The plaque control was more required to the children with mental retardation or developmental disorder other than another types of disabilities. 2. About one third of the children with mental retardation or developmental disorder had their teeth brushed at least 3 times daily without any help. Over the half of the children with crippled disorder had their teeth brushed 2 times daily, 33.3% were independent and 38.9% totally dependent on help from others. 3. The more level of disabilities was higher, the more frequency of tooth brushing was lower and degree of dependance of the tooth brushing was higher. 4. There was tendency to visit to dental office more frequently for relief of dental symptoms in children with crippled disorder 5. The inability to call for help from others was the major barrier to dental care for the disabled.