• Neonatal Medicine
• /
• 제25권1호
• /
• pp.7-15
• /
• 2018

We need to understand the outcomes into adulthood for survivors born either extremely low birthweight (ELBW; <1,000 g) or extremely preterm (EP; <28 weeks' gestational age), particularly their blood pressure and cardiovascular metabolic status,respiratory function, growth, psychological and mental health performance, and functional outcomes. Blood pressure is higher in late adolescence and early adulthood in ELBW/EP survivors compared with controls. In some studies, expreterm survivors have higher insulin and blood lipid concentrations than controls, which may also increase their risk for later cardiovascular disease. ELBW/EP survivors have more expiratory airflow obstruction than do controls. Those who had bronchopulmonary dysplasia (BPD) in the newborn period have even worse lung function than those who did not have BPD. As a group, they are unlikely to achieve their full lung growth potential, which means that more of them are likely to develop chronic obstructive airway disease in later life. Although they are smaller than term born controls, their weight gradually rises and ultimately reaches a mean z-score close to zero in late adolescence, and they ultimately attain a height z-score close to their mid-parental height z-score. On average, ex-preterm survivors have intelligence quotient (IQ) scores and performance on tests of academic achievement approximately 2/3 SD lower than do controls, and they also perform less well on tests of attention and executive function. They have similar high rates of anxiety and depression symptoms in late adolescence as do controls. They are, however, over-represented in population registries for rarer disorders such as schizophrenia and Autism Spectrum Disorder. In cohort studies, ex-preterm survivors mostly report good quality of life and participation in daily activities, and they report good levels of self-esteem. In population studies, they require higher levels of economic assistance, such as disability pensions, they do not achieve education levels as high as controls, fewer are married, and their rates of reproduction are lower, at least in early adulthood. Survivors born ELBW/EP will present more and more to health carers in adulthood, as they survive in larger numbers.

• 정신신체의학
• /
• 제27권2호
• /
• pp.85-89
• /
• 2019

연구목적 본 연구는 후기청소년기에서 중증근무력증이 정신건강에 영향을 미치는 정도를 다면적 인성검사인 군인성 검사 결과를 통해 정량적으로 확인하고자 하였다. 방 법 우리는 2007년 2월부터 2010년 1월까지 병무청으로 군 신체검사를 받으러 방문한 19세 남성 중 다른 내외과 및 정신건강의학과 질환이 없는 건강한 대상자들 104명과 중증근무력증으로 확진 된 대상자들 26명의 군인성 검사 결과를 수집하고 분석하였다. 군인성검사는 미네소타 다면적 인성 검사와 비슷한 점수 체계를 가지고 있으며 한국의 징병 검사를 위해 개발되었다. 결 과 군인성검사 결과 중 타당도 척도인 긍정왜곡, 부정왜곡 및 희귀도 하위척도는 중증근무력증 환자 및 정상 대상자 간에 유의미한 차이를 보이지 않았다(t=-0.51, p=0.607 ; t=0.11, p=0.913 ; t=1.41, p=0.158). 신경증 척도에서는 신체화 하위척도 점수가 중증근무력증 환자에서 정상 대상자들에 비해 유의하게 높았다(t=2.29, p=0.023). 정신증 척도에서는 정신분열 하위척도 점수가 중증근무력증 환자에서 정상 대상자들에 비해 더 낮았다(t=-2.38, p=0.018). 결 론 MPI 결과로 미루어 볼 때 후기 청소년기 중증근무력증 환자는 본인의 신체증상에 다소 예민한 상태이며 질병을 관리하는 과정에서 다른 정상 대상자에 비하여 규칙을 더 잘 지키려고 하고 더욱 관습적으로 행동하려는 경향이 있을 것으로 유추해 볼 수 있다.

• 아동학회지
• /
• 제20권2호
• /
• pp.269-277
• /
• 1999

Individuation and ego identity formation was studied in 297 university students in North Cholla Province. They completed the Korean Late Adolescent Individuation Questionnaire, and the revised version of the Objective Measure of Ego Identity Status. One-way ANOVA revealed differences in identity status as a function of individuation categories except in moratorium status. Individuated(??) students yielded the highest identity achievement scores and the lowest diffusion scores. Ambiguous students yielded the highest diffusion scores. Less individuated(??) students had the highest foreclosure scores while pseudo-autonomous students had the lowest foreclosure scores.

• 대한간호학회지
• /
• 제48권2호
• /
• pp.208-220
• /
• 2018

Purpose: The aim of this study was to analyze the effects of neurofeedback training for reducing stress and enhancing self-regulation in late adolescence to identify the possibility of use for nursing intervention. Methods: A nonequivalent control group pre-post quasi-experimental design was used. Participants were 78 late adolescents assigned to the experimental group (n=39) that received the neurofeedback training and the control group (n=39). Data were collected on heart rate variability (HRV) and skin conductance level (SCL) to assess stress-biomarker response. The questionnaire contained 164 items from: Positive and Negative Affect Schedule (PANAS), Symptom Checklist-90-Revised (SCL-90-R) and Self-regulatory Ability scale. The neurofeedback training was based on the general adaptation syndrome and body-mind medicine. The intervention was conducted in a total of 10 sessions for 30 minutes per session with high-beta, theta and sensory motor rhythm training on scalp at central zero. Results: There were significant difference in standard deviation of normal to normal interval (p=.036) in HRV and SCL (p=.029) of stress-biomarker response between the two groups. Negative affect (p=.036) in PANAS and obsessive compulsive (p=.023) and depression (p<.001) in SCL-90-R were statistically significant. Self-regulation mode (p=.004) in self-regulation ability scale showed a significant difference between the two groups. Conclusion: The results indicated that the neurofeedback training is effective in stress-biomarkers, psychoemotional stress response and self-regulation. Therefore, neurofeedback training using neuroscientific approach based on brain-mind-body model can be used as an effective nursing intervention for late adolescents in clinics and communities for effective stress responses.

• 대한가정학회지
• /
• 제36권10호
• /
• pp.89-102
• /
• 1998

As a quality of dyadic relationships in the family, individuation refers to the interplay between the connectedness and separateness of family members. The aims of this study were: 1) to develop of the newly measure of Korean late adolescent's individuation; 2) to examine the reliability and validity of the newly developed measure. 435(165 male, 270 female) college students completed the Korean Late Adolescent Individuation Questionnare(KLAIQ), and Korean version of the Student Adaptation to College Questionnaire(SACQ), and Korean version of the Student Adaptation to College Questionnaire(SACQ). Using exploratory factor analysis and confirmatory factor analysis three subdimensions of individuation were identified: Connectedness(7items), Self-confidence(5 items), and Parent control(4 items). A total 16 items of the KLAIQ were found to have acceptable reliability and face and construct validity. A total 16 items of the KLAIQ were found to have acceptable reliability and face and construct validity. Scale scores from the KLAIQ correlated in the predicted pattern with the SACQ. Individuated students demonstrated the highest college adjustment scores while ambiguous students yielded the lowest. Therefore, it would appear that the KLAIQ can adequately measure individuation in Korean late adolescence.

• 아동학회지
• /
• 제15권1호
• /
• pp.127-144
• /
• 1994

The purpose of this study was to identify intrapsychic processes of self socialization in sex role development during late childhood and adolescence. For this purpose I investigated the sex-role stereotypes, sex-role ideology, sex-role identity, and self-esteem of 6th, 8th, and 10th graders and examined the causal relationships among these sex-role variables. Data were gathered through questionnaires administered twice with an interval of three months. The methods of analysis were one-way ANOVA, $x^2$, and multiple regression. The results showed, (1) Adolescents' sex-role stereotypes had significant relationships with sex typing. Subjects with low scores on sex-role stereotypes were more likely to show opposite sex typing. (2) Sex-role ideologies had significant relationships with sex typing. As Subjects agreed more with egalitarianism, they were more likely to exhibit opposite sex typing. (3) Adolescents' sex typing had significant relationships with their self-esteem. The androgynous group exhibited the highest scores on self-esteem. (4) Path analysis from the multiple regression analysis indicated different processes between sexes in sex-role development. In the boys' sex-role development, it was found that only masculinity contributed to self -esteem. Girls' masculinity also contributed most to self -esteem, but other sex -role variables such as femininity and sex-role stereotypes made some contributions to girls' self-esteem.

• Journal of Preventive Medicine and Public Health
• /
• 제33권4호
• /
• pp.521-529
• /
• 2000

Objectives : To assess height, weight and body mass index from childhood to adolescence according to the age at menarche and hence to study the influence of childhood growth on the menarche age. Methods : $\lceil$The Kangwha Study$\rfloor$was a community-based prospective cohort study which included the entire population of 219 female first graders in Kangwha county in 1986. Among the 219 girls, 119 girls who had received complete follow up checks during the study period$(1986\sim1997)$, were included in this study, except one for whom menarche age information was unavailable. The remaining 118 girls were divided into three groups according to the timing of menarche : early(<25 percentile), intermediate and late($\geq75$ percentile) maturers. Results : The average age at menarche was 12.7 years . early 11.3 years, intermediate 12.6 years and late 13.7 years. The early maturers were taller and heavier between $6\sim8$ years. But, the mean weight and body mass index at the menarche age did not differ statistically among the three groups. The weight and body mass index of the early maturers were consistently higher than those of the late maturers over the entire period of the study. Conclusions : Critical body weight and body mass index must be attained for menstruation to be attained and the age at menarche is largely determined by the childhood growth. In addition, it seems that childhood growth and age at menarche are associated with adolescent weight and body mass index.

• 대한한방소아과학회지
• /
• 제30권1호
• /
• pp.45-58
• /
• 2016

Objectives The purpose of this study is to investigate about chief complaints of Korean pediatrics and adolescent outpatients in the ${\bigcirc}{\bigcirc}$ university hospital for their recent trend. Methods The study was composed of 4,677 new patients aged between 1 month and 20 years who had been visited pediatrics in ${\bigcirc}{\bigcirc}$ university hospital from 2012 January to 2015 December. Results 1. Among those patients, majority was early childhood as 51.4%, followed by early childhood, late childhood, infancy, and adolescence. 2. Chief complaints in this population have been recorded in the fall the most as 29.6%, but the distribution was inconsistent. 3. To categorize, digestive-related chief complaints were the highest as 30.6%, followed by respiratory, supplemental use, growth, psychiatrics. Respiratory-related chief complaints increased dramatically in the fall. 4. In infancy and early childhood, digestive/respiratory complaints were common, whereas, growth complaints were common in late childhood and adolescence. 5. Digestive/respiratory complaints have been over 50% out of all chief complaints annually. Psychiatric and growth-related complaints have been trending up, whereas, supplemental/skin complaints have decreased every year. 6. Specifically, anorexia were the most common in digestive complaints, and rhinitis/sinusitis were top among respiratory complaints. Precocious puberty and developmental disability increased every year. Conclusions The most common chief complaints were digestive and respiratory-related, and precocious puberty and growth issues have been trending up lately. Based on this result, more studies that targets precocious puberty and growth problems are needed.

• 아동학회지
• /
• 제30권6호
• /
• pp.195-208
• /
• 2009

The main body of research literature on peer relations has focused on its effects on children's psychosocial and emotional development from preschool period to adolescence. Topics of the research generally consist of peer acceptance/rejection, friendships, and peer victimization. In the review of domestic and international research conducted since late 1990, research trends and issues are described in this paper. Findings suggest some measures in interventions, prevention, and policies in promoting positive peer relations. Some social skill trainings are needed for children to react appropriately in peer relations and get along with their peers. In addition, there is a need for differentiation of the intervention programs by participants' roles in bullying situations and gender of children. Moreover, a longitudinal research is required to enhance the understanding of developmental changes in peer relations.

• Advances in pediatric surgery
• /
• 제8권1호
• /
• pp.64-67
• /
• 2002

Since Swenson and Bill established the treatment principles of Hirshsprung's disease in 1948, there have been significant advances in the management of this disease. During the last decade, one-stage correction of Hirshsprung's disease without colostomy and primary laparoscopic pull-through procedure became popular with recent advances in the technology and refinement of the equipments. But the outcomes for Hirshsprung's disease are not always successful, and long-term follow-up isessential. Most children after corrective surgery show significant improvement in respect to fecal continence and constipation, that may not be apparent until late adolescence. The purpose of this study was to review the postoperative problems of Hirschsprung's disease and it's management.