• Child Health Nursing Research
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• v.21 no.1
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• pp.74-81
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• 2015

Purpose: The purpose of this study was to identify predictors of spiritual well-being and meaning in life for adolescents with leukemia. Methods: Participants were 102 adolescents (11-21 years) recruited at C university hospital from June to August in 2014. The eligible participants were diagnosed with leukemia and are on follow-up care at the outpatient clinic. Participants were assessed for spiritual well-being, meaning in life, self-esteem, and social support. Results: Levels of spiritual well-being and meaning in life for these adolescents with leukemia were 3.69 out of 6 and 3.10 out of 4, respectively. Self-esteem and social support from family were factors affecting spiritual well-being. Self-esteem, existential well-being and social support from family and friends were predictive for meaning in life and accounted for 68% of total variance. Conclusion: The results show that there are several factors affecting spiritual well-being and meaning in life in adolescents with leukemia. Therefore, nursing intervention programs for adolescents with leukemia should include strengthening self-esteem and social support as well as considering the spiritual aspect of life in order to find meaning in life beyond leukemia.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.9
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• pp.5875-5887
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• 2015

This research aimed to investigate the relations of perfectionism and multicultural attitude upon a premise that sub-factors of the perfectionism : self-oriented perfectionism, other-oriented perfectionism and socially-prescribed perfectionism are related to multicultural attitude and to examine the moderation effect of self-acceptance on the relation between perfectionism and multicultural attitude. The questionnaires designed to measure multidimensional perfectionism, unconditional self-acceptance and multicultural attitude were administered to 258 office workers in Seoul and Gyeoggi-Do. The results from correlation analysis and regression analysis were as followed. First, sub-factors of the perfectionism was partially associated with sub-factors of multicultural attitude. In particular two sub-factors of the perfectionism : 'self-oriented perfectionism', 'other-oriented perfectionism' yielded effect on multicultural attitude, controlling the effects of other subscales. Second, unconditional self-acceptance moderated the relation between 'self oriented perfectionism' and sub-factor of the multicultural attitude : 'recognizing difference'. And unconditional self-acceptance moderated the relation between 'socially prescribed perfectionism' and sub-factors of the multicultural attitude : 'recognizing difference', 'openness and acceptance'. This present findings not only extend understandings about relationship between perfectionism and multicultural attitude by examining self-concept : unconditional self-acceptance but also provide that it isn't helpful that further support and rationale for unconditional self-acceptance as intervention for targets to focus in counseling process for those who suffer from perfectionism.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.5
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• pp.3333-3343
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• 2015

The purpose of this study is to investigate factors related to substance use focusing on the sexual experiences and risky sexual behaviors among Korean adolescents. This study conducted with a secondary data analysis using the Seventh Korea Youth Risk Behavior Web-based Survey 2011 in South Korea. The study participants selected 75,643 Korean adolescents who were recruited anonymously through national web-based survey. Data were analyzed using descriptive statistics, rao-Scott ${\chi}^2$, and logistic regressions considering complex samples. Results indicated that substance use was significantly associated with sexual experiences such as sexual intercourse with the opposite sex (adjusted OR=5.691; 95% CI=4.223-7.670), sexual intercourse with the same sex (adjusted OR=21.180; 95% CI=14.704-30.507) and risky sexual behaviors such as sexual assaults (adjusted OR=9.936; 95% CI=7.217-13.680), date rape (adjusted OR=16.979; 95% CI=11.648-24.751), sexual intercourse after drinking (adjusted OR=6.564; 95% CI=3.986-10.810), unexpected pregnancies (adjusted OR=18.628; 95% CI=8.476-40.936), and sexually transmitted diseases (adjusted OR=21.872; 95% CI=13.920-34.367) in Korean adolescents. Findings of this study show that adolescents who use substances are more likely to engage in risky sexual behaviors. Therefore, intervention program should be designed to consider both substance use and sexual problems and to include the effective approaches at the family and school level.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.1
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• pp.214-222
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• 2013

This study investigated the relationships between sensory processing patterns and pain catastrophizing levels in well older adults to provide basic information for rehabilitation intervention. The participants of this study were 216 older adults aged over 65. The Adolescent/Adults Sensory Profile(AASP) was used to measure sensory processing patterns and the Pain Catastrophizing Scale(PCS) was employed to evaluate psychological variables of the pain. Self perception of the pain was measured with the Numerical Rating Scale(NRS). Gender and age differences were analyzed with t-test and relationships among sensory processing patterns, pain catastrophizing and pain symptom levels were analyzed with Pearson product-moment coefficients of correlation. Women had higher 'sensory sensitivity' and 'sensory avoiding.' The group over 75 years old had higher 'sensory avoiding,' 'low registration' and 'sensory seeking.' Women had higher pain catastrophizing and pain symptom levels. Negative correlations between 'rumination' and 'low registration' and 'helplessness' and 'sensory seeking' were found. Positive correlations were found between pain catastrophizing and pain symptom levels when they were 'sensory sensitivity' and 'sensory avoiding.' The results infer that sensory processing patterns are associated with psychological variables of the pain and there are differences based on gender and age. Further studies are warranted to support the results.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.5
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• pp.316-324
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• 2016

The purpose of this study is to review existing research trends to find highly reliable tools for measuring inconsistencies in parenting attitudes for adolescent children. We reveal factors that heavily affect reliability and feasibility of these tools and compose stable measurement items. We found a total of 37 items with high reliability and feasibility comprising six questions on affection, three questions on childcare, nine questions on interest, seven questions on demands, five questions on neglect, and seven questions on abuse. We surveyed first to third-year high school students in public and private schools nationwide and carried out statistical analysis for the 1,020 respondents. Upon analysis, questions were removed if they showed low factor loading (less than 0.6) for the father and mother in each of the 37 measurement items. Only questions that could be used for both the father and mother were extracted to carry out exploratory factor analysis. Eight questions were were deleted: five on interest, one on demands, one on neglect, and one on abuse. The final 29 questions were selected for the measurement tool. Cronbach's Alpha coefficient was used to analyze reliability, which showed high reliability values ranging from .857 to .931 for the father and mother. Therefore, these inspection tools for inconsistent parenting attitude were both reliable and feasible.

• Journal of Korean Medical Science
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• v.33 no.52
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• pp.347.1-347.11
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• 2018

Background: Smartphone addiction has recently been highlighted as a major health issue among adolescents. In this study, we assessed the degree of agreement between adolescents' and parents' ratings of adolescents' smartphone addiction. Additionally, we evaluated the psychosocial factors associated with adolescents' and parents' ratings of adolescents' smartphone addiction. Methods: In total, 158 adolescents aged 12-19 years and their parents participated in this study. The adolescents completed the Smartphone Addiction Scale (SAS) and the Isolated Peer Relationship Inventory (IPRI). Their parents also completed the SAS (about their adolescents), SAS-Short Version (SAS-SV; about themselves), Generalized Anxiety Disorder-7 (GAD-7), and Patient Health Questionnaire-9 (PHQ-9). We used the paired t-test, McNemar test, and Pearson's correlation analyses. Results: Percentage of risk users was higher in parents' ratings of adolescents' smartphone addiction than ratings of adolescents themselves. There was disagreement between the SAS and SAS-parent report total scores and subscale scores on positive anticipation, withdrawal, and cyberspace-oriented relationship. SAS scores were positively associated with average minutes of weekday/holiday smartphone use and scores on the IPRI and father's GAD-7 and PHQ-9 scores. Additionally, SAS-parent report scores showed positive associations with average minutes of weekday/holiday smartphone use and each parent's SAS-SV, GAD-7, and PHQ-9 scores. Conclusion: The results suggest that clinicians need to consider both adolescents' and parents' reports when assessing adolescents' smartphone addiction, and be aware of the possibility of under- or overestimation. Our results cannot only be a reference in assessing adolescents' smartphone addiction, but also provide inspiration for future studies.

• Journal of the Korean Society of Child Welfare
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• no.32
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• pp.7-32
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• 2010

The purpose of this research is to identify the longitudinal reciprocal relationship between family social capital and self-esteem of adolescents. Five waves of panel data from the Korea Youth Panel Survey were employed for this research. Korean Adolescents Policy Research Institute collected the first wave data in 2004 from elementary school children in 4th grade. Autoregressive cross-lagged modeling was performed to analysis the longitudinal reciprocal relationship between family social capital and self-esteem. The major findings were as follows. First, stability coefficient of family social capital and self-esteem showed that both variables were significantly stable over time. Secondly family social capital(t) had statistically significant effect on self-esteem(t+1), whereas self-esteem did not predict family social capital at a statistically significant level. These findings suggest that family social capital and self-esteem is stable overtime, and that obtaining family social capital and establishing positive self-esteem is important during this period in childhood. In addition, the results show that family social capital affects self-esteem, which highlights the importance of family social capital accumulation on the development of adolescent self-esteem.

• Korean Journal of Social Welfare Studies
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• v.45 no.3
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• pp.237-262
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• 2014

Little is known about the relationships among adolescents'academic stress, self-efficacy, and internalization externalization. Much less is known about whether there is gender differences in the relationships. This study aims to examine (1) the effects of academic stress on internalization externalization, (2) whether self-efficacy mediates the relationships between academic stress and internalization externalization, and (3) whether there is gender difference in the relationships. For these purposes, we used Structural Equation Modeling and multi group analysis involving 2,844 middle school students participated in the Korean Youth Panel Survey. The results are as follows. First, adolescent's academic stress affected internalization externalization. Second, self-efficacy mediated the relationship between academic stress and internalization externalization. Finally, the multiple group analysis results indicated that the path coefficient between academic stress and internalization of girls was significantly greater than that of boys. Based on these results, we discussed theoretical and practical implications and suggested directions for future research on academic stress coping processes among adolescents.

• Journal of the Korean Society for Computer Game
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• v.31 no.4
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• pp.101-110
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• 2018

This thesis analyzed the correlation between the psychological characteristics of adolescents and the use of games in the first year students of the national high school in 2016. The game is one of the representative entertainment industries in Korea and is an industry that has a great influence on becoming a powerhouse as cultural contents. However, games and immersion are expressed as a negative vocabulary of game addiction and are referred to as social problems and youth problems, and they give negative perception to the content of games. All users have the right to enjoy the content, but only negative words are used in poisonous games and they are packed as if they are social problems. In the present study, many emotional problems that were derived from previous studies were not related to game use in general adolescents. Through the questions related to 'depression', students who are not motivated or energy. The results of this study are as follows. First, the positive effects of game and youth emotional problems were derived through the conclusion that students who are active and emotionally bright are more likely to use game contents. This study was conducted to help change the social perception of the game positively by breaking the social fixed point of view that the emotionally troubled adolescents engage with the game and cause social problems.

• Clinical Psychopharmacology and Neuroscience
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• v.16 no.4
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• pp.434-448
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• 2018

Objective: The Korean Medication Algorithm Project for Bipolar Disorder (KMAP-BP) was first published in 2002 through an expert consensus of opinion, and updated in 2006, 2010, and 2014. This study constitutes the fourth revision of the KMAP-BP. Methods: A 50-item questionnaire was used to obtain the consensus of experts regarding pharmacological treatment strategies for various phases of adult bipolar disorder and six items for pediatric bipolar disorder. The review committee included 84 Korean psychiatrists and 43 child and adolescent psychiatry experts. Results: The preferred first-step strategies for acute mania were the combination of a mood stabilizer (MS) and an atypical antipsychotic (AAP), MS monotherapy, and AAP monotherapy. A combination of a MS and an AAP, and AAP monotherapy were preferred for psychotic mania. The first-step strategies for mild to moderate bipolar depression were monotherapy with MS, AAP, or lamotrigine (LMT), and the combination of a MS and an AAP or LMT, or a combination of an AAP and LMT. The combination of two among a MS, AAP, and LMT were preferred for non-psychotic severe depression. A combination of a MS and an AAP or the combination of an AAP with an antidepressant or LMT were the first-line options for psychotic severe depression. Conclusion: The recommendations of the KMAP-BP 2018 have changed from the previous version by reflecting recent developments in pharmacotherapy for bipolar disorder. KMAP-BP 2018 provides clinicians with a wealth of information regarding appropriate strategies for treating patients with bipolar disorder.