OBJECTIVES: The aim of this study was to examine the relationship between the Object Relations, Parenting Behaviors, and Self-esteem with Depression. METHODS: This study included 60 Depression patients and 90 healthy individuals. Parent Behavior Inventory (PBI), Bell Object Relation Inventory (BORI), Self-Esteem Scale (SES) and Beck Depression Inventory (BDI) were used for measuring parenting behaviors, object relations, self-esteem and severity of depression in orderly. RESULTS: Depression was negatively associated with self-esteem, and positively associated with four subscale of Object relation. Also, depression was positively associated with maternal intrusiveness, parental negligence and negatively associated with maternal affection. The most potent variable to explain depression was self-esteem, and the second was insecure attachment. Maternal affection was the most explainable variable of self-esteem, and the most potent variable of insecure attachment was maternal intrusiveness. Correlation analysis with insecure attachment and self-esteem as control variable individually, there was weak correlation among variables. CONCLUSION: This study shows object relation, parent behavior, and self-esteem are related with depressive symptoms. Object relation (especially, insecure attachment) and self-esteem is more important and proximal cause in depression than parental behavior. Result of the present study indicated that inadequate parental behavior in childhood foster insecure object relation and low self-esteem, then they contribute to depression through their interaction.
Depression ; Humans ; Malpractice ; Object Attachment ; Parenting ; Parents

OBJECTIVES: This study examined maternal object relations, child's and mother's perception on rearing attitude, and children's self-esteem in children with attention-deficit hyperactivity disorder (ADHD) and their mothers. METHODS: 64 children with ADHD and their mothers were included in the study group. In the control group, there were 85 children and their mothers. Mothers completed the following tests : Bell object relation inventory (BORI), maternal behavior research instrument (MBRI), Beck Depression Inventory (BDI), and Korean ADHD Rating Scale (K-ARS). Children completed Children's Report of Parental Behavior Inventory (CRPBI) and Rosenberg self-esteem scale. RESULTS: Mothers of ADHD children displayed more rejecting and controlling parenting style than mothers in the control group. ADHD children showed lower self-esteem and perceived their parents as not affectionate, but rejecting and controlling. Mothers with ADHD children who belonged to object relations pathological group showed more rejecting rearing attitude and their children believed that they were more controlling, compared with children and mothers in other conditions. Among factors in mother's object relations, insecure attachment and ego-centricity impacted the rearing attitude. In turn, affective rearing attitude mainly influenced children's self-esteem. CONCLUSION: This study suggests that the approach focused on mother's object relations may help with the treatment of children with ADHD.
Child ; Depression ; Humans ; Maternal Behavior ; Mothers ; Object Attachment ; Parenting ; Parents

OBJECTIVES: This study examined maternal object relations, child's and mother's perception on rearing attitude, and children's self-esteem in children with attention-deficit hyperactivity disorder (ADHD) and their mothers. METHODS: 64 children with ADHD and their mothers were included in the study group. In the control group, there were 85 children and their mothers. Mothers completed the following tests : Bell object relation inventory (BORI), maternal behavior research instrument (MBRI), Beck Depression Inventory (BDI), and Korean ADHD Rating Scale (K-ARS). Children completed Children's Report of Parental Behavior Inventory (CRPBI) and Rosenberg self-esteem scale. RESULTS: Mothers of ADHD children displayed more rejecting and controlling parenting style than mothers in the control group. ADHD children showed lower self-esteem and perceived their parents as not affectionate, but rejecting and controlling. Mothers with ADHD children who belonged to object relations pathological group showed more rejecting rearing attitude and their children believed that they were more controlling, compared with children and mothers in other conditions. Among factors in mother's object relations, insecure attachment and ego-centricity impacted the rearing attitude. In turn, affective rearing attitude mainly influenced children's self-esteem. CONCLUSION: This study suggests that the approach focused on mother's object relations may help with the treatment of children with ADHD.
Child ; Depression ; Humans ; Maternal Behavior ; Mothers ; Object Attachment ; Parenting ; Parents

PURPOSE: The purpose of this study was to examine the mediating effect of alexithmia on the relationship between attachment and depression in early adulthood. METHODS: A convenience sample of 260 young adults responded to the survey. The collected data were analyzed using descriptive statistics, independent t-test, Pearson's correlation coefficients, and path analyses using bootstrapping. RESULTS: The path analysis indicated that anxious attachment and alexithymia was positively related to depression, but there was not a significant relationship between avoidant attachment and depression. In a modified path model, alexithymia mediated the positive effects of anxious attachment and avoidant attachment on depression. CONCLUSION: Our study findings suggest that early adults who have insecure attachments are vulnerable to alexithymia and depression. Targeted interventions to improve emotional expressive ability may reduce depression in early adulthood.
Adult ; Affective Symptoms ; Depression ; Humans ; Negotiating ; Object Attachment ; Young Adult

OBJECTIVES: This study was conducted in order to investigate the influences of school violence on the mental health of student victims and their parents. METHODS: A total of 56 (aged 7-18) student victims and their parents were selected to participate in a survey. The students had experienced school violence from June 2012 to October 2013. They completed a set of self-report questionnaires, including socio-demographic characteristics, family relationship, Impact of Event Scale-Revised, Child Depression Inventory (CDI), Beck Depression Inventory, Revised Children's Manifest Anxiety Scale, and Parental Bonding Instrument to evaluate psychiatric complications and to understand the emotional bonding between them. RESULTS: The student's level of impact of event was significantly related to the parent's level of impact of event (p<.001). The student's high CDI score showed positive correlation with high level of impact of event (p<.001). In addition, higher level of the student's perceived emotional support and understandability of family showed association with lower level of impact of event (p<.01, p<.05). CONCLUSION: The results of this study suggest that the psychiatric sequelae of school violence is seriously affected by family support and parent's level of impact of event. Therefore, more active intervention is needed for both students and their parents.
Child ; Depression ; Family Characteristics ; Humans ; Manifest Anxiety Scale ; Mental Health ; Object Attachment ; Parents* ; Violence*

PURPOSE: The purpose of this study is to identify the influencing factors of mother-infant attachment and construct a descriptive model that explains mother-infant attachment during the early postpartum period. METHOD: The hypothetical model of this study consisted of 8 variables with 23 constructed paths. The subjects of this study were 152 postpartum women. Data was analyzed to test the hypothetical model using covariance structure analysis. RESULT: The final model which is modified from the hypothetical model improved to Chi-Square 41.92, GFI .95, AGFI .89, RMSR .02, RMSEA .06, NFI .94, and NNFI .95. Mother-infant attachment during the early postpartum period was proven to be influenced directly by neonatal perception, maternal sensitivity, and maternal-fetal attachment and also indirectly by social support, maternal-fetal attachment and maternal identity. These variables accounted for 32% of the variance of the mother-infant attachment during the early postpartum period. CONCLUSION: It is necessary that the nurses provide postpartum women with an intervention using social support for improving maternal identity and alleviating maternal role strain. It can be helpful to improve maternal sensitivity and in the end it will facilitate the mother-infant attachment during postpartum period.
Adult ; Female ; Humans ; Infant, Newborn ; Models, Psychological ; *Mother-Child Relations ; *Object Attachment ; Postpartum Period/*psychology

The attachment theory, which was developed half a century ago by a British psychiatrist and psychoanalyst, John Bowlby, is the most fundamental theory for raising infants and children. His colleagues, Mary Ainsworth and James Robertson, contributed to proving Bowlby's theory with scientific ways. Many neo- Bowlbyans continue to apply theories for raising children and also for use in clinical practices. Attachment refers to the process by which people develop specific, positive emotional bonds with others. When suitably formed, people want to keep proximity with an attached object, feel safety from the object as a secure base, and resist when separated. In general, attachment has developed between infants and caregivers, mainly mothers. It usually continues till adulthood and sometimes until the next generation. Attachment is an individual affectional bond, and also can be an influential factor to decide the social policies of related realms. Therefore, the attachment theory provides very useful knowledge for child rearing parents, very practical data for doctors and allied professionals, and also very important decision framework for social policy makers.
Caregivers ; Child ; Child Rearing ; Humans ; Infant ; Mothers ; Object Attachment ; Parents ; Psychiatry ; Psychoanalysis ; Public Policy

PURPOSE: The main purpose of this study was to establish a nursing intervention data base to improve maternal attachment. METHOD: The first group of mothers(control group), experienced their first physical contact with their infants after being discharged from the hospital. The second group (experimental group) practiced early initial mother-infant postpartum contact known as the most sensitive period for founding maternal-infancy attachment. The subjects of this study gave birth to normal infants at M hospital from Aug.25 to Sept.30, 2004. During the same time, data was collected through direct observation, with instruments designed by Cropley et al., to assess the behaviors of normal attachment. The statistical methods for data analysis were percentage, mean, standard deviation and t-test with an SPSS program. RESULT: The group practicing initial mother-infant contact, showed a higher degree of physical and functional bonding than the group experiencing the first contact after discharge from the hospital (control group)(p<.01). The group practicing initial mother-infant contact, showed higher degrees of bonding attachment assessments than the group experiencing their first initial contact after their discharge from the hospital(p<.01). CONCLUSION: The group practicing early mother-infant contact, showed more maternal-infant interaction than the group experiencing their initial contact after their discharge from the hospital. These results show that maternal attachment behavior increases according with an early initial mother-infant contact.
*Object Attachment ; *Mother-Child Relations ; *Maternal Behavior ; Male ; *Infant, Newborn ; Humans ; Female ; Adult

As suicide deaths have been rapidly increasing among the Korean people, the clinical conditions associated with suicide including major depressive disorder (MDD) have also been in the public eye for decades. Thus we discuss the relationship between suicide and depression from the psychosocial perspective. Because the introjected aggression or hostility may be essential psychodynamic factors in suicide and depression, the clinical psychiatrist's or psychotherapist's empathy may be the important psychotherapeutic method in the recovery of object relationships or relieving suicidal patients' self-destructive tendencies. Although various and diverse psychological features have been suggested as the predictive factors of suicide, they have not yet been demonstrated by any statistical models. Psychiatrists should be aware that suicide or suicidal behaviors might be strongly associated with sociocultural background in Korea. Further research may be needed in the area of the relationship among suicide, depression, and sociocultural correlates.
Acculturation ; Aggression ; Depression ; Depressive Disorder, Major ; Empathy ; Eye ; Hostility ; Korea ; Models, Statistical ; Object Attachment ; Psychiatry ; Suicide

Although diabetes mellitus (DM) is treatable, it is still not curable. Its chronicity is associated with a high prevalence of psychiatric disorders, especially depression in type 2 DM and learned helplessness in type 1 DM. In turn, this depression and helplessness may affect a patient's adherence to medical appointments, compliance to treatment, and effective doctor-patient relationships, which are vital to promising outcomes. This study reviews the existing literature regarding the interactional relationships between depression, DM and the doctor/patient relationship, and also suggests certain aspects of the doctor/patient relationship which can contribute to more successful treatment outcomes.
Appointments and Schedules ; Compliance ; Depression ; Diabetes Mellitus ; Helplessness, Learned ; Object Attachment ; Physician-Patient Relations ; Prevalence