1.Application of Family Treatment Camp in Treatment of ADHD.
Byung Ju HWANG ; Dong Hyun AHN ; Jae Young LEE
Journal of the Korean Academy of Child and Adolescent Psychiatry 2012;23(2):82-89
OBJECTIVES: Demands for comprehensive and intensive treatment programs for treatment of children with attention-deficit hyperactivity disorder (ADHD) who suffer from serious impairment in various psychosocial areas are increasing. The aim of this study was to evaluate the possibility of developing new types of camp programs focused on improving social adjustment of children and helping parents effectively manage their children's problem behaviors. METHODS: Fifteen children diagnosed as ADHD according to Diagnostic and Statistical Manual of Mental Disorders-IV (mean age 9.5 years) and their parents participated in this program. Eight consecutive camps were held at two-week intervals, from Jun 2007 to Oct 2007 in an adolescent training center located at Chungtaesan, in Korea. Each camp program included social skills training in the classroom and outdoor activities in the forest for children, as well as parent training for mothers. In addition, after the sixth camp, we conducted one parental session for fathers and a three-day booster family camp three months later. Finally, eleven families adhered to the program. RESULTS: All children, parents, and therapists rated questionnaires or checklists at baseline, intra-, and post-treatment. Parenting burden rated using the Parenting Stress Index showed a significant decrease, from 57.89 to 46.22 (p=.019). And, overprotection rated using the Parenting Bonding Instrument showed a significant decrease, from 16.56 to 12.44 (p=.046). However, no significant improvement in children's behavioral and emotional problems was observed. CONCLUSION: In this study, the consecutive ADHD family camp program was effective for empowerment of parental competency, but not for general improvement of children's behavioral and emotional symptoms.
Adolescent
;
Checklist
;
Child
;
Fathers
;
Humans
;
Korea
;
Mothers
;
Parenting
;
Parents
;
Power (Psychology)
;
Social Adjustment
;
Surveys and Questionnaires
2.Mental health state of parents of children with autism.
Wan-Xing OU ; Cai-Hui CHA ; Ling-Hua WANG
Chinese Journal of Contemporary Pediatrics 2010;12(12):947-949
OBJECTIVETo study the mental health state of parents of children with autism.
METHODSThe mental health state was evaluated by conducting the Symptom Checklist (SCL-90) on parents of 34 children with autism and of 35 healthy children.
RESULTSThe SCL-90 total scores in the fathers (162.5±34.0) and mothers of autistic children (175.1±51.0) were significantly higher than those in healthy children's parents (142.4±42.8 and 152.3±40.6, respectively) (P<0.05). The SCL-90 scores of obsessive-compulsive symptoms, depression, anxiety and paranoia in the fathers of autistic children were significantly higher than those in the fathers of healthy children (P<0.05). The SCL-90 scores of obsessive-compulsive symptoms, interpersonal sensitivity, depression, anxiety, paranoia, psychotic symptoms, hostility and sleep/diet were significantly higher in the mothers of autistic children than those in the mothers of healthy children (P<0.05). The mothers of autistic children presented higher SCL-90 factor scores in interpersonal sensitivity, anxiety and psychotic symptoms than the fathers (P<0.05).
CONCLUSIONSWe should pay more attention to the mental health of parents of autistic children.
Autistic Disorder ; diagnosis ; Child ; Fathers ; Humans ; Mental Health ; Mothers ; Parents ; psychology
3.A qualitative study on leadership experiences of women doctors in Korea
Sang Hyun KIM ; Bong Ok KIM ; Soon Won HONG ; Hyun Young SHIN
Journal of the Korean Medical Association 2018;61(2):101-110
This study was designed to explore women doctors' leadership experiences and to identify mechanisms of leadership development based on their experiences. Between November 1 and December 18, 2017, in-depth interviews were conducted with 12 women doctors whose professional roles included being the dean of a college of medicine, director of a university hospital system, director of a government institution, and member of the National Assembly. Twelve meaningful experiences were discovered, and 10 mechanisms and several action steps for developing women doctors' leadership were drawn from the interviews. Firstly, women doctors' leadership experiences can be divided into 4 periods: experiences before entering medical school, time during medical school, the training process, and experiences after completing board certification as a clinical specialist or PhD candidate. These periods were respectively designated as an unaffected leap, temporary break, involuntary interruption, and voluntary leap forward. Secondly, based on these results, 10 mechanisms for leadership development were identified. These included an intimate relationship with one's father, curiosity and concerns about various themes, accepting opportunities that arise, work-life balance from an individual perspective, promotion of social concerns regarding the under-representation of medical leaders, removal of traditional stereotypes about women doctors, remedies for invisible discrimination (glass ceiling) from a social perspective, as well as the provision of equal leadership experience and opportunities, the promotion of active mentoring, and the extension of formal and informal networks from an educational perspective. Currently, 25% of doctors are women, and they are not a token group any more. In order to resolve women's under-representation in medical leadership, practical and concrete efforts in individual, social, and educational domains, which are appropriate and adaptable to Korean culture, are needed.
Certification
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Discrimination (Psychology)
;
Exploratory Behavior
;
Fathers
;
Female
;
Humans
;
Korea
;
Leadership
;
Mentors
;
Professional Role
;
Schools, Medical
;
Specialization
4.Chinese parents' attitudes toward and their satisfaction with circumcision for 6-14 years old children.
Yi-Tian GUO ; Bin XU ; Ming CHEN
National Journal of Andrology 2017;23(4):319-322
Objective:
To investigate the attitudes of the parents toward circumcision for 6-14 years old children and their satisfaction with the results.
METHODS:
We performed circumcision in the Department of Urology of Zhongda Hospital for 220 children aged 6-14 years from 220 families between January 2010 and August 2016, including 70 cases of traditional and 150 cases of Shang Ring circumcision. We conducted telephone follow-ups among the parents of the patients concerning the decision-maker, reasons and regret for circumcision, acceptance of a second operation, source of information, satisfaction with surgical results, and reasons for dissatisfaction.
RESULTS:
Most decisions for circumcision were made by the father, chiefly for health and hygiene. Their main sources of information on circumcision were Internet and friends. The parents of 29 patients were dissatisfied for long recovery or peri- and post-operative pain, including 19 cases (27.1%, 19/70) of traditional and 10 cases (6.7%, 10/150) of Shang Ring circumcision, with statistically significant differences between the two groups (P <0.05).
CONCLUSIONS
Most parents were satisfied with circumcision, and the main reasons for dissatisfaction were long recovery and pain. The rate of satisfaction with Shang Ring circumcision was higher than that with traditional circumcision. Shang Ring circumcision is recommended for children aged 6-14 years old.
Adolescent
;
Asian Continental Ancestry Group
;
Attitude
;
Child
;
China
;
Circumcision, Male
;
methods
;
psychology
;
Convalescence
;
psychology
;
Fathers
;
Humans
;
Male
;
Pain, Postoperative
;
psychology
;
Parents
;
psychology
;
Personal Satisfaction
;
Phimosis
;
Time Factors
5.Prevalence of paternal postpartum depression in China and its association with maternal postpartum depression: A Meta-analysis.
Tingting WANG ; Yang XU ; Zhanzhan LI ; Lizhang CHEN
Journal of Central South University(Medical Sciences) 2016;41(10):1082-1089
To estimate the national prevalence of paternal postpartum depression in China and evaluate its association with maternal postpartum depression.
Methods: Systematic literature searches were conducted in databases including PubMed, Web of Science, Embase, Medline, China National Knowledge Infrastructure (CNKI), Wangfang Database, Chinese science & technology journal database (VIP) and SinoMed database. The articles reported the prevalence of paternal postpartum depression in China were collected from inception to October 1, 2015. Random effect models were used to calculate pooled estimates and 95% confidence intervals. Subgroup analysis were undertaken by period of measurement, case identification, study location and study quality.
Results: Fourteen studies with a total sample size of 3 819 partners were included in this study. The pooled estimate of paternal postpartum depression was 13.6% (95% CI 8.7%-21.3%). The Pearson correlation coefficien between maternal PPD and paternal PPD was 0.295 (95% CI 0.218-0.367). The subgroup analysis showed that the estimates of paternal PPD in 0-5+6 weeks postpartum, 6-8 weeks postpartum and 8+1-24 weeks postpartum were 28.7%, 11.4% and 5.5%, respectively; when the rating scale was used as case identification method, the estimate of paternal PPD was 16.8%, and it was 4.1% when interview was used. The estimate of paternal PPD in inner areas was 22.2%, in coastal areas was 13.3% and in Hongkong/Taiwan was 7.8%. In studies with lower quality, the estimate of paternal PPD was 23.0%, and it was 9.1% in studies with higher quality.
Conclusion: The national prevalence of paternal postpartum depression in China was at a high level, particularly during the postpartum 0-5+6 weeks. Paternal postpartum depression also showed a moderate positive correlation with maternal postpartum depression.
Asian Continental Ancestry Group
;
China
;
epidemiology
;
Depression, Postpartum
;
epidemiology
;
Fathers
;
psychology
;
Female
;
Humans
;
Male
;
Mothers
;
psychology
;
Postpartum Period
;
Prevalence
6.Current Trends of Reconstructive Surgery for the 173 Cases of Korean Duplicated Thumbs Based on the Iowa System.
Ji Kang PARK ; Young Keun LEE ; Joo Yong KIM ; Hang Ho LEE ; Yong Jig LEE ; Sang Hyun WOO
Journal of the Korean Society for Surgery of the Hand 2009;14(2):43-50
PURPOSE: To report the current trends of Korean duplicated thumbs and their reconstructive surgery based on Iowa system performed during the last five years. MATERIALS AND METHODS: We performed retrospective review of all (164) patients who had performed operations between 2003 and 2007. Out of all, 109 were male and 55 were female. The age at the time of surgery ranged from six months to 46 years. Data analysis was done by using information from preoperative radiographs and patients'chart including operative records, etc. RESULTS: Wassel type IV was the most common one, and type II was the next. The thumbs were involved as follows: bilateral in nine patients; right, 100; left, 55. In right duplicated thumb, males had about 2.45 more times than females. Eighty five percent of all were 24 months or less: their average body weight was 2.72 kg; average body weight at surgery, 9.07 kg (7.7~10.3 kg); average age at surgery, 9.98months (6~19months). In age distribution of their parents, each average age of fathers and mothers was 34.3 and 32.5 years old. And 10.1 percent of all had combined anomalies. Though there could be some discrimination between radiological types and intraoperative findings on cartilaginous epiphyseal portions, surgical procedures were simple ablation, central resection followed by reconstruction, and combination with radial remnant tissue portions after resection of radial extradigital bone through preoperative findings including radiographs based on Iowa system. CONCLUSIONS: Surgical procedures for duplicated thumb are not ablation but reconstruction. At the appropriate time and optimal procedures are needed for satisfactory postoperative results.
Age Distribution
;
Body Weight
;
Discrimination (Psychology)
;
Fathers
;
Female
;
Humans
;
Iowa
;
Male
;
Mothers
;
Parents
;
Retrospective Studies
;
Statistics as Topic
;
Thumb
7.Effects of Newborn Care Education for First-time Fathers on Their Knowledge and Confidence in Newborn Care at Postpartum One Month.
Journal of Korean Academy of Nursing 2014;44(4):428-436
PURPOSE: This study was conducted to identify the effects of newborn care education for fathers on their knowledge and confidence in newborn care at postpartum one month. METHODS: A nonequivalent control group pretest posttest design was used. The participants were 53 first-time fathers of newborns, 27 in experimental group, and 26 in control group. They were recruited at the nursery of one municipal hospital in Seoul. For the experimental group, a 50-minute education on newborn care using video, verbal education, demonstration and practice were provided prior to discharge. Fathers' knowledge and confidence in newborn care and their satisfaction with the education program were measured at postpartum one month. RESULTS: The fathers in the experimental group showed significantly higher knowledge (t=-4.51, p<.001), and confidence in newborn care (t=-2.29, p=.026) compared to the control group at postpartum one month. Fathers in the experimental group had a satisfaction score of 27.37+/-2.73 immediately after the education, and 25.30+/-3.40 at postpartum one month. CONCLUSION: Results indicate that newborn care education for first-time fathers is an effective method in enhancing the level of knowledge and confidence in newborn care. It can be used in the nursery department before discharge as a useful nursing intervention.
Adult
;
Fathers/*psychology
;
Female
;
Humans
;
*Infant Care
;
Infant, Newborn
;
Male
;
Postpartum Period
;
*Program Evaluation
;
Questionnaires
;
Self Concept
8.Psychosocial Factors Influencing Suicidal Ideation in Adolescents.
Journal of Korean Academy of Psychiatric and Mental Health Nursing 2011;20(3):281-290
PURPOSE: The purpose of this study was to explore suicidal ideation among adolescents and to identify the factors that may increase the likelihood of suicidal ideation among adolescents. The factors included depression, individuality, relatedness, cognitive deconstruction, social desirability, and alexithymia. METHODS: The data were collected from March 4 to May 29, 2009 from 1,519 adolescents who were conveniently selected from five different middle and high schools in Seoul. The data were analyzed and interpreted using descriptive statistics, correlation, and stepwise multiple linear regression with the SPSS/WIN program. RESULTS: The major findings of this study were: 1) More than 30% of the participants had a history of having suicidal ideation while 6.3% had attempted suicide. 2) Suicidal ideation was positively related to depression, alexithymia, and cognitive deconstruction and negatively related to relatedness and social desirability. 3) Regression analysis showed 29% of variance in suicidal ideation can be explained by depression, individuality, cognitive deconstruction, living with father, living alone, and living with relatives. CONCLUSION: Adolescents with depression, higher individuality, cognitive deconstruction, and not living with their parents require more attention to prevent suicide. It is necessary to develop programs to prevent adolescents' suicide.
Adolescent*
;
Affective Symptoms
;
Depression
;
Fathers
;
Humans
;
Individuality
;
Linear Models
;
Parents
;
Psychology*
;
Seoul
;
Social Desirability
;
Suicidal Ideation*
;
Suicide
;
Suicide, Attempted
9.Development of a Scale to Measure Life Transition Process in Parents of Children with Autism.
Ae Ran LEE ; Sun Woo HONG ; Se Jin JU
Journal of Korean Academy of Nursing 2012;42(6):861-869
PURPOSE: The purpose of this research was to develop a scale to measure the life transition process of parents of children with autism, against the backdrop of a lack of research on this topic. METHODS: Seventy preliminary items were drawn from previous qualitative research, and content validity was tested by three professors as well as three parents of children with autism. A questionnaire survey was also done between August 2011 and February 2012. Data were collected from 207 parents of children with autism and analyzed using descriptive statistics, item analysis, Cronbach's alpha, Pearson correlation coefficients, and factor analysis with the SPSS Win 15.0 program. RESULTS: Twenty-nine items were selected to constitute the appropriate measuring scale and categorized into 5 factors explaining 63.2% of the total variance. The 5 factors were named; stages of denial (5 items), wandering (6 items), devotion (7 items), frustration (3 items), and finally acceptance (8 items). Cronbach's alpha for the 29 items was .80. CONCLUSION: The results of this study not only suggest assessment criteria for the life transition process of parents who have children with autism but also provide basic directions for program development to provide differentiated support and care at each stage.
*Adaptation, Psychological
;
Adolescent
;
Adult
;
Autistic Disorder/*pathology
;
Child
;
Child, Preschool
;
Depression/pathology
;
Fathers/*psychology
;
Female
;
Humans
;
Male
;
Middle Aged
;
Mothers/*psychology
;
*Program Development
;
Qualitative Research
;
Questionnaires
;
Young Adult
10.The relationship between socioeconomic status and childhood overweight/obesity is linked through paternal obesity and dietary intake: a cross-sectional study in Chongqing, China.
Jingyu CHEN ; Shunqing LUO ; Xiaohua LIANG ; Yetao LUO ; Rina LI
Environmental Health and Preventive Medicine 2021;26(1):56-56
BACKGROUND:
The prevalence of obesity and overweight in childhood has increased dramatically over the past decades globally. Thus, the risk factors of overweight and obesity in children and adolescents must be studied.
OBJECTIVES:
This study aimed to reveal the prevalence of childhood obesity and examine the relationship between socioeconomic status (SES) and z-body mass index (z-BMI) via parental obesity and dietary intake using path analysis.
METHODS:
Stratified cluster sampling was used to select 17,007 participants aged 6-12 years on two avenues per region in urban, suburban, and rural areas. Path analysis was conducted to examine the mediators between SES and z-BMI.
RESULTS:
The prevalence rates of overweight and obesity were 13.36% and 8.60%, respectively, and were positively correlated with the father's education level, family income, a birth weight > 3000g, a parental obesity history, vegetable intake and red meat intake (all P < 0.05). Four mediators (paternal obesity history, red meat intake, vegetable intake, and nutritional supplements) were observed, and the four path analyses were significant (all P < 0.05). The adjusted total effects on z-BMI were significant for income (β
CONCLUSIONS
The prevalence of overweight/obesity in children was notable, and the relationship between SES and z-BMI was mediated by paternal obesity history and dietary intake.
Child
;
China/epidemiology*
;
Cross-Sectional Studies
;
Eating/psychology*
;
Fathers/statistics & numerical data*
;
Female
;
Humans
;
Male
;
Obesity/psychology*
;
Pediatric Obesity/etiology*
;
Social Class