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Research Papers
Perspectives of parents, teachers, and community leaders on adolescent sexual behavior across ecological contexts in Cambodia: a qualitative study
Youngran Yang, Gloria Park
J Korean Acad Nurs 2026;56(1):108-122.   Published online February 25, 2026
DOI: https://doi.org/10.4040/jkan.25146
AbstractAbstract PDFePub
Purpose
This study investigated the perspectives of parents, teachers, and community leaders regarding adolescents’ sexual behavior in Cambodia.
Methods
Grounded in the ‘ecological framework of adolescent health,’ this study employed a descriptive qualitative approach to explore the perspectives of key stakeholders, including 12 parents, eight teachers, and four community leaders. Drawing on in-depth, semi-structured individual and focus group interviews, the study examined risk and protective factors related to risky sexual behavior across family, school, community, social, cultural, and policy contexts. Data collection was conducted from December 5, 2022 to January 31, 2023.
Results
The integrated thematic analysis revealed six main themes. Parents positioned themselves as anxious protectors but struggled with limited opportunities for open conversation; teachers acted as observe-and-warn mediators, constrained by institutional authority, curricular boundaries, and rapidly shifting youth culture; and community leaders interpreted emerging trends through the lens of social change, eroding traditions, and weakening collective governance. Across groups, participants acknowledged the limitations of unilateral action and advocated for multilevel, collaborative solutions that bridge families, schools, and broader communities.
Conclusion
The study concluded that adolescent sexual behaviors should be understood from diverse perspectives. This finding highlights the need for culturally appropriate and sensitive measures supported by multisectoral systems operating at the family, school, community, civil society (e.g., non-governmental organizations), and national levels.
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Factors Influencing Sexual Experiences in Adolescents Using a Random Forest Model: Secondary Data Analysis of the 2019~2021 Korea Youth Risk Behavior Web-based Survey Data
Yoonseok Yang, Ju Won Kwon, Youngran Yang
J Korean Acad Nurs 2024;54(2):193-210.   Published online May 31, 2024
DOI: https://doi.org/10.4040/jkan.23134
AbstractAbstract PDF
Purpose
The objective of this study was to develop a predictive model for the sexual experiences of adolescents using the random forest method and to identify the “variable importance.” Methods: The study utilized data from the 2019 to 2021 Korea Youth Risk Behavior Web-based Survey, which included 86,595 man and 80,504 woman participants. The number of independent variables stood at 44. SPSS was used to conduct Rao-Scott χ2 tests and complex sample t-tests. Modeling was performed using the random forest algorithm in Python. Performance evaluation of each model included assessments of precision, recall, F1-score, receiver operating characteristics curve, and area under the curve calculations derived from the confusion matrix.
Results
The prevalence of sexual experiences initially decreased during the COVID-19 pandemic, but later increased. “Variable importance” for predicting sexual experiences, ranked in the top six, included week and weekday sedentary time and internet usage time, followed by ease of cigarette purchase, age at first alcohol consumption, smoking initiation, breakfast consumption, and difficulty purchasing alcohol.
Conclusion
Education and support programs for promoting adolescent sexual health, based on the top-ranking important variables, should be integrated with health behavior intervention programs addressing internet usage, smoking, and alcohol consumption. We recommend active utilization of the random forest analysis method to develop high-performance predictive models for effective disease prevention, treatment, and nursing care.

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  • Gender differences in the associations among adolescent problem behaviors: a secondary data analysis of the 2023 Korea Youth Risk Behavior Survey
    Jaeyoung Lee, So Yeon Park
    Child Health Nursing Research.2025; 31(3): 155.     CrossRef
  • 4,026 View
  • 70 Download
  • 1 Crossref
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Adolescents’ Experiences of Non-Suicidal Self-Injury: An Interpretative Phenomenological Analysis Study
Jung A Ko, Ji Young Kim
J Korean Acad Nurs 2023;53(5):538-555.   Published online October 31, 2023
DOI: https://doi.org/10.4040/jkan.23075
AbstractAbstract PDF
Purpose
This qualitative study used interpretative phenomenological analysis and photovoice methods to explore the meaning of non-suicidal self-injury experienced by adolescents.
Methods
Participants were adolescents enrolled in middle and high schools in Gyeonggi-do and Jeollabuk-do who were selected through snowball sampling. Six participants had repeatedly engaged in self-injurious behavior for over a year. Data were collected through in-depth interviews and the photovoice method between November 2020 and July 2021. The collected data were analyzed using six steps of interpretative phenomenological analysis.
Results
The results yielded 5 main themes and 18 subthemes. The main themes were ‘a silent cry to an indifferent world’, ‘a heartache that one endures with scars’, ‘an inescapable cycle’, ‘filling the space in one’s heart’, and ‘healing the wounds’. The study findings revealed that the self-injurious behavior of adolescents began as a consequence of feeling lost and struggling with conflicts at home and school, which helped them relieve tension and pain. Nonetheless, inflicting self-injury only left signs of regret and remorse, which became a trace that the participants wanted to hide. However, the wounds healed after receiving attention and support from others. They were determined to stop engaging in repeated self-injurious behaviors and made efforts to do so.
Conclusion
This study can be used as a basis for the development of educational programs to prevent non-suicidal self-injury in adolescents. Additionally, it can inform nursing interventions that focus on building support systems to help adolescents who attempt self-injury.

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  • Collaborative Immersive Virtual Environments in Geography Education on Climate Zones: A UX Case Study
    Martina Střechová, Michal Černý, Čeněk Šašinka, Zdeněk Stachoň, Alžběta Šašinková, František Holubec, Hana Švédová
    ISPRS International Journal of Geo-Information.2025; 14(12): 455.     CrossRef
  • Experiences of Male Nursing Students in Women's Health Nursing Practicum: A Mixed-Methods Study Using Photovoice
    Na Won An, Na Kyoung Lee
    Journal of Korean Association for Qualitative Research.2024; 9(2): 104.     CrossRef
  • 6,407 View
  • 122 Download
  • 1 Web of Science
  • 2 Crossref
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Effects of Health Education Using Virtual Reality for Adolescents: A Systematic Review and MetaAnalysis
SoMi Park, ChaeWeon Chung, Gaeun Kim
J Korean Acad Nurs 2023;53(2):177-190.   Published online April 30, 2023
DOI: https://doi.org/10.4040/jkan.23003
AbstractAbstract PDF
Purpose
This study aimed to evaluate the effects of health interventions using virtual reality (VR) on improving knowledge, attitudes, and skills; and inducing behavioral change among adolescents.
Methods
This study is a systematic review and meta-analysis following PRISMA guidelines. We searched Cochrane, MEDLINE, Embase, CINAHL, Scopus, Web of Science, and Korean databases between database inception and April 10, 2021. Based on heterogeneity, a random- or fixed-effects model was used, as appropriate, to calculate effect sizes in terms of the standardized mean difference (SMD) and odds ratio (OR). Studies were selected if they verified the effects of health education using VR on adolescents; there was an appropriate control group; and if the effects of education were reported in terms of changes in knowledge, attitudes, skills, or behaviors.
Results
This analysis included six studies (n = 1,086). The intervention groups showed greater responses in knowledge and attitudes (SMD = 0.57, 95% confidence interval (CI) [0.12 to 1.02]), skills related to health behavior (SMD = -0.45, 95% CI [-0.71 to -0.19]), and behavioral change after 12 months (OR = 2.36, 95% CI [1.03 to 5.41]).
Conclusion
The results confirm the effectiveness of health interventions using virtual reality (VR). Although the analysis include a small number of studies, a case can be made for health interventions using VR to be utilized as educational methods and strategies to prevent risky behaviors among adolescents.

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  • Implementation of a Childcare-Based Obesity Prevention Program for Vulnerable Families During the COVID-19 Pandemic: Lessons for School Nurses
    Jiyoung Park, Gill ten Hoor, Seohyun Won, Gahui Hwang, Sein Hwang, Siew Tiang Lau
    The Journal of School Nursing.2025; 41(5): 579.     CrossRef
  • Development and Evaluation of a Virtual Reality Intervention for Reducing Exposure to Endocrine Disruptors in Female Adolescents: A Pilot Study
    SoMi Park, Yun Jeong Hwang, ChaeWeon Chung
    Journal for Specialists in Pediatric Nursing.2025;[Epub]     CrossRef
  • Chinese nurses’ perspectives on child-friendly healthcare practice assessment: a qualitative study
    Wei Xiao Huang, Mei Chan Chong, Li Yoong Tang, Xiao Xia Liu, Mei Fang, Yun Yun Shen, Xiao Li Guo
    BMC Nursing.2025;[Epub]     CrossRef
  • Enhancing anatomy education with virtual reality: integrating three-dimensional models for improved learning efficiency and student satisfaction
    Shuliang Niu, Jinlong Zhang, Jiang Lin, Binbin Wang, Jie Yan
    Frontiers in Medicine.2025;[Epub]     CrossRef
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Associations between the Frequency and Quantity of Heated Tobacco Product Use and Smoking Characteristics among Korean Smoking Adolescents
Haein Lee, Bo Gyeong Lee
J Korean Acad Nurs 2023;53(2):155-166.   Published online April 30, 2023
DOI: https://doi.org/10.4040/jkan.22125
AbstractAbstract PDF
Purpose
Although heated tobacco product (HTP) use among adolescents is an emerging public health problem, little is known about the frequency and quantity of HTP use. Thus, we investigated the associations between the frequency and quantity of HTP use and smoking characteristics (i.e., combustible cigarette [CC] and electronic cigarette [EC] use, and attempts to quit smoking) among CC-smoking adolescents.
Methods
We analyzed nationally representative data from 2,470 Korean adolescents who were current CC smokers. To investigate our aim, we conducted multinomial logistic and logistic regression analyses.
Results
We found that daily and heavier CC users had greater likelihoods of more frequent and heavier HTP use. In addition, dual users of CCs and ECs were more likely to use HTPs more frequently and heavily than CC users who did not use ECs. Moreover, daily EC users had the highest risk of frequent and heavy HTP use. The frequency and quantity of HTP use were not associated with attempts to quit smoking. Compared to CC-only use, dual use of CCs and HTPs was not associated with quitting attempts, and triple use of CCs, ECs, and HTPs was associated with a lower likelihood of quitting attempts.
Conclusion
HTP use was less likely to displace CC use and promote attempts to quit smoking. Thus, strict regulations are required to prevent the promotion of HTPs as a substitute for CCs or as a means of quitting smoking. Additionally, health professionals should consider preventive interventions for HTP, as well as CC and EC use among adolescents.

Citations

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  • The Health Effects of Heated Tobacco Product Use—A Narrative Review
    Małgorzata Znyk, Dorota Kaleta
    Healthcare.2025; 13(16): 2042.     CrossRef
  • A Scoping Review of Behavioural Studies on Heated Tobacco Products
    Ian M Fearon, Sarah F Cordery, Martin Fitzpatrick, Sarah Weaver, Matthew Stevenson, Erika Grandolfo, Layla Malt, Keith Thompson, Thomas Nahde
    Cureus.2024;[Epub]     CrossRef
  • 2,517 View
  • 38 Download
  • 2 Web of Science
  • 2 Crossref
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The Effects of the Combined Biofeedback and Brief Emotion Regulation Nursing Intervention Based on the Gross Model for Sexually Abused Adolescents
Jieun Kim, Wanju Park
J Korean Acad Nurs 2022;52(6):608-623.   Published online December 31, 2022
DOI: https://doi.org/10.4040/jkan.22088
AbstractAbstract PDF
Purpose
This study aimed to evaluate the effects of a combined biofeedback and brief emotion regulation (C-BABER) program for sexually abused adolescents.
Methods
This study employed a non-equivalent control group pretest-posttest design. The participants included 26 sexually abused adolescents from eight Sunflower Centers of South Korea–with 13 in the experimental group and 13 in the control group. The experimental group received four sessions of the individual C-BABER program, each lasting 60 minutes.
Results
Compared with the control group, sexually abused adolescents in the experimental group exhibited significant score differences in traumatic symptoms, including depression (Z = - 2.24, p = .025), dissociation (Z = - 2.21, p = .027), anxiety (Z = - 2.02, p = .044), and posttraumatic stress (Z = - 2.01 p = .045); and impulsivity, including positive urgency (Z = - 3.35, p = .001) and negative urgency (Z = - 2.28, v = .023). Additionally, the experimental group exhibited significant score differences in meta-mood, including emotional attention (Z = - 2.45, p = .014), emotional clarity (Z = - 2.30, p = .021), and emotional repair (Z = - 2.28, p = .022); and emotional regulation modes, including emotional suppression (Z = - 2.65,p = .008) and cognitive reappraisal (Z = - 1.98, p = .047). Regarding bio-attention, significant changes were identified in the experimental group for the bio-attention rate and attention maintenance time in the posttest compared to the pretest (p = .001).
Conclusion
The C-BABER program for sexually abused adolescents is effective in decreasing traumatic symptoms and impulsivity, and in improving meta-mood, emotional regulation mode, and bio-attention. Therefore, we recommend providing sexually abused adolescents the C-BABER program to help them regulate their emotions and effectively adapt to their lives.

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  • The Effect of Biofeedback Training on Attention, Affect Balance, Academic Delay Behavior, and Problem-Solving Ability of Korean College Students
    Jungmin Lee, Youngkyoung Kim, Wanju Park
    Journal of Korean Public Health Nursing.2024; 38(2): 150.     CrossRef
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Moderating the Effects of Health Behaviors on Sexual Intercourse among Adolescents: A CrossSectional Study Using the 2020 Adolescent Health Behavior Survey
Eunmi Lee, Youngran Yang
J Korean Acad Nurs 2022;52(5):499-510.   Published online October 31, 2022
DOI: https://doi.org/10.4040/jkan.22080
AbstractAbstract PDF
Purpose
This study investigated the association between adolescent health behaviors (drinking, smoking, and drug use) and sexual intercourse, as well as the moderating effects of economic status, cohabitation with parents, and school type, among adolescents in Korea.
Methods
Secondary data from the 16th Adolescent Health Behavior Survey (2020) were used. A total of 395 schools and 54,948 middle and high school students participated in the study. Complex sample frequency analysis, the Rao–Scott test, and complex sample logistic regression analyses were performed.
Results
Sexual intercourse rates for men and women were 5.8% and 3.3%, respectively. Approximately 7.3% of high school students and 1.8% of middle school students reported having had sexual relations. Drinking (odds ratio [OR] = 3.15, 95% confidence interval [CI] = 2.82~3.52), smoking (OR = 6.75, 95% CI = 5.90~7.71), and drug use (OR = 3.03, 95% CI = 2.23~4.11) significantly increased the risk of sexual intercourse. Economic status and school type had moderating effects on the association between drinking and sexual intercourse.
Conclusion
Adolescent drinking, smoking, and drug use are associated with a higher risk of sexual experience. Thus, to reduce this risk, controlling alcohol consumption, smoking, and drug use is necessary. In addition, programs for healthy lifestyles and sexual intercourse should be differentiated according to the school type and the economic conditions of the adolescents’ households.

Citations

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  • Public discourse on substance use behavior as a driver of public policy: a scoping review of South Korean academic and official literature
    Meekang Sung, Jihye Han, Carrie G. Wade, Vaughan W. Rees
    Addiction Research & Theory.2025; 33(4): 312.     CrossRef
  • 3,322 View
  • 18 Download
  • 1 Web of Science
  • 1 Crossref
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Effect of Acculturative Stress on Multicultural Adolescents’ Life Satisfaction: Sequential Multiple Mediating Effects of Bicultural Acceptance Attitude, Self-Esteem, and Social Withdrawal -Using the 2016 Multicultural Adolescents Panel Study-
Soo Mi Kim, Hyeon Ok Kim
J Korean Acad Nurs 2022;52(3):324-340.   Published online June 30, 2022
DOI: https://doi.org/10.4040/jkan.22030
AbstractAbstract PDF
Purpose
This study determined acculturative stress’ effect on the life satisfaction of multicultural adolescents based on Roy’s Adaptation Model and some earlier studies. Further, it examined the sequential multiple mediating effects of bicultural acceptance attitude, self-esteem, and social withdrawal on life satisfaction.
Methods
Participants included 1,163 multicultural adolescents who participated in the sixth Multicultural Adolescents Panel Study. A hypothesis test was conducted using Hayes’ Process Macro Model 81.
Results
Life satisfaction increased with a decline in acculturative stress. Each of bicultural acceptance attitude, self-esteem, and social withdrawal had a single mediating effect on the relationship between acculturative stress and life satisfaction in multicultural adolescents. The sequential multiple mediating effects of bicultural acceptance attitude and self-esteem were confirmed significant after their impact on the relationship between acculturative stress and life satisfaction was analyzed. Bicultural acceptance attitude and social withdrawal were found to have a significant sequential multiple mediating effect on the relationship, as well.
Conclusion
This study’s results demonstrate that acculturative stress reduction is critical to improving multicultural adolescents’ life satisfaction. Bicultural acceptance attitude, self-esteem, and social withdrawal have a single mediating or sequential multiple mediating effect on the relationship between multicultural adolescents’ acculturative stress and life satisfaction. The findings, which highlight mediating effects, indicate that by increasing bicultural acceptance attitude and self-esteem, and reducing social withdrawal, multicultural adolescents’ life satisfaction can be improved.

Citations

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  • Association between parents’ country of birth and multicultural adolescents’ psychological well-being in South Korea: A study on depression, worries, life satisfaction, and social withdrawal
    Abdullatif Ghafary, Jaeyong Shin, Sang Sook Beck, Jieun Jang, Rajaguru Vasuki, So Yoon Kim, Hanif Abdul Rahman
    PLOS Mental Health.2025; 2(6): e0000356.     CrossRef
  • Acculturative Stress and Psychosocial Well-Being of Multicultural Youth in South Korea: The Moderating Role of Host Culture Identity
    Cheolwoo Park, Hannah B. Bayne
    International Journal for the Advancement of Counselling.2024; 46(3): 465.     CrossRef
  • Bicultural Acceptance Attitude as a Protective Factor Against the Effect of Acculturative Stress on Life Satisfaction Among Korean Multicultural Adolescents
    Jong-Hye Park, Sung-Man Bae
    Applied Research in Quality of Life.2024; 19(4): 1811.     CrossRef
  • The influence of bullying victimization on acculturation and life satisfaction among children from multicultural families in South Korea
    Jinho Kim, Eric Fong
    Journal of Ethnic and Migration Studies.2024; 50(18): 4718.     CrossRef
  • The Influence of Support Services for Multicultural Adolescents on School Adjustment and the Moderated Mediation Effect of Bicultural Attitude by Social Support
    Rae-Hyuck Lee, Jae-Kyoung Lee
    Korean Journal of family welfare.2024; 29(1): 149.     CrossRef
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Effects of Electroencephalogram Biofeedback on Emotion Regulation and Brain Homeostasis of Late Adolescents in the COVID-19 Pandemic
Wanju Park, Mina Cho, Shinjeong Park
J Korean Acad Nurs 2022;52(1):36-51.   Published online February 28, 2022
DOI: https://doi.org/10.4040/jkan.21155
AbstractAbstract PDF
Purpose
The purpose of this study was to examine the effects of electroencephalogram (EEG) biofeedback training for emotion regulation and brain homeostasis on anxiety about COVID-19 infection, impulsivity, anger rumination, meta-mood, and self-regulation ability of late adolescents in the prolonged COVID-19 pandemic situation.
Methods
A non-equivalent control group pretest-posttest design was used. The participants included 55 late adolescents in the experimental and control groups. The variables were evaluated using quantitative EEG at pre-post time points in the experimental group. The experimental groups received 10 sessions using the three-band protocol for five weeks. The collected data were analyzed using the Shapiro-Wilk test, Wilcoxon rank sum test, Wilcoxon signed-rank test, t-test and paired t-test using the SAS 9.3 program. The collected EEG data used a frequency series power spectrum analysis method through fast Fourier transform.
Results
Significant differences in emotion regulation between the two groups were observed in the anxiety about COVID-19 infection (W = 585.50, p = .002), mood repair of meta-mood (W = 889.50, p = .024), self-regulation ability (t = - 5.02, p < .001), self-regulation mode (t = - 4.74, p < .001), and volitional inhibition mode (t = - 2.61, p = .012). Neurofeedback training for brain homeostasis was effected on enhanced sensory-motor rhythm (S = 177.00, p < .001) and inhibited theta (S = - 166.00, p < .001).
Conclusion
The results demonstrate the potential of EEG biofeedback training as an independent nursing intervention that can markedly improve anxiety, mood-repair, and self-regulation ability for emotional distress during the COVID-19 pandemic.

Citations

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  • From Neural Networks to Emotional Networks: A Systematic Review of EEG-Based Emotion Recognition in Cognitive Neuroscience and Real-World Applications
    Evgenia Gkintoni, Anthimos Aroutzidis, Hera Antonopoulou, Constantinos Halkiopoulos
    Brain Sciences.2025; 15(3): 220.     CrossRef
  • Neuroimaging Insights into the Public Health Burden of Neuropsychiatric Disorders: A Systematic Review of Electroencephalography-Based Cognitive Biomarkers
    Evgenia Gkintoni, Apostolos Vantarakis, Philippos Gourzis
    Medicina.2025; 61(6): 1003.     CrossRef
  • The interaction between emotion dynamics and opinion changes in the era of generative AI
    Shangqian Li, Shaoyang Fan, Gianluca Demartini
    Computers in Human Behavior Reports.2025; 19: 100722.     CrossRef
  • Augmenting self-guided virtual-reality exposure therapy for social anxiety with biofeedback: a randomised controlled trial
    Preethi Premkumar, Nadja Heym, James A. C. Myers, Phoebe Formby, Steven Battersby, Alexander Luke Sumich, David Joseph Brown
    Frontiers in Psychiatry.2024;[Epub]     CrossRef
  • Infection Anxiety and Coping Strategies Among Individuals With Schizophrenia During the COVID-19 Pandemic: Mediating Effects of Protection Motivation
    Jeawon Joung, Dug Ja Choi
    Journal of Psychosocial Nursing and Mental Health Services.2023; 61(11): 43.     CrossRef
  • The Effects of Integrated Neurofeedback and Salutogenesis Nursing Intervention to Relieve Post-COVID-19 Symptoms in Late Adolescents
    Youngkyung Cho, Wanju Park
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2023; 32(4): 402.     CrossRef
  • Effects of Brain Attention Biofeedback Self-regulation Training Nursing Intervention on Attention, Multidimensional Impulsivity, Emotional Response Intensity, and Self-regulated Learning Ability of School-aged Children in the COVID-19 Pandemic Situation
    Youngkyung Cho, Wanju Park
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2022; 31(2): 111.     CrossRef
  • Comparison of QEEG Findings before and after Onset of Post-COVID-19 Brain Fog Symptoms
    Marta Kopańska, Danuta Ochojska, Renata Muchacka, Agnieszka Dejnowicz-Velitchkov, Agnieszka Banaś-Ząbczyk, Jacek Szczygielski
    Sensors.2022; 22(17): 6606.     CrossRef
  • 2,124 View
  • 34 Download
  • 6 Web of Science
  • 8 Crossref
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Review Paper
The Effects of Programs on Body-Image Improvement in Adolescents: A Systematic Review and Meta-Analysis
Hyun Jung Yun, Kyoungsan Seo, Dallong Han
J Korean Acad Nurs 2021;51(5):597-616.   Published online October 31, 2021
DOI: https://doi.org/10.4040/jkan.21104
AbstractAbstract PDF
Purpose
This study’s objective was to investigate the effects of programs that improve adolescents’ body image, using a systematic review and meta-analysis.
Methods
A literature search was performed in eleven electronic databases, using preferred reporting items for systematic reviews and meta-analysis guidelines. Population characteristics, contents of the programs, and measured outcomes were systematically reviewed from 21 selected studies. To estimate the size of the effects, meta-analysis was conducted using Comprehensive Meta-Analysis software.
Results
The contents of the programs that aimed to improve body image included physical, psychological, interpersonal, and sociocultural interventions. Sixteen studies were meta-analyzed to estimate the effect size of body-image improvement programs. Results showed that the program for body-image improvement had significant effects on body satisfaction (effect size [ES] = 0.56, 95% confidence interval [CI] = 0.23 to 0.89), and body dissatisfaction (ES = - 0.15, 95% CI = - 0.23 to - 0.08).
Conclusion
The program for body image improvement in adolescents includes a combination of physical, psychological, interpersonal relationship, and socio-cultural dimensions. The program that seeks to improve body image appears to be effective at increasing body satisfaction, and at reducing body dissatisfaction in adolescents. Thus, it is necessary to develop and apply multidimensional programs for adolescents to have a positive body image.

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  • 청소년의 신체상과 행복감 간의 관계: 가족 의사소통으로 조절된 자아존중감의 매개역할*
    종일 여
    Journal of Family Relations.2025; 30(1): 55.     CrossRef
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  • 62 Download
  • 1 Crossref
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Research Papers
Associations between Cigarette and Electronic Cigarette Use and Sleep Health in Korean Adolescents: An Analysis of the 14th (2018) Korea Youth Risk Behavior Surveys
Bo Gyeong Lee, Haein Lee
J Korean Acad Nurs 2021;51(3):380-389.   Published online June 30, 2021
DOI: https://doi.org/10.4040/jkan.21034
AbstractAbstract PDF
Purpose
This study aimed to understand the relationship between cigarette and electronic cigarette (e-cigarette) use and sleep health among Korean adolescents.
Methods
Using the 14th Korea Youth Risk Behavior Survey, we included 52,928 adolescents who responded to sleep satisfaction and sleep duration. Participants were classified into four groups: non-users, cigarette-only users, e-cigarette-only users, and dual users of both products. To examine the associations between cigarette and e-cigarette use and sleep health, data were analyzed using complex samples cross tabulation and complex samples logistic regression.
Results
Of the four groups, dual users reported the lowest level of sleep satisfaction and sleep duration; 57.0% and 86.9% of dual users were not satisfied with their sleep and have insufficient sleep duration, respectively. The proportion of students who were not satisfied with their sleep was higher among cigarette-only users compared to e-cigarette-only users (52.7% vs. 45.8%), but the two groups reported similar rates of insufficient sleep duration (84.2% vs. 84.3%). Compared to non-users, cigarette-only users, e-cigarette-only users, and dual users were more likely to not be satisfied with sleep (odds ratios [ORs] were 1.49, 1.36, and 1.75, respectively) and had significantly higher odds of experiencing insufficient sleep duration (ORs were 1.85, 2.06, and 2.34, respectively).
Conclusion
E-cigarette-only use and dual use as well as cigarette-only use were associated with poor sleep health. Therefore, to improve adolescent sleep health, health professionals should provide sleep intervention strategies considering the association between smoking and sleep health.

Citations

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  • Association between exclusive or dual use of combustible cigarettes and heated tobacco products and depressive symptoms
    Bo Gyeong Lee, Haein Lee, Namhee Kim, Ghobad Moradi
    PLOS ONE.2025; 20(1): e0314558.     CrossRef
  • Impact of electronic cigarette use and sleep duration, sleep issues and insomnia: a systematic review and meta-analysis
    Huma Sulthana, Asif Jan, Amogh Verma, Ranjana Sah, Rachana Mehta, Aftab Ullah, Abdur Rahim, Mohammad R. Alqudimat, Asmat Ullah
    Frontiers in Public Health.2025;[Epub]     CrossRef
  • Association between smoking behavior and sleep health among South Korean adolescents: A cross-sectional study 2020–2023
    Nagyeong Cho, Sung-il Cho
    Tobacco Induced Diseases.2025; 23(December): 1.     CrossRef
  • A Systematic Review on Health Impact of Electronic Cigarettes in South Korea
    Eunsil Cheon, Hana Kim, Naeun Kang, Susan Park, Sung-il Cho, Jieun Hwang
    Journal of the Korean Society for Research on Nicotine and Tobacco.2024; 15(2): 29.     CrossRef
  • A Study on the Factors Influencing Smoking in Multicultural Youths in Korea
    Jin-Hee Park, Mi-Jin Kim, Hee-Joo Lee
    Healthcare.2023; 11(10): 1437.     CrossRef
  • Association of dual electronic cigarettes and marijuana use with sleep duration among adults from the United States, NHANES 2015–2018
    Zhenzhen Pan, Qian Wang, Yun Guo, Shidi Xu, Shanshan Pan, Shiyao Xu, Qin Zhou, Ling Li
    Preventive Medicine Reports.2023; 33: 102190.     CrossRef
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The Effect of Neighborhood Characteristics and Friends’ Smoking Status on the Habitual Smoking Onset in Adolescents
You-Jung Choi, Gwang Suk Kim
J Korean Acad Nurs 2021;51(1):54-67.   Published online February 28, 2021
DOI: https://doi.org/10.4040/jkan.20212
AbstractAbstract PDF
Purpose
The aim of this study was threefold, to longitudinally examine the risk of habitual smoking onset in adolescents, to delineate the effects of neighborhood characteristics and friends’ smoking status on the habitual smoking onset, and to investigate whether the association between friends’ smoking status and habitual smoking onset was moderated by neighborhood characteristics.
Methods
This study conducted multilevel discrete-time survival analysis, using cohort data from the 3rd to 6th waves of the Korean Child and Youth Panel Survey, which excluded habitual smokers, matched with 2010 census data on respondents’ residence.
Results
Habitual smoking onset risk increased from the 8th to the 11th grade, and then slightly decreased from the 11th to the 12th grade. Friends’ smoking status (B = 0.60, p < .001), smoking rate (B = 0.06, p = .038), and the number of tobacco outlets in the respondents’ neighborhood (B = 0.51, p = .003) were positively associated with habitual smoking onset risk. Furthermore, the association between friends’ smoking status and habitual smoking onset risk was moderated by the number of tobacco outlets in the neighborhood. Specifically, the association was stronger in neighborhoods with more tobacco outlets (B = 0.58, p = .048).
Conclusion
Friends’ smoking status and living in neighborhoods that are more susceptible to smoking increase the risk of habitual smoking. The number of tobacco outlets in the neighborhood enhances the peer effect of adolescent’s smoking behavior. Therefore, policies or interventions designed to reduce youth’s tobacco use should focus on not only on reducing peer smoking, but also restricting smoking by adults and the number of neighborhood tobacco outlets.

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    Jaeyoung Lee
    Journal of Korean Maternal and Child Health.2025; 29(2): 74.     CrossRef
  • Family socio-economic status and parental education anxiety: the mediating role of perception of the “double reduction” policy and the moderating role of parental education expectations
    Jinfang Niu, Jie Fang, Zhanyong Qi
    Frontiers in Psychiatry.2025;[Epub]     CrossRef
  • The development and evaluation of an I-message smoking prevention program for high school students: A randomized controlled trial
    Song Hwa Chae, Bu Kyung Park
    The Journal of Korean Academic Society of Nursing Education.2025; 31(2): 161.     CrossRef
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    Nan Zhao, Chunyan Shi, Chenyang Wang
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    Kyoungsan Seo, Se-an Kim, Young June Choe, Jihyun Moon
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Comparison of the Prediction Model of Adolescents’ Suicide Attempt Using Logistic Regression and Decision Tree: Secondary Data Analysis of the 2019 Youth Health Risk Behavior Web-Based Survey
Yoonju Lee, Heejin Kim, Yesul Lee, Hyesun Jeong
J Korean Acad Nurs 2021;51(1):40-53.   Published online February 28, 2021
DOI: https://doi.org/10.4040/jkan.20207
AbstractAbstract PDF
Purpose
The purpose of this study was to develop and compare the prediction model for suicide attempts by Korean adolescents using logistic regression and decision tree analysis. Methods: This study utilized secondary data drawn from the 2019 Youth Health Risk Behavior web-based survey. A total of 20 items were selected as the explanatory variables (5 of sociodemographic characteristics, 10 of health-related behaviors, and 5 of psychosocial characteristics). For data analysis, descriptive statistics and logistic regression with complex samples and decision tree analysis were performed using IBM SPSS ver. 25.0 and Stata ver. 16.0.
Results
A total of 1,731 participants (3.0%) out of 57,303 responded that they had attempted suicide. The most significant predictors of suicide attempts as determined using the logistic regression model were experience of sadness and hopelessness, substance abuse, and violent victimization. Girls who have experience of sadness and hopelessness, and experience of substance abuse have been identified as the most vulnerable group in suicide attempts in the decision tree model.
Conclusion
Experiences of sadness and hopelessness, experiences of substance abuse, and experiences of violent victimization are the common major predictors of suicide attempts in both logistic regression and decision tree models, and the predict rates of both models were similar. We suggest to provide programs considering combination of high-risk predictors for adolescents to prevent suicide attempt.

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  • Factors Influencing Suicidal Ideation in Female Adolescents With Smartphone Overdependence
    Hyeongyeong Yoon
    Journal of Pediatric Health Care.2025; 39(2): 225.     CrossRef
  • Public discourse on substance use behavior as a driver of public policy: a scoping review of South Korean academic and official literature
    Meekang Sung, Jihye Han, Carrie G. Wade, Vaughan W. Rees
    Addiction Research & Theory.2025; 33(4): 312.     CrossRef
  • Risk prediction models for adolescent suicide: A systematic review and meta-analysis
    Ruitong Li, Yuchuan Yue, Xujie Gu, Lingling Xiong, Meiqi Luo, Ling Li
    Psychiatry Research.2025; 347: 116405.     CrossRef
  • Predictive Performance of Machine Learning for Suicide in Adolescents: Systematic Review and Meta-Analysis
    Lingjiang Liu, Zhiyuan Li, Yaxin Hu, Chunyou Li, Shuhan He, Shibei Zhang, Jie Gao, Huaiyi Zhu, Guoping Huang
    Journal of Medical Internet Research.2025; 27: e73052.     CrossRef
  • The use of machine learning on administrative and survey data to predict suicidal thoughts and behaviors: a systematic review
    Nibene H. Somé, Pardis Noormohammadpour, Shannon Lange
    Frontiers in Psychiatry.2024;[Epub]     CrossRef
  • A prediction model for adolescents’ skipping breakfast using the CART algorithm for decision trees: 7th (2016–2018) Korea National Health and Nutrition Examination Survey
    Sun A Choi, Sung Suk Chung, Jeong Ok Rho
    Journal of Nutrition and Health.2023; 56(3): 300.     CrossRef
  • Development of Prediction Model for Suicide Attempts Using the Korean Youth Health Behavior Web-Based Survey in Korean Middle and High School Students
    Younggeun Kim, Sung-Il Woo, Sang Woo Hahn, Yeon Jung Lee, Minjae Kim, Hyeonseo Jin, Jiyeon Kim, Jaeuk Hwang
    Journal of Korean Neuropsychiatric Association.2023; 62(3): 95.     CrossRef
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    Chung Hee Woo, Ju Young Park
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Original Articles
Patterns of Drinking Behaviors and Predictors of Class Membership among Adolescents in the Republic of Korea: A Latent Class Analysis
Haein Lee, Sunhee Park
J Korean Acad Nurs 2019;49(6):701-712.   Published online January 17, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.6.701
AbstractAbstract PDF
Abstract Purpose:

Despite the high drinking rates and the complexity of drinking behaviors in adolescents, insufficient attention has been paid to their drinking patterns. Therefore, we aimed to identify patterns of adolescent drinking behaviors and factors predicting the distinct subgroups of adolescent drinking behaviors.

Methods:

We analyzed nationally representative secondary data obtained in 2017. Our final sample included 24,417 Korean adolescents who had consumed at least one glass of alcohol in their lifetime. To investigate patterns of drinking behaviors, we conducted a latent class analysis using nine alcohol-related characteristics, including alcohol consumption levels, solitary drinking, timing of drinking initiation, and negative consequences of drinking. Furthermore, we investigated differences in demographics, mental health status, and characteristics of substance use across the latent classes identified in our study. To do so, we used the PROC LCA with COVARIATES statement in the SAS software.

Results:

We identified three latent classes of drinking behaviors: current non-drinkers (CND), binge drinkers (BD), and problem drinkers (PD). Compared to the CND class, both BD and PD classes were strongly associated with higher academic year, lower academic performance, higher levels of stress, suicidal ideation, lifetime conventional or electronic cigarette use, and lifetime use of other drugs.

Conclusion:

Health professionals should develop and implement intervention strategies targeting individual subgroups of drinking behaviors to obtain better outcomes. In particular, health professionals should consider different characteristics across subgroups of adolescent drinking behaviors when developing the interventions, such as poor mental health status and other substance use among binge and problem drinkers.

Citations

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  • Examining suicidality and substance use among Korean adolescents: a latent class analysis study
    Serim Lee, Jinyung Kim
    Asia Pacific Journal of Social Work and Development.2025; : 1.     CrossRef
  • Associations between binge drinking experience, depressive mood, and suicidality in adolescents: Based on the 2021 Korea Youth Risk Behavior Web-based Survey
    Mi-Sun Lee, Hooyeon Lee
    Journal of Affective Disorders.2023; 323: 386.     CrossRef
  • 1,304 View
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  • 2 Web of Science
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Development of a Quantitative Model on Adolescent Cyberbullying Victims in Korea: A System Dynamics Approach
Mi Jin You, Eun Mi Ham
J Korean Acad Nurs 2019;49(4):398-410.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.4.398
AbstractAbstract PDF
Abstract Purpose

This study used a system dynamics methodology to identify correlation and nonlinear feedback structures among factors affecting adolescent cyberbullying victims (CV) in Korea and to construct and verify a simulation model.

Methods

Factors affecting CV were identified by reviewing a theoretical background in existing literature and referencing various statistical data. Related variables were identified through content validity verification by an expert group, after which a causal loop diagram (CLD) was constructed based on the variables. A stock-flow diagram (SFD) using Vensim Professional 7.3 was used to establish a CV model.

Results

Based on the literature review and expert verification, 22 variables associated with CV were identified and the CLD was prepared. Next, a model was developed by converting the CLD to an SFD. The simulation results showed that the variables such as negative emotions, stress levels, high levels of conflict in schools, parental monitoring, and time spent using new media had the strongest effects on CV. The model's validity was verified using equation check, sensitivity analysis for timestep and simulation with 4 CV adolescent.

Conclusion

The system dynamics model constructed in this study can be used to develop intervention strategies in schools that are focused on counseling that can prevent cyberbullying and assist in the victims’ recovery by formulating a feedback structure and capturing the dynamic changes observed in CV. To prevent cyberbullying, it is necessary to develop more effective strategies such as prevention education, counseling and treatment that considers factors pertaining to the individual, family, school, and media.

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Validity and Reliability of a Korean Version of Yale Food Addiction Scale for Children (YFAS-C)
Jung Ho Kim, Ji Hyun Song, Ran Kim, Mi Young Jang, Hyon Joo Hong, Hyun Ji Kim, Sung Hee Shin
J Korean Acad Nurs 2019;49(1):59-68.   Published online January 15, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.1.59
AbstractAbstract PDF
Abstract Purpose

This study evaluated the psychometric properties of the Korean version of Yale Food Addiction Scale for Children (YFAS-C).

Methods

Participants were 419 young adolescent students (11~15 years old). The content validity of the expert group was calculated as the content validity index (CVI) after the translation and reverse translation process of the 25 items of the YFAS-C. The multitrait-multimethod matrix (MTMM) method was used to verify the construct validity; the generalized linear model (GLM) was used to evaluate the concurrent and incremental validity. Reliability was calculated as Kuder-Richardson-20 (KR-20) and Spearman-Brown coefficients.

Results

The CVI of the 25 items was greater than the item-level CVI .80 and the scale-level CVI .90. The Korean version of YFAS-C had verified convergent validity in emotional eating and external eating and discriminant validity in restrained eating. In addition, it had verified concurrent validity in emotional eating and external eating. Finally the incremental validity of the Korean version of YFAS-C was statistically significant on BMI. Reliability was KR-20 a=.69 and the Spearman-Brown coefficient was .64.

Conclusion

The Korean version of YFAS-C is a valid and reliable scale for measuring the severity of food addiction; it can be a useful scale for preventing obesity by predicting food addiction early.

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  • A meta‐analysis assessing reliability of the Yale Food Addiction Scale: Implications for compulsive eating and obesity
    Haitham Jahrami, Waqar Husain, Khaled Trabelsi, Achraf Ammar, Seithikurippu R. Pandi‐Perumal, Zahra Saif, Marc N. Potenza, Chung‐Ying Lin, Amir H. Pakpour
    Obesity Reviews.2025;[Epub]     CrossRef
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    Hye-Ji An, Sarah Woo, Hyun Jung Lim, Yoon Myung Kim, Kyung Hee Park
    Obesity Research & Clinical Practice.2025; 19(1): 34.     CrossRef
  • Assessing the magnitude and lifestyle determinants of food addiction in young adults
    Humera Vasgare, Devaki Gokhale, Anuja Phalle, Sammita Jadhav
    Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity.2025;[Epub]     CrossRef
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    Na Young Kim, Sooyeon Suh, Jieun Kim, Kumhee Son, Sarah Woo, Jia Kim, Kyung Hee Park, Hyunjung Lim
    Journal of Eating Disorders.2023;[Epub]     CrossRef
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    Idalia Cura-Esquivel, Juan Ramos-Álvarez, Edna Delgado, Airam Regalado-Ceballos
    PeerJ.2022; 10: e13500.     CrossRef
  • Validation and Psychological Properties of the Persian Version of DSM 5 Yale Food Addiction Scale 2.0 (PYFAS 2.0) in Non-clinical Population
    Mohammad Niroumand Sarvandani, Masoud Asadi, Farideh Khosravi, Ashley N. Gearhardt, Mohammadsadegh Razmhosseini, Maryam Soleimani, Fahimeh Mohseni, Behzad Garmabi, Raheleh Rafaiee
    Addiction and Health.2022; 14(3): 175.     CrossRef
  • Psychometric properties and convergent and divergent validity of the Portuguese Yale Food Addiction Scale 2.0 (P-YFAS 2.0)
    Sónia Gonçalves, Célia S. Moreira, Bárbara C. Machado, Beatriz Bastos, Ana Isabel Vieira
    Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity.2022; 27(2): 791.     CrossRef
  • Research Trends in the Diagnostic Classification of Food Addiction and Future Tasks
    Juwon Lee, Myoung-Ho Hyun
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  • Validity of the Yale Food Addiction Scale for Children (YFAS-C): Classical test theory and item response theory of the Persian YFAS-C
    Chung-Ying Lin, Vida Imani, Mark D. Griffiths, Amir H. Pakpour
    Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity.2021; 26(5): 1457.     CrossRef
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    Current Addiction Reports.2020; 7(3): 387.     CrossRef
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Differences in Factors Associated with Depressive Symptoms between Urban and Rural Female Adolescents in Korea
Gyuyoung Lee, Ok Kyung Ham, Bo Gyeong Lee, Abuan Micah Kim
J Korean Acad Nurs 2018;48(4):475-484.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.4.475
AbstractAbstract PDF
Abstract Purpose

To examine the prevalence of depressive symptoms and differentiate factors associated with them in urban and rural areas by applying the Ecological Models of Health Behavior.

Methods

We employed a cross-sectional design and convenience sample of 460 female adolescents. The instruments included the Adolescent Mental-Health Problem-Behavior Questionnaire (AMPQ-II) and the Beck Depression Inventory (BDI).

Results

Depressive symptoms were confirmed in 15.7% of urban adolescents and 22.9% of rural adolescents (p<.05). In the urban group, perception of health and stress associated with school performance were significantly associated with depressive symptoms. In the rural group, aca-demic/internet related problems and rule violations were significantly associated with depressive symptoms (p<.05). General life happiness, worry/ anxiety, and mood/suicidal ideation were common factors in both urban and rural areas (p<.05).

Conclusion

Multiple factors were associated with depressive symptoms, and those significant factors differed between urban and rural female youths. Accordingly, tailored approaches are required considering urban and rural differences. The approaches should include intrapersonal, interpersonal, and organizational levels of interventions.

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    Tyler R. Pritchard, Jennifer L. Buckle, Kristel Thomassin, Stephen P. Lewis
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    Ji-An Jeong, Sun A Kim, Jung Ho Yang, Min-Ho Shin
    Chonnam Medical Journal.2023; 59(2): 128.     CrossRef
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    Colin Xu, Lucille Miao, Devon Turner, Robert DeRubeis
    Journal of Affective Disorders.2023; 340: 299.     CrossRef
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    Yuting Yang, Hao Wang, Wen Sha, Xiaoqin Guo, Wei Deng, Jingyi Wang, Chaowei Fu
    Psychology Research and Behavior Management.2023; Volume 16: 4169.     CrossRef
  • Association between mental health and executive dysfunction and the moderating effect of urban–rural subpopulation in general adolescents from Shangrao, China: a population-based cross-sectional study
    Qingmin Lin, Cody Abbey, Yunting Zhang, Guanghai Wang, Jinkui Lu, Sarah-Eve Dill, Qi Jiang, M K Singh, Xinshu She, Huan Wang, Scott Rozelle, Fan Jiang
    BMJ Open.2022; 12(8): e060270.     CrossRef
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    Justė Lukoševičiūtė, Gita Argustaitė-Zailskienė, Kastytis Šmigelskas
    Children.2022; 9(2): 227.     CrossRef
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    Jae Yeon Lee, Ok Kyung Ham, Hyun Soo Oh, Eun Jin Lee, Young Ko, Bongjeong Kim
    The Journal of School Nursing.2022; 38(4): 336.     CrossRef
  • Factors Affecting Obesity in Urban and Rural Adolescents: Demographic, Socioeconomic Characteristics, Health Behavior and Health Education
    Gyu-Young Lee, Youn-Joo Um
    International Journal of Environmental Research and Public Health.2021; 18(5): 2405.     CrossRef
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    Guo Li, Junhua Mei, Jing You, Jinfeng Miao, Xiaoyan Song, Wenzhe Sun, Yan Lan, Xiuli Qiu, Zhou Zhu
    BMC Psychiatry.2019;[Epub]     CrossRef
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Self-Management Experiences of the Adolescents with Chronic Kidney Disease
Sug Young Lee, Heesun Shin
J Korean Acad Nurs 2018;48(3):266-278.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.3.266
AbstractAbstract PDF
Abstract Purpose

The aim of this study was to develop a substantive theory on self-management conducted by the adolescents with chronic kidney disease from their lived experience.

Methods

Data was collected through in-depth interviews from May to December in 2015 with thirteen adolescents with chronic kidney disease. The data collected were analyzed on the basis of Strauss and Corbin's grounded theory.

Results

The core of the category found in this study was “overcoming the unstable sense of self- control and integrating disease experience into their life”. The causal conditions triggering the central phenomenon were “restriction in daily life” and “manifestation and aggravation of symptom”. The central phenomenon in the experience of self-management within the adolescents with chronic kidney disease was “unstable sense of self control”. The intervening condition for unstable self control were “micro system support” and “motivational resources”. This study found that the adolescents with chronic kidney disease followed a series of strategies when they faced the central phenomenon, including; passive coping, reappraisal of illness, active coping, compliance with treatment, controlling physical activity, and adjusting school life. With these strategic approaches, the adolescents with chronic kidney disease could maintain their active lifestyles and achieve their health behaviors. The process of self-management by these adolescents passed through four phases; limited experience caused by diseases, effort for normalization, reorganizing their daily lives, and integration with daily lives and self-management.

Conclusion

This Study explored the process and experience of self-management of adolescents with chronic kidney disease. These findings can be used for basis for developing substantive theory and nursing intervention strategy for adolescents with chronic kidney diseases.

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  • Factors associated with healthcare transition readiness for adolescents with chronic conditions: A cross-sectional study
    Hye Seung Hong, YeoJin Im
    Journal of Child Health Care.2025; 29(3): 658.     CrossRef
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    Sug Young Lee
    Journal of Korean Academy of Fundamentals of Nursing.2025; 32(1): 105.     CrossRef
  • Patient and Caregiver Perspectives on Diet and Nutrition for Children With CKD: A Systematic Review of Qualitative Studies
    Ao Zhang, Anita van Zwieten, Anastasia Hughes, Siah Kim, Kelly Lambert, Luca G. Torrisi, Allison Jaure, Chandana Guha
    American Journal of Kidney Diseases.2025;[Epub]     CrossRef
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    Sug Young Lee
    Children.2025; 12(12): 1671.     CrossRef
  • Validity and reliability of the Korean caregiver contribution to self-care chronic illness inventory
    Juhee Lee, Eunyoung Kim, Misook Chung, Insun Yeom
    Scientific Reports.2023;[Epub]     CrossRef
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    Da-Jeong Kum, Kyung-Sook Bang
    Children.2023; 10(2): 288.     CrossRef
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    Ji Eun Kim, Ilaria Campesi
    Journal of Diabetes Research.2022; 2022: 1.     CrossRef
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    Thomas J. Wilkinson, Lauren L. O’Mahoney, Patrick Highton, Joao L. Viana, Heitor S. Ribeiro, Courtney J. Lightfoot, Ffion Curtis, Kamlesh Khunti
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    International Journal of Nursing Practice.2021;[Epub]     CrossRef
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Review Article
How Does Advance Provision of Emergency Contraceptives Affect Contraceptive Use and Sexual Activity Among Adolescents? Systematic Review and Meta-Analysis
Kyungsoon Ryu, Misoon Lee, Younghae Kim, Seonhwa Ban, Mihyang Choi
J Korean Acad Nurs 2018;48(3):255-265.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.3.255
AbstractAbstract PDF
Abstract Purpose

The purpose of this study was to analyze the effect of emergency contraceptive pill on adolescent sexuality and contraceptive behaviors through a meta - analysis of intervention studies on advance provision of emergency contraceptives. This study aimed to provide objective data on the transition of general medicines to be discussed in relation to the reclassification of emergency contraceptive pills.

Methods

Using electronic database, 1,820 studies written in Korean or English without limitation of the year were reviewed and for analysis, 5 studies were selected, in which emergency contraceptives were provided to adolescents.

Results

The advance provision of emergency contraceptives has increased their use and shortened the time it takes to take contraceptive pills after unprotected sex. There was no change in the frequency of engaging in sexual intercourse and unprotected sex or in existing contraceptive behavior, pregnancy rates decreased, but there was no increase in sexually transmitted infection.

Conclusion

The results of this study provide objective grounds for the reclassification of emergency contraceptive pills and propose effective interventional programs on contraceptive education, such as on efficacy and side effects of the contraceptive drug and its proper use among the youth who engage in sexual activity, to improve their reproductive health.

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  • Factors Affecting Condom-Use Behaviors Among Female Emerging Adults in South Korea
    Jungmin Lee
    Psychology Research and Behavior Management.2022; Volume 15: 1771.     CrossRef
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  • 1 Crossref
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Original Articles
Latent Class Analysis of Gambling Activities among Korean Adolescents
Kyonghwa Kang, Hyeongsu Kim, Ae Ran Park, Hee-Young Kim, Kunsei Lee
J Korean Acad Nurs 2018;48(2):232-240.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.2.232
AbstractAbstract PDF
Abstract Purpose

The aim of this study is to identify the types of gambling among adolescents and provide basic prevention information regarding adolescents’ gambling problems.

Methods

Secondary data from representative national survey on 2015 Youth Gambling Problems of Korea Center on Gambling Problems were used. Using latent class analysis (LCA), 13 gambling types such as offline and online games of 14,011 adolescents were classified, and gambling experiences and characteristics were analyzed.

Results

The subgroups of adolescent gambling were identified as four latent classes: a rare group (84.5% of the sample), a risk group (1.0%), an offline group (11.9%), and an expanded group (2.6%). The types and characteristics of gambling among the latent classes differed. In the risk group, adolescents participated in online illegal sports betting and internet casino, and gambling time, gambling expenses, and the number of gambling types were higher than other groups.

Conclusion

Gambling frequently occur among adolescent, and the subtypes of gambling did not reveal homogeneous characteristics. In order to prevent adolescent gambling problems, it is a necessary to develop tailored prevention intervention in the nursing field, which is appropriate to the characteristics of adolescent gambling group and can help with early identification.

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    International Gambling Studies.2025; 25(1): 22.     CrossRef
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    Kristal Yeung, Michelle Gatton, Darren Wraith
    Journal of Gambling Studies.2025;[Epub]     CrossRef
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    Spencer B. Huggett, Evan A. Winiger, Rohan H.C. Palmer, John K. Hewitt, Robin P. Corley, Michael C. Stallings
    Addictive Behaviors.2021; 113: 106662.     CrossRef
  • Gambling Subgroups among Korean Out-of-school Adolescents
    Kyonghwa Kang, Yi Kyung Ha, Hwal Lan Bang
    Child Health Nursing Research.2020; 26(3): 385.     CrossRef
  • Latent Class Analysis for Health-Related Quality of Life in the Middle-Aged Male in South Korea
    Youngsuk Cho, Dong Moon Yeum
    Journal of Korean Academy of Nursing.2019; 49(1): 104.     CrossRef
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    Kyonghwa Kang, Jong Sun Ok, Hyeongsu Kim, Kun-Sei Lee
    International Journal of Environmental Research and Public Health.2019; 16(12): 2110.     CrossRef
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The Effects of Neurofeedback Training on Physical, Psychoemotional Stress Response and Self-Regulation for Late Adolescence: A Non-Randomized Trial
Moon-Ji Choi, Wan-Ju Park
J Korean Acad Nurs 2018;48(2):208-220.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.2.208
AbstractAbstract PDF
Abstract 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, psy-choemotional 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.

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Effects of Group Counseling Program Based on Goal Attainment Theory for Middle School Students with Emotional and Behavioral Problems
In Ju Jeong, Soo Jin Kim
J Korean Acad Nurs 2017;47(2):199-210.   Published online April 28, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.2.199
AbstractAbstract PDF
Purpose

The purpose of this study was to examine the effects of a group counseling program based on goal attainment theory on self-esteem, interpersonal relationships, and school adjustment of middle school students with emotional and behavioral problems.

Methods

Forty-four middle school students with emotional and behavioral problems (22 in the experimental group and 22 in the control group) from G city participated in this study. Data were collected from July 30 to September 24, 2015. The experimental group received the 8-session program, scheduled once a week, with each session lasting 45 minutes. Outcome variables included self-esteem, interpersonal relationship, and school adjustment.

Results

There were significant increases for self-esteem (t=3.69, p=.001), interpersonal relationship (t=8.88, p<.001), and school adjustment (t=4.92, p<.001) in the experimental group compared to the control group.

Conclusion

These results indicate that the group counseling program based on goal attainment theory is very effective in increasing self-esteem, interpersonal relationship, and school adjustment for middle school students with emotional and behavioral problems. Therefore, it is recommended that the group counseling program based on goal attainment theory be used as an effective psychiatric nursing intervention for mental health promotion and the prevention of mental illness in adolescents.

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    HyunJung Lee, Bom-Mi Park, Heeju Kim, Jihye Kim, HyunJung Kim
    Korean Journal of Adult Nursing.2025; 37(4): 412.     CrossRef
  • DEVELOPMENT OF GROUP COUNSELING GUIDE WITH RELAXATION, SYSTEMATIC DESENSITIZATION, AND FLOODING TECHNIQUES TO REDUCE INTERACTION ANXIETY
    Eva Kartika Wulan Sari, Leny Latifah
    Counsenesia Indonesian Journal Of Guidance and Counseling.2023; 4(2): 148.     CrossRef
  • Effects of Nurse-Led Intervention Programs Based on Goal Attainment Theory: A Systematic Review and Meta-Analysis
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    Soyoung Yu, Ju-Eun Song
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  • Development and Effect of a Fall Prevention Program Based on King’s Theory of Goal Attainment in Long-Term Care Hospitals: An Experimental Study
    Bom-Mi Park
    Healthcare.2021; 9(6): 715.     CrossRef
  • Development and Effect of a Fall Prevention Program Based on the King's Goal Attainment Theory for Fall High-Risk Elderly Patients in Long-Term Care Hospital
    Bom Mi Park, Ho Sihn Ryu, Kyeung Eun Kwon, Chun Young Lee
    Journal of Korean Academy of Nursing.2019; 49(2): 203.     CrossRef
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Effects of a Strength Based I-Change Smoking Cessation Program for Smoking Middle School Boys
Jung Hee Kim, Yeon Hee Choi
J Korean Acad Nurs 2017;47(2):164-177.   Published online April 28, 2017
DOI: https://doi.org/10.4040/jkan.2017.47.2.164
AbstractAbstract PDF
Purpose

This study was done to develop a strength based I-change smoking cessation program for middle school boys and identified its effects.

Methods

The study design was a nonequivalent control group pre-post test design. The participants were 97 middle school students from D city, who were in school from April 6 to September 25, 2015. The experimental group participated in the strength based I-change smoking cessation program, while the comparative group participated in a general smoking cessation program. The control group did not participate in any program. Data analyses involved χ2-test, Fishers' exact test, Bonferroni test, and Repeated measures ANOVA, with the IBM SPSS for Windows (version 20.0) program.

Results

Compared to the comparison and control groups, the experimental group showed significant improvement in knowledge, attitude, self-efficacy, behavior change. Also cotinine in urine and modeling of social influence in the experimental group significantly decreased after the strength based I-change smoking cessation program.

Conclusion

These findings indicate that the strength based I-change smoking cessation program is an effective intervention for middle school boys who smoke. The findings suggest that such programs can be used at public health centers or through school health education to decrease smoking in adolescents.

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    Song Hwa Chae, Bu Kyung Park
    The Journal of Korean Academic Society of Nursing Education.2025; 31(2): 161.     CrossRef
  • Association of Smoking Media Literacy with Vietnamese and South Korean Adolescents’ Susceptibility to Smoking
    Sun Young Shim, Hyeonkyeong Lee, Sookyung Kim, Nguyen Thi Thanh Huong, Young-Me Lee, Phương Lê Thị, Bui Thi Thanh Loan
    The Journal of School Nursing.2024; 40(4): 391.     CrossRef
  • Effectiveness of a media literacy‐based smoking prevention program in female adolescents
    Sookyung Kim, Hyeonkyeong Lee, Sanghee Kim, Kyung Hee Lee, Seunghyun Yoo, Jin Eui Hong
    Public Health Nursing.2024; 41(3): 525.     CrossRef
  • Adolescents and youths’ opinions about the factors associated with cannabis use: a qualitative study based on the I-Change model
    María González-Cano-Caballero, María-Carmen Torrejón-Guirado, María Dolores Cano-Caballero, Isotta Mac Fadden, María-Del-Carmen Barrera-Villalba, Marta Lima-Serrano
    BMC Nursing.2023;[Epub]     CrossRef
  • The Effects of the Smoking Cessation Program of Life Skill Training Using Flipped Learning for Middle School Male Students
    Eun Hee Seo, Eun Suk Choi
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  • The effects of smoking cessation program using breath-mindfulness meditation
    Hyeon-Ah Cho
    Korean Journal of Health Education and Promotion.2021; 38(3): 23.     CrossRef
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    Hae Seon Lee, Su Hyun Kim
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Menstrual Experience of Adolescent Girls
Hyun Sook Chung
Journal of Nurses Academic Society 1996;26(2):257-270.   Published online March 30, 2017
DOI: https://doi.org/10.4040/jnas.1996.26.2.257
AbstractAbstract PDF

Studies on menstruation have focused only on menstruation itself and menstrual disorders. The menstruating girls or women have been neglected. So, the purpose of this study was to understand menstrual experience of adolescent girls in their perspective and build a theory on it. The specific purpose of this study were to find initial reaction of the girls, their strategies to adapt to menstruation, consequences of their efforts, influencing factor, and patterns of experience. The subjects of this study were eleven adolescent girls who experienced menarche three months to twenty-six months before the interview time. They were selected purposively. Their ages were in range of twelve and sixteen. One of them was a elementary school girls, three high school girls, and seven middle school girls. Two girls were handicapped because of cerebral palsy. All of them had some knowledge about menstrual physiology and hygiene during menstruation. Data were collected from September, 1994 to July, 1995. Data collection and analysis were done according to the grounded theory methodology by Strauss and Corbin(1990). Data collecting method was the long interviews and observation. Each interview took from 1 hour to 2 hours. Interview were tape?recorded and transcribed later by author. Data were analyzed immediately after interviews. Based on the results of previous interview, next interview were planned until gathered data reached the saturation point. Results were as follows. One hundred and six concepts were found. Those concepts were grouped into twenty eight categories and then fourteen higher categories. Twenty eight categories were as follows, "want to hide", "bewildered", "sense of burden", "sense of heterogeneity", "gladness", "sense of superiority", "negative empathy", "positive empathy", "limited hygenic control", "sense of timing", "lack of knowledge", "lack of support", "advance knowledge", "informational support", "emotional support", "edurance", "prayer", "disclosing", "avoidance", "diversion", "sense of powerlessness", "discovery of sex identity", "sense of maturation", "sense of stability", "acceptance of menstruation". Fourteen higher categories were as follows, "negative feeling", "posive feeling", "exchange of feeling", "limited hygenic control", "sense of timing", "accumulated experience", "dysmen-orrhea", "level of knowledge", "need for support", "perceived support", "sharing of feeling", "self-control", "passive acceptance", "active acceptance". The core category was "emotional shaking", which consisted of "positive feeling" and "negative feeling". "Emotional shaking" comes up to every adolescent girls experiencing menarche, independently of any contextual conditions, and its demension has two directions: positive one and negative one. Its influencing factors were time of menarche, advance knowledge, support from the significant persons, expression and self?regulation. Even if they showed different process of adaptation to menstruation, general process of adaptation were as follows: 1. stage of emotional shaking 2. stage of acceptance 3. stage of internalization of the menstrual experience. Seven patterns existed on the process of adaptation to menstruation after menarche. Those are as follows. 1. If girls thought their menarche came too early and they had not much knowledge on menstruation, they had a kind of negative feeling. If they did not get enough support and dysmenorrhea superimposed, they came to accept menstruation passively. 2. If girls had menarche too early, they had negative feeling, even though they had enough advance knowledge. But support helped them accept menstruation easily. 3. If girls had menarche too early, they had negative feeling, even though they had enough advance knowledge on menstruation. But by experiencing subsequent menstruations and disclosing feeling, they began to accept menstruation. 4. If girls had menarche too lately and they had enough advance knowledge on menstruation, they had positive feeling. If dysmenorrhea superimposed later, their feeling turned in to negative one. But they came to accept menstruation positively by disclosing feeling and getting support. 5. If girls had menarche too early, they had negative feeling, even though they had enough advance knowledge on menstruation. In addition to this, if dysmenorrhes superimposed while they did not get enough support, they felt powerless and came to accept menstruation passively. 6. If girls had menarche too early and did not get enough advance knowledge, they had negative feeling. But disclosing feeling and support made them get sense of homogeneity and began to accept menstruation. 7. If girls had handicap, they had negative feeling, even though they had enough advance knowledge and menarche was late. But Menarche made them get feel sexual identity. Their limited hygenic control and negative empathy from their mothers made them accept menstruation passively. To let adolescent girls take their menstrual experience as a part of their lives forming a positive sense of feminine identity, it needs qualified teaching and, support and deep concern of the significant others. Nurses including school nurses should try to develop an educational program, which include menstrual physiology, hygiene during menstrual period, meaning of menstruation and impact of menstruation on the development of female sexual identity.

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  • Effect of Early Menarche on Sexual Experience among Korean High School Girls
    Jaeyoung Lee
    Child Health Nursing Research.2017; 23(2): 137.     CrossRef
  • Lived Experience of Women with Severe Dysmenorrhea
    Hyun Kyoung Kim
    Korean Journal of Women Health Nursing.2011; 17(3): 304.     CrossRef
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Gender Difference in Delinquent Behavior among Korean Adolescents
Hyun Sil Kim
Journal of Korean Academy of Nursing 2002;32(4):492-505.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.4.492
AbstractAbstract PDF

PURPOSE: This paper examined gender differences in a rate, type, relevant variables of delinquent behavior, and a gender differences regarding the relative influence of family,personality, academic achievement, sexual abuse and alcohol drug abuse on delinquent behavior among Korean adolescents. METHOD: Data were collected by self-report questionnaires. Subjects consisted of 2,100 adolescents (male 1,396, female 704) in Korea, using proportional stratified random sampling method. Statistical methods were Chi-square, t-test and path analysis. RESULT: Male adolescents had higher rate of delinquent behavior, and more all types of delinquent behavior (antisocial, aggressive, and psychopathic) than female. Male adolescents showed more dysfunctional family dynamic environments, higher antisocial personality and sociability than female adolescents. Female adolescents had higher depressive tendencies than male. The most powerful contributing variables on male delinquent behavior were age, antisocial personality, parent-child relationship, isolation feelings, and sexual abuse in this order named. Drug abuse, isolation feelings, antisocial personality and parent-child relationship tended to be contributing variables for female delinquent behaviors in this order named. CONCLUSION: This investigation will provides a foundation for theory that addresses the complexities of both gender-specific and gender influences on delinquent behavior and development of preventive strategies for female delinquency.

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  • Adolescents' Attachments to Parents, Teachers, and Friends, and Delinquencies
    Ju-Rhee Lee
    Korean Journal of Human Ecology.2008; 17(4): 563.     CrossRef
  • HIV/AIDS Knowledge, Attitudes, Related Behaviors, and Sources of Information Among Korean Adolescents
    Hyera Yoo, Sun Hae Lee, Bo Eun Kwon, Sulki Chung, Sanghee Kim
    Journal of School Health.2005; 75(10): 393.     CrossRef
  • HIV/AIDS Knowledge, Attitudes, Related Behaviors, and Sources of Information Among Korean Adolescents
    Hyera Yoo, Sun Hae Lee, Bo Eun Kwon, Sulki Chung, Sanghee Kim
    Journal of School Health.2005; 75(10): 393.     CrossRef
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Development and the Effect of Adolescent Smoking Prevention Video
Sung Rae Shin, Na Sun Ha
Journal of Korean Academy of Nursing 2002;32(3):336-343.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.3.336
AbstractAbstract PDF

Recently the rate of adolescent smoking in Korea has increased rapidly, and various health problems related to smoking can be expected to increase in the future. Studies on smoking behavior report that assertiveness is important factor influencing on the adolescent smoking. PURPOSE: This study was conducted to develope a educational video for the purpose of adolescent's smoking prevention. METHOD: The 533 participating subjects, 269 in experimental group and 264 control group, in the study were 7th grade students. The content of video introduces three smoke tempting situations. The experimental group received 17 minute video education, and the control group did not receive any treatments. RESULT: The results show that the student's assertiveness was increased significantly in the experimental group after the video education. Student's attitude on smoking became more negative in the experimental group. However, in the control group, the intention, assertiveness, attitude was not changed. CONCLUSION: This assertiveness video can be useful educational resource for the smoking prevention program for adolescents. Also further study on longitudinal effect and application on drinking, drug abuse are needed.

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  • Effectiveness of a Secondhand Smoking Prevention Program on Adolescents
    Min Ah Park, Mi Ye Kim, Young Sun Ha
    Journal of Korean Academy of Community Health Nursing.2014; 25(1): 44.     CrossRef
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A Comparison of Stressors and Coping Behaviors of the High School Students who have Suicidal Ideation vs those who do not
Sook Bin Im, Chul Soon Jung
Journal of Korean Academy of Nursing 2002;32(2):254-264.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.2.254
AbstractAbstract PDF

PURPOSE: This study was conducted to identify and compare the stressors and coping behaviors of high school students who experienced suicidal ideation vs those who do not. METHOD: The data were collected from 1,441 high school students living in the middle region of Korea. Researchers collected the data using Adolescent Stress Inventory and Adolescent Coping questionnare from February to May of 1999. Data were analyzed using X2, T-test. RESULT: A significant proportion (31.9%) of subjects had thought about suicide during the past 6 months, 297 girls (35.3%) and 163 boys (27.2%). Major stressors of subjects who experienced suicidal ideation were academic problems, conflicts between family members, and changes in sleeping or eating patterns. Conflicts with family members contributed to have suicidal ideation. There was no significant difference in helpful coping behaviors between the two groups. The group who experienced suicidal ideation had lower scores and fewer coping behaviors. Boys perceived more stressors and had fewer helpful coping behaviors than girls. CONCLUSION: It is necessary to develope school-based suicide prevention programs. Our findings suggest that the program should focus on problems related to studying and conflicts within the family.

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  • Development and validation of suicide crisis scale for international students in South Korea
    Ki-Hyun Choi, Jung Hee Ha, Juliet Jue
    Frontiers in Psychology.2024;[Epub]     CrossRef
  • Effects of Self Esteem, Family Support and Adaptation to School Life on Adolscents' Suicidal Ideation
    Se-Young Jang
    Korean Journal of Health Education and Promotion.2013; 30(2): 11.     CrossRef
  • Relationship Between Depressive Symptoms and Awareness and, Attitude of Suicide in High School Students
    Sung-Ho Song, In-Sun Kwon
    Journal of the Korea Academia-Industrial cooperation Society.2012; 13(6): 2680.     CrossRef
  • Illness Experience of Adolescents with Hematologic Malignancies
    Sun Young Son
    Journal of Korean Academy of Nursing.2011; 41(5): 603.     CrossRef
  • An ecological understanding of youth suicide in South Korea
    Seung-yeon Lee, Jun Sung Hong, Dorothy L. Espelage
    School Psychology International.2010; 31(5): 531.     CrossRef
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Correlation between Personality, Family Dynamic Environment and Suicidal attempt among Korean Adolescents Population
Hyun Sil Kim
Journal of Korean Academy of Nursing 2002;32(2):231-242.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.2.231
AbstractAbstract PDF

PURPOSE: The purpose of this study was to identify the rate of suicidal attempts, investigate difference of rate of suicidal attempts between students and delinquents, and examine correlation between personality, family dynamics, environment, and suicidal attempts among Korean adolescents. METHOD: Data were collected through questionnaire surveys. Internal consistencies for this questionnaire ranged from 0.63 to 0.88. The subject used in this study consisted of 922(delinquent : 367, student : 555), using the proportional stratified random sampling method. Statistical methods employed were Chi-square and t-test. RESULTS: 1) The rate of suicidal attempts were 10.8%, and the highest peak age of suicidal attempt was 17-18 year old (16.9%).2) Delinquents(19.6%) showed a higher rate of suicidal attempts than students (5.1%). Among the students, girls (43.3%) showed a higher rate of suicidal attempt than boys (19.1%). Whereas, boys (80.9%) showed a higher rate of suicidal attempt than girls (56.7%) among delinquents.3) Those who attempt suicide have more familial problem such as incest, psychosis, depression, attempted suicide, committed suicide, and alcoholism in their family. They also have more dysfunctional family dynamics, environment, and maladaptive personalities than non-attempters. CONCLUSIONS: Suicide and suicidal behaviors are multifaceted events. For suicide prevention, independent assessments of variables such as familial problems, personality, family dynamics, and environment must be considered.

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  • Associated Factors of Depression and Suicidal Behaviors among Korean Adolescents: Web-based Survey of the Korea Youth Risk Behavior in 2015~2017
    Hyun-A Choi, Hyejin Yang
    Journal of Korean Academy of Community Health Nursing.2021; 32(3): 292.     CrossRef
  • Peer victimization and adolescents’ suicidal ideation and suicide attempts: A moderated mediation model
    Wenya Peng, Dongping Li, Xian Li, Jichao Jia, Yanhui Wang, Jiale Xiao
    Children and Youth Services Review.2020; 112: 104888.     CrossRef
  • Longitudinal reciprocal effects between peer relationship difficulties and aggressive behaviors in Korean adolescents
    Soyoun Kim, Choong Rai Nho
    Children and Youth Services Review.2017; 83: 41.     CrossRef
  • A review of school-based suicide prevention interventions in South Korea, 1995–2015
    Jung Won Kong, Jung Woo Kim
    Children and Youth Services Review.2016; 69: 193.     CrossRef
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    Sung Suk Chung, Kyoung Hwa Joung
    The Journal of School Nursing.2012; 28(6): 448.     CrossRef
  • Interpersonal Relationships and Suicide Probability among Korean Adolescents
    Hee Sook Kim, Wan Ju Park, Gyeong Ran Park, Mi Hyang Kim
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  • Factors on the Suicidal Attempt by Gender of Middle and High School Student
    Sanggu Yi, Yunjeong Yi, Hye-Sun Jung
    Journal of Korean Academy of Nursing.2011; 41(5): 652.     CrossRef
  • An ecological understanding of youth suicide in South Korea
    Seung-yeon Lee, Jun Sung Hong, Dorothy L. Espelage
    School Psychology International.2010; 31(5): 531.     CrossRef
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The Correlational Analysis between Perceived Heath Status, Self-Esteem, and Self-Care Agencies among Adolescents
Hee Jung Jang, Yun Hee Shin
Journal of Korean Academy of Nursing 2002;32(2):186-195.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2002.32.2.186
AbstractAbstract PDF

PURPOSE: This study was to identify and clarify the relationship between perceived health, self-esteem, and self-care agencies for promoting self care among Korean adolescents. METHOD: Data were collected from 817 adolescents in schools located in Seoul, Kyungki-do, and Chuncheon from Sept, 16th to Sept, 28th, 1999, and from Mar 10th to Mar 25th, 2000. The instruments used for this study were the Health Self-Rating Scale, Self-Care Agency Assessment Questionnaire (Denyes, 1981), the Self-Esteem Questionnaire (Rosenberg, 1971). RESULT: 1) The mean perceived health status among Korean adolescents was 8.75 (SD=1.72) 2) The mean self-esteem was 27.27 (SD=4.64). 3) The mean self-care agency was 99.64 (SD=21.02) and the average self-care agency score was 3.99 (SD=0.84). In the subcategories, the highest degree was feelings towards health (4.15), followed by ego strength (4.06), attending to health (3.87), general health knowledge (3.56), and the lowest degree was specific health knowledge (3.20) 4) There was statistical significant differences between demographic factors and self-care agencies, expecially, gender (t=28.65), grade (F=3.79), pocket money (t=5.72), and height (F=9.82) 5) The statistical relationship between perceived health status, self-esteem, and self-care agencies were found to have a positive correlation. 6) Self-care agencies among adolescents was the highest factor predicting self-esteem (15%). CONCLUSION: The relationship between perceived health status, self-esteem, and self-care agencies revealed a significant positive correlation among adolescents. Therefore, nursing intervention for adolescents needs to develop self-esteem programs to increase self-care agencies.

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  • The relationship between self-esteem and overall health behaviors in Korean adolescents
    Junghyun Park, Young-Ho Kim, Seon-Joo Park, Sooyeon Suh, Hae-Jeung Lee
    Health Psychology and Behavioral Medicine.2016; 4(1): 175.     CrossRef
  • Factors Associated with Perceived Health among Korean Adolescents
    JongSerl Chun, Sunghee Nam, Ick-Joong Chung, Hyunah Kang, Choong Rai Nho, Seokjin Woo
    Social Work in Public Health.2014; 29(6): 528.     CrossRef
  • Relationship between Health Status and Life Styles and Atopic Dermatitis in Adolescents
    Eun-Sun So, Ji-Young Yeo
    Journal of Korean Academy of Child Health Nursing.2012; 18(3): 143.     CrossRef
  • Factors Influencing Health Risk Behavior in High School Students
    Jin Choi, Mi-Ye Kim
    Journal of Korean Academy of Child Health Nursing.2009; 15(2): 182.     CrossRef
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The Influence of a Family Dynamic Environment, Personality, and Smoking on Delinquent Behavior Among Korean Adolescents
Hyun Sil Kim
Journal of Korean Academy of Nursing 2001;31(4):641-655.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2001.31.4.641
AbstractAbstract PDF

PURPOSE: The purpose of this study was to determine the important factors on juvenile delinquency and to examine relationships between sex, age, the family environment, the personality of adolescents, smoking, and juvenile delinquency.
Methods
Data collection was done through questionnaire surveys. The subjects for this study consisted of 1,948 adolescents delinquents : 784, students : 1,164 in Korea, using proportional stratified random sampling method. Statistical methods employed were chi-square, t-test and path analysis. Results: The results of this study were as follows : 1. The delinquent adolescents were reared in a more dysfunctional family environment, and had a higher maladaptive personality than the other student adolescents. 2. The delinquent adolescents showed the larger amount of smoking than the student adolescents. The cause of increased smoking tendency among delinquents simply were 'for social relation', 'for diversion', 'for nicotine addiction', whereas 'for tension relieving' among non-delinquent adolescents. 3. The most powerful contributors on delinquent behavior were antisocial personality tendencies, smoking, sex, strength of parent- child relationships, and the age of the adolescents in this order.
Conclusions
Our cross-sectional findings indicate that smoking was one of the most powerful contributing variables to delinquent behavior, but family environment, personality, sex and age of adolescents were also proved to be strong exogenous variables to smoking in adolescents.

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    Kyung-Hee Lee, Hea-Shoon Lee
    Journal of Korean society of Dental Hygiene.2015; 15(4): 583.     CrossRef
  • Smoking Behavior and Predictors of Smoking Initiation in Childhood and Early Adolescence
    Sunhee Park
    Journal of Korean Academy of Nursing.2009; 39(3): 376.     CrossRef
  • Construction of the Structural Equation Model on Substance Use in Adolescents
    Jeongyee Bae, Panuncio Rosel
    Journal of Korean Academy of Nursing.2009; 39(3): 446.     CrossRef
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A Phenomenological Approach to High School Student's Smoking Experiencing
Hae Kyung Chung
Journal of Korean Academy of Nursing 2001;31(4):610-618.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2001.31.4.610
AbstractAbstract PDF

PURPOSE: This study attempted to grasp the significance of high school boys smoking experiences, and to define its structure, then utilizing the results to create effective nursing intervention in order to protect students from smoking habit. METHOD: This study is based on a phenomenological approach. A group of eight male high school students who had experience in smoking were selected as the subject of this study. Intimate interview with participatory observation were carried out from them and the
result
ed data were analyzed by Giorgi's method as below. Result: The male high school students' smoking experiences were found to be a direct result from the environments around them and misty curiosity, masculinity, maintenance of close relations with peers, habitualness, stress relief, and concealment from the family. CONCLUSION: The result indicates that the male high school students' smoking, especially in an aspect from its starting point, motivational perspective, attitudes, and recent increasing rate of the juvenile smoking should be recognized as one of the problems that should be resolved. Concurrently, programs for preventing and quitting smoking should be started from the early stage of childhood as possible.

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  • A Qualitative Study on Respected Parents Respected Children Parenting Education Program Experiences of Multicultural Family Mothers with Preschool-age Children
    Sun-Hee Rhee, Woon-Kyung Lee, Ji-Yeon Yun, Hara Kang, Tae-Sun Kim, Hyun-Sim Doh
    Korean Journal of family welfare.2018; 23(2): 161.     CrossRef
  • Effectiveness of the Self-determination Theory based a Motivational Interviewing YOU-TURN Program for Smoking Cessation among Adolescents
    Young Sun Ha, Yeon Hee Choi
    Journal of Korean Academy of Nursing.2015; 45(3): 347.     CrossRef
  • A Phenomenological Study on Smoking Experience in Female Adolescents
    Young Hae Kim, Kyung Won Kim, Mi Ok Kang, Nam Hee Kim
    Journal of Korean Academy of Child Health Nursing.2010; 16(1): 10.     CrossRef
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Recovery outcomes of Korean adolescents with substance Abuse problems
Myung Sun Hyun
Journal of Korean Academy of Nursing 2000;30(7):1658-1666.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.7.1658
AbstractAbstract PDF

Recovery in substance abuse has been simplistically measured; a more comprehensive understanding of recovery outcomes is needed. This study therefore explored recovery outcomes of Korean adolescents with substance abuse by qualitative research. The recovery was found to occur in several domains; they included reconciliation with the self, hope for the future, reconciliation with family, self-liberation, socialization, conventional norm pursuit, and a struggle for realistic independence. An understanding of the recovery process and recovery outcomes may provide guidance for clinical interventions with substance abuse adolescents.

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The Adolescents' Experience in Drug Abuse
Kway Bun Kim, Kyung Ho Lee
Journal of Korean Academy of Nursing 2000;30(4):917-931.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.4.917
AbstractAbstract PDF

This study was to provide understanding for the juvenile problem of drug brought about by industrialization, and the importance people that we should take a role in helping to resolve the problem. The purpose of this study lies in approaching the effective methods to prevent Korean adolescents from being involved in drug by examining the factors of their experience. The method of this study is designed to grasp the adolescents' drug experience, its meaning, its structure and the nursing intervention ways. By applying a phenomenological approach which is based on a qualitative research method, the researchers hoped to reveal key data in each group. It has been carried on from October 1998 until September 1999 with sample of 5 adolescent inmates in K mental hospital located in Seoul. The data were collected by sereous personal deep interviews and observations. Collected data were analyzed according to the phenomenological method suggested by Giorgi. The results of this study are as follows: First, pleasure seeking: curiosity, joy, and fun; Second, affiliation: formation of clique with the same age; Third, escape from reality: loneliness, emptiness, heroic mind, self- confidence, self-absorption, and comfort; Forth, feeble- mindedness: anxiety, fear, and temptation; Fifth, psychological unadaptation: wandering, forfeiture, and incompetence; Sixth, physical counteraction: headache, vomiting, loss of memory, loss of appetite and loss of sensibility; Seventh, psychological confusion: illusion, auditory hallucination and dream; Eighth, recovery of self-consciousness: repentance, desire and awareness This study results in the following suggestions of the nursing intervention 1. To cultivate a wholesome game culture for the adolescents. 2. To make up the group activities so that the adolescents can establish their sense of identity through a variety of group counseling program. 3. To foster the capability to cope with the change in the process of social accommodation. 4. To enforce the social life skill for the adolescents. 5. To practice the systematic education about drug use. 6. To develop the social education programs. 7. To help the adolescents build up their sense of identity by applying the adolescent cure programs. Above all, it is necessary that school and community as well as home should establish the educational environment paying special concern and consideration to the adolescents.

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The Development and Effects of WEB Instruction Programs for Drug Abuse Prevention in Korean Adolescents
Young Sook Min
Journal of Korean Academy of Nursing 2000;30(4):1055-1065.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.4.1055
AbstractAbstract PDF

The purpose of this study was to develop, through the integration of instructional theory, a Courseware and to investigate the effectiveness of a web-based computer assisted instruction(WBI) program for preventing drug abuse, a serious problem for youth problem. During the first stage of this study done "Drug Abuse Prevention" Courseware was developed based on, Gagn & Brigg's instructional design theory, Keller's ARCS theory and the CAI model of Hannafin & Peck. For the second stage, the courseware was used to provide education for students adolescents in drug abuse prevention. This study used an quasi-experimental, one-group pretest-posttest design with a convenience sample of 36 male high school students who were at one high school located in Seoul. Data were collected using self-reported questionnaires which included a learning achievement tool, the Keller's IMMS (Instructional Material Motivation Survey), on attitudes to drug use, and on responses to the WBI instruction. Prior to the experiment, the "drug abuse prevention" learning method and the procedures of the study were explained to the students, and then the learning achievement of the subjects was measured as a pretest. The students were then given 2 weeks WBI utilizing the courseware. A post-test which included the pre-test learning achievement questionnaire and a survey of learning motivation and attitudes toward drug were given two weeks after the education was completed. The data analysis was done using SPSS/PC. Paired t-test was used to analyze the differences between the pre-test and post-test scores for learning achievement. The results of the analysis are as follows: There were significant differences in learning achievement between the pre-test and post-test(t=-18.62, p=0.000). The hypothesis, that learning achievement will be higher, after the class has used the courseware, than before was supported. The scores for learning motivation and attitudes toward drugs were also higher than the results of existing studies. In conclusion, this study suggests that WBI is an effective learning method in the prevention of drug abuse for adolescents as it can be used for self-learning and repeated learning as assisted instruction. Recommendation would be given that further research needs to be develped in the courseware by cognitive learning style and by multimedia courseware and virtual reality system.

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  • Development and Evaluation of a Web-based Education Program for Nursing Students on Control of Vancomycin-resistant Enterococcus Infection
    Ju Gong, Ji-Yeon Kang
    Journal of Korean Academy of Fundamentals of Nursing.2012; 19(1): 122.     CrossRef
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A Study On Subjective Experience Of Drug Abuse Adolescent
Mi Hee Kim
Journal of Korean Academy of Nursing 2000;30(1):7-17.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.2000.30.1.7
AbstractAbstract PDF

The purpose of this study is to affect health improvement of adolescent, to understand behavioral causes follow adolescent's drug abuse, to understand recovery and rehabilitaton process of adolescent drug abuser. The data are collected through open questionnaire and interview of 25 adolescents from the experienced drug abuse 16 students(male 8, female 8) in two vocational high schools and admissing adolescents 9 person in Alcohol-Drug Addiction Care Centre in Seoul from June 28th to August 31st, 1994. The collected data are arranged and explained through categorizing method stated contents about motives, causes, experiences and effected behaviors for using the drugs of drug abuser adolescents. DRUG USING MOTIVATION They are almost first son and daughter in their family. In their conversation person, male converses to their mother well, but female does not converse to their parents include family. Both groups respond positively to companionship and attitude to other, but negatively to self-confidence and actualizing attitude. They hope always peace of family and want to do their best for their life. In school group, hard and difficult things are school life and family problems, also using the drugs for resolving the them. About drug using behaviors, male responds to bad habbit and shamfull, but female is unconcerned with drug using attitude. The first background of drug using, male gets to use because of curiosity and to be induced from friends or seniors, but female gets to use for feminine beauty(thin body) and escape from reality. Used the drugs, male uses frequently Bond, Butane-Gas among inhalation materials and also marijuana, but female uses various diuretics. The times of drug using, both groups repond to use during the chaging of emotion or filling with stress. The place of drug using, both groups take drugs in vacant houses or in the mountain. The frequency of drug using, they use almost once in a day and they use mostly alone or drug user in friends. Experienced mental changing after drug using, which is fantasy, ecstasy, anxiety and suicidal feeling, and experienced physical changing after drug using, which is elevating sense, headach, abdominal pain, dyspnea and chaging of skin colour and reddish. They coincide with inconvenience feeling due to drug using. RECOVERY AND REHABILITATION PROCESS OF DRUG USING ADOLESCENTS The reason for reforming drug using behavior and attitude, both groups respond to reforming for oneself and social life. The difficult things during the stop to using drugs, all of them responed to family problems, friends problems and temptation and impulse. As for stop to using drug, they need good advise, understandable attitude and family love. But they do not need to be stigmatized, scolding, over protect and ridicule of friends. Also they entreat continuous understanding, advise, concern and the method for resolving stress. For the friends to want to use the drug, they will talk about the stories of their personal experiences and for the friends to stop to using the drug, they will consider for them how to stop. From the theses results, drug users understand personal problems due to drug using, and consider about why to stop and how to stop. Also drug users need to resolve the family problems, personal problems, stress and temptations or impulses. Accordingly this paper suggests that drug users in adolescents need understandable and acceptable atitudes, loving and tenderness, continuous advice and concern, and hopes for life.

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The Predictive Model of Adolescent Women's Depression
Young Joo Park, Hee Kyung Kim, Jung Nam Sohn, Suk Hee Cheon, Hyun Jung Shin, Young Nam Chung
Journal of Korean Academy of Nursing 1999;29(4):829-840.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.4.829
AbstractAbstract PDF

This study was condicted to construct a hypothetical model of depression in Korean adolescent women and validate the fit of the model to the empiricla data. The data were collected from 345 high school girls in Seoul, from May 1 to June 30, 1998. The instruments were the Body Mass Index, Physical Satisfaction Scale, Family Adaptatibility and Cohesion Evaluation Scale III, Family Satisfaction Scale, CES-D and School Adaptation Scale. The data were analyzed using descriptive statistics with the pc-SAS program. The Linear Structural Relationship(LISREL) modeling process was used to find the best fit model which would predict the causal relationships among the variables. The overall fit of the hypothetical model to the data was moderate [X2=69.6(df=17, p=.000), GFI=0.95, AGFI=0.90, RMR=0.087, NNFI=0.86, NFI=0.90]. The predictable variables, especially menstrual symptoms, physical symptoms and family function, had a significant direct effect on depression, but school life adaptation did not have a significant direct effect. These variables explained 18.1% of the total variance.

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The Lived Experience of Mothers Mentally Handicapped Daughters Having Menarche at Puberty
Myung Sook Lee
Journal of Korean Academy of Nursing 1999;29(3):494-506.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.3.494
AbstractAbstract PDF

The purpose of this study is to understand the structure of mothers of mentally handicapped daughters' lived experience, to apprehend the connectedness of the structure of the experience with concept of Parse's human becoming theory, and to provide a foundation for nursing research and education. Data collection was conducted from October 1995 to April 1996. Research participants were eight mothers of mentally handicapped daughters whose ages ranged from 12 to 18 attending special schools located in either Inchon or Seoul. The researcher had interviews with them over their lived experience conducted tape recorded, and made an analysis according to Parse's "human becoming research methodology." The data were collected using the dialogical engagement process "I and You," the participant researcher and the participant subject. The data were analyzed using the extraction-synthesis and heuristic interpretation. The structural integration is illustrated in the following: 1) Realizing the mother's role of mentally handicapped daughters and admitting situation. 2) Concealing a part of their relationship with others is interpreted as revealing-concealing. 3) Their fight back voluntarily to improve the situation is interpreted as powering. The conceptual integration which emerged was the lived experience of mothers is powering through the revealing-concealing and connection-separating of valuing.

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The Effects of Prevention Programs on Drug Use in Korean Adolescents
Sayaja Kim, Sunah Kim, Sung Suk Kong, Myung Ah Kim, Mia Seo
Journal of Korean Academy of Nursing 1999;29(1):150-160.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.1.150
AbstractAbstract PDF

BACKGROUND AND PURPOSE: Drug abuse is one of the most serious problems among the Korean adolescents today and has been associated with delinquent behavior in adolescents. The number of adolescents who abuse drugs is increasing yearly. Solutions to the problem, however, have not been well developed. The purpose of this study was to determine the effectiveness of a drug use prevention program which was developed by researchers. The program was a modified DARE(Drug Abuse Resistance Education) program for Korean adolescents. MEHTODS: This study used an experimental, one-group pretest-posttest design with a convenience sample of 122 middle school students who were at one middle school located in Seoul. Data were collected using a self-administered questionnaire where 'knowledge and attitude about drug use', 'social skill', and 'self-esteem' were measured. The program had 12 sessions to improve knowledge and attitudes towards drugs, decision making skills, social resistance skills, management of stress and self-esteem of students. Teaching strategies for each session were varied : lectures, group discussion, role-playing, question-and-answer sessions and audiovisual materials. Paired t-test was used to analyze the differences between the pre- and post-test scores on knowledge of and attitudes towards drug use, social skills, and self-esteem. RESULTS: There were significant differences in knowledge and attitudes about drug use between pretest and post-test(p<.05), but no significant differences in social skill and self-esteem(p>.05). CONCLUSION: Our results showed that the drug use prevention program was not effective in promoting social-skill and self-esteem of Korean adolescents. These findings might be due to the respondents being in the period of early adolescence(puberty) and not being good at group discussion. So, further study is needed to develop a drug use prevention program appropriate to students 9 and 10 years old, and to encourage small group discussion.

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A Study on the Consciousness and Preventive Strategies of Adolescent Drug Abuse: The Center of Chun Nam Area
Chung Sun Park, Chong Young Eun, Mi Young Jeong
Journal of Korean Academy of Nursing 1999;29(1):127-138.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1999.29.1.127
AbstractAbstract PDF

This study was done to examine consciousness and preventive strategies of adolescent drug abuse. This study design was descriptive survey. The data were collected from 1,830 students from 32 middle and high schools from November 11 to December 20, 1997, using questionnaires. The data were analyzed using SAS computer programs. The study results are as follows : Most of adolescent get the information on narcotics and drug abuse from TV, newspaper, magazine and advertisement. Some of them(48.8%) have received education on drug prevention. However, respondents(49.3%) answered unsatisfactory on preventive education. 69.2% of respondents do not know the legal regulation on alcohol and cigarette. The survey on the degree of cognition on drug abuse shows the serious results : cigarette(79.1%), alcohol(74.1%), bonds(55.1%), gas(49.8%), excitants(48.5%), narcotics(29%), marihwana(27.8%) and, diuretics(21.9%). The situation of adolescent drug abuse is also serious in the order of alcohol 38.2%, cigarette 14.3%, marihwana 9.4%.

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A Study on the Adolescent's Experiences in Domestic Violence
Kyung Hee Kim
Journal of Korean Academy of Nursing 1998;28(1):70-80.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1998.28.1.70
AbstractAbstract PDF

This study is designed to contribute to the nursing intervention of adolescent domestic violence victims by describing specifically what they go through and on this basis work out a grounded theory on the adolescent's experience in domestic violence. The data were analyzed in the framework of grounded theory as mapped out by Strauss and Corbin(1990). The major findings of this research are as follows : The core category was found to be the adaptation of "Joyudeum" or "Straight jacketing". The sub-categories identified in the process of grounded data analysis were 'menacing', 'being harassed', 'being pressed', 'being attacked', 'being strapped', 'being filled with anger', 'getting angry', 'being oppressed', 'being filled with anger', 'becoming hard', 'endurance', 'regulation', 'seriousness', 'repetition', 'being helpful', 'dependence', 'thinking oriented', 'blowing off', 'going astray', 'self-deprecating', 'shaking off, covering up', 'governing, 'being devoted', 'performing', 'being transformed', 'bolting', 'being shaken', 'withdrawing', 'disliking', 'bolting', 'being shaken', withdrawing', 'disliking', 'bitterness'. These categories were again grouped into 13 categories including 'threatening', 'straight jacketing', 'tolerance', 'violence', 'supporter', 'supporting type', 'thinking oriented', 'impulsive response', 'self-controlled', 'response', 'self-reliance', 'wandering', 'withdrawal' and 'pain'. Of these the five sub-categories 'being filled with anger', 'getting angry', 'being oppressed', 'being strained', 'becoming hard' were grouped into a core category "straight jacketing". Those adolescents brought up in a violent family go through three stages of the adaptation of "straight jacketing". that is, generation, response and adaptation. The following four theses were confirmed on the basis of repetitive relations : 1) If a subject's tolerance is strong, the episodes of the violence are frequent and serious, with the resulting straight jacketing being stronger but the subject's supporter is highly mature, the supporting type is concrete and the thinking oriented is wishful, the responses to the straight jacketing result in a self-control whose consequence is self-reliance with part of it resulted in withdrawal and pain. 2) If a subject's tolerance is weak, the episodes of the violence are frequent but not serious, with the resulting straight jacketing being weaker but the subject's supporter is immature, the supporting type is superficial and the thinking oriented is extemporary, the responses to the straight jacketing result in an impulsion whose consequence is wandering with prat of it resulted in withdrawal and pain. 3) If a subject's tolerance is weak, the episodes of the violence are frequent and serious, the straight jacketing is strong, the subject's supporter is immature and the supporting type is superficial but the thinking oriented is wishful, the responses to the straight jacketing result in an impulsion whose consequence is withdrawal and pain with part of it resulted in wandering. 4) If a subject's tolerance is strong and the episodes of the violence are infrequent and not serious, the straight jacketing is weak, the subject's supporter is immature and the supporting type is superficial but the thinking oriented is wishful, the responses to the straight jacketing result in a self-control whose consequence is withdrawal and pain with part of it resulted in self-reliance.

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Experience of Mothers of Mentally Handicapped Children Having Menarche
Myung Sook Lee
Journal of Korean Academy of Nursing 1998;28(1):7-16.   Published online March 29, 2017
DOI: https://doi.org/10.4040/jkan.1998.28.1.7
AbstractAbstract PDF

Various difficulties and inconvenience arise from having a mentally handicapped child in a family and these place many demands on mothers. There are few studies in Korea on these demands nor on what mothers go through with their mentally handicapped daughters' menarche and puberty. The purpose of the study was to examine the experiences of mothers of mentally handicapped daughters, as it relates to their daughters' menarche and the beginning of puberty. With in depth interviews, both in person and by telephone and participant observation the study used a qualitative research methodology to attempt to understand the experiences of these mothers. The data were gathered from October 1995 to April 1996. The subjects for the research included nine mothers of mentally handicapped daughters whose ages ranged from 12 to 18 and who attended one of three special schools located in either Inchon or Seoul. The data were recorded and analyzed ; meaningful statements were grouped according to subjects raised by the mothers. Content Analysis was also applied to identify similar content and confirm common experiences, and to highlight concepts and categorized them. The results of this study are as follows. Five categories were identified ; mothers' emotional responses to their mentally handicapped daughters' menarche and menstruation were of severe despair accompanied by anxiety, guilt, fear, anguish, shame and pity because the mothers were afraid their daughters would not be able to use appropriate hygienic measures during menstruation and the mothers felt heavily burdened in having to look them. The mothers also had negative feelings about their daughters' physical development. The experience of mothers related to their daughters' possibilities for marriage and pregnancy were of powerlessness, distress, withdrawal, fear, pity and desperation and they were afraid that their daughters might be violated sexually. The mothers rejected the possibility of marriage and pregnancy for their daughters and instead planned very restricting futures for them. The mothers used various coping methods to bring meaning to their lives. Because the negative emotional responses of the mothers, nurses need to work to empower mothers to overcome these negative responses. Sex education can also play an important role especially for the daughters especially through the use of visual aids. Further, nurses should understand the learning difficulties of mentally handicapped daughters, what mothers need and also what they experience with their mentally handicapped daughters. In conclusion, nurses should understand the negative experiences of the mothers in relation to their mentally handicapped daughters' menarche help the mothers cope with the negative. emotions through real life education and counselling. In addition, there is a need for nursing interventions and an administrative system which will minimize the prejudices of society towards handicapped people.

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Validation of a Path Model on Adolescents' Suicidal Ideation and Violent Behavior
Hyun Sook Park
Journal of Korean Academy of Nursing 2007;37(6):835-843.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.6.835
AbstractAbstract PDF

PURPOSE: This study examined the fitness of a path model on the relationship among stress, self-esteem, aggression, depression, suicidal ideation, and violent behavior for adolescents. METHODS: The subjects consisted of 1,177 adolescents. Data was collected through self-report questionnaires. The data was analyzed by the SPSS and AMOS programs. RESULTS: Stress, self-esteem, aggression, and depression showed a direct effect on suicidal ideation for adolescents, while stress, self-esteem, and aggression showed an indirect effect on suicidal ideation for adolescents. Stress, self-esteem, aggression, and suicidal ideation showed a direct effect on violent behavior for adolescents, while stress, self-esteem, aggression, and depression showed an indirect effect on violent behavior for adolescents. The modified path model of adolescent's suicidal ideation and violent behavior was proven correct. CONCLUSION: These results suggest that adolescent's suicidal ideation and violent behavior can be decreased by reducing stress, aggression, and depression and increasing self-esteem. Based on the outcomes of this study, it is necessary to design an intervention program that emphasizes reducing stress, aggression, and depression and increasing self-esteem in order to decrease adolescents' suicide ideation and violence.

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    Eun-Kyung Kim
    Korean Journal of Health Promotion.2018; 18(1): 42.     CrossRef
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    Geunmyun Kim, Sunkyung Cha
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  • Factors on the Suicidal Attempt by Gender of Middle and High School Student
    Sanggu Yi, Yunjeong Yi, Hye-Sun Jung
    Journal of Korean Academy of Nursing.2011; 41(5): 652.     CrossRef
  • Development of the Competency Model for Prevention of Adolescent Risk Behavior
    Hyun Sook Park, Sun Young Jung
    Journal of Korean Academy of Nursing.2011; 41(2): 204.     CrossRef
  • The Development and the Effectiveness of a Integrative Group Counseling Program for Depression, Suicide Ideation, and Stress in High School Students
    Sarah Hyoung-Sun Kim
    Korean Journal of Child Studies.2011; 32(6): 81.     CrossRef
  • Development of the Structural Model of Adolescent's Risk Behavior
    Hyun Sook Park, Sun Young Jung
    Journal of Korean Academy of Nursing.2011; 41(3): 364.     CrossRef
  • The Effects of the Peer Suicide Prevention Gatekeeper Program for Middle School Students
    Jung Nam Sohn
    Journal of Korean Academy of Psychiatric and Mental Health Nursing.2011; 20(1): 111.     CrossRef
  • Development of a Multisystem Core Competency Support Model to Prevent Suicidal Ideation in Adolescents
    Hyun Sook Park, Sun Young Jung
    Journal of Korean Academy of Psychiatric and Mental Health Nursing.2010; 19(3): 278.     CrossRef
  • A Meta-Analysis of Variables Related to Suicidal Ideation in Adolescents
    Bo Young Kim, Chung Sook Lee
    Journal of Korean Academy of Nursing.2009; 39(5): 651.     CrossRef
  • Effects of Core Competency Support Program on Depression and Suicidal Ideation for Adolescents
    Hyun Sook Park
    Journal of Korean Academy of Nursing.2009; 39(6): 851.     CrossRef
  • The Development of an Integrated Suicide·Violence Prevention Program for Adolescents
    Hyun Sook Park
    Journal of Korean Academy of Nursing.2008; 38(4): 513.     CrossRef
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Relation of the Blood Pressure, Lipids and Body Mass Index by Smoking Status Among Adolescents
Young Soon Byeon, Hea Shoon Lee
Journal of Korean Academy of Nursing 2007;37(6):1020-1026.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.6.1020
AbstractAbstract PDF

PURPOSE: This study was to investigate the relationship between blood pressure, lipids and body mass index by smoking status among adolescents. METHODS: This study was designed as a descriptive correlational study. General and smoking characteristics were collected using a questionnaire. The smoking group consisted of 42 (33%) students and the non smoking group 85 (67%) students. Blood pressure, lipids, height and weight were measured, and body mass index was calculated to kg/m2. The collected data was analyzed by the n(%), chi-square-test, t-test and Pearson correlation coefficient (SPSS 12.0). RESULTS: 1. The smoking level was different between grade, smoking status among the family, the contentment of their relationship with their parents, school life and teachers. 2. The smoking group's systolic blood pressure, total cholesterol, triglyceride, low density lipoprotein cholesterol and body mass index were higher than those of the non smoking group. 3. The smoking amount had a significant positive correlation between total cholesterol and low density lipoprotein cholesterol. CONCLUSION: The result of this study offered basic data to develop intervention programs to prevent hypertension and hyperlipidemia in smoking adolescents.

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  • Effectiveness of a Motivational Interviewing Smoking Cessation Program on Cessation Change in Adolescents
    Young Sun Ha, Yeon Hee Choi
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    Sunhee Park
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Factors on Internet Game Addiction among Adolescents
Hyun Sook Park, Yun Hee Kwon, Kyung Min Park
Journal of Korean Academy of Nursing 2007;37(5):754-761.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.5.754
AbstractAbstract PDF
Purpose

The purpose of this study was to explore factors related to internet game addiction for adolescents.

Method

This study was a cross-sectional survey, and data was collected through self-report questionnaires. Data was analyzed using the SPSS program.

Results

In logistic regression analysis, the risk of being addicted to internet games was 2.22 times higher in males than females. Adolescents with low and middle academic performance also had a higher risk(2.08 times and 2.54 times) to become addicted to internet games. For the location of the computer, the risk of becoming addicted to internet games were .01 times lower in the living room or brother or sisters' room than in their own room. The risk of becoming addicted to internet games was 1.18 times higher in the higher usage time of internet games. The risk of becoming addicted to internet games was .49 times lower in the more accepting and autonomic parents' rearing attitude and .02 times lower in the high self-efficacy group than the low group.

Conclusion

The result of this study suggests that there are noticeable relationships between internet game addiction and gender, academic performance, location of computer, usage time of internet games, parents' rearing attitude, and self efficacy.

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The Study on Predictors of Depression for Korean Female Adolescents
Hyun Sook Park, Hyun Young Koo, Eun Hee Jang
Journal of Korean Academy of Nursing 2007;37(5):715-723.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.5.715
AbstractAbstract PDF
Purpose

The purposes of this study were 1) to compare the contribution of demographic-behavioral variables and psychological variables in explaining the variance of depression, 2) identify the most important predictors of depression for Korean female adolescents.

Method

The participants were 840 female adolescents. Data was collected through self-report questionnaires, which were constructed to include demographicbehavioral factors, self-esteem, hostility, hopelessness, and depression. Data was analyzed using the SPSS program.

Result

Female adolescents' demographicbehavioral variables explained 17% of the variance in depression, and perceived physical health status, history of physical abuse, smoking, satisfaction of body weight, parental alcohol abuse, parental divorce, and history of suicidal attempt were the significant predictors of depression for female adolescents. Psychological variables explained 50% of the variance in depression, and self-esteem, hostility, and hopelessness were the significant predictors of depression for female adolescents. The significant predictors of depression among female adolescents' demographicbehavioral variables and psychological variables were self-esteem, hostility, hopelessness, perceived physical health status, parental alcohol problem, and history of physical abuse, explaining 52% of the variance in depression.

Conclusion

In order to reduce depression in female adolescents, it is necessary to design an intervention program that emphasizes improving self-esteem while reducing hostility and hopelessness.

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    Sung-Hyun Lim, Won-Oak Oh, In Sun Yeom
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    Yooli Lim, Bongseog Kim
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    Gab-Yeon Kim, Hee-Sook Kim
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    Suk-Hee Cheon
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Development of a Mentoring Program to Improve Exercise and Dietary Habits of Adolescents
Yun Hee Shin, Soo Hyun Ahn, Joo Rim Ahn, Go Woon Yang, Sook Kyung Oh
Journal of Korean Academy of Nursing 2007;37(5):703-714.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.5.703
AbstractAbstract PDF
Purpose

The purpose of this study was to evaluate the effects of a mentoring program to improve the exercise and dietary habits of adolescents.

Methods

A non-equivalent control group, pretest-posttest design was used. The independent variable was a mentoring program for improvement of exercise and dietary habits of adolescents, in which the mentors were nursing students and the mentees were female middle school students. The dependent variables were weekly exercise frequency, weekly exercise time, perception of exercise benefit, frequency of vegetable intake, and dietary habits. The intervention was conducted by various methods such as group education, individual approach through the mentor-mentee relationship, and multimedia approaches.

Results

At follow-up, the perception of the exercise benefit was significantly greater in the intervention group than in the control group. The weekly exercise frequency and frequency of vegetable intake in the intervention group were significantly greater after the intervention than those before the intervention.

Conclusion

This mentoring program is potentially of an effective health promotion program for adolescents and will enable nursing students who participate in the program as mentors to gain confidence in their professional capability.

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    Wasim Khan, Salahuddin Khan, Tasleem Arif, Sohail Roman Khan
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  • Development of the Pregnancy Nutrition Knowledge Scale and Its Relationship with Eating Habits in Pregnant Women visiting Community Health Center
    Hae Won Kim
    Journal of Korean Academy of Nursing.2009; 39(1): 33.     CrossRef
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Reliability and Validity of an Instrument for Adolescents Meaning in Life Scale(AMIL)
Kyung Ah Kang, Shin Jeong Kim, Mi Kyung Song, Songyong Sim
Journal of Korean Academy of Nursing 2007;37(5):625-634.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.5.625
AbstractAbstract PDF
Purpose

The purpose of this study was to test the reliability and validity of an MIL instrument for adolescents.

Method

The research design was a three-phase, methodological study. 1) The original 46 items of the Meaning in Life (MIL) Scale were reviewed and corrected partially by 20 adolescents. 2) The content was validated by an expert panel (n=15) and adolescents (n=5). 3) The instrument was validated by survey (n=468). Finally, 33 items were chosen for the adolescents meaning in life(AMIL) scale.

Results

Cronbach's alpha coefficient of the 33 items was .92, confirming the high internal consistency of the instrument. 2) Eight factors were extracted through factor analysis: ‘experience of love’, ‘making efforts for goal’, ‘awareness of essential being’, ‘awareness of self limitation’, ‘feeling of satisfaction’, ‘relation experience’, ‘positive thinking’, and ‘hope’. These factors explained 58.26% of the total variance.

Conclusion

AMIL Scale was identified as a tool with a high degree of reliability and validity. The tool can therefore be effectively utilized to assess the degree of meaning of life in caring areas for adolescents. Studies on AMIL of different adolescent subjects are needed for further verification.

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    Emily K. Drake, Robin Urquhart
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    Kyung-Ah Kang, Shin-Jeong Kim, Hyon Kim Ellis
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    Sung Sil Hong, Ho Ran Park
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    Eun Min Hyun
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    Mi-Suk Wang, Sun-Suk Hwang, Hyun-Chul Jung, Suk-Jung Han, Kyung-Ah Kang
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    Young Mi Yoon, Hun Ha Cho
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    Hyeon-Ok Ju, Nae-Young Lee, In-Sook Park, Sun-Ok Lee, So-Hee Kim
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    Kyung-Ah Kang, Shin-Jeong Kim, Mi-Kyung Song
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    Kyung-Ah Kang, Jae-Im Im, Hee-Su Kim, Shin-Jeong Kim, Mi-Kyung Song, Songyong Sim
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    Kyung-Ah Kang, Jeoung-Sook Shim, Dae-Geun Jeon, Myung-Suk Koh
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    Kasil Oh, Kyong-Ok Oh, Sook-Ja Lee, Jeong-Ah Kim, Chu-Ja Jeong, Hye-Ryoung Kim, Hoa-Yun Jun, Jung-Hee Kang
    Journal of Korean Academy of Nursing.2008; 38(6): 881.     CrossRef
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Construction of a Structural Model about Male and Female Adolescents' Alienation, Depression, and Suicidal Thoughts
Eunsook Lee
Journal of Korean Academy of Nursing 2007;37(4):576-585.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.4.576
AbstractAbstract PDF
Purpose

This study was designed to construct a structural model explaining alienation, depression, and suicidal thoughts in male and female adolescents.

Method

Data was collected by questionnairs from 204 male and 208 female students selected randomly in high schools in K city.

Results

This study found that depression was significantly affected by alienation, and was indirectly affected through alienation by school attachment, peer relationships, and academic performance. Suicidal thoughts were greatly affected by depression, and were directly and indirectly influenced by alienation. It was confirmed that alienation turned out to be a important mediating variable, while it had a effect significant on depression and suicidal thoughts. Also there were significant differences in affecting factors among male and female students.

Conclusion

Intervention strategies for preventing alienation, depression and suicidal thoughts should be different according to gender. In addition, specific nursing intervention plans, including parent education and role training programs, fostering of humanistic and achievement-focused educational environment, peer support programs, and individual counselling, need to be developed and implemented to lessen a feeling of alienation from family and school.

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    Mehmet S. VANGÖLÜ, Gaye Zeynep ÇENESİZ
    Humanistic Perspective.2022; 4(3): 529.     CrossRef
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    Soo Mi Jang, Seunghye Hong
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    Sang-Yun Bae, Hyun-Suk Yoon, Young-Chae Cho
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    Hyunju Park
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    Eun Sun Ji, Mi Heui Jang
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Associations between Smoking and Depression in Adolescence: An Integrative Review
Sunhee Park, Dan Romer
Journal of Korean Academy of Nursing 2007;37(2):227-241.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.2.227
AbstractAbstract PDF
Background

Although research has established the existence of an association between smoking and depression among adolescents, researchers have not reached consensus on the nature of the association.

Objectives

The purpose of this paper is to review the literature, to examine the nature of the relationship between smoking and depression in adolescence, and to suggest future research directions.

Method

A literature search was conducted from the following six databases: (a) Ovid MEDLINE, (b) CINAHL, (c) PubMed Unrestricted, (d) PsycINFO, (e) ERIC, and (f) Sociological Abstracts. The combinations of the words, “depression,” “smoking,” “tobacco,” “adolescent,” and “teen” were used for keyword searches to find relevant articles.

Results

In 47 of 57 studies, significant associations between smoking and depression were found. However, these significant relationships may either be spurious or unrelated to depression because a substantial number of studies did not adjust for confounders or did not use validated instruments to measure depression. Additionally, if the relationship is causal, its direction remains controversial. Five relationships have been suggested: (a) Depression causes smoking, (b) smoking causes depression, (c) there is a bidirectional relationship between smoking and depression, (d) smoking and depression occur due to confounders, and (e) subgroups with different relationships between the two conditions exist.

Conclusions

It is necessary to further explore the relationship between smoking and depression. Future research should consider the need for: (a) longitudinal research designs, (b) more accurate measurement of depression, and (c) the control of confounders between smoking and depression.

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    Phil H. Lee, Brenden Tervo-Clemmens, Richard T. Liu, Maia B. Gersten, Jae-Yoon Jung, Amy C. Janes, Jodi Gilman
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    Soyoon Park, Kang-Sook Lee
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    Akinkunmi Paul Okekunle, Jeffery Osahon Asowata, Jung Eun Lee, Onoja Matthew Akpa
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    Sunhee Park
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The Importance of Smoking Definitions for the Study of Adolescent Smoking Behavior
Sunhee Park, Kyung Ja June
Journal of Korean Academy of Nursing 2006;36(4):612-620.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2006.36.4.612
AbstractAbstract PDF
Purpose

Smoking is the leading cause of death and smoking initiation rarely occurs after adolescence. Thus research on adolescent smoking is crucial. A consistent definition of smoking is important because inconsistent definitions make comparisons across studies an arduous task. Thus, the aim of the study was to suggest future research directions for smoking definitions after examining pitfalls in the literature.

Methods

In this study the literature on adolescent smoking in the U.S. and South Korea was examined, and three types of smoking definitions were identified. Limitations in the studies are identified and future research directions are suggested.

Results

In the U.S. literature, smoking definitions can be categorized into three groups: definitions based on stage models, smoking trajectories, and definitions derived from specific data. In the South Korean literature, various levels of smoking have not been differentiated.

Conclusions

While the literature does not provide a definitive answer regarding the definition of smoking, it suggests three issues to consider for future research. First, multiple measures of smoking are more desirable than a one-time measure. Second, theory- or trajectory-based smoking definitions are more desirable than definitions derived from available data. Finally, regularity and amount of cigarette use should be incorporated in defining smoking behavior.

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    Korean Journal of Family Medicine.2017; 38(1): 28.     CrossRef
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