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5 "Problem Behavior"
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Research Papers
Effectiveness of Drinking Reduction Program Focused on Self-Determination Enhancement for College Students with Problematic Drinking
Ma, Jin-Kyoung , Yoo, Moon-Sook
J Korean Acad Nurs 2021;51(3):265-279.   Published online June 30, 2021
DOI: https://doi.org/10.4040/jkan.20247
AbstractAbstract PDF
Purpose
This study examined the impact of a drinking reduction program on drinking motivation, drinking refusal self-efficacy, and problematic drinking behaviors in college students with problematic drinking habits.
Methods
This study incorporated a non-equivalent control group prepost-test design. Study participants included 58 college students who scored 12 or more in the AUDIT-K test (Alcohol Use Disorders Identification Test-Korean version) (experimental group: 30; control group: 28). The intervention consisted of eight sessions and was conducted once a week. It was designed to promote autonomy, competence, and relatedness-the three elements of basic psychological needs in self-determination theory. The participants were assessed before the intervention, immediately after, and four weeks post intervention. Data were collected from October 12 to December 31, 2017. The analysis employed the chi-square test, Fisher’s exact test, independent t-test, and repeated measures ANOVA using SPSS/WIN 22.0.
Results
The mean age of participants was 21.8 years. There were 30 men (51.7%) and 28 women (48.3%). The differences in drinking motivation, drinking refusal self-efficacy, and problematic drinking behaviors were statistically significant for the group by time interaction (F = 42.56, p < .001; F = 54.96, p < .001; F = 39.90, p < .001, respectively). Conclusion: The findings indicate that the intervention effectively decreases drinking motivation, increases drinking refusal self-efficacy, and decreases problematic drinking behaviors. It can be an efficient strategy for college students with problematic drinking habits to enhance their self-determination ability.
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Identifying Trajectories of Behavioral Problems in Children with Allergic Diseases: Secondary Data Analysis of the 5th to 7th Panel Study of Korean Children
Son, Miseon , Ji, Eunsun
J Korean Acad Nurs 2020;50(6):822-836.   Published online December 31, 2020
DOI: https://doi.org/10.4040/jkan.20177
AbstractAbstract PDF
Purpose
This study aimed to identify latent classes of behavioral problem trajectories in children with allergic diseases and investigate their predictors.
Methods
This study used data from the 5th to 7th Panel Study of Korean Children. The participants included 840 children aged 4~6 years with allergic diseases. Statistical analyses were conducted using latent class growth analysis and multinomial logistic regression.
Results
The trajectories of both internalizing and externalizing behavioral problems in children with allergic diseases were classified into five groups, that is deteriorative, recovering, changing 1 (decreasing-increasing), changing 2 (increasing-decreasing), and low state persistent group. For the internalizing behavioral problems, predictors were temperament, father’s education, family interaction, and disconnection in peer interaction. For the externalizing behavioral problems, predictors child’s gender, temperament, marital conflict, parenting stress, family interaction, and parenting environment.
Conclusion
Deteriorative group has high-risk behavioral problems in children with allergic diseases. We suggest to provide interventions considering latent problem trajectories based on ecological environments for allergic children.
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Original Articles
Effects of Parenting Stress and Controlling Parenting Attitudes on Problem Behaviors of Preschool Children: Latent Growth Model Analysis
Jeong Won Han, Hanna Lee
J Korean Acad Nurs 2018;48(1):109-121.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.1.109
AbstractAbstract PDF
Abstract Purpose

This study was conducted to examine the longitudinal effects of parenting stress and parental control attitudes on problem behaviors in preschool children, using a latent growth model.

Methods

Participants were 1,724 pairs of parents and 1,724 preschool children who had completed the panel survey on Korean children (5th~7th survey panels).

Results

An analysis of the multivariate latent growth model of parenting stress, parental control attitudes, and children's problem behaviors suggested that the parents’ intercepts for parenting stress influenced their intercepts for parental control attitudes (father: b=.21, p<.001; mother: b=.55, p<.001). In addition, the slopes for fathers’ parenting stress was the only aspect that affected the slopes for mothers’ parental control attitudes (b=.77, p<.001). Moreover, both the intercepts and slopes of parenting stress and parental control attitudes significantly affected the children's problem behaviors.

Conclusion

This study is significant as it provides longitudinal evidence of the impact of parenting stress and parental control attitudes on children's problem behaviors. The findings suggest that accurately assessing changes in parenting stress and parental control attitudes and developing intervention programs to reduce them will be effective in reducing problem behaviors in children.

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Anger, Problem Behaviors, and Health Status in Adolescent Women
Young Joo Park, Keum Sun Han, Hyun Jeong Shin, Hyun Chul Kang, So Hyun Moon
Journal of Korean Academy of Nursing 2004;34(7):1234-1242.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.7.1234
AbstractAbstract PDF
Purpose

This cross-sectional study was designed to identify anger-expression typesof adolescent women and investigate the relation between the identified anger-expression types and their problem behaviors and health status.

Method

One hundred ninety nine high school freshmen were recruited from September to November, 2003. Data wasanalyzed using descriptive statistics, cluster analysis, χ2-test, ANOVA, and Duncan's multiple comparison test.

Result

Three anger-expression types in adolescent women were found; Anger-out/in, Anger-control/in, and Anger-control type. Adolescent women with frequently using the anger-out/in type and with higher state anger reported more delinquent behaviors, more health risk behaviors, and higher psychosomatic symptoms. However, adolescent women with lower state anger and frequently using the anger-control type reported more depression scores.

Conclusion

There is a need to further clarify the relationship between anger-expression typesand depression in adolescent women. The findings suggest the necessity of a development of the program for lowering the anger level and controlling the unfavorable anger expression types such as the anger-out in.

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Influencing Factors on Problem Behaviors among Adolescents: Focused on Middle School Students in Seoul
Myung Sun Hyun, Kyung Hee Kim, Sun Ah Kim
Journal of Korean Academy of Nursing 2004;34(2):252-260.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.2.252
AbstractAbstract PDF
Purpose

This study was to investigate the factors influencing problem behaviors among adolescents.

Method

The subjects for this study were 596 students in middle school in Seoul. The data was collected during the period from May to November, 2001 by use of questionnaires. The instruments used were the Child Problem Behavior list by Hong (1986), the Body Cathexis Scale by Secord and Jourard(1953), and the Beck Depression Inventory by Beck(1978). The data was analyzed by using the SPSS-Win program.

Result

Problem behaviors showed a significant negative correlation with body image (r= -.310. p=.000) and positive correlation with depression (r=.674, p=.000). There were significant differences in the problem behavior scores of subjects according to sex, family status, economic status, and school scores. Female students were found to have a high degree of internalized problem behaviors. In addition, depression, body image, and sex were significant predictors to explain problem behaviors(47.3%). Depression, sex, grade, and school scores were significant predictors to explain externalized problem behaviors(21.9%) and depression and body image, internalized problem behaviors(51.4%).

Conclusion

Since predicting factors of problem behaviors among middle school students by problem behavior type and sex were different, then practitioners should consider these differences when developing programs for them.

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