Journal of Korean Academy of Nursing

Original Articles

Relationships of Mood Disturbance, Symptom Experience, and Attentional Function in Women with Breast Cancer Based upon the Theory of Unpleasant Symptoms: Eun Hyun Lee; Journal of Korean Academy of Nursing 2005;35(4):728-736. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.4.728

Purpose

The purpose of this study was to identify direct, mediating, and moderating relationships of mood disturbance, symptom experience, and attentional function in Korean women with breast cancer based upon a middle-range theory of unpleasant symptoms.

Methods

This study used a cross-sectional, correlational design. A convenience sample of 125 women receiving chemotherapy for breast cancer was recruited from a university hospital in South Korea. The women completed questionnaires on mood disturbance, symptom experience, and attentional function using the Linear Analogue Self-Assessment Scale, the Symptom Experience Scale, and the Attentional Function Index, respectively.

Results

Each mood disturbance and symptom experience showed a significant relationship with attentional function. Symptom experience did not act as a mediator between mood disturbance and attentional function, but it did act as a moderator: patients with a higher level of mood disturbance exhibited a lower level of attentional function when their symptoms were at the level of medium, but not when their symptoms were either high or low.

Conclusion

This suggests that clinical interventions for attenuating the influence of mood disturbance on attentional function may be effective only in women experiencing medium level of symptoms.

Citations

Citations to this article as recorded by

Pre-Surgery Demographic, Clinical, and Symptom Characteristics Associated with Different Self-Reported Cognitive Processes in Patients with Breast Cancer
Yu-Yin Allemann-Su, Marcus Vetter, Helen Koechlin, Steven M. Paul, Bruce A. Cooper, Kate Oppegaard, Michelle Melisko, Jon D. Levine, Yvette Conley, Christine Miaskowski, Maria C. Katapodi
Cancers.2022; 14(13): 3281. CrossRef
Effects of Chemotherapy-Induced Peripheral Neuropathy in Women With Breast Cancer: A Structural Equation Approach With the Theory of Unpleasant Symptoms
Mijung Kim, Mi Sook Jung
Cancer Nursing.2021; 44(2): 145. CrossRef
The Theory of Unpleasant Symptoms in Pediatric Oncology Nursing: A Conceptual and Empirical Fit?
Fernanda Machado Silva-Rodrigues, Pamela S. Hinds, Lucila Castanheira Nascimento
Journal of Pediatric Oncology Nursing.2019; 36(6): 436. CrossRef
Cognitive Deficits in Korean Women Treated With Chemotherapy for Breast Cancer
Mi Sook Jung, Bernadine Cimprich
Cancer Nursing.2014; 37(3): E31. CrossRef
Factors Affecting Symptom Experiences of Breast Cancer Patients: Based on the Theory of Unpleasant Symptoms
HyoJin Kim, Sanghee Kim, Hyangkyu Lee, SangEun Oh
Asian Oncology Nursing.2014; 14(1): 7. CrossRef
Association between sleep duration and psychological health in overweight and obese children in Korea
Hee Soon Kim, Ok Kyung Ham, Jong Wook Kim, Ji Young Park
Nursing & Health Sciences.2012; 14(2): 238. CrossRef
The Attentional Function Index—a self‐report cognitive measure
Bernadine Cimprich, Moira Visovatti, David L. Ronis
Psycho-Oncology.2011; 20(2): 194. CrossRef

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Development and Effects of an Instructional Coaching Program Regarding Children with Attention Deficit Hyperactivity Disorder for Elementary School Teachers: Shin Jeong Park, Wan Ju Park; J Korean Acad Nurs 2017;47(3):305-318. Published online January 15, 2017; DOI: https://doi.org/10.4040/jkan.2017.47.3.305

Abstract PDF

Abstract Purpose

The aim of this study was to identify the effects of a newly developed instructional coaching program regarding Attention Deficit Hyperactivity Disorder (ADHD) for teachers.

Methods

Seventy teachers participated in this study involving a nonequivalent control group and a pretest-posttest design. The instructional coaching program consisted of eight 60-minute sessions. The program was developed through a theoretical development program involving six steps. To evaluate the effects of the program, data were collected through self-report questionnaires including the Knowledge Scale of Attention Deficit Disorder, Attitude Scale of Primary School Teachers Experiencing Students with ADHD, Practice Scale of Educational Intervention Activity, and the Korean ADHD Rating Scale. Data were analyzed with an independent t test, a chi-square test, and an ANCOVA using SPSS WIN version 20.

Results

The intervention program consisted of 3 sectors, 8 subjects, and 24 content items. The experimental group showed a significant improvement in attitudes toward ADHD (F=22.83, p<.001). In addition, teacher's knowledge regarding ADHD (F=7.16, p=.010) and the implementation of instructional interventions (F=4.29, p=.043) improved. Further, teachers reported a reduction in children's ADHD-related behavior (F=4.34, p=.041). Results showed that the coaching program made a positive contribution to teaching skills and understanding of school-age children with ADHD.

Conclusion

The instructional coaching program was well structured and significantly improved not only teachers'attitudes, knowledge, and teaching skills but also the behavior of children with ADHD in class. Therefore, the program is recommended as a means of facilitating teaching and managing children with ADHD in class.

Citations

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The Effects of ADHD Teacher Training Programs on Teachers and Pupils: A Systematic Review and Meta-Analysis
Rebecca J. Ward, Sarah J. Bristow, Hanna Kovshoff, Samuele Cortese, Jana Kreppner
Journal of Attention Disorders.2022; 26(2): 225. CrossRef
Effectiveness of a Long-Term Training Programme for Teachers in Attention-Deficit/Hyperactivity Disorder on Knowledge and Self-Efficacy
Sonia Jarque Fernández, Laura Amado Luz, Marta Oporto Alonso, Marina Fernández-Andújar
Mathematics.2021; 9(12): 1414. CrossRef
Knowledge and Perception of Attention-Deficit/Hyperactivity Disorder among Elementary-School Teachers
Ilhoon Lee, Han-Yong Jung, Soyoung Irene Lee, Shin-Gyeom Kim, HyunChul Youn, Yuri Kim, Jeewon Lee
Journal of Korean Neuropsychiatric Association.2020; 59(4): 303. CrossRef

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Review Article

Effects of Cognitive Behavioral Therapy on Attention Deficit Hyperactivity Disorder among School-aged Children in Korea: A Meta-Analysis: Wan-Ju Park, Shin-Jeong Park, Sung-Dong Hwang; J Korean Acad Nurs 2015;45(2):169-182. Published online April 30, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.2.169

Abstract PDF

Purpose

This study was a meta-analysis designed to identify effects of Cognitive Behavioral Therapy (CBT) interventions in alleviating main symptoms of Attention Deficit Hyperactivity Disorder (ADHD) among school-aged children in Korea.

Methods

Examination of several databases including Research Information Sharing Service, Korean Studies Information Service System, Data Base Periodical Information Academic and hand-searched article references, resulted in identification of 1,298 studies done between 2000 and 2013 of which 21 met the inclusion criteria. Comprehensive Meta-Analysis version 2.0 was used to analyze effect sizes, explore possible causes of heterogeneity, and check publication bias with a funnel plot and its trim-and-fill analysis.

Results

Overall effect size of CBT intervention was large (g=1.08) along with each outcome of self-control (g=1.26), lack of attention (g=1.02), social skills (g=0.92), and hyperactivity (g=0.92). For heterogeneity, moderator analysis was performed, but no significant differences were found between the RCT (Randomized Controlled Trials) group and the NRCT (Non RCT) group. Also, meta-regression was performed using sample size, number of sessions, and length of session as predictors, but no statistically significant moderators were found. Finally, a funnel plot along with trim-and-fill analysis was produced to check for publication bias, but no significant bias was detected.

Conclusion

Based on these findings, there is clear evidence that CBT intervention has significant positive effects on the main symptoms of school-aged children suffering ADHD. Further research is needed to target diverse age groups with ADHD along with more RCT studies to improve the effectiveness of the CBT intervention.

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Effectiveness of sensory integration therapy in children, focusing on Korean children: A systematic review and meta-analysis
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Chae-Bong Kim, Min-Kyung Han, Mi-Seon Jeong, Bo-Young Choi, Kil-Yong Choi, Moo-Young Kim
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Effects of a Social Skills Training Program on Problem Behaviors, Social Skill, and Peer Relationship in Children using a Community Child Center at Vulnerable Area
Myeong-Hui Choe, Yong-Mi Lee
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Clinical Application of the Korean Personality Rating Scale for Children in Attention-Deficit Hyperactivity Disorder
Woon Yoon, Kee-Jeong Park, Kukju Kweon, Hyo-Won Kim
Journal of the Korean Academy of Child and Adolescent Psychiatry.2015; 26(3): 217. CrossRef

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Original Articles

Prevalence and Characteristics of Chemotherapy-related Cognitive Impairment in Patients with Breast Cancer: Jin-Hee Park, Sun Hyoung Bae, Yong-Sik Jung, Young-Mi Jung; J Korean Acad Nurs 2015;45(1):118-128. Published online February 27, 2015; DOI: https://doi.org/10.4040/jkan.2015.45.1.118

Abstract PDF

Purpose

Evidence suggests that some patients with breast cancer experience cognitive difficulties following chemotherapy. This longitudinal study was done to examine the prevalence of cognitive impairment and trajectory of cognitive function over time in women with breast cancer, who received adjuvant chemotherapy.

Methods

Participants were 137 patients with breast cancer. They completed neuropsychological tests and the Functional Assessment of Cancer Therapy-Cognitive Function before adjuvant therapy (pretest), toward the end of adjuvant therapy (posttest), and 6 months after the completion of adjuvant therapy (follow-up test). Of the patients, 91 were treated with adjuvant chemotherapy and 46 patients who did not receive chemotherapy made up the comparison group. A reliable-change index and repeated-measure ANOVA were used for statistical analyses.

Results

At the posttest point, over 30% of patients showed complex cognitive impairment and reported greater difficulty in subjective cognitive function. At the follow-up test point, 22.0% of patients exhibited complex cognitive impairment and 30.8% of patients complained of subjective cognitive impairment. Repeated-measure ANOVA showed significant decreases after receiving chemotherapy followed by small improvements 6 months after the completion of chemotherapy in cognitive domains of change for attention and concentration, memory, executive function, and subjective cognitive function.

Conclusion

These results suggest that chemotherapy in patients with breast cancer may be associated with objective and subjective cognitive impairments. Further studies are needed to explore the potential risk factors and predictor of chemotherapy-related cognitive changes. Also nursing interventions for prevention and intervention of cognitive impairments should be developed and tested.

Citations

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Impact of nonpharmacological interventions on cognitive impairment in women with breast cancer: A systematic review and meta-analysis
Jin-Hee Park, Su Jin Jung, Lena J. Lee, Junghyun Rhu, Sun Hyoung Bae
Asia-Pacific Journal of Oncology Nursing.2023; 10(4): 100212. CrossRef
Factors Associated with Self-reported Memory Problems of Adult Cancer Survivors Based on the Korea National Health and Nutrition Examination Survey 2019
Sangjin Ko
Journal of Health Informatics and Statistics.2023; 48(1): 51. CrossRef
Brain network deficits in breast cancer patients after early neoadjuvant chemotherapy: A longitudinal MRI study
Jing Yang, Yongchun Deng, Daihong Liu, Yong Tan, Meng Lin, Xiaoyu Zhou, Jing Zhang, Hong Yu, Yixin Hu, Yu Tang, Shixi Jiang, Jiuquan Zhang
Journal of Neuroscience Research.2023; 101(7): 1138. CrossRef
Frailty and its associated factors among older adults with cancer undergoing chemotherapy as outpatients: A cross-sectional study
Misun Jeon, Hyoeun Jang, Arum Lim, Sanghee Kim
European Journal of Oncology Nursing.2022; 60: 102192. CrossRef
The Experience of Chemotherapy Related Cognitive Impairment in Patients with Cancer
Pok Ja Oh, Ji Hyun Kim
Asian Oncology Nursing.2022; 22(1): 1. CrossRef
Distinct sleep disturbance and cognitive dysfunction profiles in oncology outpatients receiving chemotherapy
Vivian Huang, Lynda Mackin, Kord M. Kober, Steven M. Paul, Bruce A. Cooper, Yvette P. Conley, Marilyn J. Hammer, Jon D. Levine, Christine Miaskowski
Supportive Care in Cancer.2022; 30(11): 9243. CrossRef
Measurement, outcomes and interventions of cognitive function after breast cancer treatment: A narrative review
Miaomiao Jia, Xiaojun Zhang, Liyuan Wei, Jinnan Gao
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Camila Vasconcelos Carnaúba Lima, Raner Miguel Ferreira Póvoa
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Chemotherapy-induced prospective memory impairment in breast cancer patients with different hormone receptor expression
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Han Xuan, Chen Gan, Wen Li, Zhonglian Huang, Longsheng Wang, Qianqian Jia, Zhendong Chen, Huaidong Cheng
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Chemotherapy-related Cognitive Impairment and Quality of Life in People with Colon Cancer: The Mediating Effect of Psychological Distress
Pok Ja Oh, Jeong Hye Kim
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Effect of Cancer Symptoms and Fatigue on Chemotherapy-related Cognitive Impairment and Depression in People with Gastrointestinal Cancer
Pok Ja Oh, Jung Ran Lee
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Hye-Yoon Lee, Jung-Eun Kim, Mikyung Kim, Joo-Hee Kim
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Cognitive outcome after radiotherapy in brain tumor
Thomas Durand, Marie-Odile Bernier, Isabelle Léger, Hervé Taillia, Georges Noël, Dimitri Psimaras, Damien Ricard
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Changes of Symptom Distress and Quality of Life in Breast Cancer Patients Receiving Adjuvant Therapy
Jin-Hee Park, Sun Hyoung Bae, Young-Mi Jung
Asian Oncology Nursing.2015; 15(2): 67. CrossRef

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A Meta-analysis of Chemotherapy related Cognitive Impairment in Patients with Breast Cancer: Jin-Hee Park, Sun Hyoung Bae; J Korean Acad Nurs 2012;42(5):644-658. Published online October 12, 2012; DOI: https://doi.org/10.4040/jkan.2012.42.5.644

Abstract PDF

Purpose

The purpose of this study was to evaluate the cognitive effects of chemotherapy in patients with breast cancer.

Methods

Using several databases, prospective studies were collected up to August 2011. Of 2,106 publications identified, 12 met the inclusion criteria, and 8 studies were used to estimate the effect size of chemotherapy on cognitive impairment.

Results

Twelve studies were done since 2005 and most of the research was performed in Europe or North America. Eight studies were used to generate effect size across the cognitive domains of attention/concentration, verbal and visual memory, executive function, visuospatial skill, language, and subjective cognitive function. Each of the cognitive domains showed small effect sizes (-0.02 ~ -0.26), indicating diminished cognitive function for the chemotherapy group compared with non-chemotherapy groups.

Conclusion

Finding suggests that breast cancer patients who undergo chemotherapy may experience mild cognitive decline. Further study is needed to generate knowledge and guideline for interventions to address chemotherapy related cognitive impairment in these patients.

Citations

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The Experience of Chemotherapy Related Cognitive Impairment in Patients with Cancer
Pok Ja Oh, Ji Hyun Kim
Asian Oncology Nursing.2022; 22(1): 1. CrossRef
Effects of smart-care services program for breast cancer survivors
Bok Yae Chung, Sung Jung Hong
The Journal of Korean Academic Society of Nursing Education.2021; 27(2): 95. CrossRef
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Pok-Ja Oh, Sun Mi Moon
Asian Oncology Nursing.2019; 19(3): 126. CrossRef
Effects of compensatory cognitive training intervention for breast cancer patients undergoing chemotherapy: a pilot study
Jin-Hee Park, Yong Sik Jung, Ku Sang Kim, Sun Hyoung Bae
Supportive Care in Cancer.2017; 25(6): 1887. CrossRef
Impact of Cognitive Function and Cancer Coping on Quality of Life among Women with Post-chemotherapy Breast Cancer
Yoon Jung Kim, Sook Jung Kang
Korean Journal of Women Health Nursing.2016; 22(3): 182. CrossRef
Chemotherapy-related Cognitive Impairment and Quality of Life in People with Colon Cancer: The Mediating Effect of Psychological Distress
Pok Ja Oh, Jeong Hye Kim
Journal of Korean Academy of Nursing.2016; 46(1): 19. CrossRef
QLU-C10D: a health state classification system for a multi-attribute utility measure based on the EORTC QLQ-C30
M. T. King, D. S. J. Costa, N. K. Aaronson, J. E. Brazier, D. F. Cella, P. M. Fayers, P. Grimison, M. Janda, G. Kemmler, R. Norman, A. S. Pickard, D. Rowen, G. Velikova, T. A. Young, R. Viney
Quality of Life Research.2016; 25(3): 625. CrossRef
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Daniel Sj Costa, Rebecca Mercieca‐bebber, Claudia Rutherford, Liam Gabb, Madeleine T King
Australian Psychologist.2016; 51(2): 89. CrossRef
Prevalence and Characteristics of Chemotherapy-related Cognitive Impairment in Patients with Breast Cancer
Jin-Hee Park, Sun Hyoung Bae, Yong-Sik Jung, Young-Mi Jung
Journal of Korean Academy of Nursing.2015; 45(1): 118. CrossRef

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Meta Analysis of Variables Related to Attention Deficit Hyperactivity Disorder in School-Age Children: Wan Ju Park, Ji Yeong Seo, Mi Ye Kim; J Korean Acad Nurs 2011;41(2):256-268. Published online April 30, 2011; DOI: https://doi.org/10.4040/jkan.2011.41.2.256

Abstract PDF

Purpose

The purpose of this study was to use meta-analysis to examine recent domestic articles related to attention deficit hyperactivity disorder (ADHD) in school-age children.

Methods

After reviewing 213 articles published between 1990 and 2009 from and cited in RISS, KISS, and DBpia, the researchers identified 24 studies with 440 research variables that had appropriate data for methodological study. SPSS 17.0 program was used. The outcome variables were divided into five types: Inattention, hyperactive impulsive, intrinsic, extrinsic, and academic ability variables.

Results

Effects size of overall core symptoms was 0.47 which is moderate level in terms of Cohen criteria and effects size of overall negative variables related ADHD was 0.27 which is small level. The most dominant variable related to ADHD was obtained from hyperactive-impulsive (0.70). Also academic ability (0.45), inattention (0.37), and intrinsic variables (0.29) had a small effect whereas extrinsic variables (0.13) had little effect on descriptive ADHD study.

Conclusion

The results reveal that ADHD core symptoms have moderate effect size and peripheral negative variables related ADHD have small effect size. To improve the reliability of the meta-analysis results by minimizing publication bias, more intervention studies using appropriate study designs should be done.

Citations

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Associations between Dietary Intake and Attention Deficit Hyperactivity Disorder (ADHD) Scores by Repeated Measurements in School-Age Children
Su-a Ryu, Yean-Jung Choi, Hyojin An, Ho-Jang Kwon, Mina Ha, Yun-Chul Hong, Soo-Jong Hong, Hyo-Jeong Hwang
Nutrients.2022; 14(14): 2919. CrossRef

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Analysis of Relationships between Parenting Stress, Maternal Depression, and Behavioral Problems in Children at Risk for Attention Deficit Hyperactive Disorder: Hee Sun Shin, Jeong Mee Kim; J Korean Acad Nurs 2010;40(3):453-461. Published online June 30, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.3.453

Abstract PDF

Purpose

In this study differences in behavioral problems between children at risk for Attention Deficit Hyperactive Disorder (ADHD) and normally developing children were identified. Further, relationships between parental stress, depression, and child behavioral problems according to ADHD symptoms were explored.

Methods

Participants were 222 elementary school children and their parents. The ADHD risk group was determined by the Korean-ADHD Rating Scale. Data were collected using the Korean-ADHD Rating Scale, Korean version of Child Behavior CheckList (K-CBCL), Parenting Stress Index, and Beck Depression Inventory. Data were analyzed using t-test, Pearson correlation coefficients, and regression analysis.

Results

1) The ADHD risk group showed higher levels of behavioral problems, parenting stress, and maternal depression than the normal group. 2) There were significant relationships between ADHD scores and parenting stress (r=.66), maternal depression (r=.35), internal behavioral problems (r=.47), and external problems (r=.55), but, ADHD risk scores were negatively correlated with social competence (r=-.40). 3) The regression analysis revealed that ADHD levels affected the child's internal behavioral problems, mediated by maternal depression (β=.29, p<.001).

Conclusion

The study results show that higher risk scores for ADHD indicate a significant effect for behavioral problems. Also, parenting stress and depression influence child's behavioral problems. These results suggest that identification of children at risk for ADHD and development of parental education programs would contribute to the prevention of behavioral problems and aggravation of the ADHD symptoms.

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Zeinab Hemati, Samira Abbasi, Somayeh Paki, Davood Kiani
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Yan Li, Wen‐Qing Jiang, Ya‐Song Du, David Coghill
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Isabel Hernández-Otero, Lakshman Doddamani, Benoit Dutray, Antonella Gagliano, Fabian Haertling, Ralph Bloomfield, Gracita Ramnath
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Methylphenidate‐osmotic‐controlled release oral delivery system treatment reduces parenting stress in parents of children and adolescents with attention‐deficit/hyperactivity disorder
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Effects of a Responsive Parenting Education Program on Child's Behavioral Problems and Pivotal Developmental Behaviors in Children at Risk for Attention Deficit Hyperactivity Disorder
Hee-Sun Shin, Jeong-Mee Kim
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Teaching Status and Knowledge of Elementary School Teachers of Children with Attention Deficit Hyperactivity Disorder
Kyoung-Rim Kang, Young-Hae Kim, Young-Ok Yang
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Relationship of Mothers' Recognition of Attention Deficit Hyperactivity Disorder (ADHD), Parenting Stress and Family Support in Children Diagnosed with ADHD
Mi-Ye Kim, Ji-Yeong Seo, Wan-Ju Park
Journal of Korean Academy of Child Health Nursing.2011; 17(2): 127. CrossRef
Effects of Postpartum Depression and Temperament of Infant on Child-care Stress among Mothers of Newborn Infants
Hye-Jin Kwon, Kyung-Hee Kim, Mi-Hye Choi, Ju-Yeon Cho, Young-Mi Ahn, Ki-Sook Kim
Journal of Korean Academy of Child Health Nursing.2011; 17(2): 69. CrossRef

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Parenting Experiences of Parents of Children with ADHD: Approaching the Normal: Won Oak Oh, Eun Sook Park; Journal of Korean Academy of Nursing 2007;37(1):91-104. Published online February 28, 2007; DOI: https://doi.org/10.4040/jkan.2007.37.1.91

Abstract PDF

Purpose

The purpose of this study was to explore the experiences of parenting from the parents of children with ADHD and to develop a grounded theory about their experiences.

Method

This study was a qualitative research study that used a grounded theory to understand and discuss the parenting experiences of parents of children with ADHD in a greater depth. Grounded data was collected through an in-depth interview from twelve participants with ADHD children. The data was analyzed using the grounded theory method.

Results

“Approaching the normal” emerged as the core phenomenone. Parenting experiences for parents of children with ADHD referred to a process of bringing the children, back on track of normal growth development, and their functioning in the family at a normal level and establishing a new normalcy. The process of approaching the normal involved a basic social-psychological process, such as ‘living a day in hell’, ‘accepting’, ‘confronting the conflicts’, ‘lowering expectations’, and ‘making a new normalcy’.

Conclusion

The outcomes of this study, which observed the parenting process of parents of children with ADHD, could enhance nurses' understanding of ADHD and help nurses become major mental health service providers for the mental health of children with ADHD and their families.

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Effects of Cognitive Behavioral Therapy on Attention Deficit Hyperactivity Disorder among School-aged Children in Korea: A Meta-Analysis
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