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"Adolescent"

Original Articles

Purpose
This study aimed to examine whether perceived parental alienation mediates the relationship between parental and adolescent depressive symptoms, and, if so, whether parents’ subjective health moderates this indirect effect.
Methods
This cross-sectional study utilized secondary data from the 2021 wave of the Panel Study on Korean Children, enrolling 541 parent–child dyads. Parental depression was measured using the Kessler Psychological Distress Scale-6, a self-rated health item, the Korean version of the Center for Epidemiological Studies Depression Scale for Children, and a 6-item perceived alienation scale. Descriptive statistics, Pearson correlations, and variance inflation factor checks were conducted, followed by mediation and moderated mediation analyses using PROCESS Models 4 and 7 with 10,000 bootstraps in IBM SPSS ver. 27.0.
Results
Parental depression did not directly predict adolescent depression (B=.02, t=.87) but was significantly related to perceived alienation (B=.16, p<.001), which in turn predicted higher adolescent depression (B=.20, p<.001). The indirect effect of alienation was also significant (B=.039; 95% confidence interval, 0.005–0.066). Subjective health moderated the depression–alienation link (interaction B=.19, p<.001), with stronger indirect effects observed among parents with better health.
Conclusion
Parental depression symptoms indirectly increase adolescent depression through perceived alienation, particularly when parents viewed their health positively. These results suggest that interventions targeting parental mental health and fostering open-family communication may help reduce adolescent depression.
  • 1,413 View
  • 35 Download
Purpose
This study aimed to identify distinct subjective viewpoints regarding the perceived effects of energy drink consumption among South Korean male high school students.
Methods
Using Q methodology, a concourse of statements was developed through interviews and literature reviews, and refined into 35 Q samples. Forty male high school students were recruited via snowball sampling to reflect diverse consumption patterns and attitudes. Participants sorted the Q samples using a forced distribution procedure. Data were analyzed using the PC-QUANL program.
Results
Four distinct groups of male adolescents were identified based on their perceived effects of energy drink consumption: (1) effect-oriented experience sharers, (2) ambivalent recognizers of experience, (3) alternative-seeking evaluators, and (4) emotionally reactive responders. These groups’ perceptions were shaped by peer influence, personal consumption experiences, and levels of self-regulation.
Conclusion
By typifying the subjective perceptions of Korean male high school students regarding energy drink consumption, this study provides a foundational understanding of how adolescents interpret and respond to such health behaviors. These insights can guide the development of tailored health education programs that address the unique needs and attitudes of each group.
  • 1,413 View
  • 48 Download
Factors affecting the emotional intelligence of adolescents during the COVID-19 pandemic: a descriptive study in South Korea
Kyungmi Lee, Hyosung Cha
Child Health Nurs Res 2025;31(3):176-186.   Published online July 31, 2025
DOI: https://doi.org/10.4094/chnr.2025.016
Purpose
This descriptive study aimed to identify the factors affecting adolescents’ emotional intelligence during the COVID-19 (coronavirus disease 2019) pandemic.
Methods
We utilized the 4th-year data from the 2018 Korean Children and Youth Panel Survey, which comprise 1,852 adolescents living with both parents. The determinants of adolescents’ emotional intelligence were analyzed through stepwise multiple regression, considering parental, family, and school factors.
Results
Parental factors, such as parents’ grit and emotional intelligence, were found to enhance adolescents’ emotional intelligence. Family factors, including parents’ positive parenting attitude and the average time spent with parents, also significantly enhance adolescents’ emotional intelligence. School factors, such as the number of remote class days during the previous semester, influenced adolescents’ emotional intelligence.
Conclusion
Parental and family factors enhanced emotional intelligence, whereas school factors, particularly remote learning, negatively impacted it. The model explained 67.5% of variance, with parents' emotional intelligence being the strongest predictor. Interventions should prioritize enhancing parental emotional competence and maintaining meaningful parent-child interactions, especially during educational disruptions.
  • 2,169 View
  • 61 Download
Purpose
This study aimed to investigate the association among various adolescent problem behaviors in South Korea, focusing on gender differences.
Methods
This secondary analysis was conducted using cross-sectional data from the 19th Korea Youth Risk Behavior Survey, conducted in 2023 which included 52,880 middle and high school students in South Korea. They completed an anonymous self-administered survey regarding problem behaviors (drinking alcohol, smoking, drugs use, and sexual experiences). Data were analyzed using complex-samples chi-square and multiple logistic regression models.
Results
Among the 52,880 adolescents, the prevalence rates of alcohol use, smoking, drug use, and sexual experiences were 32.6%, 8.6%, 1.7%, and 6.5%, respectively. Gender differences were observed in alcohol use complex-samples multiple logistic regression models. However, no significant gender difference was found in drug use (p=.250). Four problem behaviors were significantly associated with one other when analyzed as independent variables (odds ratio [OR], 1.33–10.85). The strongest associations were found between alcohol use and smoking (OR, 10.49–10.85), and between smoking and sexual experiences (OR, 4.91–4.96).
Conclusion
This study found significant gender differences in adolescent problem behaviors, with male adolescents exhibiting higher rates of alcohol use, smoking, and sexual experience. Strong associations were observed between alcohol use and smoking, as well as between smoking and sexual experience. These findings suggest the need for integrated intervention strategies that target multiple co-occurring problem behaviors.
  • 4,214 View
  • 59 Download
Purpose
The majority of adolescents use smartphones, and their overdependence on smartphones has emerged as a serious social issue. Although studies have explored the effect of smartphone overdependence on adolescent problem behaviors, research on its influence on sexual behavior is scarce. This study aimed to examine the association between smartphone overdependence and sexual behavior among adolescents.
Methods
This study used data from the 19th Korea Youth Risk Behavior Web-Based Survey conducted in 2023. Smartphone overdependence was the independent variable, and sexual behaviors (sexual intercourse and contraceptive use) were the dependent variables. Multivariate regression analysis was performed to control for confounding variables.
Results
The study participants included 52,880 adolescents aged 13–18 years. Among them, 28.0% (n=14,672) were classified as smartphone overdependent, 6.5% (n=3,349) had sexual experience, and 65% (n=2,182) of those with sexual experience reported using contraception. Smartphone overdependence was not significantly associated with sexual experience but was significantly associated with contraceptive use. Adolescents in the non-overdependent group were 1.27 times more likely to use contraception than those in the smartphone overdependent group (95% confidence interval, 1.07–1.52; p<.007).
Conclusion
The findings highlight a significant association between smartphone overdependence and contraceptive use among adolescents. Policy interventions and educational strategies that consider adolescents’ smartphone usage patterns and trait factors are necessary.

Citations

Citations to this article as recorded by  
  • Adolescent Smartphone Overdependence in South Korea: A Place-Stratified Evaluation of Conceptually Informed AI/ML Modeling
    Andrew H. Kim, Uibin Lee, Yohan Cho, Sangmi Kim, Vatsal Shah
    International Journal of Environmental Research an.2025; 22(10): 1515.     CrossRef
  • 2,582 View
  • 83 Download
  • 1 Crossref

Original article

Predictive factors of adolescents’ happiness: a random forest analysis of the 2023 Korea Youth Risk Behavior Survey
Eun Joo Kim, Seong Kwang Kim, Seung Hye Jung, Yo Seop Ryu
Child Health Nurs Res 2025;31(2):85-95.   Published online April 30, 2025
DOI: https://doi.org/10.4094/chnr.2024.049
Purpose
This study aimed to identify predictive factors affecting adolescents’ subjective happiness using data from the 2023 Korea Youth Risk Behavior Survey. A random forest model was applied to determine the strongest predictive factors, and its predictive performance was compared with traditional regression models.
Methods
Responses from a total of 44,320 students from grades 7 to 12 were analyzed. Data pre-processing involved handling missing values and selecting variables to construct an optimal dataset. The random forest model was employed for prediction, and SHAP (Shapley Additive Explanations) analysis was used to assess variable importance.
Results
The random forest model demonstrated a stable predictive performance, with an R2 of .37. Mental and physical health factors were found to significantly affect subjective happiness. Adolescents’ subjective happiness was most strongly influenced by perceived stress, perceived health, experiences of loneliness, generalized anxiety disorder, suicidal ideation, economic status, fatigue recovery from sleep, and academic performance.
Conclusion
This study highlights the utility of machine learning in identifying factors influencing adolescents’ subjective happiness, addressing limitations of traditional regression approaches. These findings underscore the need for multidimensional interventions to improve mental and physical health, reduce stress and loneliness, and provide integrated support from schools and communities to enhance adolescents’ subjective happiness.

Citations

Citations to this article as recorded by  
  • Family structure, adolescent mental health, and the role of advisors in the cultural and social context of South Korea
    Sung Min Kim, Su Kyoung Lee, Jooyoung Chang, Joung Sik Son, Kyae Hyung Kim, Sang Min Park
    Scientific Reports.2026;[Epub]     CrossRef
  • 2,338 View
  • 76 Download
  • 1 Crossref

Original Article

Purpose
This study explored the intrapersonal, interpersonal, and school factors, following the socioecological model, associated with sugar-sweetened beverage (SSB) consumption in Korean high-school students.
Methods
A total of 231 students from first to third grade, aged 15–18 years, participated in this cross-sectional study. Multiple linear regression analysis was conducted to identify the factors.
Results
Among the intrapersonal factors, fast-food consumption (β=0.13, t=1.97, p=.050) and habit strength of SSB consumption were positively associated (β=0.35, t=4.30, p<.001), and sleep duration was negatively associated with SSB consumption (β=–0.14, t=–2.02, p=.045). Among interpersonal factors, perceived SSB consumption by peers was positively associated (β=0.30, t=4.93, p<.001), and among school factors, vending machines at school (β=0.13, t=2.07, p=.039) and supermarkets and convenience stores near schools were positively associated with SSB consumption (β=0.17, t=2.87, p=.005).
Conclusion
School nurses should propose policies and interventions that consider the multilevel factors to reduce SSB consumption in adolescents.
  • 4,114 View
  • 115 Download

Review Article

Telehealth implementation for children with attention deficit hyperactivity disorder: a scoping review
Dian Susmarini, Hyewon Shin, Sunyeob Choi
Child Health Nurs Res 2024;30(4):227-244.   Published online October 31, 2024
DOI: https://doi.org/10.4094/chnr.2024.026
The objective of this research was to examine current telehealth practices in managing children with attention deficit hyperactivity disorder (ADHD) and to map existing implementations using the American Medical Association’s Virtual Care Value Framework. A scoping review was conducted following the Arksey and O’Malley framework. The databases, CINAHL, PsycINFO, and PubMed, were searched with specific keywords related to telehealth and ADHD. The screening process followed the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines. In­clusion criteria were restricted to articles published in English between January 2000 and July 2024, focusing on children with ADHD, their parents, caregivers, family members, teachers, healthcare professionals, and articles implementing telehealth interventions. As a result, out of 389 initially identified articles, 22 met the inclusion criteria. The studies were predominantly conducted in the United States. The most common telehealth meth­ods included videoconferencing and telephone-based communications. Key areas of fo­cus in these studies included clinical outcomes, access to care, patient and family experi­ence, caregiver experience, clinician experience, and financial and operational impact. However, none of the studies addressed health equity. In conclusion, telehealth has shown effectiveness in improving ADHD assessment, treatment adherence, and parental education, leading to positive patient outcomes and experiences. However, the financial impact of telehealth remains uncertain. Further research is needed, particularly outside the United States, to explore emerging telehealth technologies and areas overlooked by the Virtual Care Value Framework, such as health equity.

Citations

Citations to this article as recorded by  
  • Videoconferencing group parent training program for caregivers of children with ADHD: A preliminary study
    Zümra Ülker Dörttepe, Zekiye Çetinkaya Duman
    Archives of Psychiatric Nursing.2026; 60: 152001.     CrossRef
  • 6,316 View
  • 131 Download
  • 1 Crossref

Original Articles

Purpose
This study investigated the relationship between allergic diseases, general anxiety disorder, and depressive symptoms among Korean adolescents.
Methods
A secondary analysis was conducted on the findings of the 18th Korea Youth Risk Behavior Survey (2022). The study included 51,850 adolescents and analyzed the relationships among allergic diseases, general anxiety disorder, and depressive symptoms using complex samples logistic regression analysis.
Results
Among the Korean adolescents, 12.7% experienced general anxiety disorder, while 28.7% experienced depressive symptoms. The prevalence of allergic diseases was 5.7% for asthma, 36.3% for allergic rhinitis, and 22.2% for atopic dermatitis. General anxiety disorder was associated with asthma and allergic rhinitis but not atopic dermatitis. Depressive symptoms were associated asthma, allergic rhinitis, and atopic dermatitis.
Conclusion
Examining the correlation among allergic diseases, general anxiety disorder, and depressive symptoms in adolescents underscores the need for implementing suitable strategies. Moreover, when addressing general anxiety disorder and depressive symptoms in adolescents, it becomes crucial to consider the presence of allergic diseases.

Citations

Citations to this article as recorded by  
  • Association between allergic diseases and mental health conditions: An umbrella review
    Xianpeng Xu, Sha Li, Yingjie Chen, Xinxing Deng, Jiongke Li, Dajing Xiong, Hui Xie
    Journal of Allergy and Clinical Immunology.2025; 155(3): 701.     CrossRef
  • Association of Allergic Conditions with Adolescent Sleep Duration: A National Survey
    Hyeseon Choi, Eunju Seo, Jinju Woo
    Children.2025; 12(10): 1356.     CrossRef
  • Stress mediates the association between atopic dermatitis and sleep duration in Korean adults
    Sang Hoon Yun, Donghyo Lee, Yoon Jae Lee, In-Hyuk Ha, Ye-Seul Lee
    Scientific Reports.2025;[Epub]     CrossRef
  • 4,204 View
  • 94 Download
  • 3 Crossref
Association between smartphone overdependence and mental health in South Korean adolescents: a secondary data analysis
Hyeseon Yun, Eun Kyoung Choi
Child Health Nurs Res 2024;30(2):87-96.   Published online April 30, 2024
DOI: https://doi.org/10.4094/chnr.2024.001
Purpose
The rising prevalence of smartphone overdependence among adolescents and its detrimental impact on mental health have become a growing concern. This study aimed to investigate the association between smartphone overdependence and the mental health of Korean adolescents.
Methods
Participants were drawn from the 16th Korea Youth Risk Behavior Web-based Survey conducted in 2020. The dependent variable as smartphone overdependence, while the main exposure of interest was mental health, encompassing generalized anxiety disorder (GAD), perceived stress, sources of perceived stress, perceived loneliness, and perceived depressive symptoms. The study employed the Rao-Scott chi-square test and multiple logistic regression using IBM SPSS version 26.0.
Results
The participants comprised 54,948 adolescents aged 13 to 18 years. Among them, 25.1% (n=13,775) were categorized as smartphone overdependence group. Specifically, 20.3% of adolescents who reported GAD ≥10 and 22.5% of those who reported experiencing high levels of perceived loneliness were identified as smartphone overdependent. The GAD increased a risk of smartphone overdependence by 2.61 times (95% confidence interval [95% CI]: 2.46–2.77). Perceived loneliness was associated with 1.98-fold (95% CI: 1.87–2.09) increased risk of smartphone overdependence. Additionally, conflict with peers was found to increase the risk of smartphone overdependence by 4.63-fold (95% CI: 3.89–5.52), followed by conflict with parents (odds ratio [OR]: 4.52, 95% CI: 3.84–5.31), and family environment (OR: 4.52, 95% CI: 3.75–5.46).
Conclusion
The findings underscore a significant association between smartphone overdependence and mental health in Korean adolescents. Healthcare services to improve their emotional coping and interpersonal skills are necessary.

Citations

Citations to this article as recorded by  
  • Factors Influencing Suicidal Ideation in Female Adolescents With Smartphone Overdependence
    Hyeongyeong Yoon
    Journal of Pediatric Health Care.2025; 39(2): 225.     CrossRef
  • Excessive smartphone use, smartphone dependency and body image distortion in Korean adolescents
    Young Gyu Cho
    Korean Journal of Family Medicine.2025; 46(2): 58.     CrossRef
  • Turkish Adaptation and Validation of the Short Smartphone Stress Scale for Adolescents
    Ali Geriş, Erol Esen
    Bartın University Journal of Faculty of Education.2025; 14(3): 845.     CrossRef
  • Adolescent Smartphone Overdependence in South Korea: A Place-Stratified Evaluation of Conceptually Informed AI/ML Modeling
    Andrew H. Kim, Uibin Lee, Yohan Cho, Sangmi Kim, Vatsal Shah
    International Journal of Environmental Research an.2025; 22(10): 1515.     CrossRef
  • Psychosocial Pathways to Smartphone Overdependence in Adolescence: A Multi-Group Path Analysis of Early vs. Late Adolescents
    Yeseul Jeon, Sohyun Woo, Seunghee Seo
    Journal of Korean Academy of psychiatric and Menta.2025; 34(Special Is): 47.     CrossRef
  • Validity, reproducibility, and reliability of the Brazilian version of the smartphone addiction scale-short version in children
    Rafael Vieira Martins, Eliane Denise Araújo Bacil, Michael Pereira da Silva, Wagner de Campos
    Revista Paulista de Pediatria.2025;[Epub]     CrossRef
  • 8,979 View
  • 161 Download
  • 6 Crossref
Purpose
This study examined the combined effects of sugar-sweetened beverage (SSB) consumption, screen-based sedentary behaviors, and sleep duration on adolescent obesity.
Methods
It followed a cross-sectional study design and conducted secondary analysis on data from 20,497 high school students who participated in the 17th (2021) Korea Youth Risk Behavior Web-based Survey. This study underwent logistic regression analysis in complex sampling analysis.
Results
The combinations of low and medium consumption of SSBs, excessive screen-based sedentary behaviors, and short sleep durations were associated with a 1.18 and 1.12 fold increased likelihood of obesity (95% confidence interval [CI]=1.03–1.35) and (95% CI=1.02–1.22), respectively. The combination of high SSB consumption, appropriate screen-based sedentary behaviors, and short sleep duration (adjusted odds ratio [aOR]=1.15, 95% CI=1.01–1.31) and high SSB consumption, excessive screen-based sedentary behaviors, and short sleep duration (aOR=1.40, 95% CI=1.16–1.69) were associated with obesity.
Conclusion
Integrated and tailored programs considering combination patterns of SSB consumption, screen-based sedentary behaviors, and short sleep duration need to be developed for preventing adolescent obesity.
  • 5,481 View
  • 169 Download
Purpose
This study aimed to identify the general characteristics and health behaviors of students with non-therapeutic substance use.
Methods
This secondary data analysis used data from the 17th Korea Youth Risk Behavior Web-based Survey (2021). Analyses of the 54,848 adolescents used descriptive statistics, the Rao–Scott χ2 test, and logistic regression.
Results
The risk factors for substance use among students were anxiety, loneliness, living separately from family, suicidal ideation, e-cigarette use, and high stress.
Conclusion
The findings help identify the risk factors for non-therapeutic drug use among adolescents. Since South Korea does not have a drug prevention program for its adolescent population, an educational plan based on these findings could help prevent adolescent substance abuse.

Citations

Citations to this article as recorded by  
  • Unmasking the burden of mental health symptoms and risk behaviors in Vietnamese adolescents: evidence from a multicenter cross-sectional study involving 2,631 high school students
    Truc Thanh Thai, Hong-Tuyet Vo Le, Trang Thi Nguyen, Ngon Van Dinh, Xuan Le Mai, Hoai-Thuong Thi Tran, Ngoc-Bich Thi Nguyen, Khanh-Ha Mai Huynh, Thu-An Thi Nguyen, Hy-Han Thi Bui, Minh Cuong Duong
    Social Psychiatry and Psychiatric Epidemiology.2026;[Epub]     CrossRef
  • Factors Associated With Habitual Drug Use Among Adolescents: A Secondary Data Analysis
    Dong-Hee Kim, Yujin Kim
    Asian Nursing Research.2025; 19(1): 78.     CrossRef
  • Comparison of Risk Factors for Habitual Substance Use Among Adolescents in Korea by Maternal Nationality: Analysis of 18th and 19th Korea Youth Risk Behavior Surveys (2022 and 2023)
    Hyeon Ok Ju, So Yeon Park
    Children.2025; 12(4): 458.     CrossRef
  • Behavioral, Psychological, and Physical Predictors of Adolescent Drug Use in South Korea: Insights Obtained Using Machine Learning
    Jun-hee Kim
    International Journal of Mental Health and Addicti.2025;[Epub]     CrossRef
  • Association Between Addictive Behaviors and Mental Health Among Korean Adolescents: A Gender Comparison
    Jaeyoung Lee
    Journal of Korean Maternal and Child Health.2025; 29(2): 74.     CrossRef
  • 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
  • Problems in Studying Factors Affecting the Rehabilitation of People With Substance Use Disorders in South Korea
    Se-Ho Jang, Mi-Kyeong Jung, Jun-Ki Chung
    International Journal of Social Psychiatry.2025;[Epub]     CrossRef
  • The Mediating Effect of Depression on the Relationship between Loneliness and Substance Use in Korean Adolescents
    Hyesun Kim
    Behavioral Sciences.2024; 14(3): 241.     CrossRef
  • Protecting our future: environmental hazards and children’s health in the face of environmental threats: a comprehensive overview
    Jungha Lee, Hyo-Bin Kim, Hun-Jong Jung, Myunghee Chung, So Eun Park, Kon-Hee Lee, Won Seop Kim, Jin-Hwa Moon, Jung Won Lee, Jae Won Shim, Sang Soo Lee, Yunkoo Kang, Young Yoo
    Clinical and Experimental Pediatrics.2024; 67(11): 589.     CrossRef
  • 5,900 View
  • 112 Download
  • 9 Crossref
Healthcare coaching program for youth with type 1 diabetes in South Korea: a pilot study
Dae Eun Lee, Haejung Lee, Chong Kun Cheon, Ju Young Yoon
Child Health Nurs Res 2024;30(1):17-30.   Published online January 31, 2024
DOI: https://doi.org/10.4094/chnr.2023.048
Purpose
This pilot study aimed to assess the feasibility, preliminary efficacy, and effects of a mobile app healthcare coaching program developed based on self-regulation theory among youths with type 1 diabetes.
Methods
A mixed-method design was utilized. Participants were randomly assigned into intervention (n=23, 12-week coaching program) or control groups (n=16, usual care). Pre- and post-intervention assessments included self-efficacy, diabetes management behavior, and health outcomes (quality of life, depression, and HbA1c). Quantitative data were analyzed with SPSS/WIN ver. 26.0. The narrative information from the participants in the healthcare coaching program underwent content analyzed.
Results
The intervention group had significantly lower depression scores (t=2.57, p=.014) than the control group. No significant differences were observed in self-efficacy, diabetes management behavior, and health outcomes between the two groups. The average frequency of health behavior monitoring per week among the participants was 1.86±1.60. The qualitative findings indicated that participants perceived improved diabetes self-management with the intervention; however, challenges during vacations, dietary control difficulties, and a lack of disease awareness were identified.
Conclusion
The healthcare coaching program improved psychological aspects for youth with type 1 diabetes. Further research is needed to develop and implement mobile app interventions aimed at enhancing compliance with diabetes management in pediatric and adolescent populations.

Citations

Citations to this article as recorded by  
  • Effectiveness of peer-based interventions among adolescents with type 1 diabetes: A systematic review
    Hilda N. Kumoji Ayamsegna, Jill M.G. Bally, Shelley Spurr, Shelley Peacock
    Journal of Pediatric Nursing.2026; 86: 90.     CrossRef
  • 4,762 View
  • 137 Download
  • 1 Crossref
The association between adverse childhood experiences and self-harm among South Korean children and adolescents: a cross-sectional study
Scott Seung W. Choi, Jeong-Kyu Sakong, Hyo Ju Woo, Sang-Kyu Lee, Boung Chul Lee, Hyung-Jun Yoon, Jong-Chul Yang, Min Sohn
Child Health Nurs Res 2023;29(4):271-279.   Published online October 31, 2023
DOI: https://doi.org/10.4094/chnr.2023.29.4.271
Purpose
Adolescent self-harm is a public health problem. Research suggests a link between adverse childhood experiences (ACEs) and self-destructive behaviors. Few studies, however, have examined the effects of ACEs on self-harm among Asian adolescents. This study explored the association between lifetime ACEs and a history of self-harm among Korean children and adolescents in elementary, middle, and high schools.
Methods
A cross-sectional, retrospective medical record review was conducted on a dataset of a national psychiatrist advisory service for school counselors who participated in the Wee Doctor Service from January 1 to December 31, 2020. The data were analyzed using multiple logistic regression to predict self-harm.
Results
Student cases (n=171) were referred to psychiatrists by school counselors for remote consultation. Multiple logistic regression analyses revealed that the odds of self-harm were higher among high school students (adjusted odds ratio [aOR]=4.97; 95% confidence interval [CI]=1.94-12.76), those with two or more ACEs (aOR=3.27; 95% CI=1.43-7.47), and those with depression (aOR=3.06; 95% CI=1.32-7.10).
Conclusion
The study's findings provide compelling evidence that exposure to ACEs can increase vulnerability to self-harm among Korean students. Students with a history of ACEs and depression, as well as high school students, require increased attention during counseling. School counselors can benefit from incorporating screening assessment tools that include questions related to ACEs and depression. Establishing a systematic referral system to connect students with experts can enhance the likelihood of identifying self-harm tendencies and offering the essential support to prevent self-harm.

Citations

Citations to this article as recorded by  
  • Adverse childhood experiences and health-related outcomes in early adulthood: Evidence from the Korean Welfare Panel Study
    Changyong Choi, Joshua P. Mersky
    Children and Youth Services Review.2025; 170: 108158.     CrossRef
  • The Gender Distribution and Association between Sociodemographic Factors and Hospital-Presenting Self-Injury: Analysis from the Korea National Hospital Discharge In-Depth Injury Survey
    Meekang Sung, S. V. Subramanian, Rockli Kim
    Archives of Suicide Research.2025; : 1.     CrossRef
  • Gender Differences in Adverse Childhood Experiences and Mental Health Outcomes: A Systematic Review
    Ji Yeon Lee, Ick-Joong Chung, Yoo jung Nam
    Child Indicators Research.2025;[Epub]     CrossRef
  • Global burden of all cause-specific injuries among children and adolescents from 1990 to 2019: a prospective cohort study
    Cong Li, Jinghua Jiao, Guangyao Hua, Gantugs Yundendorj, Shunming Liu, Honghua Yu, Lijun Zhang, Xiaohong Yang, Lei Liu
    International Journal of Surgery.2024; 110(4): 2092.     CrossRef
  • 5,588 View
  • 158 Download
  • 4 Crossref
Purpose
This study aimed to identify clinical characteristics of South Korean pediatric inflammatory bowel disease (IBD) in a children's hospital over the past 5 years, with a specific focus on comparing the features observed between Crohn's disease (CD) and ulcerative colitis (UC). Additionally, it aimed to examine the nursing diagnoses given to patients.
Methods
This retrospective study analyzed the medical records of Korean pediatric patients under 18 years of age who were diagnosed with IBD and hospitalized at a children's hospital in Seoul, South Korea, from January 2017 to December 2021.
Results
The number of pediatric patients diagnosed with IBD steadily increased. This finding was particularly prominent for CD patients, the majority of whom were male. Pediatric patients with CD had significantly higher rates of abdominal pain and perianal lesions, while pediatric patients with UC had a higher rate of bloody stool. Laboratory findings indicated that CD patients had higher levels of inflammatory markers and lower albumin levels than UC patients. The nursing diagnoses given during hospitalization mostly related to safety and protection, physical comfort, and gastrointestinal function.
Conclusion
This study provides insights into Korean pediatric IBD patients, enabling early detection and the development of nursing intervention strategies. From a comprehensive perspective, nursing care should not only address patients' physical needs but also their psychosocial needs.
  • 5,166 View
  • 224 Download
Purpose
Based on the health belief model and theory of planned behavior, this study investigated how age group (adolescence and emerging adulthood) moderated the relative effects of perceived susceptibility, perceived severity, and subjective norms on preventive behavior against coronavirus disease 2019 (COVID-19).
Methods
This secondary data analysis utilized data from adolescents (n=272) and emerging adults (n=239). Hierarchical multiple regression analysis was performed to test the moderating effect of age group on the relationships among variables.
Results
Higher perceived susceptibility (β=.21, p<.001), perceived severity (β=.14, p=.002), subjective norms (friends) (β=.26, p<.001), subjective norms (parents) (β=.44, p<.001), and subjective norms (schools) (β=.28, p<.001) enhanced COVID-19 preventive behaviors. Moderated regression analysis showed that subjective norms (friends and school) impacted preventive behavior in adolescents more than in emerging adults.
Conclusion
Given the need to increase perceived susceptibility and severity among adolescents and emerging adults, these findings provide baseline data for designing effective COVID-19 prevention interventions that consider the developmental characteristics of different age groups. Interventions by health centers at universities can strengthen COVID-19 preventive behavior among emerging adults. As adolescents are influenced by friends, their peer roles must be strengthened to enhance adherence to COVID-19 preventive guidelines.

Citations

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  • Predicting cybersecurity behaviors in the metaverse through the lenses of TTAT and TPB: a hybrid SEM-ANN approach
    Rawan A. Alsharida, Bander Ali Saleh Al-rimy, Mostafa Al-Emran, Mohammed A. Al-Sharafi, Anazida Zainal
    Online Information Review.2025;[Epub]     CrossRef
  • Enhancing First Aid Intention Among Chinese University Students: The Role of Physical Education Curriculum, Self-Efficacy, and Social Norms
    Zhiyu Leng, Jianmin Shi, Jianheng Tian, Rong Li, Na Meng
    Sage Open.2025;[Epub]     CrossRef
  • Theory of Planned Behaviour and Sexting Intention of College Student
    Arta Dodaj, Kristina Sesar, Lucijana Bošnjak, Martina Vučić
    Emerging Adulthood.2024; 12(2): 163.     CrossRef
  • Factors associated with the COVID-19 booster vaccine intentions of young adults in the United States
    Hyunmin Yu, Stephen Bonett, Ufuoma Oyiborhoro, Subhash Aryal, Melanie Kornides, Karen Glanz, Antonia Villarruel, José Bauermeister
    Human Vaccines & Immunotherapeutics.2024;[Epub]     CrossRef
  • Factors Related to the COVID-19 Prevention Behaviors of Adolescents: Focusing on Six Middle and High Schools in Korea
    Shinae Lee, Gye-Hyun Jung, Hye-Young Song
    Healthcare.2023; 11(20): 2779.     CrossRef
  • 6,834 View
  • 148 Download
  • 5 Crossref

Review Article

Family-centered interventions for children and adolescents with type 1 diabetes mellitus: an integrative review
Aloysia Ispriantari, Rismia Agustina, Kennedy Diema Konlan, Hyejung Lee
Child Health Nurs Res 2023;29(1):7-23.   Published online January 31, 2023
DOI: https://doi.org/10.4094/chnr.2023.29.1.7
Purpose
The purpose of this study was to investigate the effect of family-centered interventions on improving health outcomes in children and adolescents with type 1 diabetes mellitus (T1DM).
Methods
A literature search was conducted according to the PRISMA guidelines, using six electronic databases: EMBASE, CINAHL, Medline, CENTRAL, Scopus, and Web of Science. The inclusion criteria encompassed studies with populations of children and adolescents (age <18 years) and at least one parent/caregiver, or only parents/caregivers if the children were very young, and studies that investigated the health outcomes of children and parents/caregivers diagnosed with T1DM.
Results
From 2,746 published studies, only nine studies met the inclusion criteria. The key interventions were non-technology-based interventions (n=4), technology-based interventions (n=2), and combined technology- and non-technologybased interventions (n=3). The interventions had effects on glycated hemoglobin, adherence to diabetes management, diabetes self-management behaviors, and parentchild teamwork in diabetes management. Other essential effects were children's quality of life, children's problem-solving skills, parents' quality of life, and parents' coping and depression.
Conclusion
Family-centered interventions can effectively improve health outcomes in children and adolescents with T1DM. In the future, family-centered interventions integrated with other approaches, theories, and models should be developed to achieve the best possible outcomes.

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  • Pre-Type 1 Diabetes in Adolescents and Teens: Screening, Nutritional Interventions, Beta-Cell Preservation, and Psychosocial Impacts
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    Frontiers in Pediatrics.2025;[Epub]     CrossRef
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    Nursing & Health Sciences.2025;[Epub]     CrossRef
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    Caderno Pedagógico.2025; 22(8): e17489.     CrossRef
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    Jenna B. Shapiro, Kimberly P. Garza, Marissa A. Feldman, Madeleine C. Suhs, Julia Ellis, Amanda Terry, Kelsey R. Howard, Jill Weissberg-Benchell
    Endocrinology and Metabolism Clinics of North Amer.2024; 53(1): 107.     CrossRef
  • Moderating Effect of Depression on Glycemic Control in an eHealth Intervention Among Black Youth With Type 1 Diabetes: Findings From a Multicenter Randomized Controlled Trial
    Deborah Ellis, April Idalski Carcone, Thomas Templin, Meredyth Evans, Jill Weissberg-Benchell, Colleen Buggs-Saxton, Claudia Boucher-Berry, Jennifer L Miller, Tina Drossos, M Bassem Dekelbab
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  • Adolescents and type 1 diabetes: A grounded theory on adolescents' experiences of adaptation to type 1 diabetes
    Lobna Harazneh, Malakeh Z. Malak, Ahmad Ayed
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  • Self-care activities in pediatric patients with type 1 diabetes mellitus
    Mirjana Smudja, Tatjana Milenković, Ivana Minaković, Vera Zdravković, Jovan Javorac, Dragana Milutinović, Myriam M. Altamirano-Bustamante
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  • Educational needs of school health teachers caring for students with type 1 diabetes: An analysis using the Borich needs assessment and the locus for focus models
    Heewon Seok, Ju-Yeon Uhm
    The Journal of Korean Academic Society of Nursing .2024; 30(4): 347.     CrossRef
  • Alphabetical approach to managing type 1 diabetes in a limited resource setting: implications and solutions- a perspective from India
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Original Articles

Purpose
This study aimed to identify the factors influencing positive subjective health awareness of middle school-age multicultural adolescents in Korea.
Methods
This study used data from the fourth to sixth waves of the Multicultural Adolescents Panel Study conducted by the National Youth Policy Institute. In this study, a panel logit model analysis was performed using the Eviews 8.0 program (p<.050).
Results
Socioeconomic status (r=.02, t=2.13, p=.033), body satisfaction (r=.71, t=1.97, p=.048), and depression (r=-.74, t=2.35, p=.018) influenced positive subjective health awareness in multicultural adolescents. When multicultural characteristics were entered into a statistical model with environmental and personal characteristics, multicultural characteristics did not have a significant influence on positive subjective health awareness.
Conclusion
Environmental, personal, and multicultural characteristics were related to positive subjective health awareness in multicultural adolescents; thus, an integrated approach considering those variables is recommended. Nursing interventions and educational programs are needed to improve the psychological status of multicultural adolescents and reduce prejudice about them. In addition, nurses need to be sensitive to multicultural characteristics and the developmental characteristics of multicultural adolescents.

Citations

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  • Acculturative stress and social isolation in multicultural adolescents: A moderated mediation model of social withdrawal and in-school support
    Woo Gwan Jo, Joseph Ahn, Wonjong Horace Lee
    International Journal of Intercultural Relations.2026; 110: 102324.     CrossRef
  • Factors affecting the mental health status of children from multicultural families in South Korea: a cross-sectional descriptive analysis of data from the multicultural adolescents panel study
    Sunyeob Choi
    Child Health Nursing Research.2023; 29(1): 60.     CrossRef
  • 5,691 View
  • 159 Download
  • 2 Crossref
Purpose
This study investigated the factors that influence depression in adolescents diagnosed with asthma in South Korea, providing basic data supporting efforts to improve adolescents' mental health.
Methods
Multiple regression analysis was conducted on 4,020 subjects who had been diagnosed with lifelong asthma among the 57,303 respondents to the 15th Korea Youth Risk Behaviour Web-Based Survey from 2019.
Results
The participants were more likely to have depression if they were female, in middle school, their academic achievement was poor, they were drinkers or smokers, if they felt a very high amount of stress, and if they experienced very inadequate recovery from fatigue. Adolescents with asthma were 9.00 times more likely to experience depression when they felt a very high amount of stress (95% confidence interval [CI]= 5.51-14.69, p<.001) than when they felt no stress.
Conclusion
Given these factors, measures to improve the mental health of adolescents should be developed and expanded, especially to decrease their stress levels. A separate program that is different from the school's regular health curriculum should be developed to manage the stress levels of adolescents with asthma, such as an after-school program or a program conducted at a local community centre.

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  • Digital equity in nursing research: A methodological review of nursing studies requiring internet connection
    Matthew S. Farmer, Drew Herbert, Christa Torrisi, Arthur Zacharjasz, Gerard Castaneda, Takara Schomberg, Michelle Dardis, Nicole Montgomery, Mary E. Melvin
    Nursing Outlook.2026; 74(1): 102667.     CrossRef
  • Symptoms of Depression and Inhaler Adherence Among Adolescents With Asthma: Is There an Association?
    K. H. Naveen, Prawin Kumar, Prem Prakash Sharma, Akhil Dhanesh Goel, Jitender Aneja, Manoj Kumar Gupta, Pankaja Raghav, Naveen Dutt
    Pediatric Pulmonology.2025;[Epub]     CrossRef
  • Changes in Daily life due to the COVID-19 Pandemic and Mental Health Status in Korean Adolescents
    Taeseok Kang, Sangjin Kim, Eunseo Kim, Jinhyeong Kim, Jihoon Yoon, Donggeun Lee, Jeesoo Lee, Mi Ah Han
    Psychiatric Quarterly.2024; 95(3): 469.     CrossRef
  • 6,083 View
  • 133 Download
  • 3 Crossref
Development and effects of a psychosocial adaptation program for North Korean adolescent defectors
In-Sook Lee, Jung-Hee Jeon
Child Health Nurs Res 2021;27(3):243-255.   Published online July 30, 2021
DOI: https://doi.org/10.4094/chnr.2021.27.3.243
Purpose
This study aimed to develop and examine the effects of a psychosocial adaptation program for North Korean adolescent defectors.
Methods
This quasi-experimental study was conducted with 28 North Korean adolescent defectors who were recruited through alternative schools. The experimental and control groups consisted of 14 participants each. A program was conducted across eight sessions, each lasting about 90-120 minutes. The data were analyzed using the x2 test, t-test, paired t-test, and analysis of covariance.
Results
No significant differences were observed in the score changes for psychosocial adaptation (t=0.25, p=.808), post-traumatic stress symptoms (t=0.32, p=.749), cultural adaptation stress (t=0.05, p=.957), and self-efficacy (t=0.35, p=.726) in either group before and after the intervention. No intergroup differences were observed for psychosocial adaptation (t=0.12, p=.902), post-traumatic stress symptoms (t=0.07, p=.946), cultural adaptation stress (t=0.01, p=.994), and self-efficacy (t=0.58, p=.570).
Conclusion
These findings suggest that psychosocial adaptation, stress, and self-efficacy cannot be improved by a short-term intervention program alone. It was also determined that the cultural characteristics of the North Korean adolescent defectors were not sufficiently considered before implementing the program. Therefore, it is essential to provide an in-depth orientation for the participants before implementing the program.

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  • Qualitative Research on Early Childhood Education in North Korea: Literature and Interviews with Defector Educators
    Yu-Jin Jang, Young-Meen Suh
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  • Sexual Knowledge, Sexual Attitudes, and the Need for Sex Education Among Adolescent Defectors From North Korea
    In-Sook Lee, Jung-Hee Jeon, Kyoung Ja Kim
    Journal of Transcultural Nursing.2024; 35(4): 280.     CrossRef
  • Leisure during the Escape and Adaption in South Korea: A Life Story of a North Korean Adolescent Defector
    Monika Stodolska
    Leisure Sciences.2024; : 1.     CrossRef
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  • 4 Crossref
The Let’s Eat Healthy and Move at School program for adolescents in South Korea: Program design, implementation, and evaluation plan using intervention mapping
Jiyoung Park, Gill A. Ten Hoor, Seolhyang Baek, Sochung Chung, Yang-Hyun Kim, Gahui Hwang
Child Health Nurs Res 2021;27(3):225-242.   Published online July 30, 2021
DOI: https://doi.org/10.4094/chnr.2021.27.3.225
Purpose
This study aimed to systematically develop an obesity prevention program for adolescents to promote healthy eating and physical activity in schools.
Methods
The development of the Let's Eat Healthy and Move at School program for adolescents followed the six steps of intervention mapping (IM). IM is a widely used protocol for developing systematic and effective interventions based on theories and evidence.
Results
To better understand the problem and identify the needs of adolescents, interviews were conducted with teachers, school nurses, and students (step 1). In step 2, the desired behaviors and their determinants were established and combined into a matrix comprising 16 change objectives. In step 3, theoretical methods such as persuasive communication and consciousness-raising were chosen. The program was segmented into three educational activity sessions in step 4. In step 5, an implementation manual was developed for program instructors to ensure effective and accurate implementation. Finally, practices for evaluating the program's effectiveness and procedures were designed in step 6.
Conclusion
The Let’s Eat Healthy and Move at School program will provide adolescents with guidelines to promote healthy living and prevent obesity in everyday life using strategies for sustainable adolescent obesity prevention and management.

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  • Healthier School Systems for Learners: Government Role in Fostering Holistic Interventions
    Nsikakabasi Samuel George, Deborah Oluwaseun Shomuyiwa, Molly Unoh Ogbodum, Francis Ima Imoke, Alicja Domagała
    Journal of Education and Community Health.2024; 11(2): 112.     CrossRef
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Review Articles

Research trends related to childhood and adolescent cancer survivors in South Korea using word co-occurrence network analysis
Kyung-Ah Kang, Suk Jung Han, Jiyoung Chun, Hyun-Yong Kim
Child Health Nurs Res 2021;27(3):201-210.   Published online July 30, 2021
DOI: https://doi.org/10.4094/chnr.2021.27.3.201
Purpose
This study analyzed research trends related to childhood and adolescent cancer survivors (CACS) using word co-occurrence network analysis on studies registered in the Korean Citation Index (KCI).
Methods
This word co-occurrence network analysis study explored major research trends by constructing a network based on relationships between keywords (semantic morphemes) in the abstracts of published articles. Research articles published in the KCI over the past 10 years were collected using the Biblio Data Collector tool included in the NetMiner Program (version 4), using "cancer survivors", "adolescent", and "child" as the main search terms. After pre-processing, analyses were conducted on centrality (degree and eigenvector), cohesion (community), and topic modeling.
Results
For centrality, the top 10 keywords included "treatment", "factor", "intervention", "group", "radiotherapy", "health", "risk", "measurement", "outcome", and "quality of life". In terms of cohesion and topic analysis, three categories were identified as the major research trends: "treatment and complications", "adaptation and support needs", and "management and quality of life".
Conclusion
The keywords from the three main categories reflected interdisciplinary identification. Many studies on adaptation and support needs were identified in our analysis of nursing literature. Further research on managing and evaluating the quality of life among CACS must also be conducted.

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    Naru Kang, Shinhye Ahn, Hye Won Jeong
    CIN: Computers, Informatics, Nursing.2025;[Epub]     CrossRef
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    JMIR Medical Education.2025;[Epub]     CrossRef
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    Joko Gunawan
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    Chao Tian, Kai Tu, Haiqing Sui, Qi Sun
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    Nurse Education Today.2024; 141: 106323.     CrossRef
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  • Exploring Korean adolescent stress on social media: a semantic network analysis
    JongHwi Song, JunRyul Yang, SooYeun Yoo, KyungIn Cheon, SangKyun Yun, YunHee Shin
    PeerJ.2023; 11: e15076.     CrossRef
  • Research trends over 10 years (2010-2021) in infant and toddler rearing behavior by family caregivers in South Korea: text network and topic modeling
    In-Hye Song, Kyung-Ah Kang
    Child Health Nursing Research.2023; 29(3): 182.     CrossRef
  • Perspectives of Frontline Nurses Working in South Korea during the COVID-19 Pandemic: A Combined Method of Text Network Analysis and Summative Content Analysis
    SangA Lee, Tae Wha Lee, Seung Eun Lee
    Journal of Korean Academy of Nursing.2023; 53(6): 584.     CrossRef
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    INQUIRY: The Journal of Health Care Organization, .2022;[Epub]     CrossRef
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  • 10 Crossref
Meta-analysis of the effects of smoking prevention programs for young adolescents
Rhayun Song, Moonkyoung Park
Child Health Nurs Res 2021;27(2):95-110.   Published online April 30, 2021
DOI: https://doi.org/10.4094/chnr.2021.27.2.95
Purpose
This meta-analysis aimed to analyze the effects of smoking prevention programs for young adolescents at early smoking stages to identify the appropriate characteristics of prevention programs for this population.
Methods
Searches of health-related databases and Google Scholar were conducted, and 23 randomized studies were included in the analysis. The main outcome variable was smoking behavior. The analysis was conducted using Comprehensive Meta-Analysis software (version 3.0).
Results
Smoking prevention programs significantly reduced smoking behaviors (OR=0.85, 95% CI=0.77~0.93). School-based programs (OR=0.79, 95% CI=0.75~0.83), programs by trained teachers or educators (OR=0.77, 95% CI=0.71~0.83), high-intensity programs (OR=0.82, 95% CI=0.75~0.91), and programs in an in-school setting (OR=0.82, 95% CI=0.74~0.90) had the most significant effect on reducing smoking behavior.
Conclusion
For young adolescents, smoking prevention programs are most effective when they are school-based or highintensity programs, and when conducted by teachers or educators with proper training. Further studies are required since there was insufficient research to explore the effect of web-based programs or family-centered programs on adolescent smokers.

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    Tamadhir Al-Mahrouqi, Fida Al-Ghailani, Maryam Al-Maqbali, Maather Al Saidi, Gowda Parameshwara Prashanth
    Scientific Reports.2025;[Epub]     CrossRef
  • Latent Structure of Past 12-Month Tobacco Use in Wave 6 of the Population Assessment of Tobacco and Health: Examining for Differential Substructure by Generational Status
    James S. Clifford, Ronaldo T. Williams, Caitlyn Hall, Fernanda Moya Quezada, Courtney T. Blondino
    Substance Use & Misuse.2025; 60(8): 1173.     CrossRef
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    Lauren A Gardner, Amy-Leigh Rowe, Emily Stockings, Lyra Egan, Annabelle Hawkins, Kathleen Blackburn, Maree Teesson, Katrina E Champion, Nicola C Newton
    Health Promotion International.2025;[Epub]     CrossRef
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    Lauren A Gardner, Nicola C Newton, Amy-Leigh Rowe, Siobhan O’Dean, Maree Teesson, Leanne Hides, Nyanda McBride, Matthew Sunderland, Becky Freeman, Lyra Egan, Annabelle Hawkins, Rhiannon Ellem, Amra Catakovic, Elise Caradmone, Chloe Alcorn, Kathleen Blackb
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    R Jebai, T Asfar, R Nakkash, S Chehab, M Schmidt, W Wu, Z Bursac, W Maziak
    Health Education Research.2023; 38(6): 537.     CrossRef
  • Prevention of tobacco use in an adolescent population through a multi-personal intervention model
    Francisco Carrión-Valero, Joan Antoni Ribera-Osca, Jose M Martin-Moreno, Alejandro Martin-Gorgojo
    Tobacco Prevention & Cessation.2023; 9(December): 1.     CrossRef
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Original Articles
Child-rearing experiences of mothers with early adolescents in Korean multicultural families
Sangmi Lee, Hyun Young Koo
Child Health Nurs Res 2021;27(2):190-200.   Published online April 30, 2021
DOI: https://doi.org/10.4094/chnr.2021.27.2.190
Purpose
This study was conducted to explore the child-rearing experiences of mothers with early adolescents in Korean multicultural families.
Methods
The participants were six mothers with early adolescents in Korean multicultural families. Data were collected through in-depth interviews. The main question was, "Could you tell me about your child-rearing experiences with your adolescent child?" The data were analyzed using qualitative content analysis.
Results
Four categories resulted from the analysis of child-rearing experiences of mothers with early adolescents in Korean multicultural families, as follows: "separation between myself and others", "distance between myself and my adolescent child", "making efforts to bridge the gap between myself and others", and "trying to connect with my adolescent child closely".
Conclusion
These findings indicate that mothers in Korean multicultural families made many efforts to bridge the gap between themselves and other people, and tried to connect with their children closely. The findings of this study emphasize specific aspects of how mothers with early adolescents experienced child-rearing in Korean multicultural families.
  • 5,958 View
  • 180 Download
Purpose
This study aimed to examine body image, self-esteem, and quality of life (QOL) in children and adolescents with Inflammatory bowel disease (IBD) and to analyze factors influencing QOL.
Methods
This descriptive study involved 87 participants at a tertiary hospital aged 10 to 18 years who were diagnosed with IBD. Body image, self-esteem, and QOL were measured. Descriptive analysis, the independent t-test, the Mann-Whitney U test, analysis of variance, Pearson correlation analysis, and stepwise multiple regression were used for data analysis.
Results
The average score was 16.95±3.55 for body image, 31.32±5.25 for self-esteem, and 78.64±15.98 for QOL. Height, weight, hospitalization experience, current symptoms, and consumption of oral steroids showed statistically significant effects on QOL. The most significant predictors of QOL were self-esteem (β=.31, p=.002), body image (β=.28, p=.005), number of symptoms (β=-.25, p=.004), and number of hospitalizations in the last year (β=-.24, p=.004).
Conclusion
To improve the QOL of children and adolescents with IBD, it is necessary to evaluate self-esteem, body image, and physical problems. In addition, various intervention strategies to improve self-esteem and body image and to reduce physical discomfort should be developed.

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    Cleicione Rosa de Oliveira, Patrícia Alvarenga, Catiele Paixão
    Revista Psicologia e Saúde.2023; : 93.     CrossRef
  • Association between Childhood Onset Inflammatory Bowel Disease and Psychiatric Comorbidities in Adulthood
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  • Quality of Life Among Children with Inflammatory Bowel Disease in Saudi Arabia: A Cross-Sectional Study
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    International Journal of General Medicine.2022; Volume 15: 8775.     CrossRef
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Gender and age differences in the prevalence and associated factors of metabolic syndrome among children and adolescents in South Korea
Jihea Choi, Tae Woong Yoon, Min Heui Yu, Dae Ryong Kang, Sarah Choi
Child Health Nurs Res 2021;27(2):160-170.   Published online April 30, 2021
DOI: https://doi.org/10.4094/chnr.2021.27.2.160
Purpose
This study examined the prevalence of metabolic syndrome (MetS) in South Korean children and adolescents by gender and age and analyzed gender-specific factors associated with MetS.
Methods
This study used data on children aged 10~18 from the Korea National Health and Nutrition Examination Survey (KNHANES) from 2010 to 2015. Analyses included descriptive statistics, the independent t-test, the x2 test, and univariate logistic regression analysis (p<.050).
Results
The prevalence of MetS was 4.8% in boys and 3.4% in girls. The prevalence was higher in girls up to the age of 12, but higher in boys who were 13 or older. Abdominal obesity was frequent in girls, whereas low high-density lipoprotein cholesterol (HDL-C) and elevated blood pressure were more common in boys. Higher body mass index, waist-to-height ratio, waist circumference, blood pressure, triglycerides, HDL-C, perceived "fat" body shape, and weight loss efforts were associated with MetS in both genders. Increasing age, having one meal per day, and weight maintenance were associated factors unique to boys. Fasting plasma glucose, familial medical history of low HDL-C, and perceived "thin" body shape were associated factors in girls.
Conclusion
Gender and age differences should be considered in the risk assessment and prevention of MetS.

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Empathy, cyberbullying, and cybervictimization among Filipino adolescents
Tadena Shannen, Shin-Jeong Kim, Jungmin Lee
Child Health Nurs Res 2021;27(1):65-74.   Published online January 31, 2021
DOI: https://doi.org/10.4094/chnr.2021.27.1.65
Purpose
The purpose of this study was to gain insights into empathy, cyberbullying, and cybervictimization among Filipino adolescents.
Methods
The participants were 168 junior high school students in the 7th to 10th grades at a public high school in Cavite Province, Philippines. Data were collected on demographic characteristics, the Basic Empathy Scale, and Revised Cyber Bullying Inventory-II scores. The data were analyzed in SPSS using descriptive statistics (frequency and mean), the independent t-test, bivariate correlation, and one-way analysis of variance.
Results
The degree of empathy did not show a statistically significant relationship with cyberbullying (r=-.07, p=.359) but did show a significant relationship with cybervictimization (r=.18, p=.025). Furthermore, cyberbullying had a statistically significant association with cybervictimization (r=.60, p<.001).
Conclusion
Although empathy does not necessarily affect cyberbullying, higher levels of empathy were found among cyberbullying victims. However, an alarming result of this study is the possibility that victims may become cyberbullies. Therefore, we should highlight empathy as part of efforts to prevent cyberbullying and to solve various cyber-related problems. Since cyberbullying and cybervictimization are closely related, it is important to focus on this relationship and to make multilateral efforts to ensure that cyberbullying does not lead to other negative issues.

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    Jose Eric Mella Lacsa
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    Abdulkadir Özer, Namık Kemal Haspolat
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    Lujie Zhong, Yutong Ying, Chunni Zeng, Jiaying Li, Yun Li
    Frontiers in Psychiatry.2024;[Epub]     CrossRef
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    Afitap Özdelikara, Burak Mert Soylu, Melike Bolat, Özlem Fazlıoğlu, Selda Demirkan
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    Anna Sorrentino, Francesco Sulla, Margherita Santamato, Marco di Furia, Giusi Toto, Lucia Monacis
    International Journal of Environmental Research an.2023; 20(10): 5825.     CrossRef
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  • 589 Download
  • 7 Crossref
Health-related quality of life of children and adolescents after hematopoietic stem cell transplantationa
Yu Min Hwang, Kyung-Sook Bang
Child Health Nurs Res 2020;26(4):402-410.   Published online October 31, 2020
DOI: https://doi.org/10.4094/chnr.2020.26.4.402
Purpose
This study aimed to determine the level of health-related quality of life (HRQoL) of children and adolescents who received hematopoietic stem cell transplantation (HSCT) and to examine factors influencing HRQoL.
Methods
This cross-sectional descriptive study involved 85 participants aged 10 to 19 years who received treatment from 3 months to 5 years after HSCT. Symptom experiences, stress and coping, self-esteem, social support, and HRQoL were measured. Descriptive analysis, the independent t-test, one-way analysis of variance, Pearson correlation analysis, and stepwise multiple regression were used for data analysis.
Results
The mean HRQoL score was 72.26 points out of 100. HRQoL showed statistically significant correlations with symptom experiences, stress, self-esteem, social support, satisfaction with peer relationships, and perceived attentiveness of the medical team. The most influential predictors of HRQoL were symptom experiences (β=-.51, p<.001) and satisfaction with peer relationships (β=.32, p<.001).
Conclusion
The experiences of different symptoms by children and adolescents who receive HSCT must be considered. In addition, nursing interventions, such as self-help meetings with peer groups, should be provided to improve their HRQoL.

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  • A Causal Model of Health-Related Quality of Life Among Thai Adolescent Survivors of Childhood Cancer: A Cross-Sectional Study
    Busayarat Silapavitayatorn, Jutarat Mesukko, Srimana Niyomkar, Petsunee Thungjaroenkul
    Pacific Rim International Journal of Nursing Resea.2026; 30(1): 221.     CrossRef
  • Patient and Caregiver Perceptions of Health-Related Quality of Life in Children and Adolescents After Allogeneic Hematopoietic Stem Cell Transplantation
    Marina Bonfill, Andrea Vilaplana, Carmen Conde, Carlota Aguilera, Cristina Diaz-de-Heredia
    SN Comprehensive Clinical Medicine.2025;[Epub]     CrossRef
  • Body image, self-esteem, and quality of life in children and adolescents with inflammatory bowel disease in a tertiary hospital in South Korea
    Da Jeong Kum, Kyung-Sook Bang
    Child Health Nursing Research.2021; 27(2): 181.     CrossRef
  • 6,908 View
  • 268 Download
  • 3 Crossref
Gambling Subgroups among Korean Out-of-school Adolescents
Kyonghwa Kang, Yi Kyung Ha, Hwal Lan Bang
Child Health Nurs Res 2020;26(3):385-392.   Published online July 31, 2020
DOI: https://doi.org/10.4094/chnr.2020.26.3.385
Purpose
The number of Korean adolescents engaging in gambling is increasing, especially among out-of-school adolescents. This study aimed to identify patterns of gambling activities and factors related to specific subgroups of out-of-school adolescent gambling activities.
Methods
This descriptive study analyzed secondary data from the 2015 Korea Youth Gambling Problem Survey, including 1,200 out-of-school adolescents. Latent class analysis was conducted to identify patterns of gambling activities. The factors related to gambling subgroups were verified with multinomial logistic regression.
Results
Three latent classes of gambling activities were identified: rarely gambling (RG), immediate gain gambling (IGG), and broad gambling (BG). These subgroups differed significantly in terms of gender, age at and type of first gambling experience, number and type of gambling activities, gambling frequency, time and money spent on gambling, problem gambling severity, and motivation for gambling. Compared to the RG subgroup, both the IGG and BG subgroups were strongly associated with an older age at the first gambling experience.
Conclusion
Out-of-school adolescents who first gambled at an older age and who gambled mainly in order to gain money immediately were at risk of problem gambling. Developing strategies for early screening and referral to professionals is necessary to prevent gambling problems from worsening.

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    Samantha Clune, Deepika Ratnaike, Vanessa White, Alex Donaldson, Erica Randle, Paul O’Halloran, Virginia Lewis
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The Association between Hope and Quality of Life among Adolescents with Chronic Diseases: A Systematic Review
Ai Mardhiyah, Koshy Philip, Henny Suzana Mediani, Iyus Yosep
Child Health Nurs Res 2020;26(3):323-328.   Published online July 31, 2020
DOI: https://doi.org/10.4094/chnr.2020.26.3.323
Purpose
Hope has been identified as a protective factor that contributes to achieving a better quality to life, especially in patients with chronic disease. The purpose of this review was to synthesize current knowledge about the relationship between hope and quality of life among adolescents living with chronic illnesses.
Methods
We searched major English-language databases (PsycINFO, PubMed, and CINAHL) for studies from January 1, 2002 to July 12, 2019. Studies were included if they provided data on hope and its relationship with quality of life among adolescents with chronic diseases.
Results
In total, five articles were selected from the 336 studies that were retrieved. All five studies reported a positive correlation between hope and quality of life, such that people with a higher level of hope had a better quality of life. Hope was found to have direct and indirect effects on quality of life in adolescents with chronic diseases.
Conclusion
Healthcare professionals should make more efforts to enhance hope in adolescents with chronic diseases in order to improve their quality of life. Future studies exploring how hope develops in adolescents with chronic diseases and the long-term impact of hope on quality of life are necessary.

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    Roya Nikbakht, Katayoun Alidousti, Zahra Salajegheh
    Iranian Journal of Nursing and Midwifery Research.2026; 31(1): 67.     CrossRef
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    Serap Canlı, Yeşim Çetinkaya Şen, İlknur Münevver Gönenç, Ayfer Tezel
    International Urogynecology Journal.2025; 36(6): 1197.     CrossRef
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    Maria Komariah, Theresia Eriyani, Laili Rahayuwati, Hana Rizmadewi Agustina, Furkon Nurhakim, Irman Somantri, Shurouq Ghalib Qadous, Aurawan Janmanee, Nina Gartika
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  • Lessons From the Past, Hope for the Future: A Qualitative Study on the Lives of Leprosy-Affected Residents of a Leprosy Settlement in Malaysia
    Norana Abdul Rahman, Vaikunthan Rajaratnam, Noor Hanis M. Rafee, Cynthia Ramachandran, Ruth M. H. Peters, Karen Morgan, Mohamed Rusli Abdullah, Marjolein B. M. Zweekhorst
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  • Hope‐Promoting Communication With Pediatric Patients With Chronic Diseases and Their Families: A Scoping Review
    Willyane de Andrade Alvarenga, Ana Carolina Andrade Biaggi Leite, Thalicia Mendes de Carvalho, Barbara Victórya da Silva Gonzaga, Maria Francisca Soares de Morais, Larissa Pereira da Silva, Zaida Charepe, Lucila Castanheira Nascimento
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  • Women’s adherence to medication and hope in the presence of another chronic disease besides breast cancer: a cross-sectional study
    Figen Akay, Ayşe Özkaraman, Öznur Bal
    Supportive Care in Cancer.2025;[Epub]     CrossRef
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    Children.2025; 12(12): 1671.     CrossRef
  • The effect of group quality of life therapy on hope and health-related quality of life in patients with major depressive disorder: A randomized controlled trial
    Mohammad Malekzadeh, Simin Kokabiasl, Milad Amiri
    Journal of Education and Health Promotion.2025;[Epub]     CrossRef
  • Exploration of Hope Among Young Adults with Cancer in Malaysia
    Sahira Sabri, Nur Atikah Mohamed Hussin, Weng-Tink Chooi
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    Caroline Catherine Lacerda Elias, Adriane Ribeiro Teixeira, Maria Eduarda Claro de Souza, Letícia Petersen Schmidt Rosito, Sady Selaimen da Costa
    Brazilian Journal of Otorhinolaryngology.2024; 90(1): 101353.     CrossRef
  • Effect of Language Barriers and Use of Interpreters on Hope Among Patients With Central Nervous System Malignancies and Bone Metastases
    Caressa Hui, Jen Hall, Zhihui Fang, Sydney Lefebvre, Melanie Hayden-Gephart, Gordon Li, Antonio Meola, Seema Nagpal, Scott Soltys, Erqi Pollom
    International Journal of Radiation Oncology*Biolog.2024; 119(3): 838.     CrossRef
  • Based on the relationship between anxiety of existential meaninglessness, hope level, and fear of progression, explored the effect of preoperative nursing with Orem theory in the senile cataract population
    Yanli Zhang, Yanmiao Cheng, Yan Liang, Mengfei Shao, Aiai Chen
    Frontiers in Psychology.2024;[Epub]     CrossRef
  • The relationship between anxiety and depression in adolescent depression patients: The mediating effect of hope level and coping modes
    Yan Lin, Zhihan Chen, Mengjiao He, Weiqing Zhou, Lina Wang, Hua Guo, Kaizong Huang
    Heliyon.2024; 10(15): e35466.     CrossRef
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    Kaye A. Herth
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  • Voices of Hope: Leveraging Think-Aloud Cognitive Interviews to Develop a Hope Assessment Tool for Young People Living with Chronic Health Conditions
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    Brittany D. Lancaster, Jason Van Allen
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  • The mediation role of self-esteem and hope on the relationship of quality of life and unmet needs of elderly with psychiatric disorders
    Mariye Jenabi Ghods, Ladan Fattah Moghaddam, Mohammad Javad Hosseinabadi-Farahani, Mohammad Pourebrahimi
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    Kaye Herth, Sara M. Sarasua
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  • Waves of family hope: narratives of families in the context of pediatric chronic illness
    Ana Carolina Andrade Biaggi Leite, Cristina García-Vivar, Francine DeMontigny, Lucila Castanheira Nascimento
    Revista Latino-Americana de Enfermagem.2021;[Epub]     CrossRef
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  • 323 Download
  • 26 Crossref
Perceptions of School Health Care among School-aged Children and Adolescents with Chronic Disease: An Integrative Review
Ju-Yeon Uhm, Mi-Young Choi
Child Health Nurs Res 2020;26(2):309-322.   Published online April 30, 2020
DOI: https://doi.org/10.4094/chnr.2020.26.2.309
Purpose
The purpose of this integrative review was to synthesize previous research on perceptions of school health care among school-aged children and adolescents with chronic diseases.
Methods
This study was performed in accordance with Whittemore and Knafl's stages of an integrative review (problem identification, literature search, data evaluation, data analysis, and presentation of the results). Four databases (PubMed, CINAHL, Embase, and Web of Science) were used to retrieve relevant articles.
Results
Eighteen articles were included in this review. We identified five thematic categories: peer-related issues, a safe school environment, self-perception of an existing disease, self-management, and a supportive school environment.
Conclusion
It is necessary to establish a school health care system with a supportive environment for children and adolescents with chronic diseases.

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    BMC Public Health.2024;[Epub]     CrossRef
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  • 326 Download
  • 5 Crossref
Effects of a Positive Psychology-based Mental Health Promotion Program for High School Students
Myung Sun Hyun, Mi-kyung Yun, Sun-Mi Chae, Hee Young Oh, Sun-Mi Jung
Child Health Nurs Res 2020;26(2):154-163.   Published online April 30, 2020
DOI: https://doi.org/10.4094/chnr.2020.26.2.154
Purpose
The purpose of this study was to investigate the effects of a positive psychology-based mental health promotion program for high school students.
Methods
This study used a randomized control group pretest-posttest design. A total of 47 high school students participated from two high schools in Gyeonggi Province. They were randomly assigned to an experimental group (n=24), which participated in the 8-session program, or to a control group (n=23). Psychological well-being, depression, and self-esteem were measured.
Results
A significant difference in psychological well-being was observed between the two groups after the program. However, there were no significant between-group differences in depression or self-esteem.
Conclusion
The positive psychology-based mental program was effective at increasing psychological well-being in adolescents, especially high school students. This study suggests that a school curriculum could incorporate positive psychology-based mental programs for high school students to promote their mental health.
  • 6,815 View
  • 246 Download
Purpose
The purpose of this study was to evaluate the current level of sleep quality among Korean middle-school students using the Pittsburg Sleep Quality Index (PSQI), and to analyze the factors influencing sleep quality.
Methods
The study used a descriptive cross-sectional design and a self-report questionnaire. The participants were 744 middle-school students. The questionnaire included the PSQI and health-related questions, such as the types of diseases they had been diagnosed with and the frequency of hospital admissions. The data were analyzed using the independent t-test, analysis of variance, Pearson correlation coefficients, and linear multiple regression.
Results
The global PSQI score was 4.21, which indicated good sleep quality. The major factors that were associated with the sleep quality of middle-school students were the number of diseases they had been diagnosed with (β=.54, p=.001) and atopic dermatitis (β=.32, p=.001). In addition, asthma and the frequency of hospital admissions were significant factors influencing each component of the PSQI.
Conclusion
The findings from this study suggest that sleep quality was associated with several health-related factors. Thus, nurses, school nurses, and nursing researchers may need to assess the health-related factors associated with adolescents’ sleep quality as part of efforts to improve their sleep quality.

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The Influence of Social Media Affinity on Eating Attitudes and Body Dissatisfaction in Philippine Adolescents
Shannen Tadena, So Ra Kang, Shin-Jeong Kim
Child Health Nurs Res 2020;26(1):121-129.   Published online January 31, 2020
DOI: https://doi.org/10.4094/chnr.2020.26.1.121
Purpose
This study aimed to examine the influence of social media affinity on eating attitudes and body dissatisfaction among adolescents in the Philippines.
Methods
The participants were 114 junior high school students enrolled in 7th to 10th grade in Cavite Province, Philippines. The collected data were analyzed in SPSS, using descriptive statistics, the independent t-test, one-way analysis of variance, Pearson correlation coefficients, and stepwise multiple linear regression.
Results
The factors affecting eating attitudes were body dissatisfaction (β=-.47, p<.001), social media affinity (β=.33, p<.001) and grade (10th grade) (β=-.28, p<.001), and the factors influencing body dissatisfaction were eating attitudes (β=-.65, p<.001) and social media affinity (β=.17, p=.041).
Conclusion
In order to promote healthy eating attitudes and to improve body satisfaction among Philippine adolescents, educational strategies tailored to social media users will be needed.

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    Sogol Keyvanpour, Masoumeh Namazi, Fatemeh Hosseini, Narges Ebrahimi
    Medicine.2025; 104(4): e41383.     CrossRef
  • Don't feel comfortable in your own skin? The relationship between body dissatisfaction and social media use – A meta-analytical approach
    Thomas Vlasak, Alfred Barth, Christoph Augner
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  • The dark side of digital connectivity: smartphone dependency and body image issues in Filipino teens
    Jose Eric Mella Lacsa
    Korean Journal of Family Medicine.2025; 46(4): 294.     CrossRef
  • Time Out: A Scoping Review of Non‐Duration Based Social Media Use Measures and Adolescent Mental Health
    Amanda M. Sursely, Bengi Baran, Gerta Bardhoshi, Jonathan M. Platt
    Journal of Adolescence.2025;[Epub]     CrossRef
  • The Effect of Social Media Addiction on Eating Behaviour In Young Adults: A Cross-Sectional Study
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    Turkish Journal of Health Science and Life.2025; 8(3): 113.     CrossRef
  • The relationship among positive body image, body esteem, and eating attitude in Iranian population
    Hamid Sharif-Nia, Erika Sivarajan Froelicher, Ozkan Gorgulu, Jason W. Osborne, Aleksandra Błachnio, Azadeh Rezazadeh Fazeli, Amir Hossein Goudarzian, Omolhoda Kaveh
    Frontiers in Psychology.2024;[Epub]     CrossRef
  • A structural modeling approach to determine the effects of orthorexia nervosa and social appearance anxiety on healthy lifestyle behaviors in young adults
    Fatma Elif Eroğlu, Nevin Şanlıer
    Journal of Health Sciences and Medicine.2024; 7(5): 529.     CrossRef
  • Disordered eating attitude and associated factors among late adolescent girls in Gondar city, northwest Ethiopia: a community-based cross-sectional study
    Betlihem Muche Engdyhu, Kedir Abdela Gonete, Berhanu Mengistu, Netsanet Worku
    Frontiers in Public Health.2024;[Epub]     CrossRef
  • Social Media Use and Body Image Dissatisfaction Among University Students of Health Sciences in Saudi Arabia
    Ihdaa J Abdulwahab, Jumana H Khouja, Noha A Alzahrani, Amina Bargawi
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  • Impact of social media influence on eating behavior in mid and late adolescent children a cross-sectional study
    Aishwarya Patil, Gavishiddhayya Salimath, Mubashir Angolkar
    Indian Journal of Health Sciences and Biomedical R.2024; 17(2): 125.     CrossRef
  • Relationship Between Obesity Awareness and Nutrition Attitude: A Sectional Study Among Secondary School Students
    Gulsun Ayran, Ozlem Karaca
    Galician Medical Journal.2023;[Epub]     CrossRef
  • Associations between social media, adolescent mental health, and diet: A systematic review
    Laurence Blanchard, Kaitlin Conway‐Moore, Anaely Aguiar, Furkan Önal, Harry Rutter, Arnfinn Helleve, Emmanuel Nwosu, Jane Falcone, Natalie Savona, Emma Boyland, Cécile Knai
    Obesity Reviews.2023;[Epub]     CrossRef
  • Body Weight Perception and Health-Related Behaviors Among U.S. Adolescents: Mediating Effects of Body Weight Control Behaviors
    So Hyun Park, Hanjong Park, Myles Faith
    The Journal of School Nursing.2022; 38(4): 397.     CrossRef
  • The association between social media addiction and orthorexia nervosa, eating attitudes, and body image among adolescents
    Gamze Yurtdaş-Depboylu, Gülşah Kaner, Semiha Özçakal
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  • Effect of Social Media Celebrities on Children’s Satisfaction with Their Body Image
    Raja Omar Bahatheg
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  • The influence of social media on body dissatisfaction among college students
    Mashael Suwailem Alruwayshid, Shatha Ahmed Alduraywish, Abrar Hmod Allafi, Abeer Sluman Alshuniefi, Enas Fahad Alaraik, Fatmah Alreshidi, Ebtehaj Almughais, Norah Suwailem Alruwayshid
    Journal of Family Medicine and Primary Care.2021; 10(4): 1741.     CrossRef
  • IMPACT OF SOCIAL MEDIA AND PEER PRESSURE ON EATING BEHAVIORS OF ADOLESCENTS
    Maria Aslam, Jannat Gull Khan, Gullnoor Khan, Henna Asif, Nafela Atta, Aqsa Rafique, Tuba Tahir, Nabeera Ahmed, Ayesha .
    Pakistan BioMedical Journal.2021;[Epub]     CrossRef
  • 51,522 View
  • 847 Download
  • 17 Crossref
Purpose
We aimed to identify associations between the frequency of electronic cigarette (e-cigarette) use and smoking-related characteristics among adolescent smokers.
Methods
We used data from the 14th Korea Youth Risk Behavior Survey. The participants were 3,722 smokers who had smoked cigarettes on at least one day during the past 30 days. The frequency of e-cigarette use was defined as the number of days that participants used e-cigarettes during the past 30 days, and was divided into four categories: 0, 1~2, 3~9, and≥10 days. We used the x2 test and multinomial logistic regression to examine the associations between the frequency of e-cigarette use and smoking-related characteristics.
Results
Those who attempted to quit smoking, had used a heated tobacco product (HTP) at least once, or initiated e-cigarette use before middle school were more likely to use e-cigarettes for 3~9 days in the past 30 days. More frequent e-cigarette use (≥10 days) was associated with a higher frequency and greater amount of cigarette use, lifetime HTP use, and earlier initiation of e-cigarette use.
Conclusion
Smoking-related characteristics differed by the frequency of e-cigarette use. Therefore, intervention programs targeting adolescent smokers should consider differences in smoking-related characteristics based on the frequency of e-cigarette use.

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    Hyeongyeong Yoon
    Journal of Pediatric Nursing.2025; 80: e104.     CrossRef
  • Examining suicidality and substance use among Korean adolescents: a latent class analysis study
    Serim Lee, Jinyung Kim
    Asia Pacific Journal of Social Work and Developmen.2025; : 1.     CrossRef
  • Associations between the Frequency and Quantity of Heated Tobacco Product Use and Smoking Characteristics among Korean Smoking Adolescents
    Haein Lee, Bo Gyeong Lee
    Journal of Korean Academy of Nursing.2023; 53(2): 155.     CrossRef
  • Dietary Lifestyle Status of Adolescents: Analysis of Large-Scale Survey Data in Korea
    Soo Jin Lee, Ho Kyung Ryu
    Journal of the Korean Society of Food Science and .2021; 50(1): 95.     CrossRef
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  • 132 Download
  • 4 Crossref
Predictors of Eating Disorders in Adolescents with Type 1 Diabetes
Hye-Ryeon Park, Hyeon Ok Ju, Jae-Ho Yoo
Child Health Nurs Res 2019;25(4):449-457.   Published online October 31, 2019
DOI: https://doi.org/10.4094/chnr.2019.25.4.449
Purpose
The purpose of this study was to identify predictors of eating disorders in adolescents with type 1 diabetes, with the goal of providing data in support of nursing interventions to improve their health.
Methods
A total of 136 adolescents aged 13-18 years with type 1 diabetes completed the Diabetes Eating Problem Survey-Revised, Rosenberg Self-Esteem Scale, and the Beck Depression Inventory-II, using structured self-reported questionnaires. The collected data were analyzed using the t-test, x2 test, and binominal logistic regression with SPSS version 23.0 for Windows.
Results
The prevalence of eating disorders in adolescents with type 1 diabetes was 39%. Four significant predictors of eating disorders were identified; absence of body satisfaction (odds ratio [OR]=3.87, 95% confidence interval [CI]=1.55~9.65), depression (OR=2.87, 95% CI=1.13~7.28), female gender (OR=2.67, 95% CI=1.09~6.54), and glycosylated hemoglobin type A1c levels (OR=1.47, 95% CI=1.10~1.97).
Conclusion
In order to prevent eating disorders among adolescents with type 1 diabetes, programs for managing adolescents’ depression and improving their body satisfaction should be developed. Futhermore, more attention should be directed towards programs aiming to prevent eating disorders in female adolescents.

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  • Validity and Reliability of a Korean Diabetes Eating Problem Survey–Revised
    Hye-Ryeon Park, So Yeon Park, Jaeyoung Lee, Hyeon Ok Ju
    Asian Nursing Research.2025; 19(3): 220.     CrossRef
  • Diabetes-specific eating disorder and social exclusion in adolescents with type 1 diabetes
    Harun Özbey, Meral Bayat, İrem Kalkan, Nihal Hatipoğlu
    International Journal of Diabetes in Developing Co.2024; 44(1): 122.     CrossRef
  • Eating disorders between male and female adolescents with type 1 diabetes mellitus in Korea
    Hye-Ryeon Park, Na-Geong Kim
    Belitung Nursing Journal.2022; 8(6): 505.     CrossRef
  • Impact of Body Mass Index on Eating Disorders in Adolescents with Type 1 Diabetes: Focusing on Mediating Effect of Body Dissatisfaction, Self-esteem, and Depression
    Hye-Ryeon Park, Hyeon Ok Ju
    Journal of The Korean Society of Maternal and Chil.2021; 25(2): 121.     CrossRef
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  • 323 Download
  • 4 Crossref
Experiences of the Development of Parent-Adolescent Relationships among Korean Mothers
Hyun Young Koo
Child Health Nurs Res 2019;25(3):355-366.   Published online July 31, 2019
DOI: https://doi.org/10.4094/chnr.2019.25.3.355
Purpose
This study was conducted to explore Korean mothers’ experiences of the development of parent-adolescent relationships.
Methods
The participants were 18 Korean parents of adolescents. Data were collected through in-depth interviews. The main question was, “Could you tell me about your experiences of developing a relationship with your adolescent child?” The data were analyzed using Strauss and Corbin’s grounded theory methodology.
Results
The central phenomena of the experiences of parent-adolescent relationships among Korean mothers were “trying to reduce my expectations, but not being able to” and “having no idea where to go”. The major action/interaction strategies were “putting aside my desires and adapting to my child's needs” and “waiting and seeing at a distance”. The consequences included “appreciating myself and my child at the same time”.
Conclusion
These findings indicate that mothers tried to adapt to their children's needs and to keep their children at a distance. Their efforts were influenced by advice from friends and family members. The findings of this study emphasize specific aspects of how Korean mothers experienced the process of developing respectful relationships with their children.

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  • Child-rearing experiences of mothers with early adolescents in Korean multicultural families
    Sangmi Lee, Hyun Young Koo
    Child Health Nursing Research.2021; 27(2): 190.     CrossRef
  • 7,750 View
  • 158 Download
  • 1 Crossref
Social Adjustment of Adolescent Cancer Survivors: A Concept Analysis
Su-Mi Oh, Hyejung Lee, Sue Kim, Sanghee Kim, Chuhl Joo Lyu
Child Health Nurs Res 2019;25(3):290-302.   Published online July 31, 2019
DOI: https://doi.org/10.4094/chnr.2019.25.3.290
Purpose
This study aimed to identify the attributes of social adjustment among adolescent cancer survivors using concept analysis and to propose a definition of the concept.
Methods
In accordance with the hybrid model of concept analysis, this study employed a three-phase circular process comprising theoretical, fieldwork, and final analysis phases. A thorough literature review was conducted using MEDLINE, Embase, and Korean databases, followed by qualitative fieldwork with seven participants. The results derived from the theoretical and fieldwork phases were integrated into the final analysis phase.
Results
Four attributes of social adjustment were found in adolescent cancer survivors: having harmonious relationships with friends, having harmonious relationships with boy/girlfriends, fulfilling their present roles, and planning for and expecting future roles. The following definition of social adjustment of adolescent cancer survivors is proposed: “the conquering of difficulties arising from the continuum of childhood cancer and the achievement of the developmental tasks of typical adolescents.”
Conclusion
Social adjustment of childhood cancer survivors is crucial for integrating them into society. The findings of this study provide a basis for developing an instrument to measure the social adjustment of adolescent cancer survivors and for developing of interventions that target this group.

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  • Personal recovery of adolescents with mental health conditions in the community: empirically-based practical implications
    Hila Tuaf, Hod Orkibi
    Israel Journal of Health Policy Research.2025;[Epub]     CrossRef
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    Wang Mengjia, Liu Guo, Li Dan, Ji Jinglan, Ma Zilong, Wang Qing, Guo Xinyan, Zhang Ruixing
    Psycho-Oncology.2025;[Epub]     CrossRef
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    Sylvia L. Crowder, Rebecca H. Foster, Acadia W. Buro, Robyn Dillon, Kamar Godder, Marilyn Stern
    Journal of Adolescent and Young Adult Oncology.2023; 12(5): 644.     CrossRef
  • Development and psychometric properties of the social adjustment scale for youth cancer survivors in South Korea
    Sumi Oh, Hyejung Lee, Sue Kim, Sanghee Kim, Chuhl Joo Lyu, Chang Gi Park, Hyoung Jin Kang
    Asia-Pacific Journal of Oncology Nursing.2023; 10(7): 100241.     CrossRef
  • Development and Validation of the Social Adjustment Scale for Adolescent Cancer Survivors
    Sumi Oh, hyejung Lee, Sue Kim, Sanghee Kim, Chuhl Joo Lyu, Chang-gi Park, Hyoung Jin Kang
    SSRN Electronic Journal .2022;[Epub]     CrossRef
  • Research trends related to childhood and adolescent cancer survivors in South Korea using word co-occurrence network analysis
    Kyung-Ah Kang, Suk Jung Han, Jiyoung Chun, Hyun-Yong Kim
    Child Health Nursing Research.2021; 27(3): 201.     CrossRef
  • 8,699 View
  • 189 Download
  • 6 Crossref
Factors Influencing Physical Activity in Adolescents with Complex Congenital Heart Disease
Su Jin Kwon, Eun Kyoung Choi, Kyung Hee Lee, Yu-Mi Im
Child Health Nurs Res 2019;25(3):262-272.   Published online July 31, 2019
DOI: https://doi.org/10.4094/chnr.2019.25.3.262
Purpose
We aimed to identify factors influencing physical activity in adolescents with complex congenital heart disease.
Methods
We recruited 92 adolescents with complex congenital heart disease from a tertiary medical center in Seoul, measured their levels of physical activity, and identified factors that influenced their physical activity levels using the Global Physical Activity Questionnaire, the New York Heart Association classification, congenital heart disease complexity, the Self-Efficacy Scale, and the Parental Bonding Instrument scale. Stepwise multiple linear regression was used to determine factors influencing physical activity.
Results
Total physical activity was higher in males than in females (t=4.46, p<.001). Adolescents who participated in school physical education classes engaged in more physical activity than those who did not (t=6.77, p<.001). Higher self-efficacy (β=.41, p<.001), male gender (β=.37, p<.001) and participation in school physical education classes (β=.19, p=.042) were associated with a higher likelihood of engagement in physical activity.
Conclusion
It is necessary to develop nursing interventions that enhance self-efficacy in order to promote physical activity in adolescents with complex congenital heart disease. Physical activity should also be promoted in an individualized manner, taking into account gender, disease severity, and parental attitude.

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    Matthew S. Chapelski, Megan Tomyn, Kristina Sobolewski, Amanda Froehlich Chow, Leah J. Ferguson, Charissa Pockett, Corey R. Tomczak, Marta C. Erlandson
    CJC Pediatric and Congenital Heart Disease.2025; 4(1): 34.     CrossRef
  • Understanding the barriers and facilitators that impact physical activity levels in children and adolescents with Congenital Heart Disease (CHD): a rapid review
    Alyssia Venna, Yves d’Udekem, Sabrina Figueiredo
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  • One-year postintervention health-related physical fitness and quality of life among children and grown-up with congenital heart disease: An analysis from a tertiary cardiac care hospital, India
    Malabika Maity, Sitaraman Radhakrishnan, Sushil Azad, Ankit Garg, Samir Bhatia, Mudasir Ahmed, Soumit Roy
    Annals of Pediatric Cardiology.2025; 18(3): 194.     CrossRef
  • Early hybrid cardiac rehabilitation in congenital heart disease: the QUALIREHAB trial
    Pascal Amedro, Arthur Gavotto, Helena Huguet, Luc Souilla, Anne-Cecile Huby, Stefan Matecki, Anne Cadene, Gregoire De La Villeon, Marie Vincenti, Oscar Werner, Charlene Bredy, Kathleen Lavastre, Hamouda Abassi, Sarah Cohen, Sebastien Hascoet, Claire Dauph
    European Heart Journal.2024; 45(16): 1458.     CrossRef
  • Physical Activity and Executive Functioning in Children and Adolescents with Congenital Heart Defects: A Scoping Review
    Amanda Clifton, Neva Kirk-Sanchez, Gerson Cipriano, James G. Moore, Lawrence P. Cahalin
    Journal of Cardiovascular Development and Disease.2024; 11(10): 309.     CrossRef
  • Physical Activity Promotion Among Individuals With Tetralogy of Fallot
    Mackenzie Buchanan, Christopher Spence, Michelle Keir, Michael Khoury
    CJC Pediatric and Congenital Heart Disease.2023; 2(6): 322.     CrossRef
  • The discovery of a data-driven causal diagram of sport participation in children and adolescents with heart disease: a pilot study
    Jakub S. Gąsior, Marcel Młyńczak, Craig A. Williams, Aleksandra Popłonyk, Daria Kowalska, Paulina Giezek, Bożena Werner
    Frontiers in Cardiovascular Medicine.2023;[Epub]     CrossRef
  • Physical activity modification in youth with congenital heart disease: a comprehensive narrative review
    Arend W. van Deutekom, Adam J. Lewandowski
    Pediatric Research.2021; 89(7): 1650.     CrossRef
  • 8,165 View
  • 236 Download
  • 8 Crossref
A Prediction Model of Factors related to Career Maturity in Korean High School Students
Jiyeong Seo, Minju Kim
Child Health Nurs Res 2019;25(2):95-102.   Published online April 30, 2019
DOI: https://doi.org/10.4094/chnr.2019.25.2.95
Purpose
The purpose of this study was to identify factors associated with career maturity among Korean high school students.
Methods
A descriptive cross-sectional design was adopted using secondary data from the 2012 Korean Welfare Panel Study (KoWePS). The participants were 496 high school students who completed the supplemental survey for children, which included items on career maturity, self-esteem, study stress, teacher attachment, relationship with parents, peer attachment, depression and anxiety. Descriptive statistics, the chi-square-test, the t-test, and a decision tree were used for data analysis.
Results
The decision tree identified five final nodes predicting career maturity after forcing self-esteem as the first variable. The highest predicted rate of high career maturity was associated with high self-esteem, experience of career counseling, and high teacher attachment. The lowest predicted rate of high career maturity was associated with low self-esteem and low attachment to friends.
Conclusion
Factors influencing career maturity were varied by levels of self-esteem in Korean high school students. Thus, it is necessary to develop different approaches to enhance career maturity according to levels of self-esteem.

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  • Kariyer Olgunluğunda Cinsiyet Farklılıkları: Meta Analiz Çalışması
    Ersoy ÇARKIT, Feride BACANLI
    Pamukkale University Journal of Education.2020; 48: 84.     CrossRef
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  • 176 Download
  • 3 Crossref
Factors Affecting the Self-Management of Adolescents with Type 1 Diabetes Mellitus based on the Information-Motivation-Behavioral Skills Model
Hooyun Lee, Eun Kyoung Choi, Heejung Kim, Ho-Seon Kim, Hee-Soon Kim
Child Health Nurs Res 2019;25(2):234-243.   Published online April 30, 2019
DOI: https://doi.org/10.4094/chnr.2019.25.2.234
Purpose
The purpose of this study was to investigate associations between self-management and diabetes knowledge, diabetesrelated attitudes, family support, and self-efficacy in adolescents with type 1 diabetes mellitus based on the information-motivation- behavior skills model.
Methods
Data collection was conducted between March 18 and September 30, 2018. Patients (N=87) aged 12 to 19 years were recruited from the outpatient clinic of S children’s hospital and an online community for patient with type 1 diabetes mellitus. Data were analyzed using descriptive statistics, the independent t-test, one-way ANOVA, Pearsons correlation, and hierarchical multiple linear regression with SPSS IBM 23.0, with the two-tailed level of significance set at 0.05.
Results
The mean score of self-management in adolescents with type 1 diabetes mellitus was 61.23±10.00 out of 80. The regression analysis showed that self-efficacy and family support significantly explained 56.9% of the variance in self-management (F=21.38, p<.001). Self-efficacy (β=.504, p<.001) and family support (β=.188, p<.001) were significant predictors of self-management.
Conclusion
It is necessary to develop individual interventions to improve self-efficacy and family support for adolescents with type 1 diabetes mellitus to help them enhance their self-management.

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    Ji-Su Kim, Minhae Kim, Yeji Seo
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  • Managing the unmanageable through interdependence in adolescents living with type 1 diabetes and their parents: A constructivist grounded theory
    Pamela Farthing, Jill M.G. Bally, Marie Dietrich Leurer, Lorraine Holtslander, Munier A. Nour, Donna Rennie
    Journal of Pediatric Nursing.2022; 67: e191.     CrossRef
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    Psychiatric Quarterly.2021; 92(1): 49.     CrossRef
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    International Journal of Environmental Research an.2021; 18(14): 7623.     CrossRef
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  • 421 Download
  • 11 Crossref
Purpose
This study investigated differences in the relationships of factors including emotional problems, self-perception, parental behavior, and peer attachment with smartphone dependency (SD) among middle school, high school, and college students in South Korea.
Methods
This study used data from a nationwide sample of 1,882 middle school, 1,821 high school, and 1,346 college students who owned smartphones. Descriptive statistics and multiple regression analysis were conducted to investigate the predictors of SD based on school level.
Results
SD scores significantly differed across school levels. Female gender, more aggressive behavior, less ego-identity, and less monitoring parental behavior were linked to higher SD at all school levels. Less self-esteem and intrusive parental behavior were linked to SD in middle school students. In high school students, additional factors related to higher levels of SD were resilience, intrusive / inconsistent parental behavior, peer trust and alienation, and depression. Additionally, resilience, over-expectant parental behavior, and peer trust were linked to higher SD in college students.
Conclusion
This study provides insights into SD and predictors of SD among middle school, high school, and college students. Based on these findings, SD prevention programs should be developed according to the developmental stages of adolescents and young adults.

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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
  • Uso Problemático del Smartphone, Procrastinación y Autoeficacia Académica en Estudiantes Universitarios
    Álvaro Camporro-Montila, María de la Villa Moral-Jiménez
    Revista de Psicología y Educación - Journal of Psy.2025; 20(2): 99.     CrossRef
  • Association between smartphone overdependence and sexual behavior in adolescents: a secondary data analysis of the 19th Youth Health Behavior Survey
    Bo Ryeong Lee, Ji Hyeon Lee
    Child Health Nursing Research.2025; 31(3): 134.     CrossRef
  • The Relationship Between Self-Esteem and Mobile Phone Addiction Among Mainland Chinese Adolescents: A Meta-Analysis
    Yipei Liang, Haitao Huang, Yueming Ding, Yiming Zhang, Guangli Lu, Chaoran Chen
    Psychological Reports.2024; 127(1): 5.     CrossRef
  • Smartphone dependency latent profile classification and association with emotional and behavioral difficulties among high school students in Korea
    Eunjoo Kim, Min Kyung Song
    Research in Community and Public Health Nursing.2024; 35: 84.     CrossRef
  • Father-child attachment on children’s screen time: mediating role of ego resilience
    Hwa-Mi Yang, Hye-Ryoung Kim
    BMC Pediatrics.2024;[Epub]     CrossRef
  • Relationships between adolescent smartphone usage patterns, achievement goals, and academic achievement
    Meehyun Yoon, Heoncheol Yun
    Asia Pacific Education Review.2023; 24(1): 13.     CrossRef
  • Latent classes of smartphone dependency trajectories and predictors of classes among middle school students in South Korea
    Eunjoo Kim, Juhyun Jo, Min Kyung Song
    Journal of Pediatric Nursing.2023; 73: 44.     CrossRef
  • Gender differences in smartphone addiction and depression among Korean adolescents: Focusing on the internal mechanisms of attention deficit and self-control
    Yangjin Park, Sungkyu Lee
    Computers in Human Behavior.2022; 136: 107400.     CrossRef
  • Latent Classes of Depressive Symptom Trajectories of Adolescents and Determinants of Classes
    Eunjoo Kim
    Journal of Korean Academy of Community Health Nurs.2022; 33(3): 299.     CrossRef
  • The Effect of Children’s Negative Automatic Thoughts on Their Problematic Smartphone Use: The Moderating Effect of Weekend Family Rituals
    Daeun Kim, Kyung Eun Jahng
    Korean Journal of Child Studies.2021; 42(5): 601.     CrossRef
  • Model Construction for Undergraduate Student College Adjustment
    Sona Lee, Hye Young Ahn
    International Journal of Environmental Research an.2020; 17(19): 7090.     CrossRef
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  • 220 Download
  • 12 Crossref
Posttraumatic Growth of Adolescents with Childhood Leukemia and their Parents
Sungsil Hong, Ho Ran Park, Sun Hee Choi
Child Health Nurs Res 2019;25(1):9-16.   Published online January 29, 2019
DOI: https://doi.org/10.4094/chnr.2019.25.1.9
Purpose
Childhood leukemia is a serious trauma affecting both adolescents and their parents, who experience painful process. However, adolescents with leukemia and their parents also experience positive changes, which is referred to as posttraumatic growth. We examined posttraumatic growth, core beliefs, impact of event, and event-related rumination in adolescents within 5 years of a diagnosis of childhood leukemia and their parents.
Methods
The participants were 68 adolescents with childhood leukemia (aged 13~18 years) and their parents, who were recruited from C university hospital in Korea from May to September 2016. The Posttraumatic Growth Inventory, Core Belief Inventory, Impact of Event Scale-Revised, and Event-related Rumination Inventory were completed by the adolescents and their parents. The mean scores and correlations between variables were investigated for both set of participants.
Results
Parents showed significantly higher levels of posttraumatic growth, disruption of core beliefs, impact of event, and invasive rumination than adolescents. Disruption of core beliefs and deliberate rumination were positively correlated with posttraumatic growth in both groups.
Conclusion
Nursing intervention programs that involve modifying core beliefs and inducing a positive thought can help adolescents with leukemia and their parents grow after traumatic events.

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  • Testing a model of benefit-finding and growth in youths with chronic health conditions
    Roman E. von Rezori, Harald Baumeister, Reinhard W. Holl, Kirsten Minden, Annabel S. Müller-Stierlin, Christina Reinauer, Svenja Temming, Petra Warschburger
    BMC Pediatrics.2024;[Epub]     CrossRef
  • Predictors of Moderate-High Posttraumatic Growth in Parents of Children With Cancer
    Buket Meral, Hacer Kobya Bulut
    Cancer Nursing.2024;[Epub]     CrossRef
  • The Effect of Mindfulness-Based Psychoeducation on Parental Psychology After Leukemia Diagnosis
    Oya Sevcan Orak, Ercan Tunç, Canan Albayrak
    Journal of Loss and Trauma.2024; : 1.     CrossRef
  • Post-traumatic growth among childhood cancer survivors: A qualitative meta-synthesis
    Shuo Zhang, Chun-Yan Liu, Fang Wang, Zhi-Hong Ni
    European Journal of Oncology Nursing.2023; 63: 102289.     CrossRef
  • Posttraumatic Growth in Youth, Young Adults, and Caregivers Who Experienced Solid Organ Transplant
    Kelli N Triplett, Gillian S Mayersohn, Saba S Masood, Kristine Pickwith, Hayden Mbroh, Michael Killian
    Journal of Pediatric Psychology.2022; 47(9): 965.     CrossRef
  • Posttraumatic growth among childhood cancer survivors and their caregivers: associations with rumination and beliefs challenge
    Franciele Cristiane Peloso, Tonantzin Gonçalves, Maria Júlia Armiliato, Lauro Gregianin, Catarina Ramos, Elisa Kern De Castro
    Psicooncología.2022; 19(2): 203.     CrossRef
  • The relationship between post‐traumatic stress and post‐traumatic growth in cancer patients and survivors: A systematic review and meta‐analysis
    Allison Marziliano, Malwina Tuman, Anne Moyer
    Psycho-Oncology.2020; 29(4): 604.     CrossRef
  • 10,924 View
  • 323 Download
  • 7 Crossref
Purpose
This study was conducted to examine factors associated with obesity among Korean adolescents.
Methods
The participants were 436 Korean adolescents aged 12~18 years who took part in the seventh Korea National Health and Nutrition Examination Survey (2016). The data were analyzed by descriptive statistics, the x2 test, one-way analysis of variance, and multinomial logistic regression using complex sample analysis.
Results
Among the participants, 9.7% were classified as being obese, and 11.9% as being overweight. Several health parameters, including systolic blood pressure, diastolic blood pressure, waist circumference, and triglyceride, fasting blood sugar, and alanine aminotransferase levels, varied according to obesity. Distorted perceptions of body shape showed a significant negative association with overweight, and carbohydrate intake was negatively associated with obesity.
Conclusion
These findings indicate that obesity in Korean adolescents was associated with lifestyle and health parameters. Therefore, intervention programs for obese or overweight adolescents should focus on preventing them from developing health problems.

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  • Effects of night eating on oral health characteristics and symptoms of poor oral health in adolescents: a cross-sectional study using the 18th Korea Youth Risk Behavior Survey
    Seung–Hee Hong
    Korean Journal of Community Nutrition.2025; 30(2): 150.     CrossRef
  • Combined effects of sugar-sweetened beverage consumption, screen-based sedentary behavior, and sleep duration on South Korean adolescent obesity: a cross-sectional study
    Jin Suk Ra, Do Thi Thu Huyen
    Child Health Nursing Research.2024; 30(2): 77.     CrossRef
  • Dietary safety management competency for the sustainable health management of adolescents
    Yunhwa Kim
    Journal of Nutrition and Health.2022; 55(3): 406.     CrossRef
  • Disparity between Subjective Health Perception and Lifestyle Practices among Korean Adolescents: A National Representative Sample
    Aniceto Echalico Braza, Jinsoo Jason Kim, Sun Hee Kim
    Journal of Lifestyle Medicine.2022; 12(3): 153.     CrossRef
  • 9,066 View
  • 256 Download
  • 4 Crossref
Effect of Positive Psychological Capital, Sense of Community and Stress on Middle School Students' School Adjustment
Kyoung Mi Kim, Eun Seon An, Eun Ju Oh
Child Health Nurs Res 2018;24(4):506-516.   Published online October 31, 2018
DOI: https://doi.org/10.4094/chnr.2018.24.4.506
Purpose
The purpose of this study was to investigate psychological capital, sense of community and stress in relation to school adjustment and to identify factors influencing school adjustment in middle school students.
Methods
This study population consisted of 150 middle school students. Data were analyzed using t-test, analysis of variance, Pearson correlation coefficient, and multiple regression analysis.
Results
The mean score for school adjustment in middle school students was 3.68 out of 5 points. School adjustment explained 34% of the variance in sense of community (β=.39, p<.001), positive psychological capital (β=.35, p<.001), academic performance (β=.26, p<.001), and stress (β=-.21, p<.001).
Conclusion
The results of our research suggest that sense of community is an important variable influencing school adjustment in middle school students. Therefore, to promote school adjustment in middle school students, it is necessary to develop and implement active educational strategies promoting sense of community, positive psychological capital, academic perfomance, and controlling stress.
  • 6,918 View
  • 133 Download
Analyzing Changes and Determinants of Self-rated Health during Adolescence: A Latent Growth Analysis
You-Jung Choi, Hae-Young Kim
Child Health Nurs Res 2018;24(4):496-505.   Published online October 31, 2018
DOI: https://doi.org/10.4094/chnr.2018.24.4.496
Purpose
The purpose of this study was to examine changes in the self-rated health of adolescents and to identify its predictors using longitudinal data from the KCYPS.
Methods
A sample of 2,351 adolescents who were in the first grade of middle school in 2010 was analyzed. The study employed latent growth analysis using data from 2010 to 2016.
Results
Results indicated that self-rated health of adolescents increased, following the form of a linear function. The analyses revealed that adolescent self-perception of health were conceptualized not only by their health-related behaviors, but also by personal, socioeconomic and psychological factors. Specifically, physical activity, passive leisure time activities, gender (initial: b=-.060, slope: b=.030), place of residence (initial: b=-.079), self-rated economic condition (b=.098), working status of mother (b=.016), monthly family income (b=-.001), aggression (b=.061), depression (initial: b=-.104, slope: b=.012), stress (initial: b=-.172, slope: b=.014, ego-resiliency (initial: b=.197, slope: b=-.021), and self-esteem (initial: b=.106, slope: b=-.017) had significant effects on the overall linear change of self-rated health (p<.05 for all estimators above).
Conclusion
The findings of this study suggest that adolescents’ self evaluation of their health is shaped by their total sense of functioning, which includes individual, health-related behavioral, socioeconomic, and psychological factors.

Citations

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  • Sequential Dual Mediating Effects of Smartphone Dependence and Aggression on the Relationship Between Negative Parenting Attitudes and Depressive Symptoms Among Adolescents
    Jihun Na, Sungkyu Lee, Hyeyeon Sung, Jinho Jhone
    Child & Family Social Work.2026; 31(1): 23.     CrossRef
  • Trajectories of subjective health status among married postmenopausal women based on the ecological system theory: a longitudinal analysis using a latent growth model
    Eun Jin Kim, Ju-Hee Nho
    Korean Journal of Women Health Nursing.2022; 28(2): 123.     CrossRef
  • Inequalities in Longitudinal Health Trajectories in Middle to Later Life: a Comparison of European Countries and Korea
    Minhye Kim, Young-Ho Khang
    Journal of Korean Medical Science.2020;[Epub]     CrossRef
  • 7,495 View
  • 165 Download
  • 3 Crossref
Development of an Aggression Scale for Adolescents: Based on Ajzen’s Theory of Planned Behavior
Sook Jang, Hye Young Ahn
Child Health Nurs Res 2018;24(4):484-495.   Published online October 31, 2018
DOI: https://doi.org/10.4094/chnr.2018.24.4.484
Purpose
This study was conducted to develop a scale for measuring aggression in adolescents, based on Ajzen's Theory of Planned Behavior (TPB).
Methods
The participants were 38 adolescents in an in-depth study conducted to develop items for indirect measurement, 13 adolescents in a pre-test, and 289 adolescents in the present survey. The collected data were analyzed using content validity, the correlation coefficient, exploratory factor analysis, confirmatory factor analysis, reliability, and the Cronbach's ⍺.
Results
In this study, the most important variable related to aggression was found to be aggression intention. This study included 4 factors of direct measurement and 6 factors of indirect measurement; therefore, 41 questions were developed. Increased levels of aggression were associated with higher scores for attitudes of aggression, subjective norms, perceived behavioral control, and aggression intention.
Conclusion
We found that the questionnaire used in this study was valid and reliable as a measurement scale to explain aggression in adolescents based on TPB. Aggression intention should be included in aggression prevention programs because it was linked to aggressive behavior.

Citations

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  • Development and Psychometric Evaluation of the Tehran Adolescent Aggression Scale: A Mixed-Methods Study
    Shahrzad Sanjari, Abbas Tavan, Hamidrezaa Abbasi, Azita Salajegheh, Mohammad Reza Mohammadi Soliemani, Leila Bayat Mokhtari
    Iranian Journal of Psychiatry and Behavioral Scien.2025;[Epub]     CrossRef
  • A Structural Model for Aggression in Middle School Students in Korea: Based on Ajzen’s Theory of Planned Behavior
    Sook Jang, Hye Young Ahn
    International Journal of Environmental Research an.2023; 20(2): 1576.     CrossRef
  • 11,426 View
  • 174 Download
  • 2 Crossref
Trends in Research on Adolescent Suicide Interventions
Hun Ha Cho, Jung Mi Kang, Won Soon Kim
Child Health Nurs Res 2018;24(4):393-406.   Published online October 31, 2018
DOI: https://doi.org/10.4094/chnr.2018.24.4.393
Purpose
This study was designed to analyze recent trends in adolescent suicide intervention research in Korea and to suggest future research directions in this area.
Methods
Studies Thirty-four studies selected from http://www.riss4u.net over the for last 20 years were analyzed by field and design of the study, study participants, and the outcome variables used in intervention studies.
Results
Nineteen (55.9%) of the 34 studies were conducted in the fields of welfare (9), psychology (5) and nursing science (5). Ordinary adolescents were the most frequently studied participants. A nonequivalent control group pretest-posttest design was used in twenty one (61.7%) of the 34 studies. The most frequently measured outcome variables were depression, suicidal ideation and self-esteem.
Conclusion
These results suggest that research on adolescent suicide intervention programs is expanding with a focus on ordinary adolescents as and subjects. In order to prevent suicide, research on family, teachers, and friends, who all are important parts of a teenager’s support system, is needed. It is also necessary to develop a post-management intervention program to prevent recurrence in high-risk teenagers who have attempted suicide.

Citations

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  • Association Between Loneliness and Suicidal Behaviors Among Korean Adolescents: A Nationwide Cross‐Sectional Study
    Jaeyoung Lee, Mikyoung Angela Lee
    Journal of Child and Adolescent Psychiatric Nursin.2026;[Epub]     CrossRef
  • Two‐dimensional mental health and related predictors among adolescents in Korea
    Changmin Yoo, Sang Kyoung Kahng
    Asian Social Work and Policy Review.2019; 13(1): 66.     CrossRef
  • 8,038 View
  • 246 Download
  • 2 Crossref
Structural Equation Model for Psychosocial Adjustment in North Korean Adolescent Refugees
Insook Lee
Child Health Nurs Res 2018;24(3):287-297.   Published online July 31, 2018
DOI: https://doi.org/10.4094/chnr.2018.24.3.287
Purpose
This study aimed to identify variables influencing the psychosocial adjustment of North Korean adolescent refugees in order to establish a structural equation model and design an intervention strategy to improve psychosocial adjustment.
Methods
The subjects included 290 North Korean adolescent refugees aged 16~24 years who were enrolled in alternative schools or regional adaptation centers. They were surveyed using a structured questionnaire.
Results
The goodness of fit measures of the model were as follows: x2=131.20 (p<.001), GFI=.93, CFI=.91, TLI=.86, RMSEA=.08, and SRMR=.07. The results estimated from the structural equation model indicated a good fit of data to the hypothesized model, which proposed that stress and emotional intelligence are associated with psychosocial adjustment. The major variables influencing psychosocial adjustment were stress, emotional intelligence, which was a significant direct effect, whereas attitude of parenting showed an indirect effect on psychosocial adjustment through emotional intelligence. These variables account for 50.0% of psychosocial adjustment.
Conclusion
It is necessary to develop a program and intervention plan that can enhance emotional intelligence and thereby relieve the stress of North Korean adolescent refugees. The program should also include parenting education so that parents have positive attitude of parenting.

Citations

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  • Psychosocial-Adjustment Needs of North Korean Refugee Youth from the Perspectives of Alternative-School Members
    Hwayeon Myeong, Ahlam Lee, Eun-A Park, Yea Eun Gong, MiHyang Kim, Hyunjung Jo
    Journal of Refugee Studies.2021; 34(2): 2200.     CrossRef
  • Development and effects of a psychosocial adaptation program for North Korean adolescent defectors
    In-Sook Lee, Jung-Hee Jeon
    Child Health Nursing Research.2021; 27(3): 243.     CrossRef
  • Defining Adjustment to Address the Missing Link between Refugees and Their Resettlement Communities
    Camilla Modesti, Alessandra Talamo
    International Journal of Environmental Research an.2021; 18(18): 9902.     CrossRef
  • 8,112 View
  • 159 Download
  • 3 Crossref
Systematic Review of Meaning-centered Interventions for Adolescents
Young Sook Lim, Kyung A Kang
Child Health Nurs Res 2018;24(3):263-273.   Published online July 31, 2018
DOI: https://doi.org/10.4094/chnr.2018.24.3.263
Purpose
This study analyzes meaning-centered intervention studies conducted in Korea and abroad to compare and confirm their characteristics and results.
Methods
A literature search using keywords in English and Korean was performed using nine electronic databases in December 2017. Search participants included adolescents, and interventions conducted in meaning-centered intervention studies were selected for evaluation. A Risk of Bias Assessment tool for non-randomized studies was used for quality assessment.
Results
All studies were based on quasi-experimental designs. The semantic intervention included topics such as freedom, choice, responsibility, pain, death, finding value of life, purpose and meaning of life, and becoming a master of my life. All studies used logotherapy, and included meaningful interventions that influenced the meaning and purpose of the life of adolescents. The life satisfaction of adolescents changed significantly when there is a positive and open relationship with their parents. Therefore, an educational program for parents based on meaning therapy is desperately needed.
Conclusion
Meaning-centered interventions were found to be effective interventions for exploring the meaning of life not only for adolescents with problems but also for healthy youth, and as such could be used as basic data for the development of an appropriate intervention for enhancing their life.

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    Li-Li Sheng, Min Zhang
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    Jeffrey H. D. Cornelius‐White, Samuel M. Watson, Yasuko Kanamori, Avery J. Cornelius‐White
    The Journal of Humanistic Counseling.2025; 64(2): 130.     CrossRef
  • Meaning making in parenting a child with disabilities: Discrepancy of meaning, psychological distress, coping strategies and stress-related growth
    Maria Platsidou, Anastasia Mavridou
    Psychology: the Journal of the Hellenic Psychologi.2025; 30(1): 91.     CrossRef
  • The effects of virtual logotherapy on health-promoting lifestyle among single-parent adolescent girls during the coronavirus disease 2019 pandemic: a randomized clinical trial
    Fatemeh Hosseinzadeh, Reza Negarandeh, Akram Sadat Sadat-Hoseini, Shahzad Pashaeypoor
    BMC Women's Health.2023;[Epub]     CrossRef
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    Morgane Lépée
    Cortica.2022; 1(1): 196.     CrossRef
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    Sowmya Kshtriya, Ani Kalayjian, Sarah R. Lowe, Daria Diakonova-Curtis, Loren Toussaint
    International Journal of Educational Research.2022; 115: 102020.     CrossRef
  • Awareness of meaning and quest for meaning: The mechanisms between future orientation and prosociality among youth during pandemic
    Wai-Kin Lui, Chi-Keung Chan, Kai-Hang Ng, Chi-Fai Raymond Chui, Nicolson Yat-Fan Siu, Chui-Shan Yung, Ka-Wing Lau
    Frontiers in Psychology.2022;[Epub]     CrossRef
  • The relationship between search for meaning in life and symptoms of depression and anxiety: Key roles of the presence of meaning in life and life events among Chinese adolescents
    Qian Chen, Xin-Qiang Wang, Xiao-Xin He, Li-Jun Ji, Ming-fan Liu, Bao-juan Ye
    Journal of Affective Disorders.2021; 282: 545.     CrossRef
  • 10,173 View
  • 361 Download
  • 8 Crossref
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