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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.
  • 275 View
  • 16 Download

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.
  • 981 View
  • 63 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.
  • 2,159 View
  • 88 Download

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
  • 2,737 View
  • 75 Download
  • 1 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
  • 3,527 View
  • 103 Download
  • 2 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.
  • 3,196 View
  • 148 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  
  • 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
  • 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
  • 3,145 View
  • 88 Download
  • 5 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.
  • 3,115 View
  • 103 Download
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
  • 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;[Epub]     CrossRef
  • 3,624 View
  • 136 Download
  • 2 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.
  • 3,596 View
  • 157 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

Citations to this article as recorded by  
  • 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
  • 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
  • 4,619 View
  • 131 Download
  • 4 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.

Citations

Citations to this article as recorded by  
  • Family therapy and systemic interventions for child‐focussed problems: The evidence base
    Alan Carr
    Journal of Family Therapy.2025;[Epub]     CrossRef
  • A Family Peer Advocate Model to Address Disparities in Access to Care for Minority Autistic Children with Co-Occurring Attention-Deficit/Hyperactivity Disorder
    Pilar Trelles, Behrang Mahjani, Emma Wilkinson, Nicholas Buonagura, Lauren Donnelly, Jennifer Foss Feig, Danielle Halpern, Mary McKay, Paige Siper, Joseph D Buxbaum, Alexander Kolevzon
    Journal of Developmental and Physical Disabilities.2025; 37(2): 217.     CrossRef
  • Pre-Type 1 Diabetes in Adolescents and Teens: Screening, Nutritional Interventions, Beta-Cell Preservation, and Psychosocial Impacts
    Brody Sundheim, Krish Hirani, Mateo Blaschke, Joana R. N. Lemos, Rahul Mittal
    Journal of Clinical Medicine.2025; 14(2): 383.     CrossRef
  • Integrating Theory With a User-Centered Design Approach to Maximize mHealth Acceptability and Usability
    A. Susana Ramírez, Guadalupe Xochitl Ayala, Mary Murillo, Debora C. Glik, Alma D. Guerrero
    Health Education & Behavior.2025;[Epub]     CrossRef
  • Pediatric Non-Alcoholic Fatty Liver Disease (NAFLD): Trends, Mortality, and Socioeconomic Disparities in the U.S., 1998–2020
    Paul Wasuwanich, Joshua M. So, Mustafa Sadek, Chaowapong Jarasvaraparn, Songyos Rajborirug, Ruben E. Quiros-Tejeira, Wikrom Karnsakul
    Children.2025; 12(1): 71.     CrossRef
  • Impact of family environment on mental disorders and quality of life in children with type 1 diabetes mellitus: a cross-sectional study and intervention policy analysis
    Jing Liu, Jinhong Li, Lichang Li, Kun Zeng
    Frontiers in Pediatrics.2025;[Epub]     CrossRef
  • Parental Determinants in Childhood Diabetes Prevention and Management: A Scoping Review Examining Impacts and Strategies
    Sahara Dhakal, Juraporn Tangpukdee, Wasana Ruaisungnoen, Thiwawan Thepha, Alok Kafle
    Nursing & Health Sciences.2025;[Epub]     CrossRef
  • Psychosocial Care for Youth with Type 1 Diabetes
    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
    JMIR Diabetes.2024; 9: e55165.     CrossRef
  • Adolescents and type 1 diabetes: A grounded theory on adolescents' experiences of adaptation to type 1 diabetes
    Lobna Harazneh, Malakeh Z. Malak, Ahmad Ayed
    Journal of Pediatric Nursing.2024; 76: e159.     CrossRef
  • 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
    PLOS ONE.2024; 19(3): e0300055.     CrossRef
  • 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
  • 6,814 View
  • 335 Download
  • 12 Crossref

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

Citations to this article as recorded by  
  • 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
  • 4,546 View
  • 150 Download
  • 1 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.

Citations

Citations to this article as recorded by  
  • 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
  • 4,736 View
  • 124 Download
  • 1 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.

Citations

Citations to this article as recorded by  
  • Qualitative Research on Early Childhood Education in North Korea: Literature and Interviews with Defector Educators
    Yu-Jin Jang, Young-Meen Suh
    Child Indicators Research.2025; 18(2): 501.     CrossRef
  • 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
  • 5,154 View
  • 138 Download
  • 3 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.

Citations

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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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  • 268 Download
  • 1 Crossref

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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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
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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
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    Francisco Carrión-Valero, Joan Antoni Ribera-Osca, Jose M Martin-Moreno, Alejandro Martin-Gorgojo
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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.
  • 4,844 View
  • 167 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
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    Andreea Sălcudean, Andreea Georgiana Nan, Cristina Raluca Bodo, Marius Cătălin Cosma, Elena Gabriela Strete, Maria Melania Lica
    Diagnostics.2023; 13(11): 1868.     CrossRef
  • Quality of Life Among Children with Inflammatory Bowel Disease in Saudi Arabia: A Cross-Sectional Study
    Abdulaziz A Alahmari, Sarah H AlShawaf, Huda A Meshikhes, Bedour A Aleid, Raghad M Aldossari, Marwa M Shafey, Ahmed A Aladsani, Abdulazeem A Al-ibraheem, Nawal M AlRubia, Saleh A AlQahtani
    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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  • Exploring the interplay of parenting styles, basic empathy, domestic violence, and bystander behavior in adolescent school bullying: a moderated mediation analysis
    Lujie Zhong, Yutong Ying, Chunni Zeng, Jiaying Li, Yun Li
    Frontiers in Psychiatry.2024;[Epub]     CrossRef
  • Hemşirelik Öğrencilerinin Siber Zorbalık, Siber Mağduriyet ve Empatik Eğilim İlişkisi
    Afitap Özdelikara, Burak Mert Soylu, Melike Bolat, Özlem Fazlıoğlu, Selda Demirkan
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    Shinta Shinta, Akif Khilmiyah
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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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  • 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
  • 5,663 View
  • 254 Download
  • 1 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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  • Attitudes, Risk Factors, and Behaviours of Gambling among Adolescents and Young People: A Literature Review and Gap Analysis
    Ben J. Riley, Candice Oster, Mubarak Rahamathulla, Sharon Lawn
    International Journal of Environmental Research an.2021; 18(3): 984.     CrossRef
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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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    Serap Canlı, Yeşim Çetinkaya Şen, İlknur Münevver Gönenç, Ayfer Tezel
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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
    Qualitative Health Research.2025;[Epub]     CrossRef
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    Sahira Sabri, Nur Atikah Mohamed Hussin, Weng-Tink Chooi
    Journal of Adolescent and Young Adult Oncology.2024; 13(1): 213.     CrossRef
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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
    Pediatric Nursing.2024; 50(1): 17.     CrossRef
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    Indita Wilujeng Astiti, Iyus Yosep, Taty Hernawaty
    JURNAL INFO KESEHATAN.2024; 22(1): 190.     CrossRef
  • Voices of Hope: Leveraging Think-Aloud Cognitive Interviews to Develop a Hope Assessment Tool for Young People Living with Chronic Health Conditions
    Emily von Scheven, Mitchell Braun, Bhupinder Nahal, Emily R. Perito, Paul Brakeman, William Daniel Soulsby, Laura Quill, Addison Cuneo, Linda S. Franck
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    Revista Latino-Americana de Enfermagem.2021;[Epub]     CrossRef
  • 6,678 View
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  • 19 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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    Hye Seung Hong, YeoJin Im
    Journal of Child Health Care.2024;[Epub]     CrossRef
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    YeoJin Im, Sunyoung Jung, YoungAh Park, Jeong Hee Eom
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    Hye Jin Kim, Eunjoo Lee
    Asian Oncology Nursing.2024; 24(2): 82.     CrossRef
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    Sunyeob Choi, Hyewon Shin, Dian Susmarini
    BMC Public Health.2024;[Epub]     CrossRef
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  • 302 Download
  • 4 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.
  • 5,973 View
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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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    Irene Ferrando-Terradez, Rodrigo Núñez-Cortés, Laura López-Bueno, Enrique Alcántara, Joaquín Calatayud, José Casaña, Ivana Parčina, Lirios Dueñas
    BMC Women's Health.2025;[Epub]     CrossRef
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    Sina Ramtin, Jada Thompson, David Ring, Mark Queralt
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    PLOS ONE.2025; 20(4): e0319347.     CrossRef
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  • Physical activity, eating behaviour, and sleep quality as predictors of Body Mass Index in adolescents? A correlational study on high school students in East Kalimantan
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    Amal M. Qasem Surrati, Eilaf Hasan Altayeb, Wedyan Ali Almohammadi, Rahaf Mustafa Aljohani, Haya Shaher Ali Altouri, Rahaf Abdullah Alhawsawi
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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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  • Investigating the relationship between social media use and the attitudes towards nutrition and body image shame among Iranian female students: A cross-sectional study
    Sogol Keyvanpour, Masoumeh Namazi, Fatemeh Hosseini, Narges Ebrahimi
    Medicine.2025; 104(4): e41383.     CrossRef
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    Thomas Vlasak, Alfred Barth, Christoph Augner
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    Hamid Sharif-Nia, Erika Sivarajan Froelicher, Ozkan Gorgulu, Jason W. Osborne, Aleksandra Błachnio, Azadeh Rezazadeh Fazeli, Amir Hossein Goudarzian, Omolhoda Kaveh
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  • 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
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    Aishwarya Patil, Gavishiddhayya Salimath, Mubashir Angolkar
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    Gulsun Ayran, Ozlem Karaca
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    Laurence Blanchard, Kaitlin Conway‐Moore, Anaely Aguiar, Furkan Önal, Harry Rutter, Arnfinn Helleve, Emmanuel Nwosu, Jane Falcone, Natalie Savona, Emma Boyland, Cécile Knai
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    So Hyun Park, Hanjong Park, Myles Faith
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  • The association between social media addiction and orthorexia nervosa, eating attitudes, and body image among adolescents
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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
  • 45,319 View
  • 707 Download
  • 14 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
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    Serim Lee, Jinyung Kim
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    Haein Lee, Bo Gyeong Lee
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    Soo Jin Lee, Ho Kyung Ryu
    Journal of the Korean Society of Food Science and .2021; 50(1): 95.     CrossRef
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  • 127 Download
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