Earticle

본 연구는 지금까지의 국내 청소년 우울연구가 국외에서 수십 년 전에 개발되어 한국어로 번역된 도구를 사용하여 우리나라 청소년의 우울 증상을 제대로 반영하고 있는지에 대한 평가가 필요하다고 여겨져 국내에선 처음으로 청소년 우울 도구로써의 타당성 여부를 확인하였다. 청소년 우울 연구에 사용되고 있는 한국판 CES-D 도구와 RADS-2-K를 비교 및 분석한 결과 청소년 우울 특성의 반영 정도와 우울 관련 변인들에 따른 우울 수준의 차이를 확인하였으며 임상적 진단기준이나 청소년과 성인 간의 우울의 차이점을 충분히 반영하지 못하고 있음을 확인하였다. 이는 추후 우리나라 청소년을 위한 우울 도구 개발에 중요한 기초자료가 되리라 본다.

Purpose: The purpose of this study was to compare the scales to measure depression of adolescents. Methods: A cross-sectional survey was conducted with the instruments of CES-D and RADS-2-K as adolescent depression scales. The participants were 1217 adolescents who were at two middle schools located in cities in South Korea. Data were analyzed by using SPSS 21.0. And all item of both instruments was analysed by content analysis. Results: The study results revealed that two instruments conducted different results for the number of depression students, depression level by subjects’ characteristics, and item distribution by contents analysis. There were total 194 students in depression group, including 132 students from CES-D and 183 students from RADS-2-K. In each scale, there were many items in some subcategories, but there was no item in other subcategories. Conclusion: In this study, CES-D showed less sensitivity than RADS-2-K at depression level by related factors of adolescent depression, and both scales had no items for three subcategories in adolescent depression and one subcategories in general depression. The researcher suggest that the future study to evaluate the validate of adolescent depression scales will be useful for helping adolescents with depression.

Purpose: The purpose of this study was to find the factors influencing adolescents’ adult media engagement. The study is based on Agnew’s General Strain Theory (GST) and a micro-systemic perspective. Methods: The study examined 479 middle school freshmen who participated in the fourth wave of the Korean Children & Youth Panel Survey (KCYPS) conducted by National Youth Policy Institute. Data were analyzed through descriptive statistics, factor analysis, and reliability analysis using SPSS 22.0 Ver. Also, hypothesis testing was performed via covariance- based structure equation modeling (CB-SEM) using Amos 21.0 Ver. Results: Strain factors had positive effects on adolescent depression, and depression had a positive effect on adult media engagement. Also, cell-phone dependency had a positive mediation effect between depression and adult media engagement. Conclusion: The study's result identified the factors affecting adult media engagement. Therefore, we suggest intervention programs considering adolescents’ strains, depression and cell-phone dependency to improve their health.

Purpose: The purpose of this study is to examine the association between consuming high-caffeine energy drinks and suicidal ideation in Korean adolescents. Methods: This study used data drawn from the 2015 Korea Youth Risk Behavior Web_Based Survey. The data of 66,068 students in total (33,374 middle school students and 32,694 high school students) were included in the analysis. The x2 test, univariate and multivariate logistic regressions were conducted with the use of SAS 9.3. Results: Adjusted for the variables associated with suicidal ideation, multivariate logistic regression revealed that consuming highly caffeinated energy drinks had a significant effect on suicidal ideation (middle school students, 1~2 times per week: OR=1.24, 3~4 times per week: OR=1.88, 5~6 times per week: OR=2.20, everyday: OR=2.66, high school students, 1~2 times per week: OR=1.26, 3~4 times per week: OR=1.84, 5~6 times per week: OR=2.42, everyday: OR=3.89). Conclusion: This study strongly suggests adolescents be provided with health education and information about consuming an adequate amount of high-caffeine energy drink and the drink’s side effects. In addition, regulations and polices on high- caffeine drink intake should be implemented.

Purpose: This study is to analyze influencing factors of smoking intention among nonsmoking middle school students with regard to smoking attitude, knowledge and social influence. Methods: Data were collected from non smoking students of 5 middle schools in D metropolitan city. The 1,892 enrolled subjects provided informed voluntary consent prior to completing a structural questionnaire covering smoking attitudes, knowledge, social influences and general characteristics. The data were analysed using SPSS/Win 21.0 program by -test and logistic regression analysis. Results: Among the nonsmoking students, 85.5% never had an intention to smoke. In relation to general characteristics, smoking intention was significantly associated with sex, school records, socioeconomic status, relationship with parents, smoking experience, and smokers around them. In relation to attitude, knowledge, and social influence, smoking intention was significantly associated with a lower attitude score, a lower knowledge score, and a lower social norm. In the logistic regression analysis, smoking intention was associated with a lower attitude score (2.99 times), a lower social norm (2.65 times), being male (2.35 times), low socioeconomic status (2.22 times). and having smoking experience (2.70 times). Conclusion: It is needed to develop promotional strategies that could provide adjusted systematic smoking prevention education for the preferred smoking group and afford smoking prevention programs considering subject characteristics to help young adolescents avoid access to smoking in their early age.

Purpose: The purpose of this study was to investigate the relationship between sleep timing and depressive mood in Korean adolescents. Methods: The study analyzed the data from the 2007~2015 Korea Youth Risk Behavior Web-based Survey. A total of 541,693 students in grades 7~12 were included in the final analysis. Multivariable logistic regression was used to examine their sleep timing and depressive mood, adjusted for sex, grade, region, socioeconomic status, academic performance, alcohol, smoking and physical activity. Sleep duration and sleep quality were also included in our model to identify whether or not the effect of sleep timing on depression is mediated by sleep duration or sleep quality. Results: The prevalence of depressive mood was 32.7% and the mean sleep timing was 12:13 AM. After adjustment for eligible covariates, the association between sleep timing and depressive mood showed a J-shaped curve. Adolescents who slept at 8 pm~10 pm were 39% more likely to be depressive (OR = 1.39, 95% CI 1.30~1.40) and at 3 am~ 4 am were 67% more likely to be depressive (OR=1.67, 95% CI 1.64~1.70) than adolescents who slept at 11 pm~12 am. These associations persisted after being adjusted for sleep duration and sleep quality. Conclusion: Sleep timing was related to depression in adolescents, independent of sleep duration and sleep quality. It appears that there is a certain sleep timing beneficial to mental health of adolescents.

Purpose: The purpose of this study was to examine the relationship between sleep quality and mental health among adolescents and identify the factors relating to mental health. Methods: The subjects consisted of 285 middle school students. The data were collected from May 2nd to 27th, 2016. The data were analyzed using t- test, ANOVA, Pearson’s correlation coefficient and multiple linear regression with SPSS ver. 21. Results: The mean score for quality of sleep in adolescents was 4.20±2.64, and the mean score for mental health was 13.67 ±12.93. Poor sleepers showed higher scores for mental health than good sleepers. Mental health was found to have a positive correlation with both stress and quality of sleep. Stress and sleep quality were found to be significant factors influencing mental health and explained 59% of the variance in mental health. Conclusion: These findings indicate that effective intervention programs enhancing sleep quality should be provided for adolescents in order to prevent poor mental health.

Purpose: This study is a descriptive survey which attempts to understand family strength, parenting attitude, and the ego-identity perceived by female high school students and identify the factors influencing ego-identity of the students. Methods: Data collection was carried out through a questionnaire survey of 186 female high school students. The collected data were analyzed by descriptive statistics, t-test. ANOVA, correlation analysis, and multi- variate regression analysis while using SPSS 23.0 program. Results: Family strength and the ego-identity perceived by female high school students were at a mid-level, with an average of 207.76 and 149.72 points, respectively. Parenting attitude showed scores higher than the mid-level, recording 90.36 points in average. As a result of analyzing the correlation between the factors, the higher family strength and the ego-identity of female high school students were, the better were the patenting attitudes of perceived parents. Besides, family health, parenting attitude, and family form (nuclear family) were found to be the factors influencing ego-identity formation of female high school students with the explanatory power being 25.5% in total. Conclusion: Developing intervention programs which take into account family strength is considered necessary to help the youth form positive ego- identity.

Purpose: This study compared the effects of two six-week school-based intervention programs - a health promotion program using a school forest and a traditional school health promotion program (TSHPP) - on physical and mental health among elementary school students. Methods: A total of 73 students participated in the study: 21 students in the 6-week school forest program conducted in a rural area and 52 students in the 6-week TSHPP conducted in an urban area. Children's health promotion behavior, depression and hyperactivity were measured using a self-report questionnaire. To assess children’s physical health, body mass index (BMI), body fat percentage, and heart rate variability (HRV) were used. Results: Overall, both intervention programs improved participants' physical and mental health. Both programs significantly decreased the body fat percentage; this effect was more prominent in the TSHPP group. Only the TSHPP significantly decreased the participants’ BMI after the intervention. The school forest group showed significantly improved relaxation and diminished hyperactivity; the TSHPP group showed significantly improved health promoting behavior and social relationship after the intervention. Comparing the two groups’post-pre difference scores, the two groups significantly differed only in social relationship. Both group showed significantly improved depression after the intervention. Conclusion: These findings support the effectiveness of these 6-week school-based health promotion programs in improving physical and mental health among school-aged children.