Effects of Women Focused Relapse Prevention Program on Abstinence Self-efficacy and Depression in Alcoholic Women / 정신간호학회지

PURPOSE: This study was done to assess effects of women focused relapse prevention program on abstinence self-efficacy and depression in alcoholic women. METHODS: This study was a non-equivalent control group non-synchronized design with two groups, an experimental group (13 patients) and a control group (16 patients). The instruments were the Situational Confidence Questionnaire (SCQ-39) and the Beck depression Inventory (BDI). Data collection was done between July and December, 2008, during which a pre-test, the total of 8 group sessions for four weeks, and a post-test were given to alcoholic women who were admitted to K hospital in U city and D hospital in G city. The collected data were analyzed using descriptive statistics, Fisher's exact test, Mann-Whitney U test and ANCOVA with SPSS/WIN program. RESULTS: The scores for abstinence self-efficacy were significantly higher and for depression lower, for the experimental group after the women focused relapse prevention program. CONCLUSION: This study shows that the women focused relapse prevention program can be applied as an effective nursing intervention by clinical nurses.

Effects of a Resilience Enhancement Program on Self-efficacy, Problem Solving Ability, and School Adjustment of Middle School Students / 정신간호학회지

PURPOSE: This study was done to examine the effects of a resilience enhancement program for middle school students. METHODS: The research design was a quasi-experimental pre-and-post-test control and experimental group methodological comparison study. The participants for the study were 124 (experimental=60, control=64) middle school students in G city. The experimental group received the program for eight sessions. The control group did not receive any treatment. From April to June 2009 data were collected using self-report structured questionnaires, and were analyzed using the Kolmogorov-Smirnov test, chi2-test, Fisher's exact test, and t-test with SPSS/WIN 15.0 program. RESULTS: After the treatment, significant differences were found between the experimental and control groups in terms of problem solving ability (t=2.52 p=.007) and school adjustment (t=1.66, p=.004), but not in level of self-efficacy (t=0.80, p=.212). CONCLUSION: The findings indicate that this program can be used in school based practice as an effective nursing intervention for adolescents.

The Unwed Teenage Mothers' Lived Experience of Hope in a Group Home: Using Parse's Research Methodology / 정신간호학회지

PURPOSE: This study was to discover the structure of the unwed teenage mothers' lived experience of hope using Parse's research methodology. METHODS: Participants were 7 unwed teenage mothers in one group home. The data were collected by dialogical engagement and analyzed through extraction-synthesis and heuristic interpretation process. RESULTS: The unwed teenage mothers were very troubled over the thought of aborting their babies after they found themselves pregnant. They decided to go through with the birth and give their babies up for adoption as they recognized that a baby's life was precious. They felt the joy of love for the baby and the sorrow of separation at the same time. They spent much time uncomfortably concealing being pregnant but after they shared their pain and sorrow with significant others they became more stabile. Their desire to make a new life increased gradually and they tried to find their own way. They were proud of themselves for overcoming the pain of childbirth and decided to make a good life. CONCLUSION: Having compared the structure of the unwed teenage mothers' lived experience of hope with Parse's human becoming theory, five concepts were identified, such as valuing, connecting- separating, revealing-concealing, powering and transforming.

The Unwed Teenage Mothers' Lived Experience of Hope in a Group Home: Using Parse's Research Methodology / 정신간호학회지

PURPOSE: This study was to discover the structure of the unwed teenage mothers' lived experience of hope using Parse's research methodology. METHODS: Participants were 7 unwed teenage mothers in one group home. The data were collected by dialogical engagement and analyzed through extraction-synthesis and heuristic interpretation process. RESULTS: The unwed teenage mothers were very troubled over the thought of aborting their babies after they found themselves pregnant. They decided to go through with the birth and give their babies up for adoption as they recognized that a baby's life was precious. They felt the joy of love for the baby and the sorrow of separation at the same time. They spent much time uncomfortably concealing being pregnant but after they shared their pain and sorrow with significant others they became more stabile. Their desire to make a new life increased gradually and they tried to find their own way. They were proud of themselves for overcoming the pain of childbirth and decided to make a good life. CONCLUSION: Having compared the structure of the unwed teenage mothers' lived experience of hope with Parse's human becoming theory, five concepts were identified, such as valuing, connecting- separating, revealing-concealing, powering and transforming.

Health Experience of Depressive Adolescents: Reflected from Newman's Praxis Methodology

PURPOSE: Guided by Newman's theory of health as expanding consciousness, this study was done to explore the health experience of adolescents having depression. METHODS: The researcher engaged in six to eight in-depth interviews with six adolescents. To begin the dialog, the researcher asked each participant to recount the first important memory he/she had. All the narrative and diagram sharing between the researcher and participants were summarized according to recognized patterns and later elaborated in following interviews based on Newman's praxis methodology. RESULTS: The significant individual pattern of early health experience was during the binding stage. At the turning point, individual patterns for participants revealed a personal journey of self-discovery and then emergence of reflecting behaviors. After the turning point, the participants changed as they evolved from the initial period of disruption and disorganization to organization at a higher level. The results suggest that adolescents who are depressive find new ways of relating to friends, family, healthcare providers, and the community by expanding their consciousness. CONCLUSION: Newman's praxis methodology is a good way of helping and studying adolescents with depression because it emphasizes participant-nurse/researcher partnership and pattern recognition as nursing practice.

A Meta-Analysis of Variables Related to Suicidal Ideation in Adolescents

PURPOSE: This study was done using meta-analysis to examine 58 studies from studies published in the past eight years (2000 to 2007) that included variables related to adolescents' suicidal ideation. METHODS: The materials for this study were based on 32 variables which were selected from masters' thesis, doctoral dissertation and articles from Journals of the Korean Academy of Nursing. RESULTS: The classification consisted of 5 variables groups and 32 variables. In terms of effect size on risk, variables which were significant included psychological variables (0.668), socio-cultural variables (0.511), family environmental variables (0.405), school environmental variables (0.221), and personal characteristics variables (0.147). In terms of effect size on protection, variables which were significant included personal characteristics variables (-1.107), psychological variables (-0.526), family environmental variables (-0.264), and school environmental variables (-0.155). In terms of effect size on risk variables, psychological variables (0.668) were highest. In terms of effect size on protective variables, the variable of personal characteristic (-1.107) was the highest. CONCLUSION: While the results indicate possible risk and protective variables for suicidal ideation, but prediction is still difficult. Further study to compare adolescents with similar variables but no suicidal ideation and those with suicidal ideation is necessary.

Test of Validity and Reliability of the Adolescent Mental Problem Questionnaire for Korean High School Students

PURPOSE: This study was done to test the validity and reliability of the Adolescent Mental Problem Questionnaire (AMPQ) for Korean high school students. METHODS: The AMPQ was designed to assess adolescents' mental health status and problem behavior (Ahn, 2006). A methodological study design was used with exploratory factor analysis, Pearson's correlation coefficients, and a fitness of the modified model for validity. Also, Cronbach's alpha coefficients and alternative-form method for reliability were used. AMPQ was tested with a sample of 36,313 high school students. The participants consisted of 18,701 males and 17,612 females. RESULTS: Seven factors were extracted through factor analysis: 'Psychiatric problems', 'Delinquency', 'Academic troubles', 'Family problems', 'Hazardous behavior', 'Harmful circumstance', 'Eating problems'. These factors explained 51.1% of the total variance. The fitness of the modified model was good (chi-square=38,413.76, Goodness of Fit Index [GFI]=.94, Adjusted Goodness of Fit Index [AGFI]=.93, Comparative Fit Index [CFI]=.95, Root Mean Square Error of Approximation [RMSEA]=.05), and concurrent validity with Korea-Youth Self-Report [K-YSR] was .63. Cronbach's alpha coefficient of the 31 items was .85. CONCLUSION: The results of present study suggest that the modified AMPQ instrument may be useful for efficiently assessing mental health status and problem behavior in late adolescent, high school students.