성조숙증 여아와 정상발달 여아의 심리사회적 행동특성 비교

국문 초록 (Abstract)

본 연구는 성조숙증 여아와 정상 발달 여아의 심리사회적 행동특성에 대한 조사를 실시하여 성조숙증과의 관련성을 파악하고 비교분석하여 성조숙증 예방 및 기초 자료를 제공하고자 함이다. 연구대상 조사기간은 2016년 6월 1일부터 2017년 2월 25일까지였으며, 연구의 대상자는 서울시 소재 어린이전문 H한의원과 S한의원에 성조숙증으로 내원한 환자군 여아 104명과 대조군 A그룹 104명, 지방 군단위 소재 초등학교 여아의 대조군 B그룹 104명으로, 성별과 연령을 짝지은 총 312명과의 비교를 통해 성조숙증 여아와 정상 발달 여아의 심리사회적 행동특성을 파악하고자 집단 간 특성을 t-test, X²test, ANOVA분석을 통해 비교하고, 성조숙증의 영향요인은 이항로지스틱(Multinomial logistic)회귀분석으로 분석하였다. 연구결과 성조숙증에 미치는 주요 영향요인은 첫째, 행동특성의 식습관에서 고기류 섭취횟수(p<.05)와 외식빈도(p<.05)인 것으로 나타났다. 둘째, 행동특성의 일상생활에서 TV시청(p<.001)과 스마트폰 사용시간(p<.01), 수강학원 수(p<.05)인 것으로 나타났다. 셋째, 심리적 특성에서 정서상 및 신체상의 지수가 대조군에 비해 낮게 나타남으로써 병리를 더 지닌 것으로 도출되었다. 넷째, 사회적 특성에서 가족 및 친구관계의 지수가 대조군에 비해 낮게 나타남으로써 병리를 더 지닌 것으로 도출되었다. 따라서 증가하는 여아의 성조숙증에 대해 부모와 학교 나아가 사회적 관심이 중요하며 성조숙증에 대한 발생원인과 발생빈도를 밝히는 광범위한 연구수행이 필요하다.

다국어 초록 (Multilingual Abstract)

This study was conducted to provide data pertaining to precocious puberty by comparing the psycho-social behavior of girls with precocious puberty to those with normal development. This study was conducted from 1 June 2016 to 25 February 2017. The subjects were 104 female patients of A group with precocious puberty visiting H Oriental medicine clinic and S clinic in Seoul, and 104 girls in control group A and 104 girls in control group B attending elementary school in gun. The psycho-social behavioral characteristics of girls with precocious puberty and those with normal development were compared among 312 girls matched for gender and age using a t-test, χ² test, and ANOVA. In addition, the factors influencing precocious puberty were analyzed through multinomial logistic regression. The results revealed that the primary influence factors were frequency of meat intake (p<0.01) and eating-out (p<0.05). These were followed by watching TV (p<0.001), hours of using smart phone (p<0.01) and number of private institutes attended (p<0.05). Additionally, emotional and physical indexes were lower in the precocious puberty group than the control group, indicating that they have more pathology. Finally, girls in the precocious puberty group have lower family and friendship indexes than those in the control group, which means they have more pathology. Overall, the results indicate that extensive research on the causes and frequency of precocious puberty is necessary.

목차 (Table of Contents)

• 요약
• Abstract
• 1. 서론
• 2. 연구대상 및 방법
• 3. 연구결과
• 4. 논의
• 5. 결론 및 제언
• References

참고문헌 (Reference)

• 1 박미정, "한국 청소년의 성성숙 시기 및 장기간의 초경연령 추세분석" 대한소아과학회 49 (49): 610-616, 2006
• 2 유선영, "서울 지역 일부 중학생의 식이 패턴에 따른 식생활 평가" 한국영양학회 37 (37): 373-384, 2004
• 3 윤정림, "사춘기 조숙증 여아의 체성분 분석" 대한비만학회 19 (19): 95-100, 2010
• 4 Babynews, "Why did Precocious Puberty Become so Numerous (2014-06-13)"
• 5 Han Sang-cheol, "Understanding of Adolescent Psychology" Hakmoonsa 2004
• 6 Ellis BJ, "Timing of pubertal maturation in girls: An integrated life history approach" 130 (130): 920-958, 2004
• 7 Jeanne Brooks-Gunn, "The experience of breast development and girls' stories about the purchase of a bra" Springer Nature 23 (23): 539-565, 1994
• 8 Choi Min-seon, "The Eating Habits and Psychosocial Characteristics" Chosun University Graduate School 2014
• 9 Health Insurance Review, "Statistics on the Number of Treatment for Precocious Puberty in 2006-2016" 2017
• 10 Karlberg J, "Secular trends in pubertal development" 57 : 19-30, 2002
• 11 Korea Institute for Health, "Reproduction Health of Korean Women with Index, (2017-05-22)"
• 12 Jeong Shi-an, "Relevance between Precocious Puberty and Dietary Factors of Korean Girls" Graduate school, Seoul National University 2012
• 13 Ge X, "Pubertal transition, stressful life events, and the emergence of gender differences in adolescent depressive symptoms" 37 : 404-417, 2001
• 14 Kaltiala-Heino R, "Pubertal timing, sexual behaviour and seil-reported depression in middle adolescence" 26 : 531-545, 2003
• 15 Angold A, "Pubertal changes in hormone levels and depression in girls" 29 : 1043-1053, 1999
• 16 Huh K, "Prevalence of central precocious puberty among Korean children, 2004-2008" 59th Korean Pediatric Society 2009
• 17 Korean Society Pediatric Endocrinology, "Practice Guideline for Precocious Puberty" Uihakmunhwasa 10-11, 2011
• 18 Jackson, P. L., "Perceived seil-esteem among children diagnosed with precocious puberty" 5 (5): 190-203, 1990
• 19 Adair Ls, "Maturational timing and overweight prevalence in US adolescent girls" 91 (91): 642-644, 2001
• 20 Segye Ilbo, "Kids Should Arrange Hours of Using Themselves and Be Punished Breaking Promise Desired Use of Instructional Smart-devices for Elementary School Students (2015-06-14)"
• 21 Babynews, "Kid Grows in Stature Fast It May be Precocious Puberty (2013-07-26)"
• 22 Julia A. Graber, "Is Pubertal Timing Associated With Psychopathology in Young Adulthood?" Elsevier BV 43 (43): 718-726, 2004
• 23 O' Dea JA, "Impoving the body image, eating attitudes, and behaviors of young male and female adolescents: a new educational approach that focuses on self-esteem" 28 : 43-57, 2000
• 24 "Health Insurance Review & Assessment Service"
• 25 McDowell MA, "Has age at menarche changed Results from the National Health and Nutrition Examination Survey(NHANES), 1999-2004" 40 (40): 227-231, 2007
• 26 Dunger DB, "Effects of obesity on growth and puberty" 19 (19): 375-390, 2005
• 27 Jeong Ok-boon, "Developmental Psychology" Hakmoonsa 2004
• 28 Ro HK, "Comparisons of Nutrient Intakes, Dietary Behavior and Perception about Body Image between Adolescent Boys and Girls in Rural Area" 5 (5): 280-288, 2000
• 29 Kaplowitz P, "Clinical characteristics of 104 children referred for evaluation of precocious puberty" 89 (89): 3644-3650, 2004
• 30 Carlson Jones D, "Body image among adolescent girls and boys: a longitudinal study" 40 : 823-835, 2004
• 31 William A. Sonis, "Behavior problems and social competence in girls with true precocious puberty" Elsevier BV 106 (106): 156-160, 1985
• 32 Rockhill B, "Age at menarche, time to regular cycling, and breast cancer (North Carolina, United States)" 9 (9): 447-453, 1998
• 33 Bhalla M, "A prospective study of the age of menarche in Kanpur girls" 11 (11): 486-493, 1976
• 34 문진수, "2007 한국 소아 청소년 성장도표 : 개발 과정과 전망" 대한소아과학회 51 (51): 1-25, 2008