Effects of Violence Victimization on Mental Health of Children and Adolescents: Analysis of Mediating Effects of Self-concept

Article information

Res Community Public Health Nurs. 2013;24(4):407-418
Publication date (electronic) : 2013 December 31
doi : https://doi.org/10.12799/jkachn.2013.24.4.407
1College of Nursing & Institute of Health Sciences, Gyeongsang National University, Jinju, Korea.
2Department of Nursing, Sangmyung University, Cheonan, Korea.
Corresponding author: Lee, Hanju. Department of Nursing, Sangmyung University, 300 Anseo-dong, Dongnam-gu, Cheonan 330-720, Korea. Tel: +82-41-550-5429, Fax: +82-41-550-5545, dalbich@smu.ac.kr
Received 2013 July 03; Accepted 2013 December 15.

Abstract

Purpose

The purpose of this study is to clarify mediating effects of self-concept on mental health of children and adolescents who fell victim to violence.

Methods

A survey was conducted on 4th, 5th, and 6th graders from 2 elementary schools and 1st, 2nd, and 3rd year students from 3 middle schools (n=2,391). Data were analyzed using descriptive statistics and AMOS.

Results

The mean scores of mental health and self-concept in the subjects were 4.5 and 184.9 respectively. The rate of poor mental health in students who had fallen victim to violence was more than twice as high as that in students who had never experienced it. The self-concept of students who experienced violence had a tendency to decline. Violence experience and self-concept accounted for 47.7%(43.0% for boys and 53.4% for girls) of the changes in mental health. The indirect mediating effects of self-concept were significant.

Conclusion

Based on the findings, the following is suggested. Schools should offer a self-concept improvement program for students with a distorted self-concept caused by falling victim to violence. It could help such adolescents have a positive self image and improve their mental health.

Notes

This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology (KRF 03-2011-0257).

References

1. Baek WH, Son HG. The relationships among the level of domestic violence perceived by middle school students, anxiety, and school adjustments. Korean J Educ Psychol 2004;18(2):181–193.
2. Baumeister RF. Suicide as a escape from self. Psychol Rev 1991;97(1):90–113.
3. Bhang SY, Yoo HK, Kim JH, Kim BS, Lee YS, Ahn DH, et al. Victims of bullying among Korean adolescents: Prevalence and association with psychopathology evaluated using the adolescent mental health and problem behavior screening questionnaire-II standardization study data. J Korean Acad Child Adolesc Psychiatry 2012;23(1):23–30.
4. Brunstein Klomek A, Sourander A, Gould M. The association of suicide and bullying in childhood to young adulthood: A review of cross-sectional and longitudinal research findings. Can J Psychiatry 2010;55(5):282–288.
5. Choi JW, Kim HJ. Domestic violence affects the mental health of adolescents: Mediating effects of self-concept. Korean J Youth Stud 2011;18(1):73–103.
6. Choi S, Lee YH, Ko SH. The experience of obesity in elementary school students. Qual Res 2013;14(1):34–44.
7. Choi YJ. Effects of suicidal ideation in college students who report a history of childhood abuse. J Adolesc Welf 2012;14(2):307–333.
8. Chung HE, Chun JS. Risk factors of adolescents' victimization by school violence. J Adolesc Welf 2012;14(1):195–212.
9. Davidson LM, Demaray MK. Social support as a moderator between victimization and internalizing-externalizing distress from bullying. Sch Psychol Rev 2007;36(3):383–405.
10. De Man AF, Gutierrez BI. The relationship between level of self-esteem and suicidal ideation with stability of self-esteem as moderator. Can J Behav Sci 2002;34(4):235–238.
11. Foundation for Prevention Youth Violence. 2011 National survey report on school violence in Korea Seoul: Author; 2011.
12. Houbre B, Tarquinio C, Lanfranchi JB. Expression of self-concept and adjustment against repeated aggressions: The case of longitudinal study on school bullying. Eur J Psychol Educ 2010;25(1):105–123. http://dx.doi.org/10.1007/s10212-009-0005-x.
13. Hwang ES, Seong YH. The mediating effects of self-conscious affect and the impact of childhood abuse on depression and anxiety. Korean J Play Ther 2006;9(2):73–89.
14. Kaspar V. Mental health of aboriginal children and adolescents in violent school environments: Protective mediators of violence and psychological nervous disorders. Soc Sci Med 2013;81:70–78.
15. Kim JY, Jang YE, Min JA. A study on the effect of school violence to adolescent's school adjustment: Moderating effect of parent-child communication. Korean J Youth Stud 2011;18(7):209–234.
16. Kwon JK. The developmental trajectories of victimized experiences and the changing behavior problems-a longitudinal study with applied LLGA & GMM with known class. J Korean Soc Child Welf 2011;34:96–127.
17. Lee BJ, Yim SH. Housing and child development. Health Welf Policy Forum 2008;145:43–50.
18. Lee EH, Son JM. A study on the influential factors on the mental health of the junior highschool student who experience school violence: Application of the resiliency model. J Adolesc Welf 2011;13(2):149–171.
19. Lee SC. Research on the relationship between teenager's exposure to domestic violence and exercising school violence. Cheongsonyeonmunhwaporeom 2012;29:115–135.
20. Moon KS. Academic stress and mental health among Korean adolescents: Self-concept as a mediator In : Paper presented at the 2008 Annual Conference of the Korean Psychological Association. Seoul.
21. Nam YO, Han SC. A quest for influence of protective factors for prevention of adolescent violence. Korean J Youth Couns 2007;15(1):77–89.
22. Olweus D. Bullying at school: Basic facts and effects of a school based intervention program. J Child Psychol Psychiatr 1994;35(7):1171–1190.
23. Polit DF, Sherman RE. Statistical power in nursing research. Nurs Res 1990;39(6):365–369.
24. Shin BK, Lee SJ. Relations among adolescents' domestic violence, school violence, depression-anxiety, and suicide. Hanguk Minjok Munhwa 2012;44:281–318.
25. Shin SI. The validity and reliability of the Korean version of the General Health Questionnaire. Korean J Soc Welf 2001;46:210–235.
26. Shin SW, Kwon SW, Shin MS, Cho SC. A survey of the psychosis among school violence victims. J Korean Acad Child Adolesc Psychiatry 2000;11(1):124–143.
27. Sung KM. Development of a self-evaluation scale to measure self-concept for children and adolescents. J Korean Acad Psychiatr Ment Health Nurs 2012;21(4):292–302.
28. Werner EE, Smith RS. Overcoming the odds: High risk children from birth to adulthood Ithaca, New York: Cornell University Press; 1992.
29. Wynne SL, Joo HJ. Predictors of school victimization: Individual, familial, and school factors. Crime Delinq 2011;57(3):458–488.
30. Yun WS. The effect of structural characteristics and socioeconomic status of family on parenting and juvenile delinquency. Korean Criminol Rev 2011;22(1):137–172.

Article information Continued

Funded by : Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education, Science and Technology
Award ID : KRF 03-2011-0257

Figure 1-A

Path diagram explaining mediating effects of self concept of total students.

Figure 1-B

Path diagram explaining mediating effects of self concept of boys.

Figure 1-C

Path diagram explaining mediating effects of self concept of girls.

Table 1

Mental Health and Self-concept by General Characteristics (N=2,391)

Table 1

a>b>c: Scheffé test.

No-response excluded.

Table 2

Comparison of Characteristics by Violence Experience of Participants

Table 2

PI=private institute.

Table 3

Mental Health according to Violence Experience

Table 3

Table 4

Direct, Indirect, and Total Effects in Mental Health Path Model

Table 4

PI=private institute.