[ Note ] Int. J. Indust. Entomol. 31(2) 90-94 (2015) IJIE ISSN 1598-3579, http://dx.doi.org/10.7852/ijie.2015.31.2.90 Positive affect of -mediated mental healthcare program to adolescent’s emotions Sung-Min Bae, Tae-Young Shin, Young Soon Jun1 and Soo-Dong Woo*

Department of Agricultural Biology, College of Agriculture, Life & Environment Science, Chungbuk National University, Cheongju 28644, Korea 1Department of Neuropsychiatry, Konkuk University Chungju Hospital, Chungju 27376, Korea

Abstract

Several have been shown to exert a strong influence positively on peoples’ emotions. Insect-mediated mental healthcare program was designed to help meet the physical, behavioral and developmental needs of adolescents. They were provided with an insect- mediated mental healthcare program for a total of 10 sessions, one session per wk, at 1 h per session, accompanied by a pre- and post-test for emotion. Significant differences and correlations were found according to the individual participants’ planning, subjective quality of life, self-reported depression and self-worth, respectively. The results indicated that adolescents who participated in the insect-mediated healthcare program group once Received : 11 Nov 2015 showed significant improvement in their planning, subjective quality of life and self-worth. Accepted : 12 Nov 2015 However, most of all participants’ self-reported depression was not influenced. These findings Keywords: suggest that pet-insects positively affect adolescent’s emotional health via an insect-mediated insect, healthcare program. mental healthcare program, © 2015 The Korean Society of Sericultural Sciences adolescents, Int. J. Indust. Entomol. 31(2), 90-94 (2015) emotions

Introduction insects is increasing as food sources or as pets in many countries, including Korea. Insects are easily found in nearly every environment. They are Mental problem has affected 10-20% of children and among the most diverse groups of on Earth. The insect adolescents in worldwide (Kieling et al., 2011). Exposure to is estimated at between six and ten million, and there disadvantaged environments during early life predicts lower IQ are more species of insects than all other animals put together and academic achievement, increased anti-social behavior, lower (Chapman 2009; Novotny et al., 2002). Although humans economic productivity and poor health and chronic disease in regard certain insects as pests and attempt to control them using adulthood (Barker et al., 2003; Shonkoff et al., 2009). Therefore, , most insects perform complex ecological roles and an appropriate mental healthcare program for adolescents is provide either direct or indirect economic benefits to humans required to prevent these problems. Various therapies have been (Cherniack, 2010; Ratcliffe et al., 2011). Recently, the interest of developed to prevent mental health problems, including music

*Corresponding author. Soo-Dong Woo Department of Agricultural Biology, College of Agriculture, Life & Environment Science, Chungbuk National University, Cheongju 28644, Korea Tel: +82-43-261-2553 / FAX: +82-43-271-4414 E-mail: [email protected] © 2015 The Korean Society of Sericultural Sciences

90 91 Int. J. Indust. Entomol. Vol. 31, No. (2), pp. 90-94 (2015)

Table 1. Insect-mediated mental healthcare program

Phase Section Subject Contents Meeting and Introduce nurses, adolescents 1 introduction Talking about feelings after the session Beginning Give out the pet-insect (, Tiger swallowtail) 2 Meet pet-insect Introduce pet-insect rear methods Making a picture diary for the pet/insect and an announcement 3 Study insects-1 Studying insects Making a picture diary for the pet/insect and an announcement 4 Study insects-2 Watching a video about the insects Making a picture diary for the pet/insect and an announcement 5 Study insects-3 Funny insect story Making a picture diary for the pet/insect and an announcement Middle 6 Study insects-4 Talking about feelings for rear insect Making a picture diary for the pet/insect and an announcement 7 Study insects-5 Making an insect-related toy Making a picture diary for the pet/insect and an announcement 8 Study insects-6 Observing and studying silkworm Making a picture diary for the pet/insect and an announcement 9 Study insects-7 Making insect specimens

Making a picture diary for the pet/insect and an announcement Synthesize of Progressing insect photo exhibition Termination 10 program Given a free gift and invitation to the ceremony Talking about feelings after the session

therapy, art therapy, play therapy, drama therapy, horticultural an insect-mediated healthcare program for adolescents and therapy, dance therapy, and -assisted therapy (Marcus investigated the effects of this program on the emotional 2013; Maratos et al., 2011; RenXia 2013; Chinekesh et al., 2014; health of adolescents. Hussain 2010). Worldwide trend towards insects as pet is increasing. The merits of pet-insects are that they are nearby and affordable, Materials and Methods do not require much specialized care except for feeding, and they can be kept in relatively little space than other animal. Design In Korea, several pet-insects are commercialized, but most of them are limited to two types of insects, and This study utilized a pre-test/post-test design and included Lucanidae. Also, some people prefer a butterflies and crickets an experimental group. The questionnaires included items that as pet-insects. measured planning, subjective quality of life, self-reported Previous studies showed that insects are felt mostly depression, self-worth. The questions were simple and clear, and positive in people through surveys of peoples’ preferences for the questionnaire’s reliability and stability had been previously insects (Bae et al., 2014; Bae et al., 2013). The rearing and demonstrated (Bae et al., 2014; Bae et al., 2013). One or two- observation of insects and insect-related events may provide hours insect-mediated mental healthcare program sections positive feelings and even affection in adolescents. Therefore, were run in the morning once weekly for 10 wk (Table 1). The it would be possible that insects are used effectively as a participant consisted of 15 second graders (12 males, 3 females) therapeutic tool for adolescents. In this study, we developed attending Hansol middle school in Korea.

90 91 Sung-Min Bae et al. Positive Affect of Insect to Adolescent

Data analysis mediated healthcare program were analyzed separately for the individual and psychological scale. Significant differences and Collected data were converted for coding and analysis with correlations were found according to the individual participants’ SPSS statistical software version 12.0 (Statistical Product planning, subjective quality of life, self-reported depression and Service Solutions, Inc., Chicago, IL, USA) for Windows. and self-worth, respectively (Fig. 1). The results showed Some coding data were also re-coded on an ordinal scale. that the insect-mediated healthcare program increased 12 Frequency, significant difference, and correlation analyses participants in planning, 7 participants in subjective quality of were performed on the coded data using SPSS statistical life, and 9 participants in self-worth, respectively. In particular, software version 12.0. Means and standard error (SE) were the individual’ mean scores for planning in most adolescents used to summarize continuous outcome variables. Paired increased approximately 87% (Fig. 1A). However, self-reported t-tests were used to examine differences in pre-test and post- depression of adolescent was not influenced by the insect- test scores. Statistical significance was set at the conventional mediated healthcare program (Fig. 1C). α< 0.05 level. Effects of the insect-mediated healthcare program Results The overall result of this study indicated that adolescent who Individual analysis for the psychological scale received an insect-mediated healthcare program once showed improvements in their planning, subjective quality of life, and The effects of a total of 15 participants completed the insect- self-worth (Fig. 2). In particular, the mean scores for planning

Fig. 1. Pre- and post-test mean score differences for emotional health in adolescents undergoing an insect-mediated healthcare program according to variable. A, planning; B, subjective quality of life; C, self-reported depression; D, self-worth. Significant differences (α<0.05) are marked with asterisks (*) on the graph.

92 93 Int. J. Indust. Entomol. Vol. 31, No. (2), pp. 90-94 (2015)

Discussion

Adolescence is characterized by physical maturation of the brain and body, giving rise to intense psychological and physical changes. These risen emotional experiences have been argued to be the basis of mental problems. Most Korean adolescents are enormously busy with non-stop curricular studies every day. They are received many study stresses. These are the regions of requirement of an appropriate mental healthcare program for adolescents. Fig. 2. Overall pre- and post-test mean score differences in the In this study, the treatment of an insect-mediated mental emotional health of adolescents undergoing an insect-mediated healthcare program to adolescents was associated with healthcare program. Significant differences (α <0.05) are marked improvements in mental health indices. This program was with asterisks (*) on the graph. performed including the rearing and observing the dynastid beetle, the silkworm, and tiger swallowtail during the increased from 24.2 (SD 0.957) at baseline to 31.27 (SD 1.08), experimental period. The participants showed a keen interest and the mean scores for subjective quality of life increased from in living insects and often asked the program staff about their 29.8 (SD 1.903) at baseline to 36 (SD 2.042), and the mean ecology. These responses may be related significantly to the scores for self-worth increased from 36.27 (SD 1.652) at baseline improvements in participants’ emotional health. to 45.87 (SD 1.352) at week 10. According to the analytical An insect-mediated healthcare program would be help results of this study, insect-mediated healthcare program adolescents establish communications, express thoughts and significantly improved the emotional health of adolescents. feelings, and solve their academic stress. Actually, we expected Additionally, we analyzed the effects of program according that the hands-on experience of insect rearing and insect related to the gender. The result showed that planning and self-worth plays may provide specific interactions to participants with increased in male (Fig. 3A), and planning and subjective quality the insects. Numerous studies reported that animals and pets of life increased in female (Fig. 3B). In particular, the mean influenced the positive emotion for participants in therapy with scores for planning increased from 24.58 (0.996) at baseline to many mental diseases (Barker et al., 2003; Dimitrijevic 2009; 30.92 (SD 1.018) and the self-worth increased from 36.08 (SD Cirulli et al., 2011). 1.540) at baseline to 46.08 (SD 1.464), respectively, in male. In This study suggests that insects have ability to catalyze social female, the mean scores for planning increased from 22.33 (SD interactions and to create a more relaxed environment conducive 2.603) at baseline to 30.67 (SD 1.333). to treating planning, subjective quality of life, and self-worth, a

Fig. 3. Pre- and post-test mean score differences for emotional health in adolescents undergoing an insect-mediated healthcare program according to male (A) and female (B). Significant differences (α<0.05) are marked with asterisks (*) on the graph.

92 93 Sung-Min Bae et al. Positive Affect of Insect to Adolescent

requirement necessary for the therapeutic process. However, the school children. Global Journal of Health Science 6, 163-167. report related with our study is still scarce and further research is Cirulli F, Borgi M, Berry A, Francia N, Alleva E (2011) Animal-assisted required to optimize the insect-mediated healthcare programs. interventions as innovative tools for mental health. Annali Dell'istituto Superiore Di Sanita 47, 341-348. Dimitrijevic I (2009) Animal-assisted therapy--a new trend in the Acknowledgements treatment of children and adults. Psychiatria Danubina 21, 236-241. Hussain S (2010) Art therapy for children who have survived disaster. This work was carried out with the support of “Cooperative The Virtual Mentor : VM 12, 750-3. Research Program for Agriculture Science & Technology Kieling C, Baker-Henningham H, Belfer M, Conti G, Ertem I, Development (Project No. PJ009600)” Rural Development Omigbodun O, Augusto RL, Srinath S, Ulkuer N, Rahman A (2011) Administration, Republic of Korea. Child and adolescent mental health worldwide: evidence for action. The Lancet 378, 1515-1525. Ratcliffe NA, Mello CB, Garcia ES, Butt TM, Azambuja P (2011) References Insect natural products and processes: new treatments for human disease. Insect Biochemistry Molecular Biology 41(10), 747-769. Bae SM, Choi JB, Shin TY, Woo SD (2013) Survey of Awareness doi: 10.1016/j.ibmb.2011.05.007. and Concept of Insects in Korea. International Journal of Industrial Ren J, Xia J (2013) Dance therapy for schizophrenia. The Cochrane 27, 317-321. Library 10: CD006868. Bae SM, Jun YS, Shin TY, Woo SD (2014) An Analysis of Likability of Shonkoff JP, Boyce WT, Mcewen BS (2009) Neuroscience, molecular Insects in Korea. International Journal of Industrial Entomology 29, biology, and the childhood roots of health disparities: building a new 193-197. framework for health promotion and disease prevention. The Journal Barker SB, Pandurangi AK, Best AM (2003) Effects of animal-assisted of the American Medical Association 301, 2252-2259. therapy on patients' anxiety, fear, and depression before ECT. The Maratos A, Crawford MJ, Procter S (2011) Music therapy for Journal of ECT 19, 38-44. depression: it seems to work, but how? The British Journal of Chapman AD (2009) Numbers of living species in Australia and the Psychiatry : The Journal of Mental Science 199, 92-93. world, 2nd edn. Australian Biological Resources Study, Australia. Marcus DA (2013) The science behind animal-assisted therapy. Current Cherniack EP (2010) Bugs as drugs, Part 1: Insects: the "new" Pain and Headache Reports 17: 322-328. alternative medicine for the 21st century? Alternative Medicine Novotny V, Basset Y, Miller SE, Weiblen GD, Bremer B, Cizek L, Review 15(2), 124-135. Drozd P (2002) Low host specificity of herbivorous insects in a Chinekesh A, Kamalian M, Eltemasi M, Chinekesh S, Alavi M (2014) tropical forest. Nature 416, 841-844. The effect of group play therapy on social-emotional skills in pre-

94 PB