Journal of the Korean Academy of Child and Adolescent Psychiatry

대한소아청소년정신의학회 (Korean Academy of Child and Adolescent Psychiatry)
권호 표지
DOI QR코드

DOI QR Code

청소년의 품행장애와 반항성 장애에서 보이는 우울증상과 연관된 특성

Characteristics Related to Depression in Adolescent Conduct Disorder and Oppositional Defiant Disorder

  • 이문인 (조선대학교 의과대학 정신과학교실) ;
  • 김상훈 (조선대학교 의과대학 정신과학교실) ;
  • 김학렬 (조선대학교 의과대학 정신과학교실) ;
  • 박상학 (조선대학교 의과대학 정신과학교실)
  • Lee, Moon-In (Department of Psychiatry, College of Medicine, Chosun University) ;
  • Kim, Sang-Hoon (Department of Psychiatry, College of Medicine, Chosun University) ;
  • Kim, Hak-Ryeol (Department of Psychiatry, College of Medicine, Chosun University) ;
  • Park, Sang-Hak (Department of Psychiatry, College of Medicine, Chosun University)
  • 투고 : 2011.03.29
  • 심사 : 2011.05.23
  • 발행 : 2011.09.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: Externalized behavioral problems are prevalent in adolescents, due to the difficulties associated with this developmental stage. Conduct Disorder (CD) and Oppositional Defiant Disorder (ODD), as well as other psychiatric disorders, such as major depressive disorder, result in the manifestation of many behavioral problems during adolescence. Methods: For this report, we analyzed a sample of 31 adolescents, each of whom had presented with CD or ODD at Chosun University Hospital between 2002 and 2010. We separated subjects into depressed and non-depressed groups according to their Beck Depression Inventory scores (BDI<10, non-depressed ; BDI${\geq}$10, depressed). Then we analyzed for neuropsychological differences between the depressed and non-depressed groups. Results: In our sample, adolescents in the depressed group showed less of a stealing (deceitfulness and/or theft) behavioral pattern and presented with more anxiety symptoms, lower self-esteem, and greater sensitivity in interpersonal relationships, as compared to the non-depressed group. Conclusion: When adolescents exhibit disruptive behavior, clinicians should consider the underlying causes of the behavior.

키워드

참고문헌

  1. Kim KH. Child psychopathology. Seoul: Hakjisa;1983. p.203-216.
  2. Min SK. Modern psychiatry. 5th ed. Seoul: Ilchokak;2006. p.124-127.
  3. Gennep VA. Les rites de passage. 1st ed. Seoul: Eulyoo moonwhasa;1985. p.264-270.
  4. Korean Neuropsychiatry Association. Textbook of neuropsychiatry. 2nd ed. Seoul: Jungang moonwhasa;2007. p.67-68.
  5. Kim HS, Kim HS. Development of scale for measuring delinquent behavior. J Korean Acad Child Adolesc Psychiatry 2000;11:79-90.
  6. Kovacs M, Paulauskas S, Gatsonis C, Richards C. Depressive disorders in childhood. III. A longitudinal study of comorbidity with and risk for conduct disorders. J Affect Disord 1988;15:205-217. https://doi.org/10.1016/0165-0327(88)90018-3
  7. World Health Organization. ICD-10: The ICD-10 Classification of mental and behavioural disorders, clinical descriptions and diagnostic guidelines. Seoul: Ilchokak;1992.
  8. Marriage K, Fine S, Moretti M, Haley G. Relationship between depression and conduct disorder in children and adolescents. J Am Acad Child Psychiatry 1986;25:687-691. https://doi.org/10.1016/S0002-7138(09)60295-8
  9. Lee YH, Song JY. A study of the reliability and the validity of the BDI, SDS, and MMPI-D scales. Kor J Clin Psychol 1991;10:98-113.
  10. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington DC: American Psychiatric Association Press;1994.
  11. Jung SY, Jung SA. The cognitive characteristics of ADHD children on the ADS and KEDI-WISC. Kor J Clin Psychol 2009;28:137-151. https://doi.org/10.15842/kjcp.2009.28.1.008
  12. Asarnow JR, Tompson M, Hamilton EB, Goldstein MJ, Guthrie D. Family-expressed emotion, childhood-onset depression, and childhood-onset schizophrenia spectrum disorders: is expressed emotion a nonspecific correlate of child psychopathology or a specific risk factor for depression? J Abnorm Child Psychol 1994;22:129-146. https://doi.org/10.1007/BF02167896
  13. Angold A, Costello EJ, Erkanli A. Comorbidity. J Child Psychol Psychiatry 1999;40:57-87. https://doi.org/10.1111/1469-7610.00424
  14. Jhin HK, Kim KB, Lee JI. A comparative study of parental rearing behaviors between conduct disorder and normal adolescents. J Korean Acad Child Adolesc Psychiatry 1998;9:67-81.
  15. Sadock BJ, Sadock VA. Synopsis of Psychiatry, 10th ed., Philadelphia: Lippincott Williams & Wilkins;2007. p.1218-1227.
  16. Lim MH, Cho SC, Paik KC, Lee KK, Kim HW, Hong KE. Clinical characteristics of child and adolescent psychiatric inpatients with mood disorder. J Korean Acad Child Adolesc Psychiatry 2000;11: 209-220.
  17. Lee JK, Kim YS. Psychiatry. 4th ed. Seoul: Ilchokak;2000. p.335-338.
  18. Sackeim HA, Freeman J, McElhiney M, Coleman E, Prudic J, Devanand DP. Effects of major depression on estimates of intelligence. J Clin Exp Neuropsychol 1992;14:268-288. https://doi.org/10.1080/01688639208402828
  19. Choi JY. Understanding of psychological test. 1st ed. Seoul: Sigma press;2009. p.53-101.
  20. Aldrich CK. An introduction to dynamic psychiatry. 1st ed. Seoul: Hana medical co.;1980. p.248-261.
  21. Weaver GM, Wootton RR. The use of the MMPI special scales in the assessment of delinquent personality. Adolescence 1992;27: 545-554.
  22. Robins LN. Deviant children grown up. Eur Child Adolesc Psychiatry 1996;5:44-46. https://doi.org/10.1007/BF00538543
  23. Kim HS, Kim HS. Analysis for predictors of juvenile recidivism in Korea. J Korean Neuropsychiatr Assoc 2001;40:279-291.

피인용 문헌

  1. Sexual Maturation, Attitudes towards Sexual Maturity, and Body Esteem in Elementary-School Children vol.24, pp.2, 2018, https://doi.org/10.4069/kjwhn.2018.24.2.219
  2. A Case Study on Art Therapy for the Relief of Defiance and Anger in a High School Girl with Process Trauma vol.23, pp.3, 2011, https://doi.org/10.35594/kata.2016.23.3.007
  3. Effect of Emotional Behavior Problems on Quality of Life of Adolescents: Focused on Mediating Effect of Peer Attachment and Resilience vol.28, pp.1, 2011, https://doi.org/10.21024/pnuedi.28.1.201803.427