Journal of the Korean Academy of Child and Adolescent Psychiatry

Korean Academy of Child and Adolescent Psychiatry (대한소아청소년정신의학회)
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A Survey for Mental Health of Children Whose Parents Have Psychiatric Disorders: A Preliminary Study for Mental Health Screening of High Risk Children

정신질환을 가진 부모의 자녀들의 정신건강 상태 조사 연구: 고위험군 선별을 위한 예비 연구

  • Seo, Hwo Yeon (Department of Psychiatry, Seoul National University Hospital) ;
  • Park, Su Mi (Department of Psychiatry, SMG-SNU Boramae Medical Center) ;
  • Kim, Yeni (Department of Child and Adolescent Psychiatry, National Center for Mental Health) ;
  • Yang, Young Hui (Department of Child and Adolescent Psychiatry, National Center for Mental Health) ;
  • Lee, Ji Yeuon (Dongjak-gu Community Mental Welfare Center) ;
  • Lee, Hae Woo (Department of Psychiatry, Seoul Medical Center) ;
  • Jung, Hee Yeon (Department of Psychiatry, SMG-SNU Boramae Medical Center)
  • 서화연 (서울대학교병원 정신건강의학과) ;
  • 박수미 (서울대학교병원운영 서울특별시 보라매병원 정신건강의학과) ;
  • 김예니 (국립정신건강센터 소아청소년정신과) ;
  • 양영희 (국립정신건강센터 소아청소년정신과) ;
  • 이지연 (동작구 정신건강복지센터) ;
  • 이해우 (서울의료원 정신건강의학과) ;
  • 정희연 (서울대학교병원운영 서울특별시 보라매병원 정신건강의학과)
  • Received : 2017.04.17
  • Accepted : 2017.08.01
  • Published : 2017.10.01
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Abstract

Objectives: This study aimed to evaluate the mental health status of the children of psychiatric patients in order to plan for the resources that may be necessary to help these children achieve their full potential. Methods: Forty-eight children (age 9-18) whose parents were registered in 5 community mental health centers located in Seoul were recruited. Tests assessing 3 psychological domains were conducted: 1) cognition: Korean version of Learning Disability Evaluation Scale, Comprehensive Attention Test, 2) parent reported emotion and behavior: Korean Child Behavior Checklist, Korean attention-deficit hyperactivity disorder Rating Scale, and 3) self-reported emotion and behavior: Korean Beck's Depression Inventory-II/Children's Depression Inventory-II, Korean Youth Self Report). We defined the children as having a high risk of developing mental health problems if their test scores were over the cut-off levels in 2 or more of the 3 domains assessed. Results: Twelve (25%) children were classified as having a high risk of developing mental health issues. 20 (41.6%) children scored above the cut-off in only one of the domains. Conclusion: Our results suggest that the children of psychiatric patients might be vulnerable to mental illness and need early prevention or interven-tions for the sake of their mental health.

Keywords

References

  1. Ahn DH. Mental disorders in adolescents. J Korean Med Assoc 2009; 52:745-757. https://doi.org/10.5124/jkma.2009.52.8.745
  2. Shin MS, Park KB, Oh GJ, Kim JS. A study of suicidal ideation among high school students: the structural relation among depression, hopelessness, and suicidal ideation. Korean J Clin Psychol 1990;9:1-19.
  3. Hawkins JD, Kosterman R, Catalano RF, Hill KG, Abbott RD. Effects of social development intervention in childhood 15 years later. Arch Pediatr Adolesc Med 2008;162:1133-1141. https://doi.org/10.1001/archpedi.162.12.1133
  4. Weisz JR, Sandler IN, Durlak JA, Anton BS. Promoting and protecting youth mental health through evidence-based prevention and treatment. Am Psychol 2005;60:628-648. https://doi.org/10.1037/0003-066X.60.6.628
  5. Kim YH, Chung KH, Oh HS, Shin YJ, Yang YJ, Chung EH, et al. A study of mental health state and family function of parents with a mentally disabled person. J Korean Acad Psychiatr Ment Health Nurs 2009;18:332-340.
  6. King SM, Keyes M, Malone SM, Elkins I, Legrand LN, Iacono WG, et al. Parental alcohol dependence and the transmission of adolescent behavioral disinhibition: a study of adoptive and nonadoptive families. Addiction 2009;104:578-586. https://doi.org/10.1111/j.1360-0443.2008.02469.x
  7. Jung ES, Cho HI. The effects of parental care and overprotection on subjective well-being and depression: the roles of hardiness and perfectionism as mediators. Korean J Couns Psychother 2009;21: 209-227.
  8. Oyserman D, Mowbray CT, Meares PA, Firminger KB. Parenting among mothers with a serious mental illness. Am J Orthopsychiatry 2000;70:296-315. https://doi.org/10.1037/h0087733
  9. Gurman AS, Kniskern DP. Handbook of family therapy. New York: Routledge;1981.
  10. Mattejat F, Remschmidt H. The children of mentally ill parents. Dtsch Arztebl Int 2008;105:413-418.
  11. Lee TH, Lee YJ. Prevalence and related risk factors of suicidal ideation in urban adolescents. Sleep Med Psychophysiol 2014;21:61-68. https://doi.org/10.14401/KASMED.2014.21.2.61
  12. Cho SC, Go BJ, Kim B, Kim BN, Kim JW, Shin MS, et al. Epidemiological Report in 2005: prevalence of psychiatric disorders of child and adolescent in Seoul. Seoul Metropolitan, Seoul School Health Promotion Center, Department of Child and Adolescent Psychiatry, Seoul National University Hospital, Seoul Children & Adolescent Metropolitan Mental Health Center; 2006.
  13. Cho YS, Lee HY, Kwon YJ, Jeong HY, Shin JY, Shim SH. Mental disorders in offspring of parents with bipolar disorder. J Korean Neuropsychiatr Assoc 2014;53:310-319. https://doi.org/10.4306/jknpa.2014.53.5.310
  14. Lee SH, Kang KM, Kwack YS. Rearing pattern of schizophrenic mothers and their children's behaviour problems. J Korean Acad Child Adolesc Psychiatry 1998;9:180-189.
  15. Kim HJ, Cho SC, Kim JW, Kang JW, Shin MS, Kim HW, et al. The effectiveness of mental health problems screening and treatment linkage in children & adolescents: community based study focused on ADHD and depression. J Korean Acad Child Adolesc Psychiatry 2009;20:129-139.
  16. Fazel M, Reed RV, Panter-Brick C, Stein A. Mental health of displaced and refugee children resettled in high-income countries: risk and protective factors. Lancet 2012;379:266-282. https://doi.org/10.1016/S0140-6736(11)60051-2
  17. Burns BJ, Phillips SD, Wagner HR, Barth RP, Kolko DJ, Campbell Y, et al. Mental health need and access to mental health services by youths involved with child welfare: a national survey. J Am Acad Child Adolesc Psychiatry 2004;43:960-970. https://doi.org/10.1097/01.chi.0000127590.95585.65
  18. Shin MS, Hong KE, Kim ZS, Cho SC. A standardization study of the Korean version of Learning Disability Evaluation Scale. J Korean Neuropsychiatr Assoc 1998;37:1233-1245.
  19. Yoo HK, Lee J, Kang SH, Park EH, Jung J, Kim BN, et al. Standardization of the Comprehensive Attention Test for the Korean children and adolescents. J Korean Acad Child Adolesc Psychiatry 2009;20: 68-75.
  20. DuPaul GJ. Parent and teacher ratings of ADHD symptoms: psychometric properties in a community-based sample. J Clin Child Psychol 1991;20:245-253. https://doi.org/10.1207/s15374424jccp2003_3
  21. Kim YS, So YK, Noh JS, Choi NK, Kim SJ, Koh YJ. Normative data on the Korean ADHD Rating Scales (K-ARS) for parents and teacher. J Korean Neuropsychiatr Assoc 2003;42:352-359.
  22. Achenbach TM. Manual for the child behavior checklist/4-18 and 1991 profile. Burlington, VT: Dept. of Psychiatry, University of Vermont; 1991.
  23. Kim YH, Lee J, Moon SJ, Kim YJ, Oh KJ. Standardization study for the Korean version of the Child Behavior Checklist for ages 1.5-5. Korean J Clin Psychol 2009;28:117-136. https://doi.org/10.15842/kjcp.2009.28.1.007
  24. Kim MS, Lee IS, Lee CS. The validation study 1 of Korean BDI-2: in female university students sample. Korean J Clin Psychol 2007; 26:997-1014. https://doi.org/10.15842/kjcp.2007.26.4.011
  25. Beck AT, Steer RA, Brown GK. Beck Depression Inventory-II. San Antonio 1996;78:490-498.
  26. Kovacs M. Children's Depression Inventory. 2nd edition. Pearson; 2014. Retrieved 18 February 2014.
  27. Lee HG, Shin HS, Lee KS. Development of a self-report form of the Adolescent Problem Behavior Rating Scale: tests of its reliability and validity. Korean J Dev Psychol 2004;17:147-170.
  28. Achenbach TM, Edelbrock CS. Manual for the youth self-report and profile. Burlington, VT: University of Vermont, Department of Psychiatry;1987.
  29. Goodman R, Ford T, Simmons H, Gatward R, Meltzer H. Using the Strengths and Difficulties Questionnaire (SDQ) to screen for child psychiatric disorders in a community sample. Br J Psychiatry 2000; 177:534-539. https://doi.org/10.1192/bjp.177.6.534
  30. Row KR, Suh DS. A preliminary study for developing a Child and Adolescent Functional Assessment Scale in the mental health service. J Korean Acad Child Adolesc Psychiatry 2014;25:142-155. https://doi.org/10.5765/jkacap.2014.25.3.142
  31. Kim JA, Ha KH, Hong HJ, Kim HY. 2013 students' mental health school-community cooperative model-management of high risk students and change in awareness of mental health in school. J Korean Acad Child Adolesc Psychiatry 2015;26:94-103. https://doi.org/10.5765/jkacap.2015.26.2.94
  32. Rasic D, Hajek T, Alda M, Uher R. Risk of mental illness in offspring of parents with schizophrenia, bipolar disorder, and major depressive disorder: a meta-analysis of family high-risk studies. Schizophr Bull 2014;40:28-38. https://doi.org/10.1093/schbul/sbt114
  33. Dean K, Stevens H, Mortensen PB, Murray RM, Walsh E, Pedersen CB. Full spectrum of psychiatric outcomes among offspring with parental history of mental disorder. Arch Gen Psychiatry 2010;67:822-829. https://doi.org/10.1001/archgenpsychiatry.2010.86
  34. Siegenthaler E, Munder T, Egger M. Effect of preventive interventions in mentally ill parents on the mental health of the offspring: systematic review and meta-analysis. J Am Acad Child Adolesc Psychiatry 2012;51:8-17. https://doi.org/10.1016/j.jaac.2011.10.018