• Title/Summary/Keyword: 공격적 행동성

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Correlation of Behavioral and Psychological Symptoms and Homocysteine in Patients with Dementia of Alzheimer's Type (알쯔하이머형 치매 환자에서 행동심리증상과 호모시스테인과의 연관)

  • Lee, Ji Min;Im, Woo-Young;Kim, Hyun;Lee, Kang Joon
    • Korean Journal of Psychosomatic Medicine
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    • v.22 no.1
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    • pp.23-30
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    • 2014
  • Objectives : Homocysteine has been associated with cognitive impairment and various psychiatric symptoms. This study was designed to examine the relationship exists between plasma homocysteine concentration and behavioral and psychological symptoms of dementia(BPSD). Methods : 41 subjects with dementia of Alzheimer's type were included in this study. We carried out history taking, physical examination, and cognitive assessment for the diagnosis of dementia of Alzheimer's type based on DSM-IV. We scored the Mini Mental State Examination(MMSE), Global Deterioration Scale(GDS), Clinical Dementia Rating(CDR), and the Korean Neuropsychiatric Inventory(K-NPI). We also measured levels of homocysteine, folate, and vitamin $B_{12}$ in the plasma. Results : We found statistically significant positive correlations between homocysteine concentration with NPI total score, and with scores of several sub-domains such as delusion, agitation/aggression, depression/dysphoria, and elation/euphoria. No significant correlation existed between homocysteine levels and scores of MMSE, GDS, and CDR. Conclusions : This study shows that plasma homocysteine levels are associated with BPSD. Further research is necessary to identify pathophysiologic mechanisms underlying these relationships.

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Socio-Economic Effects on Brain Functions and Symptoms of Child Behavioral Problems (사회경제적 차이가 아동의 뇌기능과 문제행동증후에 미치는 영향)

  • Park, Hee-Rae;Park, Pyongwoon;Song, Giwon;Lim, Giyong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.1
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    • pp.462-470
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    • 2015
  • This study examined for which socio-economic difference effects on brain function and Problem behavior syndrome in children. About a children with no disorders, diseases or cognitive dysfunction-30 were from LIC children and another 30, from MC ones, the study was conducted by measuring and analyzing the data using brain function analysis and K-CBCL from January to April, 2013. The results of the study are as follows. First, it was found that the ratio of LIC's theta(${\Theta}$) and SMR waves and that of delta(${\delta}$), high beta(${\beta}h$), alpha(${\alpha}$) and low beta(${\beta}l$) waves showed significantly higher values than MC children. Second, concerning the symptoms of child behavioral problems, LIC showed significantly higher values than MC children in symptoms of the body, depression and anxiety, social immaturity, thinking problems, attention problems, aggression, internalization, externalization, overall behavioral problems, and emotional instability. MC children showed significantly higher values than LIC chidren in symptoms of social, academic-performance, total social skills. In conclusion, the significant difference of the brain functions and the symptoms of child behavioral problems between LIC and MC children showed that the socio-ecnomic difference has an influence on the same functions and symptoms above.

Depression after Traumatic Brain Injury (외상성 뇌 손상이후의 우울증)

  • Jung, Han Yong;Han, Sun Ho
    • Korean Journal of Biological Psychiatry
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    • v.6 no.1
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    • pp.21-29
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    • 1999
  • Traumatic Brain Injury(TBI) of any severity can result in broad and persisting biopsychosocial sequelae. Depression after TBI occur at a greater frequency than in the general population, with estimates approaching 25% to 50% for major depression, and 155 to 30% for dysthmia. Acute onset depressions are related to lesion location and may have their etiology in biological response of the injured brain, whereas delayed onset depressions may be mediated by psychosocial factors, suggesting psychological reactions as a possible mechanism. Anxious depressions are associated with right hemisphere lesions, whereas major depressions alone are associated with left dorsolateral frontal and left basal ganglia lesions. However, there is insufficient information to postulate a specific neuroanatomic model for TBI-related depression.

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Psychological Characteristics of Psychiatric outpatients with High Suicide Risk : Using MMPI-2-RF (정신건강의학과 외래 환자 중 자살 고위험 집단의 심리적 특성 : MMPI-2-RF를 이용하여)

  • Nam, Jisoo;Kim, Daeho;Kim, Eunkyeong
    • Korean Journal of Psychosomatic Medicine
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    • v.28 no.1
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    • pp.8-19
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    • 2020
  • Objectives : The purpose of this study was to examine whether the MMPI-2-RF serves as a useful tool to differentiate between the subtypes of high risk of suicide among psychiatric outpatients. Methods : Patients were recruited from the department of psychiatry of university hospital. Participants were diagnosed using DSM-5 criteria by board certified psychiatrists. Their medical records were reviewed retrospectively. And participants were put into 4 groups (Suicide ideation, Suicide attempt, Non-suicidal self-injury, and general psychiatric diagnosis as a control group). For statistical comparison, the MANCOVA with gender as a covariate was used. Results : The results indicated that as previous research with non-clinical sample suggested, psychiatric outpatients with high suicide risk also have significantly higher Emotional/Internalizing Dysfunction, Helplessness/Hopelessness, Suicidal/Death Ideation, Demoralization, Cognitive complaints, Cynicism, Dysfunctional negative thoughts than general psychiatric patients group. But group differences within the high suicide risk patients have not been observed. However, suicide attempt group and NSSI group has higher Behavioral/Externalizing Dysfunction, RC4, AGG than general psychiatric patients group. But there was no difference between suicidal idea group and general psychiatric patients group. Conclusions : There was no group difference observed between all three subtypes, which mean the MMPI2-RF may not be the useful diagnostic tool to navigate high suicide risk subtypes. Even though there was no difference observed in the suicide ideation group, suicide attempt group and NSSI group have higher aggression and externalization. So those indexes could serve as a useful marker to investigate riskiness of suicide related symptoms.

The Structural Relationships of Personal and Environmental Factors on Child Aggression: Focusing on Child Negative Emotionality and Emotion Regulation, Mother Rejective Parenting, and Teacher-Child Conflict (유아의 공격성에 대한 개인적 요인과 환경적 요인간의 구조적 관계: 유아의 부정적 정서성과 정서조절, 어머니의 거부적 양육행동, 교사-유아 간 갈등을 중심으로)

  • Lee, Hea Jin;Kim, Sun Hee
    • Korean Journal of Child Studies
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    • v.37 no.4
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    • pp.117-128
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    • 2016
  • Objective: The purpose of this study was to explore the structural relationships of child negative emotionality, mother rejective parenting, teacher-child conflict, and child emotion regulation on child aggression. Methods: The participants in this study were 3- to 5-year-old kindergarten children, their mothers, and their teachers (all of whom lived in Busan). The data were analyzed using PASW Statistics 18.0 and AMOS 21.0. For data analysis, frequency, Cronbach's alphas, Pearson's correlation coefficients, SEM were used. Results: First, mother rejective parenting had an indirect effect on child aggression through child emotion regulation. Second, teacher-child conflict had a direct effect on child aggression and had an indirect effect on child aggression through child emotion regulation. Third, child negative emotionality had an indirect effect on child aggression through mother rejective parenting and teacher-child conflict and child emotion regulation. Conclusion: These finding suggest the importance of mediating effect of mother rejective parenting, teacher-child conflict and child emotion regulation between child negative emotionality and aggression.

Internalization and Externalization Factor Structure of PAI-A Revised (PAI-A 증보판의 내재화 및 외현화 요인구조)

  • Park, Eun-Young;Park, Eun-Young;Hong, Sang-Hwang
    • Korean Journal of School Psychology
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    • v.16 no.3
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    • pp.315-337
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    • 2019
  • This study was intended to verify that the Revised PAI-A scale reflected the internalization and externalization classification of adolescence problem behavior. For this purpose, exploratory factor analysis and confirmatory factor analysis were conducted using PAI-A restandardization data. In addition, 31 Revised PAI-A sub-scales and SUI scale were used to identify the detailed factor structures. As a result of the analysis, the classification of internalization and externalization factors was similar to that of previous studies. In detail, the sub-scales of ANX·DEP and SUI were classified into internalization, the sub-scales of ANT and AGG were classified into externalization. It is noteworthy that each sub-scale of PAI-A was separated into internalization or externalization. For example, BOR-A, BOR-I, and BOR-N were loaded into internalization, but BOR-S into externalization. Next, in order to confirm whether the structure of the derived internalization and externalization factors can be applied to new samples, 350 samples were randomly extracted and confirmatory factor analysis was conducted, but exclusive of the samples used for exploratory factor analysis. As a result of confirmatory factor analysis, the appropriate indices of internalization and externalization classification was close to the good level. Therefore, the Revised PAI-A scales have theoretical relevance to internalization and externalization classification of problem behaviors. Based on the results of this study, it is expected that it can be used helpfully in the school settings in the future. Finally, the significance and limitations of this study were discussed.

Excessive YouTube Usage of Middle School Boys and Internalizing and Externalizing Problems: Moderating Effects of Social Support (중학교 남학생의 과도한 유튜브 이용과 내재화 및 외현화 문제: 사회적 지지의 조절효과)

  • Jung, Jihye;Kim, Geunyoung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.2
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    • pp.676-684
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    • 2021
  • This study examined how much Korean male middle school students used YouTube to determine if the social support from parents, teachers, and friends might moderate the relationships between YouTube overuse and internalizing and externalizing problems. Three hundred and twenty male middle school students completed questionnaires asking about their YouTube use, levels of YouTube addiction, internalizing and externalizing behaviors, and the degree of social support from parents, teachers, and friends. The results indicated that the YouTube addiction was positively related to the levels of internalizing and externalizing problems. Parental support moderated the relationships between YouTube addiction and internalizing problems. On the other hand, the moderating effects of teachers' or friends' supports were not significant. In contrast, teachers' support was the most crucial moderating factor regarding externalizing problems, while parental and friends' supports were only related to delinquency but not to aggression. These results suggest that the role of parental or teacher supports should be unique depending on the types of problem behaviors. Furthermore, the 'protective effects' of social support were not found in the highly addicted group, suggesting that the early prevention of YouTube overuse is a crucial intervention.

A Study on the Realities of Sexual Violence and the Measure for Social Welfare (성폭력 실태와 사회복지적 대책 방안에 관한 연구)

  • Bae, Na-Rae;So, Kwon-Seob
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.2
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    • pp.251-258
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    • 2020
  • This study aims to address the current situation and damage from sexual violence, to arouse public opinion, help broader awareness, and further lead to community social efforts to cope actively with the situation. In Korean society, discourse on sex is often conducted in a double structure. Sexual violence is not just a personal misfortune; it is a problem for women as a whole. Furthermore, it is a challenge that society needs to address. Therefore, the government should evolve its response to sexual violence into a collective, not individual, movement of men and women toward social and cultural movements together. Although the visible reality of sexual violence is important, damaging their mental health by passing on a distorted cultural environment to future generations should be seen as a type of historical crime.

PARENTAL ATTACHMENT STYLES AND PSYCHIATRIC MANIFESTATIONS IN THEIR $4^{th}\;TO\;6^{th}$ GRADE ELEMENTARY SCHOOL CHILDREN (부모의 애착 유형과 초등학교 고학년 아동의 정신병리와의 상관 관계)

  • Yoo Han Ik;Hwang Jun Won;Kim Boong-Nyun;Shin Min Sup;Hong Kang-E;Cho Soo Churl
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.16 no.1
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    • pp.47-53
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    • 2005
  • Objectives : Few studies have examined the relation between the attachment styles of the primary caregivers and the behavioral problems of their children. This study was performed to identify the impact of the insecure parental attachment patterns on the development of their higher grades elementary school children's psychiatric manifestations and disorders. Methods : 504 higher elementary pupils and their primary caretakers were included in our study. Relationship Questionnaire, Kovacs Children's Depression Inventory, Spielberger's State-Trait Anxiety Inventory for children, and Korean Child Behavior Checklist were applied to them. Results : The grade-school children of the parents who belonged to preoccupied attachment type revealed higher Withdrawn, Anxious/depressed, Social Problems, Attention Problems, Delinquent Problems, Aggressive Problems, Internalizing Problems, Externalizing Problems, Total Behavioral Problems scores than ones of securely attached parents (p<0.01). Internalizing Problems score of preoccupied parents' children was highest, and one of avoidant and secure typed parents' kids followed in order (p=0.004) . More youngsters revealed Total Behavior Problem score high enough to clinically meaningful level in insecure parental attachment style than in secure one (p=0.038). Higher CDI score in insecure parental group was reported than in secure one (p=0.040). Conclusion : Parental insecure attachment can be associated with the development of the behavioral problems and psychiatric illness of their children.

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Affecting Factors of Deviant Behaviors of Korean High School Students (고등학생의 일탈행동 영향요인 분석)

  • Yoon Young-Mi;Choi Myung-Sook
    • Child Health Nursing Research
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    • v.9 no.3
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    • pp.323-331
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    • 2003
  • Purpose: The purpose of this study is to analyze the factors affecting Deviant Behaviors of Korean High school Students. Method: Data was collected from October 8 to 31, 2002. The subjects for this study were 697 Korean High school Students(boys 347, girls 350), recruited from two High School located in Seoul. Data collection was conducted through the use of 6 Questionnaire that modified by the investigator. The data was analyzed by the SPSS win 10.0 program using Descriptive statistics, Pearson Correlation coefficient and stepwise multiple regression. Result: 1) The mean of total item score the Deviant Behaviors scales was 1.59, which was slightly low. 2) There was a significant correlation between Deviant Behaviors, Type A Personality, Aggression, Impulsivity, Stress and Social Support(γ= .11 ~ .65, p<.001), but It was no significant correlation Type A Personality and Stress(γ= -.01). 3) Stepwise multiple regression analysis showed that (1) Impulsivity, Social Support and Type A Personality were the predictors of Deviant Behaviors and account for 18.6% of the variance in Deviant Behaviors. (2) Impulsivity account for 3.6% of the variance in Deviant Behaviors in Subjects with a lower degree of score the Deviant Behaviors. Impulsivity and Social Support account for 23.2% of the variance in Deviant Behaviors in subjects with higher degree of score the Deviant Behaviors. (3) Impulsivity account for 18.3% of the variance in Deviant Behaviors in High school girls (n=350). Impulsivity and Social Support account for 20.1% of the variance in Deviant Behaviors in High school boys (n=347). Conclusion: Impulsivity and Social Support account for Deviant Behaviors of High school Students. Therefore it is necessary to develop nursing intervention to reduce the level of Impulsivity, to increase the Social Support in order to decrease the Deviant Behaviors.

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