• Title/Summary/Keyword: 과잉행동장애

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Modafinil for the Treatment of Attention Deficit Hyperactivity Disorder: A Systematic Review (Modafinil의 주의력결핍 과잉행동장애 치료효과에 대한 체계적 문헌 고찰)

  • Lee, Yu-Jeung
    • Korean Journal of Clinical Pharmacy
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    • v.20 no.1
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    • pp.66-71
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    • 2010
  • 주의력결핍 과잉행동장애는 미국에서 약 200만 명의 어린이에게 나타나는 심각한 만성 신경행동학적 장애이다. 주의력결핍 과잉행동장애 치료의 중심은 약물요법이다. 그러나 현재 환자의 약 30%는 주의력결핍 과잉행동장애를 적응증으로 갖도록 허가된 의약품들을 사용해도 적절한 치료효과를 얻지 못하고 있는 상황이다. Modafinil은 methylphenidate나 amphetamines와 같은 각성제와는 다른 약리학적 기전으로 중추신경계를 항진시킨다. 본 연구는 modafinil의 주의력결핍 과잉행동장애 치료효과에 대한 최신 지견을 얻고자, 1990년부터 2010년 3월까지 MEDLINE에 등재된 논문을 ADHD와 Modafinil이라는 MeSH terms로 검색하여 추출한 자료 중에서 대조군이 사용된 무작위 배정 및 이중맹검 임상연구 사례만을 선별하여 임상적 유용성을 평가하였다. 현재 modafinil은 주의력결핍 과잉행동 장애 치료제로 허가된 의약품은 아니지만 최근 여러 국가에서 시행된 연구들은 modafinil이 안전하고 효과적인 주의력결핍 과잉행동장애 치료제일 수 있다는 결과를 보여주고 있다.

인터넷 중독과 주의력결핍 과잉행동장애와의 관계에 관한 연구

  • Kim, Gyeong-Deok;Lee, Seong-Ju;Jeong, Hyeon-Suk
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2008.05a
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    • pp.976-979
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    • 2008
  • As internet occupies a great deal of portion in our life, a lot of mental diseases become the points at issue relating to internet addiction. The purpose of this study is to examine whether internet addiction is related with Attention Deficit Hyperactivity Disorder that is characterized with sustained inattention, hyperactivity and impulsivity and then find out which sub-factors of internet addiction are influencing effective on Attention Deficit Hyperactivity Disorder. As result of applying reliability analysis, frequency analysis, cross tabulation analysis, t-test, ANOVA, Pearson's correlation analysis and multiple regression analysis, it shows the following research results.

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A Reliability Study of the Test of Playfulness in Attention Deficit Hyperactivity Disorder (ADHD) (주의력결핍 과잉행동장애 아동의 Test of Playfulness 신뢰도 연구)

  • Lee, Na-hael;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.14 no.1
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    • pp.1-8
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    • 2016
  • Objective : The purpose of this study was to determine the reliability of Test of Playfulness (ToP) in Attention Deficit Hyperactivity Disorder (ADHD) children. Methods : Twenty ADHD children participated in this study. To determine inter-rater reliability, two raters was evaluated by Test of Playfulness scores and analyzed Kappa coefficient and total agreement and intraclass correlation coefficient (ICC). Results : Total agreement was the range of 75%~95% and the Kappa coefficients was the range of. 45~1.00. Analyzing inter-rater reliability by ICC showed very high reliability: Intrinsic motivation was .96, internal control was .98, suspension of reality was .90, framing was .98, total score was .99. Conclusion : A reliability of Test of Playflness of children with ADHD showed that high. On the basis of this study, it will provide availability for clinical evaluation of children with ADHD, and basic study on the play of children with ADHD.

The effect of psychomotor by the emotional behavior disorder(ADHD) children on the improvement of Self-esteem, Depression or Hyperactivity in terms of convergence (심리운동프로그램의 참여가 융합적 차원에서 정서·행동장애아동의 자아존중감과 우울감 및 과잉행동에 미치는 영향)

  • Kim, Hae-Mi
    • Journal of Digital Convergence
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    • v.13 no.11
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    • pp.571-578
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    • 2015
  • The purpose of this study is to investigate the effect of psychomotor by the emotional behavior disorder children(ADHD) on the improvement of Self-esteem, Depression or Hyperactivity. From the results, there was no significant difference of the main effect between groups about the improvement of Self-esteem, Depression but that of Hyperactivity. About Self-esteem, Depression, Hyperactivity, there was significant difference of the main effect between prior and post and significant difference of the interaction effects between groups and periods. In conclusion, we can know psychomotor program have a positive effect on the improvement of Self-esteem, Depression or Hyperactivity for emotional behavior disorder children(ADHD). Considering that psychomotor, regarding convergence, may have a positive effect on the ADHD children's emotional development, not only motion development, we suggest the emotional behavior disorder children(ADHD) may have to continue to participate in the Psychomotor Activities.

Relationship between prevalenc of attention deficit hyperactivity disorder symptoms and depression of college students -Focused o health related majors- (대학생의 주의력결핍과잉행동장애 증상 출현율과 우울과의 관계 -보건계열 학생을 중심으로-)

  • Roh, Hyo-Lyun;Shin, Eun-Ji
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.3
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    • pp.1937-1945
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    • 2015
  • This study was conducted to investigate the relationship between depression and adult attention deficit hyperactivity disorder(ADHD) of college students. Collage students up to 350 people self-report survey was conducted using the Conners ADHD Rating Scale Korean version and Beck Depression Inventory. Adult ADHD symptoms prevalence was 5.1 % and the highest form of carelessness. Depression grade was $8.38{\pm}6.86$ points of college students and female students was higher than male students is depression grade, severe depression and modurate depressive symptoms were 2.1 %. Model of explanatory were slightly higher in 33.5%, adult ADHD affects depression and coexistence rate of adult ADHD symptoms and depressive symptoms was found to be 3.1%. Therefore, adult ADHD symptoms prevalence and depression of collage students seems to be relationship. Given the wide range of social and emotional problems due to adult ADHD seems necessary measures to establish a social dimension to adult ADHD.

HYPERACTIVE BEHAVIORAL CHARACTERISTICS BY PARENTAL REPORTS IN ALLERGIC CHILDREN (부모보고에 의한 알레르기 환아의 과잉 행동특성)

  • Choi, Bo-Moon;Lee, Joon-Sung;Park, Nan-Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.4 no.1
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    • pp.98-105
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    • 1993
  • Objective ' The purpose of this study was to investigate the behavioral characteristics of children with allergic disease Method : In a population of 80 children who were registered at a pediatric allergic clinic in Kangnam St Mary's hospital, parents completed a standardized child behavior checklist (CBCL) to evaluate their children Clinical factors associated with allergy were examined in relation to the rated scores of CBCL Results : Allergic children were rated significantly more aggressive and delinquent, and less withdrawned on the CBCL rating when compared to the age- and sex-matched normal control children. Within the allergic population, children who had family history of allergic disease had higher scores of CBCL in hyperactivity and aggressive behavior than the children without family history. Conclusion : The results were discussed with the respect to familial traits of allergy and temperament as risk factors for the emergence of behavior problems in childhood allergy

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OROS Methylphenidate Treatment of Secondary Adult ADHD after Traumatic Brain Injury (외상성 뇌손상 후 이차적으로 발생한 성인 주의력결핍 과잉행동장애에서 OROS Methylphenidate의 치료효과:증례 및 고찰)

  • Lim, Myung Ho;Lee, Woo Chul
    • Korean Journal of Biological Psychiatry
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    • v.12 no.2
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    • pp.221-226
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    • 2005
  • The incidence of the Attention Deficit Hyperactivity Disorder secondary to the traumatic brain injury, such as traffic accidents, is increasing;the variety of the treatment modality is also increasing. This case was studied to see if OROS Methylphenidate(Concerta), which is one of the most commonly used medication in Attention Deficit Hyperactivity Disorder patients, not only improves the patient's attention, but also their impulsivity, hyperactivity and aggression. According to the case result, the medication showed an improvement of the impulsivity, aggression, and attention in the secondary Attention Deficit Hyperactivity Disorder patients after the traumatic brain injury.

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Development of a Family Resilience Program for Families of Children with Attention-Deficit Hyperactivity Disorder: A Preliminary Study (주의력결핍 과잉행동장애 아동 가족을 위한 가족탄력성 프로그램 개발: 예비연구)

  • Lee, Eun-Hee
    • The Journal of the Korea Contents Association
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    • v.21 no.9
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    • pp.723-741
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    • 2021
  • The purpose of this study is to develop a family resilience program for families of children with ADHD. For this purpose, a preliminary program was developed as a pre-program development stage and its effectiveness was evaluated. To develop a preliminary program, a prior study was reviewed before developing the program, which was carried out. The program was conducted after recruiting seven mothers of children diagnosed with ADHD. It was operated for a total of eight sessions, two times a week, for 120 minutes. A single system design was designed to assess the effectiveness of the developed Family Resilience program. Then, the Family Resilience goals of the individuals set by the research participants were measured. The results of the study showed a slight increase in scores for all participants in the program. By discussing the effects, limitations and suggestions of the developed preliminary program, we hope that a family resilience program for families of children with ADHD will be developed based on this preliminary program research.

ADHD, Depression, Anxiety, Self-esteem, Impulsivity, Suicide Idea and Quality of Life with Burnout of Kindergarten Teacher (어린이집 교사의 소진과 ADHD, 우울, 불안, 자존감, 충동성, 자살사고, 삶의 질)

  • Lee, Hey An;Shim, Su Yeon;Yang, Young Ae;Lim, Myung Ho
    • The Journal of the Korea Contents Association
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    • v.16 no.7
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    • pp.291-299
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    • 2016
  • This study aimed to evaluate the relationship of ADHD, depression, anxiety, self-esteem, impulsivity, suicide idea and quality of life as well as burnout of kindergarten teachers for the first time in Korea. Also, it examined the odds ratio with ADHD, depression, anxiety, self-esteem, impulsivity, suicide idea and quality of life between burnout group and the comparison group through logistic regression analysis. A set of questionnaires was provided to a total of 310 participants (80 with higher burnout risk and 230 without burnout risk) from April 2015 to July 2015. All of participants were evaluated using the Korean Adult Attention Deficit Hyperactivity Disorder Scales, Beck's Depression Inventory, Beck's Anxiety Inventory, Baratte' Impulsivity Scale, Rosenberg's Self-esteem Inventory and Qulity of Life Scale. The results of this study indicated that burnout risk group is related to ADHD and anxiety and impulsivity. For the treatment of burnout in kindergarten teachers, effective evaluation and treatment of ADHD and impulsivity, as well as anxiety, seem to be necessary.

NEW DRUG THERAPY IN CHILD AND ADOLESCENT PSYCHIATRY-NEW LONG-ACTING PSYCHOSTIMULANTS (소아청소년 정신과 영역에서의 새로운 약물치료:새로운 장기작용형 중추신경자극제)

  • Choi, Sung-Ku
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.14 no.1
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    • pp.3-11
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    • 2003
  • Attention-deficit/Hyperactivity disorder(ADHD) is the most common psychiatric disorder of childhood and among the most prevalent chronic health conditions affecting school-aged children. Children with ADHD experience significant functional problems, such as school difficulties, academic underachievement, troublesome interpersonal relationships with family members and peers, and low self-esteem. The most widely used pharmacological treatments for ADHD are psychostimulants, such as methylphenidate and amphetamine salts. These medications provide clinical efficacy by increasing the availability of catecholamines, primarily dopamine, in the frontal lobe of the brain. immediate-release(IR) formulations of sychostimulants were among the most effective psychotrophic medications in the psychopharmacological treatment. However, there are some limitations of IR formulations:the short half-life and duration of efficacy, which result in the need for multiple daily dosing and the poor compliance. These limitations have led to the development of once-daily, extended-release(ER) formulations of methylphenidate and amphetamine salts. However, these ER formulations may not be as immediately helpful to ADHD children due to delayed onset of action and the acute tolerance which is the failure to sustain the efficacy with the same concentration of drug as the initial stage of medication. OROS-methylphenidate(Concerta$^{\circledR}$) given once a day produces an ascending-pattern plasma drug level generated by the osmotically released, timed drug-delivery system. These new formulations of the psychostimulants have been shown to be a useful alternative to old stimulant medications through the evidence by the clinical trials.

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