• Title/Summary/Keyword: 과잉행동장애

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THE RELATIONSHIP AMONG CHILD'S BEHAVIOR PROBLEMS, MATERNAL DEPRESSION, AND PARENTING STRESS (아동의 정서 및 행동 문제와 어머니의 우울증, 양육 스트레스간의 관계)

  • Lee, Young-Joon;Song, Won-Young;Choi, Yui-Gyum;Shin, Yee-Jin
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.14 no.2
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    • pp.218-228
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    • 2003
  • Objectives:This study investigated the relationship among child's behavior problems, maternal depression, and parenting stress in children with psychiatric diagnoses and their mothers, and the effect of these variables to the mothers' parenting stress. Methods:Seventy-three children(31 externalizing, 24 internalizing, 18 mixed) and their mothers were involved in this study. The mothers of three groups completed MMPI, KPI-C(Korean Personality Inventory for Children), and PSI(Parenting Stress Index). To investigate the relationships among each variables, ANOVA, Pearson correlation, stepwise regression analysis were performed. Results:There was no significant difference in maternal depression among three groups of children. In 2-Way ANOVA, main effect of maternal depression was statistically significant on depression, parent health, and relationship with spouse subfactor in parent domain, parent domain total, and overall parenting stress. But the main effect of child group was statistically significant on distractability/hyperactivity subfactor in child domain only. In regression analysis, maternal depression explained the parent domain of parenting stress most effectively, and child's hyperactivity and anxiety explained the child domain of parenting stress significantly. Conclusion:These findings suggest that it is important to intervene maternal depression to reduce the parenting stress, along with the treatment of the child's behavior problems.

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A Study on the Attention, Intellectual Functioning and Behavior Characteristics of Girls with Attention-Deficit Hyperactivity Disorder (주의력결핍 과잉행동장애 여자 아동들의 주의력, 인지 기능 및 행동 특성에 대한 연구)

  • Kang, Il-Seon;Cho, A-Ra;Kim, Bong-Seog
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.20 no.1
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    • pp.10-16
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    • 2009
  • Objectives : The purpose of this study was to investigate the characteristics of attention, intellectual functioning and adaptation of girls with attention-deficit hyperactivity disorder (ADHD). Methods : The scores of the ADHD Diagnostic System (ADS), the Korean Wechsler Intelligence Scale for Children-III (K-WISC-III) and the Korean Personality Inventory for Children (KPI-C) were compared between 26 girls with ADHD and 26 boys with ADHD. Results : 1) There was no significant gender difference in the intellectual functioning, except for the picture completion subscale. 2) Compared to the boys, the girls responded more slowly on the ADS visual task. 3) The girls were rated higher by their parents for the depression and social relationship problems of the KPI-C. Conclusion : The results suggest that there are noticeable gender differences for the attention problems and social functioning of children with ADHD.

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A Case Report of ADHD Child treated with Neurofeedback (뉴로피드백을 이용한 주의력결핍 과잉행동장애 치료 1례(例))

  • Kang, Jun-Won;Park, Jeong-Gyung;Cheon, Yong-Woo;Han, Gook;Park, Hyun-Cheol;Yoo, Gyung;Jeong, Eun-Hee;Kim, Lak-Hyung
    • Journal of Oriental Neuropsychiatry
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    • v.16 no.2
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    • pp.243-249
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    • 2005
  • Attention Deficit Hyperactivity Disorder(ADHD) is a psychiatric disorder, characterized by the primary symptoms of inattention and/or impulsivity and hyperactivity. This study is a clinical report of 1 ADHD child treated with Neurofeedback therapy from Feb. to May 2005. Conners’ parent rating scale, Korean Personality Inventory for children(KPI-C), Basic Academic Skills Assessment(BASA : Reading) was compared between before and after Neurofeedback therapy, and the EEG data of each cession was analysed. The results show the Neurofeedback therapy is efficient in the treatment of ADHD.

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The Effect of a Chorus Program for Children in a Local Child Center on Character, Social Skills, Problematic Behavior, and Attention Deficit ADHD (지역아동센터 아동대상 합창프로그램이 인성, 사회적 기술, 문제행동, 주의력결핍에 미치는 효과)

  • Kim, Eun-Im;Song, Sun-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.12
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    • pp.310-320
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    • 2017
  • The purpose of this study is to examine the effects of a chorus program in a local child center regarding character, social skills, problematic behaviors, and ADHD. Subjects of this study included 24 children in elementary schools participating in the daytime programs at a local child center located in Suwon, South Korea. The chorus program was comprised of 12 sessions of 60 minutes each, conducted from April 5-July 5, 2017. Results of this study were as follows: First, during the interviews on the character of the children before and after participation in the chorus program, it was noted that the children became more active in terms of the relationships with others and leadership. However, it was also noted that children were more active at the center than they were at their schools. Second, the differences in social skills before and after the chorus program among children were significant in overall social skills and their sub-variables, indicating that there were effective in adjusting social skills. Third, the differences in problematic behaviors before and after participation in the chorus program were significant only in overall problematic behaviors and excessive behavior. This indicates that the program was effective in improving problematic behaviors, particularly for excessive behavior. Fourth, the differences before and after participation in the chorus program in terms of ADHD were statistically significant for ADHD and its sub-variables of carelessness and hyperactivity impulsiveness. This indicates that there was an overall improvement in attention deficit/hyperactivity disorder. Therefore, the findings in this study showed that the chorus program was effective on enhancing character, social skills, problematic behaviors, and ADHD behaviors.

Functional Impairment and Executive Dysfunction of Children with Tourette Disorder : Comparison with Attention-Deficit Hyperactivity Disorder and Non-Affected Controls (뚜렛 장애 아동 청소년의 기능장애 및 실행기능 결함 : 주의력결핍 과잉행동장애 아동 청소년과 정상 대조군과의 비교)

  • Kang, Hanna;Lee, Soyoung Irene;Lee, A Reum;Kim, Shin-Gyeom;Jung, Han-Young
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.26 no.3
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    • pp.190-196
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    • 2015
  • Objectives : The aim of this study was to determine whether children with Tourette disorder (TD) have functional impairment and executive dysfunction in comparison to children with attention-deficit hyperactivity disorder (ADHD) and non-affected controls. Methods : From January 2006 to December 2013, 45 children and adolescents with TD and 50 children and adolescents with ADHD diagnosed at the Soonchunhyang University Bucheon Hospital and 50 non-affected controls were enrolled in this study. Functional impairment of the subjects was assessed using the Child and Adolescents Functioning Impairment Scale (CAFIS), parent and teacher versions. In addition, neuropsychological tests including Stroop color-word Test, Finger windows Test (FWT), and Digit span were administered. Outcomes were compared across the TD, ADHD, and non-affected controls. Results : No difference in CAFIS-parent and CAFIS-teacher results was observed between children with TD and non-affected controls, whereas, children with ADHD showed more impairments relative to non-affected controls in the CAFIS-parent. According to the Stroop color-word Test, FWT, and Digit span, executive function in children with TD did not differ from non-affected controls. Children with ADHD had poorer performance in measures of the Stroop color-word Test compared to children with TD. Conclusion : Children and adolescents with TD but not ADHD were not significantly different from non-affected controls on most measures of functional impairment and executive function. These findings suggest that an education program and intervention for children with TD would be important to reducing the stigma of TD.

The Intervention and Outcome Measurement Tools of Children With Attention Deficit Hyperactivity Disorder: A Systematic Review (주의력결핍과잉행동장애 아동의 중재방법과 측정도구에 관한 체계적 고찰 : 국제 기능.장애.건강 분류 모델의 분류기준에 근거하여)

  • Lee, Na-Hae;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.12 no.1
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    • pp.39-50
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    • 2014
  • Objective : The purpose of this study was to provide for the intervention and outcome measurement tools of children with Attention Deficit Hyperactivity Disorder (ADHD) through ICF model. Methods : The systematic review methods were used. Papers published in the journal between January, 2000 and July, 2014 were searched through MEDLINE/PubMed, Sciencedirect, Ovid. The main terms searched were 'ADHD, Children, intervention, outcome measure', and 8 papers were analyzed. Results : 1. The subjects of ADHD were pure ADHD (75.8%), ADHD with dyslexia (9.1%), ADHD with conduct disorder (5.8%), ADHD with tic disorder (3.8%), ADHD with DCD (3.0%), ADHD with emotional disorder (2.5%). 2. The nonpharmacologic intervention of ADHD were functioning and disability (80%) and contextual factors (20%). Most frequently used intervention were body function and structure (60%). 3. The outcome measurement tools of ADHD were functioning and disability (80.5%) and contextual factors (19.5%). Most frequently used outcome measurement tools were body function and structure (70.8%). Conclusion : This study can provide information on the intervention and outcome measurement tools of ADHD.

A CASE OF TREATMENT-RESISTANT CHILDHOOD-ONSET SCHIZOPHRENIA WITH LONG-TERM TRIAL OF CLOZAPINE (치료저항성 소아기 발병 정신분열증의 Clozapine 장기치험 1례)

  • Jang, Soon-Ah;Kim, Kyung-Hee;Lee, Hong-Shick;Song, Dong-Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.9 no.1
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    • pp.98-104
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    • 1998
  • A 12-year-old girl with a 6 year history of childhood-onset schizophrenia required 2 hospitalizations and long-term clozapine trial due to inadequate responses to combinations of typical neuroleptics and traditional treatments of schizophrenic disorder. On admission, she had continuous auditory and visual hallucinations, persecutory delusion, emotional instability, regression of behaviors including temper tantrums as well as specific developmental delays in learning, language, and motor coordination. The clozapine trial significantly reduced most of the positive symptoms, and facilitated in successful discharge from the hospital. During the 4 year clozapine treatment, no significant adverse reactions were noted, and she returned to a structured school setting with minimal degrees of schizophrenic symptoms. From this clinical experience, we suggest that clozapine might be safe and effective in treating treatment-refractory schizophrenic children.

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The Relationship Between Sensory Processing and Emotional Regulation : A Literature Review (감각처리와 감정조절의 관련성에 대한 문헌고찰)

  • Hong, Eunkyoung;Hong, So-Young
    • The Journal of Korean Academy of Sensory Integration
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    • v.14 no.1
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    • pp.50-59
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    • 2016
  • Objective : The goal of this study was to investigate neurological mechanism of emotional regulation and to examine the relationship between the regulation and sensory processing. Subjective : Emotional regulations are mainly processed in limbic system, particularly the basal-lateral group of amygdala takes on a major role in the regulations. The basal-lateral group of amygdala links to thalamus directly and/or indirectly which processes sensory information together. This sensory information connects to orbital and medial prefrontal cortex. Inadequate sensory processing may cause difficulties in emotional regulations and behaviors because of a circuit linking the amygdala, the thalamus, and the orbital and medial prefrontal cortex. These difficulties and impairments has been reported in neurological studies for children with ASD and ADHD. Conclusion : Neurological states are different between the normal children and children with ASD and ADHD and these represent various aspects in sensory processing, emotional regulations and behaviors. Thus, therapists working with children with ASD and ADHD need to understand mechanisms of sensory processing and emotional regulations in order to provide adequate treatments.

Usefulness of Clinical T-Score of Continuous Performance Test for Differential Diagnosis : among Attention-Deficit Hyperactivity Disorder, Depressive Disorder, Anxiety Disorder, and Tic Disorder (연속수행검사에서 주의력결핍 과잉행동장애 감별 진단 시 임상 T-점수의 유용성 - 주의력결핍 과잉행동장애, 우울장애, 불안장애, 틱장애를 중심으로 -)

  • Yoon, Soo-Youn;Koo, Hoon-Jung;Kim, Boong-Nyun;Cho, Soo-Churl;Shin, Min-Sup
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.19 no.2
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    • pp.112-119
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    • 2008
  • Objectives : This study was conducted to examine whether there are qualitative differences in attention problem among children with various psychiatric disorders, including attention-deficit hyperactivity disorder (ADHD), depressive disorder, anxiety disorder, and tic disorder using clinical ADHD diagnostic system (ADS) T-scores. Methods : The subjects were 794 outpatient children aged from 5 to 15 years, including 540 children with ADHD, 95 children with depressive disorder, 86 children with anxiety disorder, and 73 children with tic disorder. Clinical T-scores on the ADS were calculated using the mean and standard deviations of four ADS variables for the ADHD group. Results : All four groups had T-scores on the ADS in the abnormal range. However, when comparing the clinical T-scores, the children with depressive and anxiety disorders performed better than the children with ADHD. We also found that although the four groups seemed to be similar in terms of clinical T-scores for omission and commission errors, there were significant differences in clinical T-scores for reaction time and the standard deviation of response time (RT) between the ADHD and other groups. Conclusions : We concluded that inattention and impulsivity might not be specific only to ADHD and that the clinical T-scores of RT and standard deviation of RT on the ADS could be used to discriminate between ADHD and other clinical groups.

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The Role and Current Status of ADHD information-Sharing Websites for School Teachers (학교 교사를 위한 ADHD 정보공유 사이트의 역할과 현황)

  • Choi, Yeonsook
    • Journal of Digital Convergence
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    • v.12 no.6
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    • pp.145-154
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    • 2014
  • ADHD is a neuro-developmental disorder that begins in childhood, yet may continue into adulthood. Although 3 to 4 percent of adults are affected by ADHD, but only a small proportion of adults ever receive a formal diagnosis and treatment. The core symptoms of ADHD frequently lead to significant academic difficulties that often result in the students' teacher being the first to suspect the disorder. In order for school teachers to effectively deal with ADHD students in school classrooms, they need to have positive attitude toward ADHD students. This study presents a list of ADHD-related web sites which provide educational contents and support for school teachers, and provides the discussions about the current status and the roles of those web sites.