• Clinical and Experimental Pediatrics
• /
• 제51권11호
• /
• pp.1222-1227
• /
• 2008

하지 불안증후군은 다리의 감각 둔화와 감각이상을 호소하며, 쉬고 있을 때 악화되고 움직이면 완화되는 특징을 보이는 증후군이다. 정확한 원인은 아직 알려진 바 없으며 아동기 시작되는 하지 불안증후군은 철분 결핍 및 가족력과 연관된 것으로 되어 있다. 또한 하지 불안증후군은 주의력 결핍 과잉행동 장애를 흔히 동반하며, 수면 다원 검사로 확진되는 주기성 사지 운동증과 같은 선상의 질병으로 여겨진다. 저자들은 하지 통증을 호소하는 5세 남아에서 어머니의 가족력을 발견하고 주의력 결핍 장애의 증상을 동반하며 수면 다원 검사로 진단된 경도의 주기성 사지 운동증으로 확진한 하지 불안 증후군을 진단하고 철분제 복용 후 증상 호전을 보인 사례를 경험하였기에 이를 보고하며, 성장통으로 내원하는 아이들에서 하지 불안 증후군을 감별할 것을 제안하는 바이다.

• 한국초등수학교육학회지
• /
• 제14권3호
• /
• pp.807-825
• /
• 2010

오늘날 학교 현장에는 ADHD 증상으로 간주되는 산만하고 주의력이 부족하며 과잉행동을 보이는 학생들이 늘어나고 있는 추세이다. 이러한 특징을 보이는 학생들은 일반 학생들에 비해 학업 성적이 떨어질 뿐만 아니라 주의집중 부족으로 인해 교사들의 지도시 어려움을 야기시키고 있다. 이에 본 연구에서는 한 ADHD 학생을 대상으로 분수단원에 대한 적절한 개별지도를 계획하여 실시함으로써 학생의 분수 관련 이해 및 기능을 향상시키기 위한 지도 사례를 제공하고자 하였다. 연구 결과, ADHD 학생이 보이는 분수학습의 오류 유형으로 등분할의 개념 부족, 분수의 분모와 분자 개념 미흡, 분모가 같은 분수 및 대분수의 덧셈과 뺄셈의 오류 등을 찾을 수 있었고, ADHD 학생의 학력차, 학습 적성, 시간차에 따른 학습에 대해서 정확히 파악하고 이를 바탕으로 체계적인 계획을 세워서 지도한다면 학생의 분수 개념 이해 및 계산 기능을 향상시킬 수 있음을 확인하였다.

• Human Ecology Research
• /
• 제56권2호
• /
• pp.145-156
• /
• 2018

This study investigates the effects of over-parenting behavior and peer-alienation on adolescents' school adjustment and explores the mediating effects of smartphone dependency on the above relations. The subjects were 1,882 first grade students in middle school selected from the 7th year data of the 2010 Korea Children and Youth Panel Survey (2010 KCYPS). Data were analyzed by descriptive statistics, Pearson's correlation, structural equational models, and Sobel test with SPSS 21.0 and Amos 18.0. The findings were as follows. First, there was no significant difference in the school adjustment according to gender. However, boys were higher in the perception of over-parenting behavior and peer-alienation, and girls were higher in smartphone dependency. Second, peer-alienation and smartphone dependency had negative impacts on the school adjustment. But over-parenting behavior had no significant effect on school adjustment. Third, smartphone dependency played a mediator role between over-parenting behavior and peer-alienation as well as the school adjustment. Fourth, there were no significant differences between boys and girls in the relations among over-parenting behavior, peer-alienation, smartphone dependency and school adjustment. But there was a slight difference in influence. The findings of this study suggest that interventions on how to use smartphone correctly are important for improving adolescents' school adjustment. In addition, gender differences in school adjustment should be considered for a better understanding.

• 대한간호학회지
• /
• 제47권3호
• /
• pp.305-318
• /
• 2017

Purpose: The aim of this study was to identify the effects of a newly developed instructional coaching program regarding Attention Deficit Hyperactivity Disorder (ADHD) for teachers. Methods: Seventy teachers participated in this study involving a nonequivalent control group and a pretest-posttest design. The instructional coaching program consisted of eight 60-minute sessions. The program was developed through a theoretical development program involving six steps. To evaluate the effects of the program, data were collected through self-report questionnaires including the Knowledge Scale of Attention Deficit Disorder, Attitude Scale of Primary School Teachers Experiencing Students with ADHD, Practice Scale of Educational Intervention Activity, and the Korean ADHD Rating Scale. Data were analyzed with an independent t test, a chi-square test, and an ANCOVA using SPSS WIN version 20. Results: The intervention program consisted of 3 sectors, 8 subjects, and 24 content items. The experimental group showed a significant improvement in attitudes toward ADHD (F=22.83, p<.001). In addition, teacher's knowledge regarding ADHD (F=7.16, p=.010) and the implementation of instructional interventions (F=4.29, p=.043) improved. Further, teachers reported a reduction in children's ADHD-related behavior (F=4.34, p=.041). Results showed that the coaching program made a positive contribution to teaching skills and understanding of school-age children with ADHD. Conclusion: The instructional coaching program was well structured and significantly improved not only teachers'attitudes, knowledge, and teaching skills but also the behavior of children with ADHD in class. Therefore, the program is recommended as a means of facilitating teaching and managing children with ADHD in class.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• 제23권2호
• /
• pp.82-89
• /
• 2012

Objectives : Demands for comprehensive and intensive treatment programs for treatment of children with attention-deficit hyperactivity disorder (ADHD) who suffer from serious impairment in various psychosocial areas are increasing. The aim of this study was to evaluate the possibility of developing new types of camp programs focused on improving social adjustment of children and helping parents effectively manage their children's problem behaviors. Methods : Fifteen children diagnosed as ADHD according to Diagnostic and Statistical Manual of Mental Disorders-IV (mean age 9.5 years) and their parents participated in this program. Eight consecutive camps were held at two-week intervals, from Jun 2007 to Oct 2007 in an adolescent training center located at Chungtaesan, in Korea. Each camp program included social skills training in the classroom and outdoor activities in the forest for children, as well as parent training for mothers. In addition, after the sixth camp, we conducted one parental session for fathers and a three-day booster family camp three months later. Finally, eleven families adhered to the program. Results : All children, parents, and therapists rated questionnaires or checklists at baseline, intra-, and post-treatment. Parenting burden rated using the Parenting Stress Index showed a significant decrease, from 57.89 to 46.22 (p=.019). And, overprotection rated using the Parenting Bonding Instrument showed a significant decrease, from 16.56 to 12.44 (p=.046). However, no significant improvement in children's behavioral and emotional problems was observed. Conclusion : In this study, the consecutive ADHD family camp program was effective for empowerment of parental competency, but not for general improvement of children's behavioral and emotional symptoms.

• Human Ecology Research
• /
• 제51권4호
• /
• pp.395-401
• /
• 2013

The purpose of this study is to investigate the moderating effects of language abilities associated with between emotionality, attention deficit hyperactivity disorder (ADHD) and peer play interactions. Two hundred fifty-two participants were 3 year olds, with 136 boys and 116 girls. They were recruited from day care centers and preschools in Gyunggi province and Incheon city. Peer play interaction was assessed by the Penn Interactive Peer Play Scale (PIPPS). Emotionality was measured by Child Behavior Questionnaire (CBQ). ADHD was assessed by teacher ratings of ADHD syndrome. Language abilities were measured by Korean Wechsler Preschool and Primary Scale of Intelligence (K-WPPSI). Teachers completed questionnaires to assess peer play interactions, emotionality, ADHD. The results revealed that language abilities moderated relationships between emotionality and play in isolation. The magnitude of associations between emotionality and play in isolation was greater for high levels of language abilities. Moreover, there were moderating effects of language abilities associated between ADHD and play disruptions. Although ADHD was significantly associated with play disruptions, the association was stronger at the higher levels than the low levels of language abilities. It can be deduced that language abilities of 3 year old children affects the protection factor between emotionality and peer play isolation; whilst, it affects the risk factor on peer play disruptions and ADHD propensity.

• 가정과삶의질연구
• /
• 제17권1호
• /
• pp.139-154
• /
• 1999

The purpose of this study was to examine the effects of dramatic play on the hyperactive-children's self concept and their hyperactivities. The subjects for this study were 144 five-year old children of Y kindergarten in Seoul. Through the Teacher-Questionary modified by Koung-ja OH(1986) 26 children were assigned to the experimental group and the control group 13 hyperactivity-children (boy:11 girl:2) in the experimental group had dramatic play of which the main themes were positive self concept formation. but the 13 children(boy:11 girl: 2) in the control group did not any dramatic activities. Experimental procedures for the self concept test and the hyperactivity test were pre-test experimental treatment and 2 times post-test by 2 months. Self concept test used for pre-test and post-test was The data was analysed using t-test and paired t-test. The result are as follows: 1. In the pre-test for self concept the scores of the control group showed higher than that of the expe imental group. But there were significantly increased difference between pre-test and the first post0-test in the experimental group. 2. In the second post-test for self concept of the experimental group after 2 months there were no significant differences between the first post-test and the second post-test. 3. In the hyperactivity test there were no significant differences in the control group,. But the experimental group showed decreased hyperactivities in the first post-test. 4. In the second post-test for the hyperactive-children's hyperactivities in the experimental group after 2 months there were no significant differences between the first post-test and the second post-test The dramatic play influenced on the hyperactive-children's self concept positively and the decrease of hyperactive-children's hyperacivities.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• 제22권4호
• /
• pp.219-227
• /
• 2011

Objectives : This study examined maternal object relations, child's and mother's perception on rearing attitude, and children's self-esteem in children with attention-deficit hyperactivity disorder (ADHD) and their mothers. Methods : 64 children with ADHD and their mothers were included in the study group. In the control group, there were 85 children and their mothers. Mothers completed the following tests : Bell object relation inventory (BORI), maternal behavior research instrument (MBRI), Beck Depression Inventory (BDI), and Korean ADHD Rating Scale (K-ARS). Children completed Children's Report of Parental Behavior Inventory (CRPBI) and Rosenberg self-esteem scale. Results : Mothers of ADHD children displayed more rejecting and controlling parenting style than mothers in the control group. ADHD children showed lower self-esteem and perceived their parents as not affectionate, but rejecting and controlling. Mothers with ADHD children who belonged to object relations pathological group showed more rejecting rearing attitude and their children believed that they were more controlling, compared with children and mothers in other conditions. Among factors in mother's object relations, insecure attachment and ego-centricity impacted the rearing attitude. In turn, affective rearing attitude mainly influenced children's self-esteem. Conclusion : This study suggests that the approach focused on mother's object relations may help with the treatment of children with ADHD.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• 제22권4호
• /
• pp.246-252
• /
• 2011

Background : The objective of this study was to evaluate the diagnostic efficiency of the Comprehensive Attention Test (CAT) by comparing the results of the continuous performance test (CPT) and the CAT in children and adolescents with attention-deficit hyperactivity disorder (ADHD). Method : A total of 110 children and adolescents with ADHD (mean age : 11.2${\pm}$2.9 years, 76 boys) and 36 children and adolescents without ADHD (mean age : 12.0${\pm}$2.7 years, 25 boys) completed the CAT. We compared the specificity and sensitivity of the CPT and CAT at two different cut-off points via the McNemar test. The areas under the receiver operating characteristic curves (AUC) between the two groups were compared using Medcalc software. Results : The sensitivity and specificity of the CPT were .419 and .806, respectively. The sensitivity of the CAT was .827, which was significantly higher than that of the CPT (p<.001), and the specificity of CAT is .444, which was significantly lower than that of CPT (p<.001). The AUC of the CPT and CAT was .664 and .692, respectively, and there were no significant difference between the two groups on the paired comparison (p=.513). Conclusions : The results of this study suggest that the CAT has moderate specificity and high sensitivity. The CAT can be used as a useful tool to evaluate the neuropsychological function of children and adolescents with ADHD.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• 제21권2호
• /
• pp.72-79
• /
• 2010

Objectives : The purpose of this study was to examine the difference in functional impairment between children with attention-deficit hyperactivity disorder (ADHD) and normal controls, and to compare the functional impairment across ADHD subtypes. Methods : Children and adolescents with ADHD between the ages of 6 and 18 years were recruited for the study. Parents and teachers of the ADHD subjects completed the parents' and teachers' forms of the Children and Adolescents Functioning Impairment Scale (CAFIS), respectively. The results of these scales were compared to those of normal controls. Results : Subjects included 110 children with ADHD, predominantly inattentive type (ADHD-IA) ; 23 with ADHD, predominantly hyperactive-impulsive type (ADHD-HI) ; and 60 ADHD, combined type (ADHD-C). When compared to 41 normal controls, there were significant differences in CAFIS-parent and CAFIS-teacher scales for the ADHD group. Functional impairment in the family relationship as rated by the parents was higher in children with ADHD-C when compared to that of children with ADHD-IA. Conclusion : In comparison to normal children, children with ADHD have a higher level of impairment in several functional areas, and differences exist in functional impairment across ADHD subtypes. Further, ratings of functional impairment between parents and teachers were inconsistent. Thus, gathering information from the teachers is important when diagnosing or establishing treatment regimens for ADHD.