• Title/Summary/Keyword: 과잉 행동

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ATTENTION DEFICIT-HYPERACTIVITY DISORDER: A CASE REPORT (주의력결핍-과잉행동장애 환아의 증례)

  • So, Jeong-Won;Ra, Ji-Young;Lee, Kwang-Hee;An, So-Youn;Kim, Yun-Hee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.37 no.4
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    • pp.482-487
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    • 2010
  • Attention Deficit-Hyperactivity Disorder(ADHD) is the most common psychiatric disorder in school-age children which is increasing gradually. It is hard for ADHD children to focus on particular stimulus for a long time. ADHD children are characterized by hyperactivity which shows in behaviors like, talking too much, getting up from their seats without permission, running around, keep on moving their arms and legs. ADHD children have problems with impulse controlling that they tend to fall and get into an accident very often. Thus dentist's attention and care must increase when dental treatment is performed with ADHD children since behavior control, oral hygiene problems, and trauma might be expected. By using sedative drugs and psychological behavior control, chief complaint was resolved in a 8-years-old female diagnosed for ADHD.

건강체크 리스트 - 주의력결핍 과잉해동장애 자가진단, 산만한 우리 아이 괜찮은 건가요?

  • Choe, Yong-Gyun
    • 건강소식
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    • v.34 no.6
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    • pp.36-37
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    • 2010
  • 지금 당신의 자녀가 좋아하는 컴퓨터 게임은 한 시간이고 두시간이고 집중적으로 몰두하는데 숙제를 하기 위해 책상에 앉으면 채 5분도 못견딘다면? 집중하고 있을 때 외부의 자극에 금방 주의가 흐트러진다면? 특정한 과제나 활동에 필요한 물건들 장난감, 공책, 연필, 책 등의 도구를 자주 잃어버린다면? 주의력결핍 과잉행동장애가 아닌지 의심해봐야 한다.

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Prevalence of ADHD in 5-Year Old Children Based on Comparative Assessment of ADHD Rating Scale Estimation between Mother-Teacher and Teacher-Teacher (만5세 유아의 주의력결핍과잉행동장애(ADHD) 출현과 어머니-교사, 교사-교사간 평정일치)

  • Jae, Kyung-Sook
    • Journal of the Korean Home Economics Association
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    • v.47 no.7
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    • pp.117-128
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    • 2009
  • The purpose of this study was to estimate the prevalence of ADHD based on estimation of ADHD rating scale between mother-teacher and teacher-teacher. In total, 491 mothers and 23 teachers rated 689 5-year-old children on the K-ADHDDS. Descriptive statistics, in addition to independent and paired samples t-test were performed. Overall, the percentages of children with ADHD on the rating scale were 3% in combined type, 7.1-8.6% in predominately hyperactive-impulsive type, and 4.2% in predominately inattentive type. Boys tended to show greater tendency of ADHD than girls’: Overall, ADHD tendency in boys was 1.3 times greater than girls. Specially, 2.3 times more for hyperactivity, 1.4 times more for impulsivity, and 3.4 more for inattention. The correlation between mothers’ and teachers’ ratings were .35 for total, .40 for hyperactivity, .24 for impulsivity, and .28 for inattention, and there were no significant differences. Alternatively teacher and teacher ratings were .71 for total, .70 for hyperactivity, .70 for impulsivity, and .67 for inattention, and there were significant differences in inattention subscale(p < .01).

주가(株價)의 변동성(變動性)을 이용한 한국주식시장(韓國株式市場)의 효율성검증(效率性檢證)

  • Gu, Maeng-Hoe;Jeong, Jeong-Hyeon
    • The Korean Journal of Financial Management
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    • v.9 no.1
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    • pp.135-175
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    • 1992
  • 본 논문은 주가(株價)의 변동성검증모형(變動性檢證模型)을 한국주식시장(韓國株式市場)에 적용하여 시장의 효율성을(效率性) 검증하였다. 1975년부터 1990년까지 의 17년 기간중 Shiller[81a], Mankiw-Romer-Shapiro[85], West[88b]의 모형을 이용하여 검증한 결과, 높은 수준의 과잉변동성(過剩變動性)이 발견되었다. 그러나 이러한 주가의 과잉 변동성을 시장이 비효율적이라는 증거로 간주하기는 어렵다. 왜냐하면 이들 모형의 가정 중의 하나인 할인율이 일정하다는 가정을 완화시켜 다시 검증한 결과는 오히려 과잉변동성 중에서 많은 부분이 감소하는 것으로 나타났기 때문이다. 다시말해서 주가에 과잉변동성이 존재하는 것은 시장이 비효율적이라기 보다는 기간에 따른 할인율의 변동폭이 큰 데에 원인이 있는 것으로 해석된다. 따라서 할인율(割引率)의 변동원인(變動原因)을 조사하여 주식시장의 효율성을 분석하였다. 주가의 일부는 랜덤웍의 요소에 의해 결정되고, 나머지 일부는 평균회귀(平均回歸) fads(mean reverting fads)에 의해 결정된다고 가정하여 검증한 결과, 후자에 의해 설명된 비율이 매우 높게 나타났다. 즉 한국주식시장에서의 투자자는 교란거래(攪亂去來)(noise trading)나 피드백거래(去來)(feedback trading) 등의 비합리적인 투자행동을 취하고 있으며, 이러한 비합리적인 행동에 의해 주가변동의 $60{\sim}80%$가 설명되는 것으로 보인다.

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A CLINICAL STUDY ON TOURETTE'S DISORDER (뚜렛 장애의 임상적 연구)

  • Min, Sung-Kil;Noh, Kyung S.;Shin, Dong-Won
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.8 no.1
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    • pp.92-100
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    • 1997
  • Objective:The objective of this study is to examine the clinical characteristics and behavioral comorbidity of patients with Tourette’s disorder. Method:Subjects consisted of 157 patients with Tourette’ disorder diagnosed by DSM-IIIR, who were examined and diagnosed from Jan. 1988 to May 1994 at the Tourette’s Clinic of Yonsei University Medical Center. Characteristics and behavioral comorbidity of Patients were assessed by a semi-structured interview schedule. Behavioral problems like hyperactivity, obsession-compulsion, self destructiveness, enuresis, sleep problem were assessed by global clinical impression. Results:The mean age of patients was 14.49(${\pm}7.99$) years. Patients consisted of 138 males (87.9%) and 19 females(12.1%). The sex ratio was 7:1, showing a male preponderance. The number of right-handers was 133(84.7%), and the number of non-right handers was 24(15.3%). Mean age of onset was 8.85(${\pm}4.56$) years, ranging from 2-to-16 years. More than half of the patients had their age of onset at 6-10 years. Bimodal peak in age of onset was observed;the first peak was around 6 and the second peak was around 10 years. There was no sex difference in bimodal age of onset. The most common initial symptom was eye blinking. More than 55% of patients reported eye blinking as their first symptom. The second common initial symptom was head turning and the third was vocal tic. The most common symptoms that patients reported on their first visit since onset were eye blinking(82.2%), head turning or nodding(57.9%), shoulder shrugging(52.7%) and forearm movement(32.6%). Of 157 cases, 101(64.3%) patients showed downward progression of symptoms, and 25(15.9%) showed upward progression of symptoms. Nineteen fathers(12%) of patients had a past history of obsessive-compulsive disorder(OCD). Seventeen fathers(10.6%) had a history of tic disorder. SSevenmothers(4.5%) had OCD, 4 mothers (2.5%) had tic disorder. One hundred and eighteen patients(75.1%) had comorbid hyperactivity, 95 patients(60.5%) had obsession, 55 patiens(35.0%) had self destructiveness, 46 patients(29.3%) had impulsivity, and 35 patients(22.3%) had enuresis. Age of onset had a significant positive correlation with age, duration, and the global severity of obsession;and a negative correlation with the severity of hyperactivity. Hyperactivity had a significant positive correlation with impulsivity, obsession-compulsion, enuresis, and self destructiveness. Obsession-compulsion had a significant positive correlation with hyperactivity, sleep problems, and self destructiveness. Conclusion:These data suggest that clinical characteristcs and behavioral comorbidity of patients with Tourette’ disorder in this study are similar to previous research findings in Korea and other contries. The younger the age of onset was, the more severe hyperactivity was, and the less severe obsession-compulsion was. And severity of hyperactivity had a positive correlation with the severity of obsession-compulsion, impulsivity, enuresis, and self destructiveness.

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Relationship Among Children's ADHD Symptoms, Parenting Stress and Behavior Regarding Nurturing (주의력결핍/과잉행동장애(ADHD) 아동의 증상, 어머니의 양육스트레스 및 양육행동간의 관계)

  • Kim, Se-Yun
    • The Journal of the Korea Contents Association
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    • v.12 no.10
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    • pp.330-339
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    • 2012
  • The purpose of this study was to examine the relationship among children's ADHD symptoms, parenting stress and behavior regarding nurturing. The data were provided by 59 mothers of children with ADHD who is aged between 4 and 12. Mothers of children with ADHD were recruited through 3 departments of child psychiatry. The Korean version of Parenting Stress Index-Short Form, the Korean version of revised Maternal Behavior research Instrument(MBRI) and ADHD Rating Scale(K-ARS) was used to assess parenting stress, behavior regarding nurturing and ADHD symptoms respectively. Significant correlation was found between parental distress and warmth, rejection behavior. Parental distress is significant influence on behavior regarding nurturing through multiple regression analysis. Significant correlation was found between ADHD symptom and rejection behavior. ADHD symptom is significant influence on behavior regarding nurturing through multiple regression analysis. Behavior regarding nurturing is related to ADHD symptom, parental distress. Therefore, it is needed for not only treatment related to ADHD symptom but also interventions for behavior regarding nurturing for mothers of children with ADHD.

The Effects of Self-Concept, Hyperactivity, and Behavioral Problems on Peer Harrassment in Preschool Children (유아의 또래 공격성 피해와 자아 개념, 과잉 행동성, 내재적 및 외현적 문제와의 관련성)

  • Shin, Yoo-Urn
    • Journal of the Korean Home Economics Association
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    • v.46 no.7
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    • pp.85-93
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    • 2008
  • The purpose of this research was to investigate the prevalence of peer harassment in preschool children and assess its influence on self-concept, hyperactivity, and behavioral problems. The participants were 4 and 5 year old children recruited from preschools and day care centers. Results indicated that a small group of children were identified as victims by self and teacher-reports. Negative self-concept and hyperactivity predicted self-reported victimization. In addition, hyperactivity, internalizing, and externalizing problems were significant contributors in teacher reported victimization.

Major Lessons from the MTA in Treatment of Attention-Deficit Hyperactivity Disorder (주의력결핍 과잉행동장애 치료에서 MTA의 주요 교훈)

  • Hwang, Jun-Won
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.21 no.1
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    • pp.3-10
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    • 2010
  • Objectives : The current review aimed to describe the major findings of the NIMH Collaborative Multisite Multimodal Treatment Study of Children with Attention-Deficit Hyperactivity Disorder (MTA) with regard to the treatment of children with attention-deficit hyperactivity disorder (ADHD). Methods : We performed a general review of the literature regarding the efficacy of the MTA's proposed treatments. Results : There is a large and still increasing body of evidence regarding the MTA's treatment outcomes. We present and discuss details of the findings at each follow-up point. Conclusion : Currently, findings regarding the MTA's treatments suggest children with combined-type ADHD exhibit significant impairment in adolescence, despite their initial symptom improvement. Further studies, using innovative treatment approaches and targeting specific areas of adolescent impairment, are needed in order to enhance ADHD treatment outcomes.

The Relationship Between Mother-Child Interaction Play Assessment of Children with Attention Deficit Hyperactivity Disorder and Delinquency-Oriented Behavior : Observational Study (주의력결핍 및 과잉행동장애 아동의 모-자녀 상호작용 놀이평가와 비행성향행동과의 관계 : 관찰연구)

  • Oh, Mi Kyoung
    • Korean Journal of Child Studies
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    • v.25 no.3
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    • pp.59-74
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    • 2004
  • The purpose of the this study was to examine the relationship between mother-child interaction play assessment of children with Attention Deficit Hyperactivity Disorder(ADHD) and delinquency through observational method. The subjects were 30children(normal: 15, ADHD: 15) between 4-6 elementary school grade. Instruments used Parent-Child Interaction Assessment(P-CIPA), Inventory of Delinquency-Oriented Behavior and Korea Children Behavior Check List(K-CBCL). Results showed that following : 1) ADHD affect the delinquency-oriented behavior; 2) there were significant differences in mother-child interaction play assessment between normal children group and ADHD children group; and 3) there was a significant relationship between parent-child interaction play assessment and delinquency.

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A FAMILY-BASED AND CASE-CONTROL ASSOCIATION STUDY OF THE DOPAMINE BETA HYDROXYLASE GENE POLYMORPHISM IN ATTENTION DEFICIT HYPERACTIVITY DISORDER (한국인 주의력결핍 과잉행동장애와 Dopamine Beta Hydroxylase 유전자의 관련성 : 가족기반 연구 및 환자-대조군 연구)

  • Park Tae Won;Kim Boong Nyun;Im Myung-Ho;Yoo Hee Jeone;Kang Daehee;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.54-62
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    • 2005
  • Objective : Attention deficit hyperactivity disorder (ADHD) is the most common childhood psychiatric disorder, affecting $3-5\%$ of school age children. Although the biological basis of ADHD is unknown, family studies provide strong evidence that ADHD has a genetic basis. Recent genetic studies have suggested associations between ADHD and Taq I polymorphism of dopamine beta hydroxylase gene(DBH) . The aim of this study is to test the association between ADHD and Taq I polymorphism of DBH in Korean population. Method : We processed DNA extraction and genotyping for 106 korean children with ADHD and their parents. Genotyping was additionally performed for 212 age and gender matched normal controls. Case-control association study was applied. And we tested the association using the transmission disequilibrium test (TDT) and haplotype-based haplotype relative risk test (HHRR). Results : There were no statistical differences of genotype distributions between cases and controls. However, we did observe preferential transmission of allele Al of DBH Taq T polymorphism in ADHD. Conclusion : On the whole, our results lend credence to the notion that the relationship between ADHD and DBH is complex. The number of cases and informative transmissions were small, therefore it would be premature to make any conclusions from our study concerning the role of DBH in ADHD. Further work is needed to support these findings.

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