• Title/Summary/Keyword: 성인 ADHD

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THE DIFFERENCE OF TEMPERAMENT, GOODNESS OF FIT AND BEHAVIORAL PROBLEMS IN ADHD SUBTYPES OF ADOLESCENT HIGH RISK GROUP (청소년 ADHD 고위험군의 하위유형별 기질, 기질 적합성 및 문제행동의 차이 비교)

  • Park, Hae-Song;Choi, Eun-Ju
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.16 no.1
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    • pp.106-116
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    • 2005
  • Summary : This study was designed to identify the difference in temperament, parent-adolescent's goodness of fit and behavioral problems between early-adolescent high risk group which can be divided into subgroups (ADHD-I and ADHD-HI/C) and normal group. Method : Subjects of this study were students of a Boy's Middle School and their parents. ADHD high risk group was determined by using three rating scales of ADHD behavioral symptoms : 1. Korean-ADHD Rating Scale, 2. Abbreviated Conners Parents Rating Scale, 3. Conners-Wells' Adolescent Self-Report Scale. Final research was based on the subjects including 25 people in ADHD-I high risk group, 70 ADHD-HI/C high risk group, 70 in normal group. Revised Dimensions of Temperament (DOTS-R) was used for students to assess their temperament, while DOTS-R : Ethnology for parents to access environmental demands. Goodness of fit between parent and adolescent was figured out by results of the two scales. Korean Youth Self Report (K-YSR) was used to examine behavioral problems. Results : When it comes to temperament of adolescents, ADHD-HI/C high risk group was found to be associated with higher scores on general activity level. In contextual parent demand to adolescent, ADHD-HI/C parents showed higher level of demands in general activity than other groups, and lower expectation of positive mood than ADHD-I parents. In parent-adolescent's goodness/poorness of fit, the research found out that ADHD-I and ADHD-HI/C had lower level of fit on pesitive/negative mood than normal group and indicated that ADHD behavioral symptoms connected with poorness of fit in emotional relationship between adolescents and their parents. In behavioral problems, ADHD-HI/C high risk group had severe externalizing and internalizing problems distinctly. It had more severe in externalizing problems than ADHD-I, while there were no differences in internalizing problems between the two subgroups. Conclusion The two ADHD subgroups in high risk adolescents had differences on temperamental activity level and on goodness of fit about positive mood. In addition, they had different patterns in externalizing/internalizing problems.

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Impact of Adult ADHD Tendency on Self-Esteem and Alcohol Addiction (성인 ADHD 성향이 자아존중감과 알코올 중독에 미치는 영향)

  • Cho, Jae Cheol;Kim, Jin Sook
    • The Journal of the Convergence on Culture Technology
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    • v.4 no.1
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    • pp.165-174
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    • 2018
  • The purpose of this study is to investigate the effect of adult ADHD tendency on self-esteem and alcohol addiction. For this purpose, 433 adults in Daegu and Gyeongsangbuk-do were studied. The results were as follows. First, there was a significant difference between self-esteem and alcoholism according to adult ADHD tendency. There was a significant difference in both self-esteem and sub-factors of alcoholism. The higher adult ADHD, the lower score of high class in self-esteem, and the scores of the upper group were higher in alcohol addiction. Second, the correlation among adult ADHD tendency and self-esteem, and alcohol addiction was found. As a result, it showed a high negative correlation with self-esteem, low correlation with alcoholism, and sub-factors. Third, As a result of examining the effect of adult adhd tendency on self-esteem and alcoholism, There were differences according to sub-factors. Therefore, it was found that ADHD tendency affects self-esteem and secondary problem of alcohol addiction. In other words, low self-esteem and alcoholism can be causes of ADHD. And it suggests that multifaceted and integrated-prevention treatment programs need to be developed.

CLINICAL EVALUATION OF CHILDREN WITH INATTENTION AND HYPERACTIVITY IN A PSYCHIATRIC CLINIC (주의산만과 과잉운동을 주소로 하는 정신과 내원 아동들의 임상 평가)

  • Kweon, Yong-Sil
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.13 no.1
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    • pp.93-103
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    • 2002
  • The aim of this study is to examine the diagnostic profiles and related clinical variables of children with attention and hyperactivity in psychiatric outpatient clinic. Seventy one children with age range of 5 to 14 were diagnosed by DSM-IV, and assessment battery including KEDI-WISC, KPI-C, ADS(ADHD Diagnostic System) were completed. The subjects were divided into 3 diagnostic groups:ADHD only(n=17), ADHD comorbid(n=27), Other diagnosis(n=27). The results were as follows:In ADHD comorbid group, tic disorder, developmental language disorder, borderline intellectual function, oppositional defiant/conduct disorder, and learning disorder were combined in descending order. Other diagnosis group consisted of tic disorder, borderline intellectual function, depression/anxiety, oppositional defiant/conduct disorder, and others. There were significant differences in IQ, PIQ, and VIQ among the three groups, and ADHD only group showed higher scores of IQ and VIQ than ADHD comorbid group. On the KPI-C, there were no significant differences in all subscales among the three groups. On the visual ADS, omission error and sensitivity showed significant differences among the three groups, and ADHD comorbid group represented higher omission error and lower sensitivity than other diagnostic group. The findings indicated that the inattention and hyperactivity symptoms could be diagnosed into diverse psychiatric disorders in child psychiatry, and ADHD children with comorbidity will show more problems in academic performance and school adjustment.

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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.

Rating Scales for Attention-Deficit Hyperactivity Disorder in Adults (성인기 주의력결핍 과잉행동장애의 평가척도)

  • Kim, Ye-Ni;Jung, Hee-Yeon;Roh, Sung-Won
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.21 no.1
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    • pp.11-16
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    • 2010
  • This review aimed to assist clinicians in the identification and assessment of adult attention-deficit hyperactivity disorder (ADHD) with an emphasis on diagnostic and rating instruments. Pubmed and RISS were utilized to identify relevant studies and critical reviews on the diagnosis and assessment of adult ADHD, published between 1988 and 2010. The Adult ADHD Self-Report Scale-v1.1, the ADHD Rating Scale-IV, the Conners Adult ADHD Rating Scale, and the Current Symptoms Scale have been utilized for self-reporting of current ADHD symptoms. The Brown ADD Rating Scale, the ADHD Rating Scale-IV, the Current Symptoms Scale, and the Conners Adult ADHD Rating Scale have also been evaluated by an observer. The Childhood Symptom Scale and the Wender-Utah Rating Scale have been used for retrospective assessment of childhood ADHD symptoms and the Adult ADHD Investigator Symptom Rating Scale, the Adult Interview, the Brown ADD Diagnostic Form, the Conners adult ADHD diagnostic interview for DSM-IV, and the Wender-Reimherr Interview have been available as comprehensive diagnostic interviews. There is a wide variety of instruments available with respect to adult ADHD. The choice of appropriate instruments is essential for achieving accurate diagnosis and assessment of this disorder.

The Influence of Yong Adult ADHD Tendency on Smartphone Addiction: The Mediating Effects of Difficulties in Emotional Regulation and Perceived Social Support (젊은 성인(20-30대)의 ADHD 경향이 스마트폰 중독에 미치는 영향:정서조절곤란과 지각된 사회적 지지의 매개 효과)

  • Han, Yeo–Wool;Chung, Eun-Jung;Suh, Kyung-Hyun
    • The Journal of the Korea Contents Association
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    • v.21 no.5
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    • pp.398-408
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    • 2021
  • The purpose of this study is to verify the mediating effects of difficult in emotional regulation and perceived social support on the relationship between adult ADHD tendency and smartphone addiction. For this study, Data were collected from 348 adults in 20s to 30s who live in Seoul, Gyeong-Gi Provinces. The SPSS 21.0 program was used to analyze the statistical data. The data was analyzed by structural equation modeling test mediating effects with AMOS and Mplus.. The results of the analysis were as follows: First adult ADHD tendency was positively correlated with difficulties in emotional regulation and smart phone addiction, while perceived social support was negatively correlated with those variables. Second difficulties in emotional regulation was partially mediated adult ADHD tendency and perceive social support. Third difficulties in emotional regulation and perceived social support had a dual mediating effect on adult ADHD tendency and smartphone addiction. These results reiterate the difficulties in emotional regulation is a determinant for the influence of adult ADHD on smartphone addiction, and suggest that smartphone addiction as an avoidant alternative activity could be reduced by overcoming the difficulties in emotional regulation and promoting the perceived social supports. Finally, some limitations of this study and suggestions for further researches were discussed.

A STUDY OF PSYCHOSOCIAL VARIABLES WITHIN ADHD WITH OR WITHOUT EXTERNALIZING SYMPTOM (ADHD 아동과 외면화 증후를 공존질환으로 갖는 ADHD 아동간의 심리사회적 변인에 관한 비교연구)

  • Lee, Kyung-Sook;Ryu, Yoon-Jung;Ahn, Dong-Hyun;Shin, Yee-Jin
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.7 no.2
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    • pp.203-212
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    • 1996
  • In this thesis, we investigate the psychosocial variables within the family environments of Attention Deficit Hyperactivity Disorder with (ADHD+CD/ODD) or without (ADHD) externalizing symptoms. The subjects in this research were 86 boys and girls(aged range 6 to 14 years) consisted of 20 ADHD, 22 comorbid ADHD(ADHD+CD/ODD) and 44 normal control group(NC). We have collected data on children and their mothers. The psychosocial variables included in the analysis are socioeconomic status, parent's educational level, life stress event, and the rate of psychiatric disorders in relatives. The self-reported questionnaires marital discord(MAS), parenting stress(PSI), and parenting attitute(MBRI) completed by mothers. The results indicated that ADHD+CD/ODD is supposed to have higher level of family adversity suggested by the lower SES, lower parental educational level, higher life stress events, and more psychic disorders in relatives compared with ADHD or normal control group. In MAS, ADHD+CD/ODD group has significantly the lowest scores on each factor of the measure of marital adjustment. Parents of ADHD+CD/ODD are much more likely to have positive parenting stress when compared with the parents of ADHD. Especially, mothers of ADHD+CD/ODD have the lowest tendency in the mean score on affective, accepted attitudd. In an inapropriate parenting attitude perceived by children, father of ADHD+CD/ODD have the most negative, contradictory attitude and mothers of ADHD+CD/ODD have the most restrictive, negative and contradictory attitude.

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Association of the Symptoms of Parental Attention-Deficit Hyperactivity Disorder and the Parental Personality Patterns with the Symptoms of Boys with Attention-Deficit Hyperactivity Disorder (주의력결핍 과잉행동장애 남아의 증상과 부모의 주의력결핍 과잉행동 증상 및 인격 양상과의 관련성)

  • Shin, Woo-Seung;Choi, Hye-Ra;Kim, Kun-Woo;Lee, Joong-Sun;Park, Su-Bin;Hong, Jin-Pyo;Yoo, Han-Ik
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.20 no.1
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    • pp.23-28
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    • 2009
  • Objectives : This study was conducted to investigate the association between the symptoms of boys with attention-deficit hyperactivity disorder (ADHD) and the attention-deficit hyperactivity symptoms, temperament and character patterns of their parents. Methods : Forty-five boys with ADHD and who met the DSM-IV criteria were evaluated by using the ADHD rating scale (ADHD-RS), and their parents completed the Korean Adult ADHD scale (K-AADHDS) and the Temperament and Character Inventory (TCI). Results : The parental K-AADHDS scores were not associated with the ADHD-RS total score and the subscale scores of their siblings. The most potent variable related to the ADHD-RS total score was the maternal self-directedness, and the second was the maternal persistence. The maternal self-directedness was the variable that was most correlated with the hyperactivity/impulsivity subscale scores of the ADHD-RS. Conclusion : The results suggest that the paternal ADHD symptoms may not be related to the ADHD symptoms of boys with ADHD. Higher maternal self-directedness and persistence may decrease overall the ADHD symptoms of these boys, and higher maternal self-directedness itself may predict lower hyperactivity/impulsivity symptoms of the boys with ADHD.

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PSYCHOPHARMACOLOGY OF ADHD WITH COMORBID DISORDERS (주의력결핍 과잉행동장애와 공존질환의 약물치료)

  • Cho, In-Hee
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.14 no.1
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    • pp.36-52
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    • 2003
  • Attention deficit/hyperactivity disorder is one of the most comminly treated conditions in the child psychiatric units and results in substantial impairment in peer, family and academoc functioning. For 70% to 80% of children with a diagnosis of ADHD, stimulant tratment results in successful improvement of the core ADHD symptoms. However, children with ADHD have high level of comorbidity and may respond differently from children with ADHD without comorbidity. Therefore they may need specific treatment plan. We reviewed efficacy and safety of prescribed medication for treating children with ADHD, the relationship between ADHD and the comorbid conditions and treatment algorithm projects of ADHD with/without comorbid conditions performed Korean and American child psychiatrists. Our main objective is to increase the uniformity of treatment and improve the clinical outcomes of children with comorbid ADHD.

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Clinical and Neuropsychological Characteristics of Adult Alcohol Use Disorder Patients with or without Attention-Deficit Hyperactivity Symptom (성인 알코올사용장애 환자에서 주의력결핍 과잉행동 증상 유무에 따른 임상적 및 신경심리학적 특성)

  • Jo, Jung Min;Lee, Dong Jun;Jung, Kyung Hi;Oh, Song In;Ahn, Dong Hyun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.25 no.4
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    • pp.209-216
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    • 2014
  • Objectives : Alcohol use disorder (AUD) is often comorbid with adult attention-deficit hyperactivity disorder (ADHD) and other psychiatric illnesses. When associated with other mental problems, the prognosis of the AUD can be more serious. This study shows research on the clinical and neuropsychological characteristics according to whether or not ADHD symptoms and AUD were comorbid. Methods : A total of 64 adult inpatients who completed AUD scales about adult ADHD, alcohol dependence, depression, anxiety, and impulsiveness. They also completed neuropsychological tests about attention and executive function. According to the Adult ADHD Self-Report Scale score, patients were categorized into two groups (ADHD symptom positive/negative group). Results : Fourteen among the 64 subjects were part of the ADHD symptom positive group (21.9%). They had statistically significant shorter abstinence periods and a higher rate of history of 'rule violation during school' and 'physical damage in childhood' compared to the ADHD symptom negative group. Conclusion : The comorbidity rate with ADHD symptom in adult AUD is higher than the general population. The ADHD symptom positive group suffered from more severe and refractory AUD. Considering the more frequent history of rule violation during school in the ADHD symptom positive group, the association between ADHD and AUD may be mediated by conduct disorder. Therefore we suggest the necessity of careful evaluation and intervention in children and adolescents with ADHD and conduct disorder.