• Title/Summary/Keyword: 아동정신건강

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The Diagnostic Distribution of Psychiatric Disorders among the Population Under 19 Years Old: Based on the National Insurance Data (19세 미만 인구의 정신장애 진단 분포: 국민건강보험 자료를 중심으로)

  • Hwangbo, Ram;Chang, Hyejung;Hong, Minha;Cho, Seongwoo;Bahn, Geon Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.27 no.2
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    • pp.139-145
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    • 2016
  • Objectives: As a preliminary study on the prevalence of mental disorders in Korean children and adolescents, we investigated the diagnosis distribution of mental disorders in people under 19 years of age using the health insurance data. Methods: From the 2011 health insurance data of 1,375,842 people, the data of 286,465 people under 19 years old were extracted. Among them, we selected 10,778 with psychiatric diagnoses; male 6,453 (59.9%) and female 4,325 (40.1%). The frequency of psychiatric diagnoses in the males was 10,140 (62.7%) cases, which was significantly higher than that (6,031; 37.3%) in the females. We categorized the groups into 3 year intervals. Results: In the males under 3 years old, F80 was the most prevalent diagnosis, followed by F98. F90 and F41 were the most prevalent in the 4-15 and above 16 years old groups, respectively. In the females, F98 was the most prevalent in the children up to 3 years old, while F80 was the second most prevalent. In the 4-6 years of age group, F98 was the most prevalent, followed by F93. F90 and F41 were predominant in the 7-12 and above 12 years old groups, respectively. Conclusion: In the analysis of the frequency of diagnosis of mental disorders in the population under 19 years old, there were significant differences in the distribution based on age and gender.

Alterations in Functions of Cognitive Emotion Regulation and Related Brain Regions in Maltreatment Victims (아동기 학대 경험이 인지적 정서조절 능력 및 관련 뇌영역 기능에 미치는 영향)

  • Kim, Seungho;Lee, Sang Won;Chang, Yongmin;Lee, Seung Jae
    • Korean Journal of Biological Psychiatry
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    • v.29 no.1
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    • pp.15-21
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    • 2022
  • Objectives Maltreatment experiences can alter brain function related to emotion regulation, such as cognitive reappraisal. While dysregulation of emotion is an important risk factor to mental health problems in maltreated people, studies reported alterations in brain networks related to cognitive reappraisal are still lacking. Methods Twenty-seven healthy subjects were recruited in this study. The maltreatment experiences and positive reappraisal abilities were measured using the Childhood Trauma Questionnaire-Short Form and the Cognitive Emotion Regulation Questionnaire, respectively. Twelve subjects reported one or more moderate maltreatment experiences. Subjects were re-exposed to pictures after the cognitive reappraisal task using the International Affective Picture System during fMRI scan. Results The maltreatment group reported more negative feelings on negative pictures which tried cognitive reappraisal than the no-maltreatment group (p < 0.05). Activities in the right superior marginal gyrus and right middle temporal gyrus were higher in the maltreatment group (uncorrected p < 0.001, cluster size > 20). Conclusions We found that paradoxical activities in semantic networks were shown in the victims of maltreatment. Further study might be needed to clarify these aberrant functions in semantic networks related to maltreatment experiences.

A Study on the Factors that Influence Life Satisfaction of Child with ADHD: Focused on Caregiver's Factors (초등학교 ADHD 아동의 삶의 만족에 영향을 미치는 요인: 양육자 요인을 중심으로)

  • Lee, Jong-Ha;Jung, Ji-Young
    • The Journal of the Korea Contents Association
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    • v.18 no.9
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    • pp.335-345
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    • 2018
  • The purpose of this study is to understand parent's influencing factors on life satisfaction of child with ADHD through path-analysis. 297 cases of children with ADHD and their caregiver were selected by children and adolescents psychiatric clinic and community mental health center in Korea as the research targets. ADHD symptoms of the children, nurturing stress, self-esteem and depression of the caregiver, and the children's life satisfaction were measured for every case. As a result, it was found that severity of ADHD symptoms lowered the children's life satisfaction through decline in parents' self-esteem, depression and nurturing stress. Based on these results, it is important to control child's ADHD symptoms in order to increase child's life satisfaction, but intensive intervention for caregiver should also be accompanied.

Mental Health and Health Risk Behaviors of Multicultural Adolescents according to Their Mothers' Native Country: Using Data from the 11th (2015) Korea Youth Risk Behavior Web-Based Survey 2015 (다문화 청소년의 어머니 출생국가에 따른 정신건강 및 건강위험행위: 제11차(2015) 청소년건강행태온라인조사를 이용)

  • Ju, Hyeon-Ok;Park, So-Yeon;Lee, Jaeyoung
    • Child Health Nursing Research
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    • v.23 no.1
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    • pp.101-110
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    • 2017
  • Purpose: The purpose of this study was to analyze the mental health and health risk behaviors of multicultural adolescents according to their mothers' native country. Methods: For this study raw data from the 11th Youth Health Behavior Online Survey (2015) was examined. Mental health and health risk behaviors for 62,985 adolescents were analyzed according to their mothers' native country. Collected data were analyzed with the SPSS program using descriptive statistics and logistic regression analysis, to which the complex sample design was applied. Results: The odds ratio of depression in multicultural adolescents compared to Korean adolescents was 44.92 (CI: 5.77-349.59) for adolescents whose mothers came from Cambodia and 3.00 (CI: 1.57-5.76) for adolescents whose mothers came from North Korea. The odds ratio of attempted suicide was 14.73 (CI: 3.09-70.22) for adolescents whose mothers came from Cambodia and 8.63 (CI: 3.45-21.62) for adolescents whose mothers came from North Korea. The odds ratio of problematic drinking in multicultural adolescents was 7.47 (CI: 1.71-32.67) for adolescents whose mothers came from Mongolia. Conclusion: Findings indicate that when planning a health promotion program for adolescents from multicultural families, a customized approach should be sought taking into account the characteristics of mothers' native country.

The Effects of the Magic Program on Depression and Self-esteem in Rural Low-Income Children (마술요법이 농촌 빈곤아동의 우울과 자존감에 미치는 효과)

  • Park, Kyong-Mi;Gang, Moon-hee;Oh, Kyong-ok
    • Journal of Digital Convergence
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    • v.15 no.2
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    • pp.207-213
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    • 2017
  • The study aimed to evaluate the effects of the magic program on the depression and self-esteem in rural low-income children. A quasi-experimental study employing a nonequivalent control group and pre-post design was conducted. The participants were children aged 9 to 12 years old from community child center in K province (Experimental group=24, Control group=21). The experimental group participated in the program for 8 sessions for 8 weeks. Data were analyzed using ${\chi}^2$-test, independent t-test, repeated measures ANCOVA with SPSS 21.0 program. There were significant differences in depression (F=6.68, p=.013) and self-esteem (F=7.61, p=.009) of participants between experimental group and control group after completion of 8-session magic program. The results indicate that the magic program can be used to improve depression and self-esteem of low-income children.

Development of therapeutic recreation programs for the elderly (노인을 위한 치료레크리에이션 프로그램 개발)

  • Son, Myeong-Dong;Park, Cheon-Gyu
    • Proceedings of the Korea Contents Association Conference
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    • 2012.05a
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    • pp.373-374
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    • 2012
  • 치료레크리에이션은 사회에 있는 많은 사람들이 그 대상이 될 수 있다. 이러한 치료레크리에이션 서비스대상은 특수대상과 일반대상으로 구분된다. 한국치료레크리에이션협회에서 실시하고 있는 대상에서 특수대상으로는 발달장애아동, 물질중독청소년, 가출청소년, 정신장애인, 뇌졸중노인, 치매노인, 장애노인 등이고 일반대상으로는 인터넷 중독성향 청소년, 직장인, 일반인가족, 갱년기 주부, 건강노인, 건강노인부부 등이다. 한편, 우리나라에서는 급속한 고령화로 인하여 가족과 사회의 보호를 필요로 하는 의존적 노인들이 점차 증가하고 있다. 특히 보호의 필요성이 가장 높다고 할 수 있는 치매노인의 절대수가 증가할 것으로 예상된다. 그러나 현대화, 산업화에 의해서 발생하는 핵가족화, 여성의 사회참여 증가 등으로 가족의 노부모 부양기능은 급격히 약화되고 있다. 이에 따라 이들의 의료 및 사회적 보호문제는 노인복지제도의 주요한 과제로 등장하게 되었다. 따라서 본(本) 고(稿)에서는 노인복지제도의 향상의 일환으로 노인을 위한 치료레크리에이션의 실제 활동 프로그램을 제안해보도록 하고자 한다.

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Parenting Experiences of Parents of Children with ADHD : Approaching the Normal (주의력결핍 과잉행동장애(ADHD) 아동 부모의 양육 경험: 정상에 다가가기)

  • Oh, Won-Oak;Park, Eun-Sook
    • Journal of Korean Academy of Nursing
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    • v.37 no.1
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    • pp.91-104
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    • 2007
  • Purpose: The purpose of this study was to explore the experiences of parenting from the parents of children with ADHD and to develop a grounded theory about their experiences. Method: This study was a qualitative research study that used a grounded theory to understand and discuss the parenting experiences of parents of children with ADHD in a greater depth. Grounded data was collected through an in-depth interview from twelve participants with ADHD children. The data was analyzed using the grounded theory method. Results: 'Approaching the normal' emerged as the core phenomenone. Parenting experiences for parents of children with ADHD referred to a process of bringing the children, back on track of normal growth development, and their functioning in the family at a normal level and establishing a new normalcy. The process of approaching the normal involved a basic social-psychological process, such as 'living a day in hell', 'accepting', 'confronting the conflicts', 'lowering expectations', and 'making a new normalcy'. Conclusion: The outcomes of this study, which observed the parenting process of parents of children with ADHD, could enhance nurses' understanding of ADHD and help nurses become major mental health service providers for the mental health of children with ADHD and their families.

PSYCHOLOGICAL CHARACTERISTICS IN CHILDREN WITH CHRONIC PHYSICAL ILLNESS AND HANDICAPPED:SELF-CONCEPT AND STRESS COPING STRATEGY (만성적인 신체 질환 및 장애를 지닌 아동의 심리적 특성 : 자기개념 및 스트레스에 대한 대처 양상 비교)

  • Choi, Seung-Mi;Chung, Chin-Youb;Kim, Zoung-Soul;Shin, Min-Sub
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.11 no.2
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    • pp.252-261
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    • 2000
  • Objectivity:This study was conducted to examine the depression, self-concept, perception of stress & coping strategy in children with chronic physical illness. Methods:Two groups of participants were recruited for this study, 13 children with chronic illness in outpatient or inpatient treatment at Seoul National University Children's Hospital, and 13 nonpatient children. They were assessed using Korean form of the Piers-Harris Self-Concept Scale (PHSCS), Kovacs' Children's Depression Inventory(CDI) and three subscaleds('color how you feel' 'color how others make you feel' 'A children in the rain' of Children's Self-Report and Projective Inventory(CSRPI). Result:There were significant differences between the chronic ill children and the healthy children in scores of depression and self-concept. The chronicity ill children were more depressive and had very negative self-concept, and obtained significantly lower scores than the healthy children in the subscales of PHSCS, 'intellectual/school status' and 'popularity' Among three scales of CSRPI, there was no difference in 'color how you feel' and 'color how others make you feel' But there were significant differences in all items of 'A child in the rain'(quantity of raining, duration of raining, tool, and effectiveness). 'Duration of raining' correlated most negatively with PHSCS scores, and correlated positively with CDI scores. Conclusion:The children with chronic illness are more depressive and have very negative selfconcept. And they feel that the stresses are more permanent, but have no appropriate coping strategy. The results suggest that the chronic illness strongly affects the psychological and emotional adjustment of children(i.e. depression, peer relation, stress coping strategy).

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The Associations among Poor Single Mothers' Economic Hardship, Depressive Symptoms, Parenting Stress, Child Abuse and Neglect, and their Children's Development (빈곤 미혼모의 경제적 어려움과 우울증상, 양육스트레스, 아동학대와 방임이 아동의 사회행동발달에 미치는 영향)

  • Pyun, Ho-Soon;Choi, Jeong-Kyun
    • Journal of the Korean Society of Child Welfare
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    • no.53
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    • pp.1-23
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    • 2016
  • With using a subsample of 1,373 poor single mothers and their children from the Fragile Families and Child Wellbeing study, the present study examined the associations among mothers' economic hardship, depressive symptoms, and parenting stress, child abuse and neglect, and their children's behavior problems, delinquency, and social skill. These families were tracked through follow-up interviews at the time of birth, and when the children were three, five, and nine years old. The results indicated that mothers' economic hardship, depressive symptoms, and parenting stress were significant predictors to determine their children's abuse and neglect. Findings also suggest that higher levels of child abuse and neglect are positively associated with more behavior problems and delinquency, and negatively associated with social skills. Further discussions include policy and services to prevent child abuse and neglect and to alleviate mothers' financial difficulties, depression, and parenting stress.

The Effect of Zippy's Friends program Based on Stress-Coping Model on Early -Child in Convergence Era (융합시대 학령초기 아동대상 스트레스-대처 모델 기반 Zippy's Friends 프로그램의 효과)

  • Kim, Minyi;Ko, Haneul;Kim, Soojin;Kim, Boyoung
    • Journal of the Korea Convergence Society
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    • v.10 no.5
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    • pp.359-367
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    • 2019
  • This study was done to examine the effect of 'Zippy's friends' program based on stress coping model for early child. A nonequivalent control group was designed to conduct a pre-post test for this study. The participants for this study were 148 first grade elementary school students in G city(experimental group=72, control group=76). The experimental group received 'Zippy's friends program for 24 weeks (6 module, 24 hours). The control group did not receive any treatment. From April to December 2017 data were collected using self-report structured questionnaires, and were analyzed using the ${\chi}^2$-test, t-test, and ANCOVA with SPSS/WIN 20.0 Program. After the treatment, significant differences were found between the experimental group and control groups in terms of stress coping ability( F=22.77, p<.001),but not in level of emotional intelligence (t=-.37, p=.715). Results of this study indicate that Zippy's program can be used in school based practice as an effective mental health intervention for early child.