• Title/Summary/Keyword: 아동행동문제

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Music for Pediatric Patients in Medical Settings: A Systematic Review of Randomized Controlled Trials (소아환자를 위한 음악: 무작위 임상연구의 체계적인 문헌고찰)

  • Lee, Jin Hyung
    • Journal of Music and Human Behavior
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    • v.10 no.2
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    • pp.1-33
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    • 2013
  • The aim of this study was to systematically review the latest clinical trials in music medicine and medical music therapy for pediatric patients. Thirteen databases were searched to obtain randomized controlled/crossover design studies published between the year 2000 and 2012 in English language. Out of 1012 articles retrieved in the initial search, fifteen studies were identified based on an exclusion criteria. Overall, selected articles involved children 1 month to 18 years, sample size of 11 to 150, and total participants of 987. Studies were classified and compared as music medicine or music therapy studies through a systematic synthesis assessing general characteristics, methodological quality, measured outcomes, types of interventions and the study results. Seven music medicine and eight music therapy studies measured seven dependent variables using thirty-six different measurement tools with a large heterogeneity in the selection, type, and method of music interventions. Evaluation of the methodological quality revealed that many studies did not provide a full report of the research method, and did not meet some or most methodological standards, such as randomization, allocation concealment, double or partial blinding, and intention to treat analysis. Although overall research results were positive if not significant, poor methodological quality and heterogeneity in design and intervention strategies raise the question of research bias and trustworthiness issues. The systematic review concluded that music may have a valuable clinical effect in addressing the physical and psychosocial needs of hospitalized children, although more rigorous, homogeneous and replicable studies are greatly needed.

A qualitative study on the adjustment process of families adopting an older child (연장입양가족의 적응과정에 대한 질적 연구 : 주 양육자인 입양모의 입장에서)

  • Chung, Ick-Joong;Kwon, Ji-Sung;Min, Sung-Hye;Shin, Hye-Won
    • Korean Journal of Social Welfare Studies
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    • v.42 no.1
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    • pp.399-432
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    • 2011
  • The purpose of this study is to understand the adjustment process of families adopting an older child, and to generate a substantial theory. To achieve this purpose, we conducted in-depth interviews with mothers adopting an older child and analyzed data with qualitative analysis approach. From the analysis, theoretical model has been made, and the model includes the adoptive families' diverse experiences, barriers to adjustment as well as resources and strategies that they mobilized and used for smooth adjustment. Their experiences in the process of adjustment consisted of five phases: unfamiliar meeting, shock, fighting alone without support, control, and stability. Barriers to adjustment process were composed of adoptees' problem behaviors, loss of time, lack of preparation, lack of experiences, repetition of the vicious circle, withstanding alone, improper resources, lack of support, and being criticized. Resources and strategies that families adopting an older child utilized were individual resources and ability such as rearing experiences, intellectual ability, willingness, belief, and perspective change; family system such as spouse and other offsprings; informal support system such as extended families, relatives, friends, neighbors, and other families adopting an older child; formal resources such as adoption workers and helping professionals. From our results, we suggested policy and practice guidelines to help adjustment experiences for families adopting an older child.

MUSIC THERAPY FOR ADOLESCENTS WITH CONDUCT DISORDER (품행장애 청소년의 음악치료 사례연구)

  • Jhin, Hea-Kyung;Kwon, Hea-Kyung
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.11 no.1
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    • pp.110-123
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    • 2000
  • The short-term music therapy was performed for adolescents with conduct disorder admitted to Seoul National Mental Hospital for 3 months from Jun to September, 1998. This case study focused mainly on two female patients who participated regularly in the group music therapy. The music therapy process was divided into three phases;beginning, opening up, and closing. This music therapy session consisted of three parts;hello song as beginning, various musical activities, and sound & movement activity as closing. Free musical improvisation, song discussion, musical monodrama, and sound & movement were the mainly applied techniques. Free improvisation was used to enhance, motivate, identify and contain the adolescents' feelings and ideas. Song discussion was used to convey their thoughts and to support each other. Musical monodrama was used to make them have insights into interpersonal relationships. Sound & movement was used to enhance spontaneity. It made them explore their body and voice as an expressive medium. Throughout three months period of music therapy, patient A's communication skill, socialization, and behavior areas were assessed with improvement. She could use music as a symbolic form and was able to share her feelings about herself and her family. Patient B's self-expression and cognitive areas were assessed with improvement. She became more spontaneous and could verbalize her emotions during the group session. Music as a non-verbal and therefore often a non-threatening medium wherein so much can be expressed provided two female patients an atmosphere where a sense of trust may be regained.

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Sensory Integration and Occupational Therapy for Elementary Students Collaborative Group Program : Implementing School AMPS (초등학생집단 다전문가 협업프로그램에서의 School AMPS 분석을 통한 작업치료와 감각통합접근의 의미)

  • Ji, Seok-Yeon;Lee, Seong-A;Park, So-Yeon;Hong, Min-Kyung
    • The Journal of Korean Academy of Sensory Integration
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    • v.11 no.1
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    • pp.11-27
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    • 2013
  • Objective : This is a descriptive study using a program review collaborative group program by special educator and occupational therapist for supporting children's school tasks, and it is designed to explore how changed school performance skills and to analyze how applied intervention methods including sensory integrative approach. Methods : Participants were 6 male elementary students(5 = 1st grade, 1 = 2nd grade). Pilot program had reviewed and its results used as base for planning main program. Main program was implemented by collaborative process with teacher and occupational therapist for 1 year. School AMPS was used to assess school task participants, and informal motor and process skill observation was used to assess self-help activities. Description of records by professions about intervention strategies through assessments was described as qualitative way. Japanese sensory inventory was used by parents. Results : Through the collaborative process, assessing children, planning and modifying program, establishing intervention strategies were implemented. Self-help abilities in group program were increased much more independently. School task abilities were increased slightly but skills changed irregularly and unexpectedly and their reasons became considered more complex from sensory processing reasons to social and emotional reasons. Conclusion : Sensory integration had benefits for primary group program and more complex intervention strategies became to emerge demands for person- environment-task challenges. Collaborative practice with teacher and occupational therapist was supplement and synergic effect for children and group dynamics. More objective and comprehensive methods for measure collaboration and group effect would be needed in further study.

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Analysis of Working Memory for Attention Deficit Hyperactivity Disorder (ADHD) Children using fMRI (주의력결핍 과잉행동성장애(ADHD) 아동의 작업기억 과제 수행 시 fMRI 분석)

  • Lee, Yong-Ki;Ahn, Sung-Min
    • The Journal of the Korea Contents Association
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    • v.14 no.12
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    • pp.854-862
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    • 2014
  • Attention deficit hyperactivity disorder (ADHD) students' intellctual defects, learning problems, and poor academic achievements seem to be due to significantly lower intelligence compared to the normal students, but rather the characteristic of inability to pay attention at a given time can be seen as the more attributing reason. In this study, a comparison between the ADHD students and the normal students will be performed using a fMRI analysis in order to differentiate the brain function between the two groups during a working memory task performance and to assess the difference in the activated regions of the brain. Clinical survey examinations and fMRI measurements were performed for a group of 26 elementary students from the Incheon area. The stimulus of fMRI was a working memory. Cartography statistically analyzed parameters and the Statistical Package of Social Sciences using single-sample t-test, two-sample t-test, were analyzed by multiple regression analysis, the statistical significance level was p<0.05 in, respectively. The disproportionate developments could be seen in the ADHD students group such as the frontal cortex, parietal cortex, thalamus, and caudate nucleus, among others. In addition, as some students felt the increase in the difficulty of working memory task performance, the orbitofrontal cortex and the hippocampus were activated, which seems to be the result of an effort for looking for an answer. More types of ADHD students needs to be secured as research subjects, and more stimulations for fMRI experiments should be considered as it would be useful in the overall evaluation of brain function.

A Look at the Need for a Crafts program of Developmental Disabilities (발달장애의 수예공작 프로그램 필요성에 관한 고찰)

  • Kim, Nam-Soon;Kim, Dong-Hyun;Kim, Hee-Jung
    • The Journal of Korean society of community based occupational therapy
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    • v.1 no.1
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    • pp.79-89
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    • 2011
  • The number of the disabled person had been increased for the industrial accident and the environmental pollution. Especially, developmental disability has the high prevalence rate between 5% and 10% of the whole children. The children with a developmental disability can be treated by the physical therapy, the occupational therapy, the psychology therapy, speech therapy, and art therapy. Visual preception which is function to recognize the external environment through the optic organ could be related to most behaviors on the everyday life. But because the children with disability could not develop the visual-preception enough, they came to have difficulties in executing daily life project. For this reason, it is most important to understand the estimation and the cure on the visual-preception in the pediatric occupational therapy. To improve the visual-preception power, we have many kind of methods including sensory integration, training program for the visual-perception and art-craft program. Particularly, the art-craft which is the representative activity for making something by hands, can be applied to anyone. As the study on the brain has been activated, it was proved that handicraft actives could have an good effect on the brain function and using brain. When the fine motor exercise and more delicate and accurate motion were carried, these motions need the essential help of the visual-perception. So it could be expected that using the repetitive hand function by art-craft makes the brain function improve, when a activity that needs a fine motor exercise and more delicate, accurate motion was carried, It also indicates that the art-craft program has a clear treatment value. Though the intervention between visual-perception development and visual-perception disability have a majority in the field of occupational therapy, there is a few study yet. Therefore, this study tried to look back on the necessity of applying the art-craft program to the children with disability as the prestudy for preliminary validity of the master's thesis.

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Relations of Smart Phone Usage Level to Developmental Characteristics and Time Diaries, and Variables Predicting the Usage Level Groups of Four Year Old Children (만4세 유아의 스마트폰 이용 정도와 발달특성, 생활시간 간의 관계 및 이용 정도 예측변인)

  • Chun, Hui Young
    • Korean Journal of Childcare and Education
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    • v.11 no.6
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    • pp.153-175
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    • 2015
  • The purpose of this study was to find out the current status of smart phone usage, differences of developmental characteristics and time diaries between high- and low- usage groups. The study also tried predicting variables among children's personal and family environment factors in order to classify four year old children in the fifth year Panel Study on Korean Children into the two groups. Data was collected from 435 smart phone users and 157 of them who had started to use a phone before age 3.Frequency analysis, t-test and logistic regression were performed. The results showed that most 4 year old children started to use a phone in their fourth year and used it frequently. The low level groups of girls and all participants showed lower levels of behavior problems, and the low level group of all participants had a longer sleep times than the high level group had. Children's activity and social temperament were identified as predicting variables for classifying children into the two groups. The results suggested the necessity of measures preventing children from excessive smart phone usage in their early years and to consider children's temperament first.

The effect of parenting stress on marital conflict in dual earner couples with children in early childhood (미취학 자녀를 둔 맞벌이 부부의 양육스트레스가 부부갈등에 미치는 영향 -자기효과와 상대방효과를 중심으로)

  • Lee, In Jeong;Kim, Mi Young
    • Korean Journal of Social Welfare Studies
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    • v.45 no.3
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    • pp.127-150
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    • 2014
  • The purpose of this study was to evaluate the effect of parenting stress on marital conflict in dual earner couples with children in early childhood. Actor and Partner Interdependence Model (APIM) was conducted in order to identify how parenting stress affect husband and wife, respectively and how this make the actor effect as well as the partner effect regarding the marital conflict. The research was conducted with 629 married couples from the forth wave of the Panel Study of Korean Children (PSKC) data. In order to examine the relationships between the variables and to evaluate the appropriateness of the research model, structural equation model was used. The results showed that the parenting stress had significant positive effect on the marital conflict. The partner effect of parenting stress was significantly positive. This result implies that the mutual dependence in dual earner couple's marital conflict and parenting stress should be considered in the process of intervention. In other words, to improve the effectiveness of intervention, practitioners should treat couples together rather than being focused on individuals.

Effects of a Prevention Program for Media Addiction on Television Addiction, Internet Addiction, Cellular Addiction, and Impulsiveness in Elementary School Students (매체 중독 예방 프로그램이 초등학생의 텔레비전 중독, 인터넷 중독, 휴대전화 중독 및 충동성에 미치는 효과)

  • Koo, Hyun-Young
    • Child Health Nursing Research
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    • v.19 no.4
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    • pp.270-281
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    • 2013
  • Purpose: This study was done to develop a prevention program for media addiction in elementary school students, and to examine its effects on television addiction, internet addiction, cellular phone addiction, and impulsiveness. Methods: The study was designed using a nonequivalent control group pretest-posttest design. The participants were 58 elementary school students (29 in the experimental group and 29 in the control group). Students in the experimental group were given the prevention program for media addiction. The data were analyzed using the SPSS/WIN 19.0 program. Results: Students in the experimental group reported a significant decrease in television addiction compared to students in the control group. Conclusion: The results of the study indicate that the prevention program for media addiction was effective in decreasing television addiction in elementary school students.

A Study on Emotional Behavioral Problem of Children in Low-Income Family (일 지역 저소득 가정 아동의 정서행동문제)

  • Lee, Chung-Sook;Kim, Soo-Jin;Kim, Bo-Young;Kweon, Young-Ran;Joung, Hey-Joung;Jeung, Soon-Bok
    • Journal of the Korean Society of School Health
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    • v.22 no.2
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    • pp.113-124
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    • 2009
  • Purpose : This study was to examine the emotional behavioral problem of children in low-income family who were participating in local children care center. Method : From June 2 to September 9, 2008, 322 elementary school children were surveyed using structured questionnaire. Emotional behavioral problem were measured using K-YSR. Result : In the distribution of three groups by emotional behavioral problems scores of subjects, normal group was 83.23%, borderline group was 9.32%, clinical group was 7.45% among 322 children. The emotional behavioral problem score of subjects showed attention problem .62(5.61), aggressive behavior .52(9.87), anxiety and depression .50(7.89), withdrawn .49(3.46), social problem .43(3.50), somatic complaints .35(3.17), thought problem .32(2.27), delinquent behavior .31(3.11) and total behavioral problem scores were .44(44.55). Also, total behavioral problem scores was not significantly difference by sex and grade, but the scores of girls students was higher compared with boys. Conclusion : This finding will be significant in that it can provide basic data for school mental health services, which can provide early intervention program for the students who belong to borderline and clinical groups.