• Title/Summary/Keyword: 위축아동

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COMPARATIVE STUDY OF BEHAVIOR AND COGNITIVE FUNCTION BY ADMINISTRATION OF METHYLPHENIDATE AND IMIPRAMINE IN ATTENTION DEFICIT-HYPERACTIVITY DISORDER (Methylphenidate와 Imipramine투여에 따른 주의력 결핍${\cdot}$과잉운동장애 환아의 행동 및 인지기능 변화에 대한 연구)

  • Ahn, D.H;Hong, K.E;Oh, K.J;Shin, M.S;Yoo, B.C;Chung, K.M
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.3 no.1
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    • pp.26-45
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    • 1992
  • This study presents the behavioral and cognitive changes by administration of methylphenidate(MPH) and imipramine(IMI) for the treatment of attention-deficit hyperactivity disorder(ADHD) in $5_{1/2}{\sim}12$ years old children referred to child psychiatric clinics. Behavioral changes are assessed with parent's and teacher's ratings. Drug effects on attention. short-term memory, and impulsivity are evaluated with psychological tests in laboratory. The changes were assessed twice in a 8-week periods. The data were analyzed seperately for 15 subjects each drug using repeated measured analysis of variance(ANOVA). The findings indicates that behavioral and cognitive impairments are improved by both drugs, but impulsivity is not. And MPH is superior to IMI on the improvement of attentional problem ; especially the findings indicates important differences between simple task and complex. perceptual-search task. These data confirm the effectiveness of MPH for treatment of ADHD, also raise questions regarding assessment method of attention and impulsivity as fell as importance of impulsivity in ADHD.

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Differences in Infant Problem Behaviors According to Adult Attachment and Parenting Attitudes of Mother (어머니의 성인애착과 양육태도에 따른 유아의 문제행동에서의 차이)

  • Lee, Seung Hee;Kim, Sag Ok
    • Korean Journal of Child Education & Care
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    • v.19 no.1
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    • pp.75-86
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    • 2019
  • Objective: The study looked at the relationship between the mother's adult attachment, the children's problematic behavior and the mother's nurturing attitude. In doing so, this study tried to determine whether the mother's nurturing attitude would play a moderating role in the context of the effect of mother' adult attachment on the children's problematic behavior. Methods: we surveyed 352 mothers of 3~5 year old infants who were financially dependent on day care centers. Results: The problematic behavior of being daunted is high when mothers' adult attachment of avoidance is high and when mothers have low level of controlling pattern in their nurturing of their children. The problematic behavior of anxiety and depression was observed when adult attachment of anxiety was high and low level of controlling pattern in their nurturing. Meanwhile, when the externalized problematic behaviors were examined, no interaction effect of mothers' adult attachment and nurturing pattern was observed in all sub-levels of the children's externalized problematic behaviors. Conclusion/Implications: We could see how the influence of parenting attitude appears in mothers with unstable adult attachment. In addition, mothers with unstable adult attachment may be able to confirm that the quality of the interaction of the parent-child relationship and the form of the child's problem behavior differ according to the level of the mother's parenting attitude in the child's problem behavior. The results of this study showed that mothers with unstable adult attachment differed in the form of problem behaviors of infants according to mother's parenting attitude in infant problem behaviors.

Factor Structures of the Korean Inventory of Peer Relationships (아동청소년 교우관계문제검사의 요인구조)

  • Choi, Sun-Hee;Kim, Jong-Mee;Hong, Sang-Hwang
    • The Korean Journal of Elementary Counseling
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    • v.10 no.2
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    • pp.185-201
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    • 2011
  • The purpose of this study is to reveal and confirm the factor structure inherent in the Korean inventory of peer relationships(KIPR; Sang-Hwang Hong, et al., 2009) in order to strengthen the interpretive usefulness of the test. For this purpose, the inventory was administered to the total of 616 children in the fourth through sixth grades in three elementary schools located in Gyungnam area, and the data from 578 of them were analyzed. The results of the study can be summarized as follows. First, as a result of the exploratory factor analysis of 3-factor and 4-factor models, the 3-factor model was found to be more appropriate. In the 3-factor model, the factor 1 is named "Lack of Self-Confidence and Social Withdrawal" as it consists of such circumplex scale items as Non-Assertiveness (C5), Social Avoidance (C4), the Cold (C3), and Too Submissive (C6). The factor 2 is named "Too Aggressive and Controlling" and consists of items Too Controlling (C1) and Hard to be Supportive (C2). The factor 3 is named "Too Caring" and consists of items Too Responsible (C7), Over Involvement (C8), and Too Submissive (C6). Second, as a result of the confirmatory factor analysis, the 3-factor model, in comparison to the 4-factor model, was found to better reflect the collected data(RMSEA=.054), its goodness of fit was not satisfactory but within the acceptable range(CFI=.786), and its power of simplicity and clarity was also adequate(PCFI=.733). In the current study, through the exploratory and confirmatory factor analyses of scores from the Korean inventory of peer relationships circumplex scales, scales within the peer relationship circumplex model that are near each other and are highly correlated were confirmed to be grouped together as same factors. I believe the main merit of the study lies in the above result having provided the necessary foundation for forming the superordinate and representative scale that encompasses the eight circumplex scales, which enhances the test's interpretive usefulness.

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The Cognitive Performance, Emotional and Behavioral Problems of the Children with ADHD Showing the Difference between Visual and Auditory Attention (시각 주의력과 청각 주의력의 차이를 보이는 주의력 결핍.과잉활동장애 아동의 인지기능과 정서 및 행동 문제)

  • Son, Jung Woo
    • Korean Journal of Biological Psychiatry
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    • v.13 no.2
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    • pp.70-81
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    • 2006
  • Objective : The purpose of this study was to investigate the differences of the cognitive performance, emotional and behavioral problems among the attention-deficit/hyperactivity disorder(ADHD) groups that show the difference between visual and auditory attention. Method : Using 'ADHD Diagnostic System(ADS)', visual attention and auditory attention of 98 children diagnosed as ADHD were measured. According to the omission and commission error of ADS, they were divided into three groups ; 1) the group whose each visual omission and commission error scores were higher than each auditory omission and commission error scores(VV group), 2) the group whose each auditory omission and commission error scores were higher than each visual omission and commission error scores(AA group), 3) the group that was the rest of VV and AA group(M group). And the results of both the subscales of Korean Educational Development Institute-Wechsler Intelligence Scale for Children(KEDI-WISC) and the subscales of Korean Child Behavior Checklist(K-CBCL) among three groups were compared. Finally, the correlation between the visual omission, visual commission, auditory omission, auditory commission error and the results of KEDI-WISC, K-CBCL were investigated. Results : The results were as follows ; 1) In 98 ADHD children, the number of VV group(N=56) was higher than that of AA (N=10) and M group (N=32). 2) All mean scores of the subscales of KEDI-WISC of VV group were higher than those of M and AA group. The score of verbal IQ(p=.039) of VV group was significantly higher than that of AA group and the scores of block design(p=.015), Kaufman's factor 2(p=.045), performance IQ(p=.004) were significantly higher than those of M group. The score of full IQ(p=.004) were significantly higher than that of M and AA group. 3) The mean scores of all K-CBCL subscales of VV group were higher than those of M and AA group, except the score of Somatic complaint subscale. The score of Social subscale(p=.041) of VV group was significantly higher than that of AA group. The score of Withdrawn subscale(p=.021) of AA group was significantly higher than that of VV group. 4) There were no significant correlation between the scores of visual omission/commission error and those of each subscale of KEDI-WISC. But, there were many significant correlations between the scores of auditory omission/commission error and those of each subscale of KEDI-WISC. 5) There were significant correlation between the score of the visual omission error and that of Thought problem subscale(r=.205, p=.043) of K-CBCL. There were significant correlation between the scores of the auditory omission error and those of Social subscale(r=-.319, p=.001), Social problems subscale(r=.206, p=.042), Thought problem subscale(r=.235, p=.021). Finally, there were significant correlation between the scores of auditory commission error and those of Social subscale(r=-.241, p=.017), Thought problem subscale(r=.235, p=.020). Conclusion : The ADHD children whose auditory attention ability were higher than visual attention ability had relatively better cognitive performance and less emotional/behavioral problems than the others. The more comprehensive experiment will be needed about the cognitive performance, emotion and behavior problems of the ADHD children showing the difference between visual and auditory attention.

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SEX DIFFERENCES IN BEHAVIOR PROBLEM PATTERNS (문제행동 양상에서의 성차이)

  • Oh, Kyung-Ja;Lee, He-Len;Hong, Kang-E
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.2 no.1
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    • pp.125-134
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    • 1991
  • In an attempt to study sex differences in child behavior disorders, 834 clinic-refered children(582 boys and 252 girls) between the ages of 6 to 11 were assessed using CBCL parental form and the data were factor analysed to form empirically derived syndromes for each sex. The analyses yielded eight behavior disorder syndromes for boys and ten, for girls. Six syndromes(aggressive, hyperactive, delinquent, social withdrawal, emotional lability, physical complaints) were found in both sexes while obsessive, depressive and psychotic syndromes were organized differently in boys and girls. There were also considerable differences in item composition of the six syndromes common to box sexes, suggesting that clinical features of common behavior disorders such as aggression and hyperactiveity might be different for boys and girls despite their apparent similarity. The results were discussed in terms of culturally shared attitudes and beliefs concerning sex differences in behaviors.

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Influence of neglect and abuse by parents on the emotional problems of youth: The Mediating Effect of Self-esteem and relationship with teacher (부모의 방임과 학대가 청소년의 정서문제에 미치는 영향: 자아존중감과 교사관계의 매개효과를 중심으로)

  • Nam, Tae Hyun;Han, Chang Soo;Kim, Boyoung
    • Korean Journal of School Psychology
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    • v.16 no.3
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    • pp.381-400
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    • 2019
  • This study investigated how abuse and neglect experience by parents affect self-respect, relationship with teachers and variance of emotional problem. Also we verified whether self-respect and relationship with teachers mediates relation between abuse and neglect experience and variance of emotional problem. The results of this study are as follows. First, adolescents who experienced abuse and neglect appear to have emotional problems such as depression, social withdrawal, and somatic symptoms. Furthermore, youth who have abuse and neglect experience have difficulties in self-respect and relation with teachers. Second, self-respect and relationship with teachers have significant indirect effect on relation between abuse and neglect experience and variance of emotional problem. Third, although relation between abuse and neglect experience and relationship with teachers represent positive correlation, the regression coefficients in the direct path are significant in the opposite direction, resulting in a suppression effect. Finally, implications for interventions, limitations of the study, and suggestions for future research were discussed.

Long-term sequelae of trajectories of bullying victimization in youth: Internalizing and externalizing behavioral outcomes (또래 괴롭힘 피해경험 발달유형에 따른 내면화 및 외현화 문제 양상)

  • Park, Hyun-Sun;Kim, Min Jung;Chung, Ick-Joong
    • Korean Journal of Social Welfare Studies
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    • v.45 no.2
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    • pp.5-30
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    • 2014
  • This study sought to identify developmental trajectories of bullying victimization from late elementary school through early high school, and to examine internalizing and externalizing problem outcomes associated with the trajectory group membership. Data from Seoul Panel Study of Children were collected annually over a 7-year period from 5th grade of elementary school through 2nd grade of high school (2005~2011). Latent class growth analysis yield three trajectory classes corresponding to stable low (81.2%), stable high (3.5%), and declining bullying victimization (15.6%). Findings from analysis of covariance indicated that students in both stable high and declining trajectory groups reported significantly higher means in internalizing behavior (withdrawal, depression/anxiety, and suicide ideation), compared to those in the stable low group. For externalizing behavior such as aggression and juvenile status offense, students in the stable high group showed higher means, compared to those in the stable low and declining trajectory groups. Developmental pattern of bullying victimization over multiple development stages and associated internalizing and externalizing outcomes are discussed as are the implications for the bullying prevention.

Temporary replacement of congenital missing incisors on mandible using temporary anchorage devices in growing patient: 2-year follow-up (성장기 아동에서 교정용 골성 고정원을 이용한 선천 결손 하악 전치의 임시 보철 수복: 2년 경과 관찰)

  • Choi, Youn-kyung;Kwon, Eun-Young;Jung, Kyung-Hwa;Choi, Na-Rae;Park, Soo-Byung;Kim, Seong-sik;Kim, Yong-il
    • Journal of Dental Rehabilitation and Applied Science
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    • v.36 no.4
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    • pp.272-281
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    • 2020
  • Agenesis of permanent tooth in adolescent patients can be treated either by orthodontic treatment for space closure or by maintaining the space until implant restoration can be carried out in adult. However, gradual atrophy of alveolar bone width makes it difficult to restore the prosthesis in the future or may cause unaesthetic results. Therefore, maintaining of not only the missing space but also the alveolar bone width should be considered. This case is a treatment whereby a temporary replacement of missing 2 mandibular incisors in adolescent patient was carried out using 2 temporary anchorage devices (TADs). Two TADs were placed horizontally 2 - 3 mm below the top of alveolar ridge, and fixed with artificial teeth by stainless steel wires extended. During the 2 year follow-up, neither gingival inflammation nor loss of the TADs have occurred. In the radiographic evaluation, the growth of the adjacent alveolar bone was not inhibited, and the width of the alveolar bone was maintained.

Identifying High Risk Group of Adolescent Status Delinquency and Factors Associated with the Group (청소년 지위비행의 위험군 탐색에 관한 연구)

  • Young Mi Park;Hye-Kyung Lee;Suyon Baek
    • Journal of the Korean Applied Science and Technology
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    • v.39 no.6
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    • pp.892-905
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    • 2022
  • This study attempted to derive high-risk groups of adolescent status delinquency(ASD) and to identify related factors. This study was conducted with 1,979 adolescents enrolled in the first year of high school, data from the 7th year of the 4th grade panel of the Korean Children and Youth Panel Survey. Classification and regression tree analysis method was used. The ASD group was 264, which was 13.3% of the total. The high-risk group for ASD is that is male who has a low perception of positive parenting style. Positive parenting style was found to be the most important influencing factor in ASD, followed by gender, emotional problems, relationship with teacher, and achievement value. In order to prevent ASD, it is necessary to develop a parenting education program and an intervention program specialized for male adolescents. In addition, interventions that comprehensively deal with emotional problems such as depression and social withdrawal are required, going beyond the previous interventions that focused on aggression. In particular, it has been found that relationship with teachers is the most important influencing factor in the school environment. Through education on the causes and consequences of ASD and training on counseling techniques, the promotion of relationships with teachers will act as a protective factor to prevent ASD.

A PSYCHIATRIC STUDY ON THE CHILDREN WITH RECURRENT ABDOMINAL PAIN (반복적 복통 환아의 정신과적 연구(反復的 腹痛 患兒의 精神科的 硏究))

  • Choi, Jin-Sook;Hong, Kang-E;Seo, Jeong-Kee
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.1 no.1
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    • pp.117-129
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    • 1990
  • 35 children(17 boys, 18 girls) with Recurrent Abdominal pain(RAP) without apparent organic causes, referrd from pediatric department of Seoul National University Children's Hospital were studied during 1988. 7. 1 ${\sim}$ 1989. 2. 28. The aims of this study are to examine clinical characteristics of the patients with RAP, to find possible factors influencing the onset and the course of the disorder, to evaluate the psychological status and the relationship with psychiatric diagnoses. The study subjects were compared with the age and sex matched control subjects on measures of social and school functioning, family-environment, behavior traits by CBCL and parent-environment rating scale. All patients and their mothers were interviewed by a child psychiatrist. The results were as follows ; 1) Abdominal pain was found to be more frequent when with a care taker, and related with traumatic life stresses such as separation from parents, death of family members. 2) Family members of the patients with RAP also had a high rate of a history of gastrointestinal dysfunctions with could not be attributed to organic etiologies. 3) Among 35 patients with RAP, 16 were diagnosed as psychiatric disorders. They were adjustment disorders (4), overanxious disorders (4), depression (2), tic disorders (2), attention deficit disorders (2), separation anxiety disorders (1), enuresis (1). 4) On CBCL, the patients with RAP were more internalized, socially less competent and less active compared with the control subjects. 5) According to the parent-environment rating scale, the patients with RAP had more conflicts with their parents about control issues. Family members of the patients with RAP were socially less competent and less abjustable. The parents of the patients with RAP were more affectionate and spent more time with their children but they were unfair and vague on instruction and discipline.

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