• Title/Summary/Keyword: 장애아가족

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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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Differences of Obstetric Complications and Clinical Characteristics between Autism Spectrum Disorder and Intellectual Disability (자폐스펙트럼장애와 지적 장애의 산과적 합병증 및 임상적 특성의 차이)

  • Lee, Seul Bee;Kim, Ji Yong;Chung, Hee Jung;Kim, Seong Woo;Im, Woo Young;Song, Jung-Eun
    • Korean Journal of Psychosomatic Medicine
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    • v.24 no.2
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    • pp.165-173
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    • 2016
  • Objectives : Since the awareness of autism spectrum disorders(ASD) is growing, as a result, it is increasing numbers of infants and toddlers being referred to specialized clinics for a differential diagnosis and the importance of early autism spectrum disorders detection is emphasized. This study is to know the difference between ASD and intellectual disability(ID) from comparison of the demographics, clinical characters and obstetric complications. Methods : The participants are 816 toddlers who visited the developmental delay clinic(DDC) in National Health Insurance Ilsan hospital. The number of toddlers diagnosed as ASD and ID was 324 and 492. 75 toddlers out of 114 who returned to DDC were diagnosed as ID at the first visit but 7 of them had changed diagnosis to ASD at the second visit. After compared ASD with ID from the first visit, we analyzed characters of toddlers who had the changed diagnosis to ASD at the second visit. Results : As a result, the comparison between ASD and ID at the first visit shows that the boys have higher ratio, lower obstetric complication and lower language assessment score in ASD. The toddlers who had the changed diagnosis at the second visit were all boys and they had more cases of family history of developmental delay and had lower score of receptive language developmental quotient. Conclusions : These findings suggest that sex, language characteristics and obstetric complication could be useful in the early detection of ASD.

Implementation of Thematic Apperception Test BCI-based system (BCI기반 Thematic Apperception Test 시스템 구현)

  • Yoon, Chung-Joo;Park, Dae-Hyoen;Shin, Jeong-Hoon
    • Proceedings of the Korea Information Processing Society Conference
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    • 2008.05a
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    • pp.725-728
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    • 2008
  • 최근 급격한 사회발전으로 인한 인간소외, 과도한 업무 스트레스, 가족관계 등의 사회 문제가 야기되고 있으며, 이는 전문적인 심리상담 도움을 받아야 할 만큼 심각한 정신건강의 위기상태라 할 수 있다. 이에 따라 심리검사에 대한 중요성이 부각되고 있음에도 불구하고, 검사자의 전문적 훈련정도에 따른 해석 차이로 인하여 검사의 신뢰성 저하와 같은 다양한 문제점이 발생되고 있다. 또한 심리검사는 특성상 검사자와 피험자간의 커뮤니케이션을 통해 이루어지는 주관적인 검사이므로 의사소통에 문제가 있는 중증 장애우 및 외국인, 영유아 피험자들의 검사가 힘든 실정이다. 이에 본 논문에서는 사용자 뇌파 패턴분석을 통해 기존의 주관적인 심리검사 기법을 객관화함으로써 뇌파측정만으로도 심리검사가 가능한 BCI기반 심리검사 시스템을 구현한다.

Adaptation Resilience in Relation to Parenting Stress for Mothers with Children of Developmental Disabilities (학령 전 발달장애아 어머니의 적응유연성과 양육스트레스의 관계)

  • Yang, Sim-Young
    • The Journal of the Korea Contents Association
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    • v.14 no.1
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    • pp.280-293
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    • 2014
  • The following research is based on a strengths perspective for analyzing the effects of adaptation resilience on parenting stress. The subject were 170mothers whose children have developmental disabilities and attend pre-school and social welfare centers for early education. The results were following: 1) The order of dimensional scores from highest to lowest were social resources, structuralization of personality, social achievement, personal strengths, perception of future, strength of family cohesion. 2) The parenting stress of the subjects came out to be lower than average scoring 2.71 out of 5. Dimensionally, grief of parents came out to be the highest. 3) Adaptation resilience and parenting stress for subjects exhibited a negative correlation. Within adaptation resilience, the dimensions of perception of future, personal strengths, social resources came out to be factors that have significant effects on parenting stress. 4) factors relating to the mother's adaptation resilience were more important than general characteristics belonging to handicapped children and their mothers for the purpose of explaining and predicting parenting stress.

Coping Behavior According to the Personality Type of Mothers of Children with Disabilities (장애아동 어머니의 성격유형에 따른 대처행동에 관한 연구)

  • Cho, Mi-Lim
    • Journal of Korea Entertainment Industry Association
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    • v.15 no.8
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    • pp.403-409
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    • 2021
  • The aim of this study is to investigate the coping behavior according to the personality type of mothers of children with disabilities. The study included 102 mothers of children with disabilities and the study was conducted from june to september in 2020 based on the questionnaire about the personality type and coping behavior. Personality types were evaluated using Enneagram, and coping behavior was evaluated using the Korean Coping Behavior Scale for Parents of Children and Adolescents with Disabilities As a result of the study, the belly type was the most common personality type of mothers with disabilities. As for coping behavior, active problem-solving for children with disabilities showed the highest score. As a result of analyzing the coping behavior according to the personality type of mothers of children with disabilities, there were significant differences in the coping behavior, strengthening marital cooperation, and pursuing social-emotional support. As a result of post-verification, there were significant differences between heart type and belly type in coping behavior, strengthening marital cooperation, and pursuing social-emotional support, and heart type scored higher than belly type. When conducting interventions for families of disabled children, it will be possible to provide more effective services by predicting coping behaviors according to the personality type of mothers of disabled children and presenting individualized programs.

Disorders in Hemostasis

  • Sung, Tae-Jung
    • Neonatal Medicine
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    • v.18 no.1
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    • pp.14-22
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    • 2011
  • Neonatal bleeding is a common problem encountered in nursery rooms or neonatal intensive care units, especially among premature infants. Furthermore, owing to recent remarkable improvement of neonatology, survival rates of preterm neonates have increased; hence, neonatal bleeding cannot be emphasized enough. Since the total blood volume of neonates is small, bleeding can be one of the causes of morbidities and mortalities. Therefore, rapid diagnosis and immediate therapy is urgently needed. The patient's medical history including a familial history of a bleeding disorder or of a previously affected infant who suffered from bleeding along with maternal and neonatal drugs can provide important diagnostic clues. Presence of bleeding with or without petechiae and ecchymoses in a healthy term or late preterm infant with thrombocytopenia but normal prothrombin time and activated partial thromboplastin time strongly suggests a congenital bleeding disorder. For a sick infant who is bleeding from multiple sites, an acquired disorder such as disseminated intravascular coagulation is suspected. Intracranial hemorrhage in term or late preterm infants without a history of birth trauma is highly suggestive of coagulation disorders. The purpose of this review is to summarize recent advances in diagnostic methods is as well as basic concepts of neonatal hemostatic disorders. First, an outline of background information will be presented followed by a discussion of primary and secondary hemostatic disorders as well as inherited and acquired disorders.

A Study on the Role of Social Support for Low-Income Households of Youths or Adults with Disabilities that Devoid of Cultural Capital (문화자본 결핍 저소득 장애청소년과 장애가정청소년을 위한 두드림 프로그램의 효과성에 관한 연구)

  • Ohem, Mi-Sun;Kwak, Jee-Young
    • 재활복지
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    • v.20 no.4
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    • pp.55-78
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    • 2016
  • This society faces problems from unequal access to quality education which eventually lead to unequal distribution on wealth. Specifically, those youths with disabilities have a higher risk of living in poverty and becoming marginalized. First established in 2009, the Dodream program has addressed the issue of poverty fixation by establishing long-term supports for households of youths or adults with disabilities through case management. This study analyzes the effectiveness of Dodream program for youths with or youths whose parents are with disabilities on low-income households. The results of the study indicate that the Dodream program leads to improvements in self-concepts and career consciousness among youth. The program was particularly effective in improving the career preparedness of those who were involved. By establishing connections and collaborating with regional case management base institutions and cooperation centers, the program secured various social support resources. Finally the study presents plans on vitalizing the youth support by thoroughly investigating the cases of each study and establishing the program as long-term Human Capital Investment Model.

COMORBID PSYCHOPATHOLOGY AND PARENTAL BEHAVIORS IN TIC DISORDER CHILDREN (틱 장애아(障碍兒)들의 동반 정신병리(同伴 精神病理)와 부모양육태도(父母養育態度)에 관(關)한 연구(硏究))

  • Kim, Ja-Sung;Lee, Jeong-Seop;Hong, Kang-E
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.5 no.1
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    • pp.150-161
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    • 1994
  • Clinical Characteristics of 83 tic patients referred to child psychiatric clinics were studied including the patients' sexes, birth orders and onset ages. We compared the differences between patients and normal control regarding the co-morbidity, and mothering attitude using CBCL(Child Behavioral Check List) and MBRI(Mothering Behavior Rating Instrument). And we also evaluated the influence of types of tic disorder and the presence of behavioral characteristics of the tic patients. The following results were obtained. 1) The sex ration was 5.9:1, male dominant. 2) The eldest children were being twice as many as the youngest children(eldest : youngest : single=4.7 : 1.7 : 1). 3) The eldest children tended to have earlier onset than others. 4) The tic children as a whole had more accompanying behavioral problems than the normal children according to the CBCL scales' scores. 5) The mothers of tic children had more negative view of their children, more rejecting and more hostile attitude toward their children. 6) The types of tic disorder(the Tourette disorder vs chronic moter tic disorder) did not make a difference in the incidence of behavior problems. 7) Those who had attentional problems regardless the types of tic had more behavioral problems than those who had not. 8) Those who had familial loadings of tic disorder tended to have more likely Tourette disorders than chronic tic disorders.

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Survival of Mothers with Disabled Children in Social Welfare Institutions : Growing from Passive Actors to Active Actors (뇌병변 장애자녀 어머니들의 사회복지제도 속에서 생존하기 : 수동적 행위자에서 능동적 행위자로 거듭나기)

  • Cho, Yu-Jin;Kim, Suyoung
    • Korean Journal of Social Welfare Studies
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    • v.47 no.1
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    • pp.93-121
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    • 2016
  • The aim of this study is to reveal development processes of mothers with disabled children as active human agents utilizing social welfare institutions. Many social welfare studies have generally described welfare service users as passive subjects alienated from welfare information and subordinate to dominant welfare system. However, this investigation indicates that they do not merely remain as passive policy targets. They also perform as active actors who seek for useful information, strategically acquire profits in the given system despite institutional constraints, and create new welfare institutions. Through in-depth interviews with 11 mothers of disabled children with brain lesions, this study has derived a grounded theory on the mothers' maturation processes in interaction with social welfare institutions, which consist 6 stages(entering, awakening, exploring, struggling, resigning and utilizing period). This substantive analysis on the survival processes of mothers with disabled children in the social welfare system provides empirical knowledge and evidence about relationship between the structure and agents. It also suggests a practical policy proposal for disabled people and their families based on these stages.

Hemiplegic Migraine Presenting with Unilateral Facial Palsy: A case report (편측안면마비로 발현한 편마비편두통 1예)

  • Yeon, Gyu Min
    • Journal of the Korean Child Neurology Society
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    • v.26 no.4
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    • pp.288-291
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    • 2018
  • Hemiplegic migraine (HM) is a rare subtype of migraine with aura and is accompanied by a fully reversible motor aura. HM can occur in two forms: familial or sporadic. Currently, three genes are related to familial HM. Typically, HM occurs in the first or second decade of life and involves gradually progressing aura symptoms in succession, accompanied by headaches. The aura includes visual, sensory, motor, aphasic and often basilar-type symptoms. Motor aura (weakness) is related to the regions where the sensory aura is involved, and it usually starts at the hand before spreading to the arm and face. Aphasia is a common form of speech aura, but does not typically present as a difficulty in understanding. In this case report, the sensory-motor aura started at the right face and then gradually progressed to the right leg without any symptoms in the ipsilateral upper extremity. To the best of my knowledge, there has been no previous case report for the presentation of a hemiplegic migraine, as in this case report. As there is a possibility of misdiagnosis of Bell's palsy at the early stage of this case, this case report suggests that a physician should consider the rare possibility of stroke or HM when a patient presents with unilateral facial palsy.