• Title/Summary/Keyword: 정서문제 아동

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THE CLASSIFICATION OF ADOLESCENTS IN RUNAWAY SHELTERS BY THE EVALUATION OF THEIR PSYCHOPATHOLOGY (보호시설 가출청소년의 정신병리에 대한 평가와 분류)

  • Lee, Jong-Sung;Kwack, Young-Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.12 no.2
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    • pp.192-217
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    • 2001
  • Object:This study was carried out to classify adolescents in runaway shelters by evaluating their psychopathology. And the ultimate purpose is to offer basic data for preventing adolescents‘ runaway and for diversifying runaway shelters suitable for the problem of individual adolescent. Method:128 adolescents who stay in the runaway shelters were asked to complete self-report qeustionnaires including basic sociodemographic data, Child Behavior Check List(CBCL), Minnesota Multiphasic Personality Inventory(MMPI), and Symptom Check List-90-Revised(SCL-90-R). Korean Wechsler Adult Intelligence Scale(K-WAIS)[or Korean Educational Developmental Institute-Wechsler Intelligence Scale for Children(KEDI-WISC)] and Bender-Gestalt test(BGT) were also done by clinical psychologists. Results:The most common age of the subjects were 15-year-old, and they dropped out their schools in the middle school most commonly. Mostly they were from middle class family and their parents' educational level were high school graduates. The first runaway episode was most common in the middleschool period, and their runaways were repeated. The most common frequency of runaways were more than 10 times. About 10% of them abused drugs and about 80% of them abused alcohol. One third of them had experiences of illegal problems and 10% of them engaged in sexual activity for money. 95 adolescents(83%) in CBCL, 42 adolescents(36%) in SCL-90-R, and 70 adolescents(69.3%) in MMPI showed clinical significance. In intelligence test, 22 adolescents(22%) were mentally retarded. In BGT, 35 adolescents(39.4%) manifested brain dysfunction signs. Conclusion:Runaway adolescents in the shelters have variable and severe psychopathology. Their psychopathology is classified as follows;The behavior disorder group, the mood disorder group with anxiety/depression, the somatic disorder group with somatic symptoms, and the psychosis group with possibility of severe psychopathology. Therefore it is very important to evaluate psychiatric problems of runaway adolescents, and specific therapeutic interventions according to their problems are required.

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The Analysis of Theses Content Related to Parents' Needs for Their Education (부모교육 요구조사 관련 논문 내용 분석)

  • Kim, Jong-Han
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.5
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    • pp.2115-2123
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    • 2011
  • The purpose of this study is to draw a general conclusion through summing up theses on parents' need for their education up to the present. The subjects of this study are 25 masters' degree theses on parents' need for their education in the kindergarten from 2001 to 2010. The results of data on parents' education method and style were conducted by frequency analysis. Also it was surveyed if in how many theses the contents of parents' education were rated over average points by Licker. The results of this study are as follows: First, the parents think that the proper frequency of their education is once or two in a semester and the favorite time is from 10 to 12 o'clock or from 2 p. m. to 4 p.m. They also want to learn on Wednesday, Friday and Saturday. And they want a professional as their lecturer the most and then a homeroom teacher. Secondly, in the survey of their education style they like more lecture or a short course than any other thing, and then they like home messenger, group council and so on. But especially they don't like the style of visiting class, book lending, ceremony/class assistance, practice (workshop), and visiting home. Thirdly, they want to know a general guide in the kindergarten of the contents of their education a lot. And they want to know some of a budget, program, and assessment of a principal and the teachers in the kindergarten. Fourthly, they want to know all parts of the parents' roles related to rearing their children in their own elements of the contents of their education above all. And they also want strongly their free time, hobby, the liberal arts, amusement and recreation. Fifthly, in the view of infant development they want strongly to know how to communicate with their children rightly, and how to adjust their children's activities and how to praise or blame their children. And they also want how to form their children's right habit and to guide their children's right acts in the infant period the most. Lastly, they want to know children's physical development and their cognitive development in the view of infant development the most. And then they want to know the development of sociology, creativity, morality, and emotion in good order.

초등학생 아침 안 거르기를 위한 보건소 건강증진프로그램 개발 및 효과에 관한 연구

  • Lee, Hae-Yeon;Moon, Hyun-Gyung;Cho, Sung-Eok;Lee, In-Young;Choi, Hye-Ryun;Jang, Young-Ju;Park, Young
    • Proceedings of the KSCN Conference
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    • 2003.11a
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    • pp.1058-1059
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    • 2003
  • 학동기(만 6-12세)에 좋은 영양 공급은 일생의 성장 발육의 기초를 조성하여 지적, 사회적, 정서적 능력을 향상시킬 수 있다. 이에 초등학생의 영양문제와 식습관을 해결하는 방안의 하나로 최근 대두되고 있는 아침결식률을 낮추기 위한 ‘아침 안 거르기’ 사업을 학교와 연계 개발하여 프로그램을 진행하고 그 효과를 평가하였다. 이 연구는 서울시 강북구 관내에 위치한 4개 초등학교 5학년 학생 1026명(실험군 451명, 대조군 675명)을 대상으로 4∼9월까지 6개월간 5단계로 실시되었다. 프로그램의 효과평가를 위해 사전(실험군-학생 428명, 부모 416명, 대조군-학생 656명, 부모 589명), 사후(실험군-학생 427명, 부모 368명, 대조군-학생 608명, 부모 558명) 설문조사를 2회 실시하여 행동과 인식률 변화를 측정하였다. 프로그램은 매월 1회 담임교사가 진행하였고, 교육자료 및 홍보물은 아침먹기 캐릭터 가방걸이와 학부모의 참여를 높이고자 가정통신문과 교육내용을 함께 삽입하여 제작한 알림장, 아침먹기와 일찍자기를 실천할 실천스티커를 배포하였고 프로그램 종료 후 아침 먹기 실천달력을 제공하였다. 또 아동들 자신의 식생활을 바르게 꾸려 나갈 수 있도록 가공식품의 ‘영양표시’에 관한 교육을 함께 교육하였고, 설문조사를 통해 영양표시제에 관한 인식변화와 행동변화율을 측정하였다. 학생들의 아침식사 실천율은 매일 먹는 그룹이 실험군은 62.9%에서 69.6%로 7% 상승하였고, 전혀 먹지 않는 그룹은 11.2%에서 6.4%로 4.8% 감소하였다(p<0.001) 대조군의 경우 매일 먹는 그룹은 70.4%에서 70.2%로, 전혀 먹지 않는 그룹은 6.9%에서 6.5%로 나타났다(p<0.001). 아침식사가 건강에 미치는 영향에 대한 인식률 변화는 큰 영향이 있다고 답한 그룹이 실험군은 60.1%에서 64.8% (p<0.001)로, 대조군은 64.8%에서 57.2% (p<0.001)로 각각 변화하였다. 일찍 자기가 건강에 미치는 영향에 대한 인식률은 큰 영향이 있다고 답한 그룹이 실험군은 52.5%에서 70.7%(p<0.001), 대조군은 55.3%에서 60.2%로(p<0.001), 일찍 자기 실천에 대한 의지 변화는 11시 이전에 잘 계획이라는 그룹이 실험군은 31.9%에서 43.9%(p<0.001), 대조군은 35.5%에서 36.8%로 나타났다(p<0.001). 영양 표시에 관한 문항에서는 식품구매시 영양표시를 보고 구매한 경험이 없다는 군이 실험군에서는 58.2%에서 40.4%로 감소하였고(p<0.001), 대조군은 64%에서 53.6% (P<0.001)로 감소하였다. 영양소에 관한 지식 평가에서 짜지 않은 간식을 선택할 때 유의할 성분을 나트륨이라고 답한 그룹은 실험군은 31.7%에서 56.3%로, 대조군은 15.9%에서 23.0%로 나타나 그룹간 큰 차이를 보였다. 아침식사로 좋아하는 음식은 김치, 김치찌개, 밥, 피자, 고기, 빵, 된장찌개, 김, 햄, 계란후라이 순이었으며 싫어하는 아침음식은 피망, 고추, 양파, 김치, 시금치, 마늘, 콩, 파, 피자, 나물순으로 나타났다. 아침식사로 혼자서도 준비할 수 있는 음식은 밥, 라면, 계란후라이, 김치, 반찬, 볶음밥, 계란, 국, 햄, 씨리얼 순으로 나타났다. 부모의 인식률 변화는 가정내에 컴퓨터 설치장소로 적합하다고 생각되는 장소로 실험군의 경우 학생 방은 28.0%에서 21.6%로 6.4%감소하였고, 마루나 거실은 61.3%에서 66.0%로 5%증가하였다(p<0.001). 반면 대조군의 경우 학생 방은 28.8%에서 24.9%로 3.9% 감소, 마루나 거실은 63.4%에서 65.9%로 2.5%증가하여 실험군과 큰 차이를 보였다(p<0.001) 자녀의 늦은 취침시간과 아침식사에 관한 인식률 변화는 아침식사에 영향이 있다는 군은 실험군의 경우 78.1%에서 82.7%로 4.2% 증가하였고(p<0.05), 대조군의 경우 82.2%에서 80.5%로 감소하여 나타났다.(P<0.001) 연구결과 실험군의 경우 일주일 동안 아침을 전혀 먹지 않는 학생이 감소하고 매일 아침을 먹는 학생이 유의적으로 증가하여 아동의 아침식사 행동변화와 인식률 변화에 도움이 된 것으로 나타났다.

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A STUDY ON THE PARENTAL MARITAL RELATIONSHIP OF CHILD PSYCHIATRIC PATIENTS (소아정신과 환아 부모의 부부관계에 대한 연구)

  • Lim, Ke-Won;Hong, Kang-E;Rhee, Kun-Hoo
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.2 no.1
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    • pp.160-175
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    • 1991
  • The purpose of this study is to investigate the parental marital relationships and the parent-child relationships of child psychiatric parents and its control group. This study was carried out two questionnaire instruments ; The marital satisfaction inventory(MSI) and the dyadic adjustment scale(DAS). The subjects are parents of the child psychiatric patients. A matched control group and parents of child psychiatric parents in Seoul area which were collected from July 1987 to September 1987, and classified into five subgroups : 1 Psychiatric disorder 2) Neurotic disorder 3) Tic disorder 4) Autistic disorder 5) Mental retardation. The results are as following ; 1) M.S.I scale scores of parents of patients group are lower than that of control group. 2) D.A.S scale score of parents of patients group is significantly lower than that of the control group(P<0.01). 3) The global distress scale(GDS) of the M.S.I. was most positively correlated with affective communication(AFC) and problem-sloving communication(PSC). 4) Female shoed more modern concept of role identification than male but tend to have heavier role assignment especially in child rearing practices which could be characterized by maternal domination. 5) Affective communication and sexual relationship between married couple and child rearing practices are influenced by their own family history of distress. 6) The marital global distress scale(GDS) score was highest in the parents of psychosis, the next in the parents of neurosis, autism, mental retardation, and tic disorder in descending order of severity. 7) The dyadic maladjustment score was highest in the parents of psychosis, the next in the parents of neurosis, tic, autism and mental retardation in descending order of severity. 8) Conflict in child rearing and parenting problems were particularly prominent in parents of the tic patients, and their marital relationship was not significantly disturbed. The above finding suggested that couple adjustment and marital dissatisfaction were closely related with child rearing problems and the children's disorder. So marital dissatisfaction and marital maladjustment seem to play a significant role in the genesis of psychosis and neurosis not much in autism and mental retardation.

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A Survey on the Conception and Cognition about Enuresis of Primary Care Physicians in Daegu City (대구 지역 일차 진료를 담당하는 의사의 야뇨증에 대한 인식 평가)

  • Choi, Jung-Youn;Kim, Sae-Yoon;Lee, Kyung-Soo;Park, Yong-Hoon
    • Childhood Kidney Diseases
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    • v.12 no.1
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    • pp.78-87
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    • 2008
  • Purpose: Recently, the conception and cognition that enuresis was resolved spontaneously, have changed. We reviewed the attitudes of the primary care physicians who make diagnose and treat nocturnal enuresis. Methods: From January 2006 to February 2007, a total of 293 primary care physicians in Daegu city participated in this survey. Questionnaires included questions about physicians' opinions on the appropriated age for diagnosis of enuresis, the likely causes of enuresis, etc. Physicians are grouped in two according to whether enuresis is major field of their subspecialty; the pediatrician & urologist group and the other physician group. Results: 59.2% of pediatricians and urologists thought that enuresis is defined as the nightly involuntary release of urine by children of the age of 5 to 6, while 49.6% of other physicians did. For the causes of enuresis, most of clinicians checked "yes" to the question that "Under-developed bladder and nerve" and "Emotional problems". In the patient's behavioral reactions related to enuresis, "Lack of concentration in home and school" and "Frequent urination" were most responded. Attendance to the education program of enuresis in last five years and willing to participate in education program was statistically different among pediatricians-urologists and other physicians. Regarding the treatment of enuresis, most physicians used imiprarnin widely, but pediatricians and urologists preferred desmopressin. Alarm was the last one in treatment modality. Conclusion: This study revealed that pediatricians and urologists are attending more to the educational places and knowing much about the recent information on enuresis when compared to other primary care physicians, regarding the diagnostic age and treatment modality of enuresis. The education of enuresis for primary physicians is more needed.

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