• Title/Summary/Keyword: Attention Deficit

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Pediatric approach to early detection of learning disabilities (학습장애의 조기 발견을 위한 소아과적 접근)

  • Sung, In Kyung
    • Clinical and Experimental Pediatrics
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    • v.51 no.9
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    • pp.911-921
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    • 2008
  • Learning disabilities (LD) are heterogeneous group of disorders with evidences of genetic or familial trait, intrinsic to the individual and presume to be due to central nervous dysfunction. Learning disabilities and attention deficit hyperactivity disorder (ADHD) are the two of the most common disorders in the population of school-age children. Typically academic achievements in children with learning disabilities are significantly lower than expected by their normal or above normal range of IQ. Although academic and cognitive deficits are hallmarks of children with LD, those children are also at risk for a broad range of behavioral and emotional problems. Almost all cases meet criteria for at least one additional diagnosis such as ADHD, developmental coordination disorder, depression, anxiety, obsessive compulsive disorder, tic disorder, among which ADHD is particularly predominant. Because of the response to the therapeutic intervention program is promising and positive when applied early, it is critical to recognize patients as early as possible. Pediatricians often are the first to hear from parents worried about a childs academic progress. It is not the responsibility of pediatrician to make a diagnosis, referring children for a diagnostic evaluation of LD is a reasonable first step. Pediatricians can make early referral of suspicious children by asking some serial short questions about basic and processing skills. With a basic knowledge about the clinical characteristics, diagnostic and therapeutic procedures of LD, pediatricians also can provide primary counseling and education for parents at their outpatient clinical settings.

TREATMENT OF 4 CASES WITH TEST ANXIETY (시험불안증의 치료 : 증례보고)

  • Kim, Haeng-Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.2 no.1
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    • pp.56-62
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    • 1991
  • The author reported treatment experiences of 4 cases with test anxiety. The first one was a 15 year old boy with problem of mild attention deficit which caused test anxiety and academic underachievement around the 8th grade in middle school. The second and the third cases were brother and sister. The test anxiety was caused basically due to the problem of mother child relationship. their mother expected too much of her son and always urged him to study and never left him alone. The mothers practically gave up her whole life to devote to oversee her son's academic achievement and her daughter experienced affectional deprivation. The fourth case, a 16 year old boy, was a borderline personality disorder with extreme anger and hostility toward his parents who controled him too much. Different therapeutic approaches appropriate for different cases were described and the relationship between test anxiety and various psychopathology was discussed.

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A Survey of Dietary Behavior and Meal Balance of Preschool Children with ADHD Dispositions (주의력 결핍 과잉행동 성향을 지닌 유아의 식행동과 식사균형도 조사)

  • Kim, Nam-Hee;Kim, Mi-Hyun
    • The Korean Journal of Food And Nutrition
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    • v.23 no.1
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    • pp.102-113
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    • 2010
  • This study was conducted to investigate the relationship among dietary behavior, meal balance, and clinical symptoms related nutritional status and Attention Deficit Hyperactivity Disorder(ADHD) in preschool children. The survey was conducted using questionnaires and the subjects were 3~6 years old preschool children in Samcheok. Subjects were divided into an ADHD dispositions group(n=88) and a normal group(n=129) based on assessments conducted by the children's mother using the Abbreviated Conners's Parent Rating Scale. There was no significant difference in meal frequency, meal speed, meal regularity or meal balance between children with ADHD dispositions and the normal groups. The ADHD disposition group had a higher proportion of children with picky eating(p<0.05), too much snacking(p<0.05) and over eating (p=0.05) habits than the normal group. In addition, the ADHD dispositions group had a higher frequency of clinical symptoms such as 'breathlessness when going up stairs', 'sleeplessness', 'anxiety' and 'tiredness'. Overall, there was a significant relationship between ADHD disposition and dietary problems and clinical symptoms related to poor nutritional status in preschool children. Therefore, to prevent and treat ADHD in preschool children, proper dietary management such as correcting of picky eating, over snacking and overeating is needed.

Investigating the present situation for oriental-medical examination and treatment of ADHD children (주의력부족 과잉행동장애 환아에 대한 임상현황연구)

  • Jeong, Min-Jeong;Lee, Seung-Yeon
    • The Journal of Pediatrics of Korean Medicine
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    • v.20 no.3
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    • pp.105-116
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    • 2006
  • Objectives: The purpose of this study is to investigate the present situation for oriental examination and treatment of ADHD by questionnaire. Methods : We surveied oriental clinics which publicized on internet that they run a clinic of ADHD and oriental university hospitals which had a department of Pediatrics or Neurophycholosy. Results : The number of responding that the period of actively attending upon treatment of ADHD children was less than 3 years was 9(60%). The number of responding that in these 3 months, the number of ADHD children visiting clinics were under ten was 8(53.3%). The number of responding that the average age of ADHD children visiting clinics were 7 to 10 years old were 10(66.7%). The number of responding that they assessed diagnosis of ADHD children were 7(46.7%). The number of responding that they assessed oriental medical examination to ADHD children were 9(60%). The number of responding that the most effective treatment to ADHD children was Herbal Medicine was 10(66.7%). The number of responding that the interval of treatment of ADHD was 1 to 3 months was 9(60%). Conclusions : Recently oriental medical treatments for ADHD has been attempted. Treatment methods were herbal medicine, acupuncture, parents education, etc. But further studies are needed.

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The effect of Art Therapy apply to ADHD child's problem behavior and child relationship (미술치료가 ADHD 아동의 문제행동과 또래관계에 미치는 효과)

  • Shin, Ji-Hye;Kim, Gui-Bok
    • Korean Journal of Human Ecology
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    • v.18 no.2
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    • pp.341-351
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    • 2009
  • This study shows that Art therapy has positive effects on ADHD child's problem behavior and child relationship. Also we want to provide more data to education field. We work with 3 children. They are recommended by their class teacher and they are attending J elementary school which is located in K city in Chunbuk. The experiment period was 7 weeks - 2 times a week, total is 14th- and each time required was 40-60 minutes when they finish their school. Since we want to see each ADHD child's results, we use ADHD teacher evaluating measure and Child relationship measure to compare the results after the fact. The results are Art therapy has positive effects on the ADHD child's problem behavior specially concentration, excess behavior, social skill, hostile behavior and aggregation with same ages, sociality, lack of sociality, exclusive, unstable, and hypersensitiveness.

A Case Report of Typical Oriental Medical Therapy in Combination with Neurofeedback on ADHD Child (뉴로피드백과 한방치료를 병행한 주의력결핍 과다행동장애 치료 1례)

  • Kim, Jin-Hyung;Oh, Yong-Leol;Lee, Jong-Hwa;Kim, Tae-Heon;Lyu, Yeong-Soo;Kang, Hyung-Won
    • Journal of Oriental Neuropsychiatry
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    • v.17 no.3
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    • pp.157-164
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    • 2006
  • Attention Deficit Hyperactivity Disorder(ADHD) is a psychiatric disorder, characterized by the primary symptoms of inattention and/or impulsivity and hyperactivity. This study is a clinical report of 1 ADHD child treated witb typical Oriental Medical Tberapy(Herb-med, acupunture, etc,) in Combination with Neurofeedback. Conner's parent rating scale, ADHD Diagnostic System were compared between before and after treatment. The results show the typical Oriental Medical Tberapy in Combination with Neurofeedback is efficient in the treatment of ADHD.

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A case report of child ADHD treated with oriental medicine (주의력 결핍 및 과잉행동장애(ADHD) 아동의 한의학적 치료에 대한 사례)

  • Byeon, Ki-Won;Sohn, In-Chul
    • Korean Journal of Acupuncture
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    • v.25 no.1
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    • pp.99-111
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    • 2008
  • Objective : This study was performed to evaluate oriental medical treatment for ADHD in childhood Methods : We analyzed DSM-4 and ADS scores before and after the treatments, such as acupuncture, decoction of medical ingredients, correction treatment and oriental kinesitherapy, of ADHD in 12 elementary school students who have been visited Byon oriental medical clinic (Dogok-dong Seoul) from March to October, 2007. And all patients were treated 2 times a week for 3 month. Results : In this study, oriental medical treatments, such as acupuncture, decoction of medical ingredients, correction treatment and oriental kinesitherapy, to balance left and right brains, which is based on oriental medicine theory, was not only effective for treating attention deficit and hyperactivity which is the major problem of children in ADHD, but also effective for resistance, sociality, homology and communication. And we concluded that oriental medical treatments, which treats imbalance disorder of brain, were effective for treating ADHD.

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Genetic association tests when a nuisance parameter is not identifiable under no association

  • Kim, Wonkuk;Kim, Yeong-Hwa
    • Communications for Statistical Applications and Methods
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    • v.24 no.6
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    • pp.663-671
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    • 2017
  • Some genetic association tests include an unidentifiable nuisance parameter under the null hypothesis of no association. When the mode of inheritance (MOI) is not specified in a case-control design, the Cochran-Armitage (CA) trend test contains an unidentifiable nuisance parameter. The transmission disequilibrium test (TDT) in a family-based association study that includes the unaffected also contains an unidentifiable nuisance parameter. The hypothesis tests that include an unidentifiable nuisance parameter are typically performed by taking a supremum of the CA tests or TDT over reasonable values of the parameter. The p-values of the supremum test statistics cannot be obtained by a normal or chi-square distribution. A common method is to use a Davies's upper bound of the p-value instead of an exact asymptotic p-value. In this paper, we provide a unified sine-cosine process expression of the CA trend test that does not specify the MOI and the TDT that includes the unaffected. We also present a closed form expression of the exact asymptotic formulas to calculate the p-values of the supremum tests when the score function can be written as a linear form in an unidentifiable parameter. We illustrate how to use the derived formulas using a pharmacogenetics case-control dataset and an attention deficit hyperactivity disorder family-based example.

Fathers in Children's Poems (동시를 통해 아동이 묘사한 아버지의 모습)

  • Chung, Soon Hwa;Kim, Shi Hae
    • Korean Journal of Child Studies
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    • v.17 no.2
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    • pp.79-105
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    • 1996
  • The purpose of this study was to understand children's viewpoints on their fathers from a phenomenological perspective. Sixty nine elementary school children (2nd and 5th grade) were asked to write poems about their fathers. Through the poems, they described their feelings towards their fathers in their own words. Results indicated that the most prominent and popular description for the father was in terms of the provider of the family. Because of the excessive emphasis on the provider role, fathers are very busy and tired, and can not Participate actively in their children's daily life. As a result, many fathers are in an on-looker position in their homes, and their children are spoiled. On the other hand, children described their fathers as warm, kind- hearted, respectable and great images that gave everything to their children. They liked and sincerely appreciated these aspects of their fathers. Because of the gap between the ideal image of the father and the actual provider image of the father, children experience conflict and a psychological deficit of a father. We believe that this problem will be improved through the fathers' own awareness of their role which pays more attention to our children's wellbeing and a reform of the existing social system.

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Transcranial Magnetic Stimulation in Gilles de la Tourette Syndrome (뚜렛 증후군에서의 경두개 자기자극술)

  • Lee, Moon-Soo
    • Korean Journal of Psychosomatic Medicine
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    • v.18 no.1
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    • pp.3-10
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    • 2010
  • Gilles de la Tourette syndrome is a chronic motor and vocal tic disorder of childhood onset. Abnornmalities in basal ganglia-thalamo-cortical circuits may play an important role in the pathophysiology underlying the involuntary tics. It is often complicated by comorbid attention-deficit/hyperactivity disorder or obsessive-compulsive disorder. Transcranial magnetic stimulation(TMS) is a neurophysiologic technique with research ap-plication. As there is good evidence that this technique can modify cortical activity, repetitive TMS is also used for treatment to change the cortical excitability and therefore affect underlying interconnected cortical-sub-cortical loop. We reviewed the neurophysiologic parameters and the clinical applicability of TMS and rTMS.

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