• 제목/요약/키워드: Attention Deficit

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초등교사의 ADHD 관련 지식, 태도, 스트레스 수준 및 통합교육의지에 대한 인식 (Assessment of Elementary Teachers' Knowledge about ADHD, Attitude, Stress Level and Intention for Inclusion Education)

  • 최연숙
    • 디지털융복합연구
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    • 제15권5호
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    • pp.363-372
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    • 2017
  • 주의력결핍 과잉행동장애(ADHD)는 소아청소년기에 흔히 나타나는 장애질환으로 초등학교 아동들의 교육적, 사회적 적응에 어려움을 불러일으키는 요인 중의 하나이다. ADHD 증상아동들은 다른 학생들과 함께 가르치는 교사들의 태도와 행동을 결정하는 요인에 대한 분석은 효율적인 통합교육을 위한 교육방법의 개선과 교사 교육을 위해 필요한 과정이다. 본 연구에서는 ADHD 아동을 경험한 적이 있는 227명의 초등교사 설문조사를 바탕으로 나이, 성별, 교직경력, 연수시간 등이 지식, 태도, 스트레스 및 교실에서의 통합교육 의지에 미치는 영향 정도를 살펴보고자 하였다. 회귀분석 결과, 5% 유의수준에서 성별은 스트레스에, 연수시간은 ADHD 관련지식수준에 영향을 미치는 것으로 나타났다. 그렇지만 ADHD 학생의 지도경험, 나이, 성별, 교직경력, 연수시간 등의 요인은 통합교육 의지에 별다른 영향을 미치는 않는 것으로 분석되었다. 결론으로 교사들의 정책적 지원요구사항도 간략히 요약하여 제시하였다.

급성복통을 동반한 소아의 척추 경막외 농양 1예 (Acute Spinal Epidural Abscess Presenting with Abdominal Pain in a Child)

  • 정은영;이연경;김석헌;공병구;김광우;박영수;김동원
    • Pediatric Infection and Vaccine
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    • 제8권1호
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    • pp.107-113
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    • 2001
  • 저자들은 발열과 복통을 주소로 입원한 환아에서 연속적으로 요통 및 둔부 동통을 보여 실시한 자기 공명촬영상 요추 부위의 척추 경막외 농양을 진단하고 수술하였기에 문헌 고찰과 함께 보고하는 바이다.

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혼합현실을 활용한 어린이용 디바이스와 콘텐츠 개발 - 어린이 완구 '스마트카' 개발을 중심으로 - (Device and Contents development for children applying Mixed Reality Technology - Based on Children's toy 'Smart Car')

  • 공수경
    • 디지털콘텐츠학회 논문지
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    • 제17권5호
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    • pp.339-348
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    • 2016
  • 디지털 미디어의 발달은 지식 확장과 새로운 소통 등 긍정적인 평가를 하고 있는 반면 예상치 못한 여러 폐해들이 나타나고 있다. 그 중 어린이에게는 개인 고립, 중독 현상, 과잉 집착, 주의력 결핍 등의 문제들이 나타나고 있다. 이에 디지털 환경에 알맞은 어린이를 위한 콘텐츠 개발이 시급하다고 여기고, 그에 맞는 새로운 개념의 혼합현실(mixed reality)을 활용한 어린이용 융합 디바이스와 콘텐츠를 제안한다. 현실 세계와 가상 세계를 융합한 혼합현실은 현실 세계의 만져지는 어린이 장난감 자동차 인터페이스를 이용하고 스마트폰의 가상 세계가 연동하여 새로운 개념의 놀이와 교육을 체험할 수 있는 기회를 제공해 준다. 혼합현실은 기존의 주입식 교육이 아닌 체험의 교육으로 사고력 증진에 도움이 되며 스마트카는 디지털시대에 맞춰 새로워져야 할 놀이 및 교육 방식에 새로운 비전을 제시한 개발이라고 할 수 있다.

정신분열병 환자의 신체망상과 압통역치에 관한 임상적 연구 (Clinical Study of Delusion and Pressure Pain Threshold in Patients with Schizophrenia)

  • 박영록;송지영
    • 정신신체의학
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    • 제5권1호
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    • pp.73-81
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    • 1997
  • Objects: This study aimed to evaluate the role of somatic delusion on the pain perception in patients with schizophrenia. It was hypothesized that pressure pain thresholds would be rather higher in schizophrenic patients who had somatic delusion than patients with other delusion. Methods The subjects were consisted of 3 groups, 23 men with schizophrenia who had somatic delusion, 25 men with schizophrenia who had other delusion, and 22 normal healthy controls. By using Algometer, pressure pain thresholds were examined to subjects on three non-tender sites with 6 weeks interval. The severity of delusion was evaluated in both patient groups. Statistically, Chi-square test, One-way ANOVA, Multivariate ANOVA, and Scheffe's test were used. Results : 1) There was significant difference between somatic and other delusion groups and normal control group at initial stage. 6 weeks later even when severity of delusion was thought to be ameliorated, this finding were sustained. 2) The severity of the components of delusion, conviction and preoccupation, were significantly decreased in both somatic delusion group and other delusion group according to the time interval. The decrements of the severity of delusion seems to be related with changes in pressure pain thresholds in both patient groups. Conclusions : We re-confirmed that both schizophrenic patient groups showed higher pressure pain thresholds compared to normal healthy control. However we failed to find the role of somatic delusion on pain perception in schizophrenia. Delusion, including somatic delusion, as a whole, seems to affect the increased level of pressure pain threshold due to attention deficit and decreased motivation in patients with schizophrenia.

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Effects of Red Ginseng on Neonatal Hypoxia-induced Hyperacitivity Phenotype in Rats

  • Kim, Hee-Jin;Joo, So-Hyun;Choi, In-Ha;Kim, Pitna;Kim, Min-Kyoung;Park, Seung-Hwa;Cheong, Jae-Hoon;Shin, Chan-Young
    • Journal of Ginseng Research
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    • 제34권1호
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    • pp.8-16
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    • 2010
  • Attention deficit hyperactivity disorder (ADHD) affects 4-12% of chool-age children worldwide and is characterized by three core symptoms: hyperactivity, inattention, and impulsivity. Although standard pharmacological treatments, such as methylphenidate and atomoxetine, are available, concerns about drug-induced psychological and cardiovascular problems, as well as growth retardation and sleep disturbances, highlight the continuing need for new therapeutic interventions. Using a neonatal hypoxia-induced hyperactivity model in rats, the potential positive role that oral administration of red ginseng extract may have in relation to the hyperactive phenotype was investigated. Hypoxia was induced in 2-day-old male Sprague-Dawley (SD) rat pups by placing them in a nitrogen chamber for 15 min. The neonatal hypoxia-induced rats showed a significant increase in hyperactivity phenotype, such as increased movement duration, movement distance, and rearing frequency, which was determined by monitoring their spontaneous locomotor activity using the Ethovision video tracking system. One week of oral treatment with red ginseng extract decreased the hyperactivity phenotype of the neonatal hypoxia-induced rats and increased the locomotor activity of the control rats. In the neonatal hypoxia-induced rats, expression of the norepinephrine transporter in the forebrain was increased, and red ginseng treatment partially prevented its up-regulation, while increasing its level in the control rats. Taken together, these results suggest that red ginseng extract decreased the neonatal hypoxia-induced hyperactivity phenotype, although it increased locomotor activity in normal animals.

소아정신의학 역사 속의 진단기준 발전과 현상학적 기술정신의학 (Descriptive Psychiatry and the Development of Diagnostic Criteria in the History of Child Psychiatry and Phenomenological Descriptive Psychiatry)

  • 반건호;이연정;한주희
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제26권1호
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    • pp.1-11
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    • 2015
  • Phenomenology has been developed by philosophers like Kant and Husserl since the late 18th century. Jaspers, a German psychiatrist, adopted it into psychopathology studies and accumulated data by closely observing and recording the patients' symptoms and signs. Among descriptions done even before the psychopathology or diagnostic criteria of disorders in the field of child psychiatry was established, we can find exact and valuable descriptions matching the autism spectrum disorder or attention deficit/hyperactivity disorder. The diagnostic criteria of modern childhood psychiatric disorders were established based on these grounds. Phenomenological/descriptive methods in various psychiatric fields lead to medical study methods for social phenomenon such as oiettolie, hikikomori, and internet game addiction. Since Romanian orphans were adopted to the western world, descriptive studies along with neurobiological studies on the influence of stimulus deprivation on emotional and physical development are being conducted. While phenomenology, which was adopted by Jaspers to verify psychopathology, was developed mainly by observation and description, recent studies are explaining such descriptive phenomena even at the synapse level due to advances in neurobiology. Although phenomenological/descriptive psychiatry, describing precise and detailed experiences of patients, is less applied nowadays among modern study methods, we must remember that such descriptions may lead to biological studies and provide evidence to improve the accuracy of choosing and applying treatment methods.

ADHD 치료에서 가족치료캠프의 적용 (Application of Family Treatment Camp in Treatment of ADHD)

  • 황병주;안동현;이재영
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제23권2호
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    • pp.82-89
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    • 2012
  • Objectives : Demands for comprehensive and intensive treatment programs for treatment of children with attention-deficit hyperactivity disorder (ADHD) who suffer from serious impairment in various psychosocial areas are increasing. The aim of this study was to evaluate the possibility of developing new types of camp programs focused on improving social adjustment of children and helping parents effectively manage their children's problem behaviors. Methods : Fifteen children diagnosed as ADHD according to Diagnostic and Statistical Manual of Mental Disorders-IV (mean age 9.5 years) and their parents participated in this program. Eight consecutive camps were held at two-week intervals, from Jun 2007 to Oct 2007 in an adolescent training center located at Chungtaesan, in Korea. Each camp program included social skills training in the classroom and outdoor activities in the forest for children, as well as parent training for mothers. In addition, after the sixth camp, we conducted one parental session for fathers and a three-day booster family camp three months later. Finally, eleven families adhered to the program. Results : All children, parents, and therapists rated questionnaires or checklists at baseline, intra-, and post-treatment. Parenting burden rated using the Parenting Stress Index showed a significant decrease, from 57.89 to 46.22 (p=.019). And, overprotection rated using the Parenting Bonding Instrument showed a significant decrease, from 16.56 to 12.44 (p=.046). However, no significant improvement in children's behavioral and emotional problems was observed. Conclusion : In this study, the consecutive ADHD family camp program was effective for empowerment of parental competency, but not for general improvement of children's behavioral and emotional symptoms.

Development of the Korean Form of the Premonitory Urge for Tics Scale: A Reliability and Validity Study

  • Kim, Mira;Chung, Sang-Keun;Yang, Jong-Chul;Park, Jong-Il;Nam, Seok Hyun;Park, Tae Won
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제31권3호
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    • pp.146-153
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    • 2020
  • Objectives: This study aimed to evaluate the reliability and validity of the Korean Form of the Premonitory Urge for Tics Scale (K-PUTS). Methods: Thirty-eight patients with Tourette's disorder who visited Jeonbuk National University Hospital were assessed with the K-PUTS. Together with the PUTS, the Yale Global Tic Severity Scale (YGTSS), the Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS), the attention-deficit/hyperactivity disorder (ADHD) rating scale (ARS), and the Adult ADHD Self-Report Scale (ASRS) were implemented to evaluate concurrent and discriminant validity. Results: The internal consistency of items on the PUTS was high, with a Cronbach's α of 0.79. The test-retest reliability of the PUTS, which was administered at 2 weeks to 2 months intervals, showed high reliability with a Pearson correlation coefficient of 0.60. There was a significant positive correlation between the overall PUTS score and the YGTSS score, showing concurrent validity. There was no correlation between the PUTS, CY-BOCS, and ASRS scores, demonstrating the discriminant validity of the PUTS. Factor analysis for construct validity revealed three factors: "presumed functional relationship between the tic and the urge to tic," "the quality of the premonitory urge," and "just right phenomena." Conclusion: The results of this study indicate that the K-PUTS is a reliable and valid scale for rating premonitory urge of tics.

ADHD 아동의 자아효능감 증진을 위한 MLE기반 스마트교육시스템 개발 및 적용 (Development and Application of MLE-based Smart Education System for Improving Self-efficacy of ADHD Students)

  • 권미경;전우천
    • 정보교육학회논문지
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    • 제16권3호
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    • pp.337-352
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    • 2012
  • 최근 스마트교육을 활성화를 위한 스마트러닝 (Smart Learning: s-learning)이 확산됨에 따라 다양한 교육용 콘텐츠가 개발되고 있다. 본 연구의 목적은 스마트 애플리케이션의 기능을 분석하여 살펴보고, ADHD (Attention Deficit Hyperactivity Disorder) 아동의 특성을 고려하여 중재학습경험이론의 이론을 기초로 한 스마트 교육용 시스템을 설계 및 제작하는 것이다. 본 시스템은 ADHD 아동의 자아효능감 향상을 위해 MLE (Mediated Learning Experience: MLE)기반의 시스템을 설계하였고 ADHD 아동에게 적용한 결과는 다음과 같다. 첫째, ADHD 아동의 학습 흥미도를 높여 주의집중력 향상 및 학습 능력의 증진이 가능하다. 둘째, 성공적인 학습 경험을 토대로 자신감과 자긍심을 높여 자아효능감을 증진시킨다. 셋째, 메타인지의 발달에 따른 인지구조의 변화로 학업 성취도가 향상된다.

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사이프러스 에센셜 오일의 흡입이 전임상 실험동물의 손상된 학습능력과 기억력에 미치는 영향 (Cypress Essential Oil Improves Scopolamine-induced Learning and Memory Deficit in C57BL/6 mice)

  • 이길용;이찬;백정인;배근영;박찬익;장정희
    • 대한본초학회지
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    • 제35권5호
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    • pp.33-39
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    • 2020
  • Objectives : Increasing evidence supports the biological and pharmacological activities of essential oils on the central nervous system such as pain, anxiety, attention, arousal, relaxation, sedation and learning and memory. The purpose of present work is to investigate the protective effect and molecular mechanism of cypress essential oil (CEO) against scopolamine (SCO)-induced cognitive impairments in C57BL/6 mice. Methods : A series of behavior tests such as Morris water maze, passive avoidance, and fear conditioning tests were conducted to monitor learning and memory functions. Immunoblotting and RT-PCR were also performed in the hippocampal tissue to determine the underlying mechanism of CEO. Results : SCO induced cognitive impairments as assessed by decreased step-through latency in passive avoidance test, relatively low freezing time in fear conditioning test, and increased time spent to find the hidden platform in Morris water maze test. Conversely, CEO inhalation significantly reversed the SCO-induced cognitive impairments in C57BL/6 mice comparable to control levels. To elucidate the molecular mechanisms of memory enhancing effect of CEO we have examined the expression of brain-derived neurotrophic factor (BDNF) in the hippocampus. CEO effectively elevated the protein as well as mRNA expression of BDNF via activation of cAMP response element binding protein (CREB). Conclusions : Our findings suggest that CEO inhalation effectively restored the SCO-impaired cognitive functions in C56BL/6 mice. This learning and memory enhancing effect of CEO was partly mediated by up-regulation of BDNF via activation of CREB.