• The Journal of Pediatrics of Korean Medicine
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• v.27 no.2
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• pp.11-19
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• 2013

Objectives The purpose of this study was to identify the importance of goodness of fit in mother-child temperamental interaction (MCTI) and the child problem behaviors. Methods The behavior problem of 180 child outpatients from traditional Korean medical clinic was measured with Korean version of Child Behavior Checklists, and the temperament of child and their mother was measured with Junior Temperament and Character Inventory and Temperament and Character Inventory-Revised-Short. The MCTI was calculated as the difference of the temperament score between mother and child. The correlation and linear regression analysis was performed to examine the effects of temperament on Child Behavior Checklists. Results The MCTI on Harm-Avoidance was the significant factor for explaining the internalizing problem (B=-.154, t=-10.130, p<.001), externalizing problem (B=-.045, t=-3.340, p=.001) and total problem (B=-.298, t=-7.574, p<.001). We also confirmed that the temperament of mother and child significantly correlated with the child behavior problems as provided previously. Conclusions These results showed that the temperament interaction between mother and child is an important factor for predicting problem behaviors in child clinical sample. The goodness of fit in MCTI and problem behavior should be considered as pivotal element in traditional Korean pediatrics.

• Anxiety and mood
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• v.10 no.1
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• pp.30-36
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• 2014

Objective : This study was aimed to discover the correlation between those getting tattoos and their psychopathology relating to their delinquent behavior and emotional problems. Methods : Data for this study was collected from 19-year-old men who were receiving a physical examination for conscription at the Military Manpower Administration. 400 data sheets were collected among them. All of the subjects were evaluated on the following measures : sociodemographic variants, Juvenile delinquency scale, State-trait anger expression inventory, Beck depression inventory, State-trait anxiety inventory, and Positive affect and negative affect schedule. Results : In comparison with those without tattoos, those with a tattoo scored higher in the scales that were related to delinquency, anger, depression, and negative emotion. Furthermore, there were positive correlations between the number of tattoos and the scores for the Juvenile delinquent tendency and behavior scale as well as on the, State-trait anxiety scale. Conclusion : Those with tattoos had experienced anger, anxiety and depression more strongly in comparison with those without tattoos. These results recommend that tattooed males should be evaluated more on their regarding psychopathology compared to those without tattoos.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.17 no.2
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• pp.114-123
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• 2006

Objectives : The special class has been made, bringing rapid increase quantitatively. The authors carried out the child psychiatric interview and evaluation for 9 special-classed children in Asan city to find out clinical diagnosis and emotional/behavioral characteristics. Methods : The child psychiatrists evaluated special class children by DSM-IV and K-SADS-PL. Tools for the evaluation were Child Behavior Checklist- Korean version, Korean Personality Inventory for Children, Children's Depression Inventory, Abbreviated Conners Parent-Teacher Rating Scale-Revised, State-Trait Anxiety Inventory for Children, Vineland Social Maturity Scale, Wechsler Intelligence Scale for Children-III, and Childhood Autism Rating Scale. Results : Ultimately 53 children, consisting of 35 boys(67.9%) and 18 girls(32.1%), participated, and the average age was $10.5{\pm}1.3$ years old. Their measure of Vineland Social Maturity Scale was $78.7{\pm}20.0$, Childhood Autism Rating Scales was $25.4{\pm}9.0$, Child Depression Inventory was $22.2{\pm}5.2$, State-Trait Anxiety Inventory for Children was $35.2{\pm}8.2/36.5{\pm}6.2$, and Abbreviated Conners Parent-Teacher Rating Scale was $11.0{\pm}4.6$. In the clinical diagnosis evaluation, the prevalence rate of learning disorder was decreased compared to early research, ADHD had been newly appeared and depression disorder and anxiety disorder had been increased. Conclusion : This result suggests that a lot of children in a special class have complex emotional and behavioral problems in addition to educational problems.

• Child Health Nursing Research
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• v.12 no.2
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• pp.260-267
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• 2006

Purpose: This pilot study was to develop Korean version of CDI(The Child Development Inventory) and assess the validation and reliability on K-CDI. Method: The K-CDI is assessed by parent-report method that has designed to screen children developmental functioning on 12 months to 6.5 years of age /or older children who are judged to be functioning in the one to six-year range. The inventory assesses areas of child development in the social, self-help, motor, language, letter and number skills. also, it includes various symptoms and behavior problems that young children may have. Participants were 130 children and their mothers who has lived in Seoul or Gyounggi-Do. Data was analyzed on the ratio of item response, Pearson's correlation, and Cronbach alpha. Results: 270 items with 8 sub-developmental realms were confirmed the reliabilities and validity on Korean children. Total 300 items were selected for restandardization. There was a significant correlation between the score of Social Maturity Scale and K-CDI. The corrlation coefficient alpha was .98. Conclusion: This study indicated that CDI is applicable in the clinical and early childhood educational setting for developmental assessment in Korea.

• Korean Journal of Biological Psychiatry
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• v.14 no.4
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• pp.256-261
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• 2007

Objectives : The aim of the present study was to examine whether anxiety and depression of children and mothers were associated with the children's medically unexplained somatic symptoms in attention-deficit/hyperactivity disorder(ADHD). Methods : 83 clinic-referred boys with ADHD and 52 boys without ADHD were included in this study. The frequency of the medically unexplained somatic symptoms, such as general-ache, headache, nausea, eye problems, skin problems, abdominal pain, vomiting was evaluated using the somatic symptom domain of the Child Behavior Checklist(CBCL). Children's anxiety and depression were evaluated using Kovacs Children's Depression Inventory(CDI) and Spielberger's State-Trait Anxiety Inventory(STAI) for children. Maternal anxiety and depression were measured by Spielberger's State-Trait Anxiety Inventory(STAI) and Beck's Depression Inventory(BDI). Stepwise linear regression analysis was used to examine the hypothesis. Results : Score of maternal state anxiety affects the T score of the somatic symptom domain in CBCL significantly(adjusted $R^2$=0.057 ; p=0.026). Conclusion : The frequency of medically unexplained somatic symptom of children perceived by mothers was associated with the high level of maternal state anxiety in ADHD. Frequent maternal report of the children's somatic symptom may be a warrant for the evaluation and management of the maternal state anxiety in ADHD.

• Korean Journal of Child Studies
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• v.37 no.6
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• pp.69-82
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• 2016

Objective: The main purpose of this study was to investigate the effects of preschooler temperament and maternal postnatal depression, depression, and parenting stress on preschooler externalizing problem behavior. Methods: The participants consisted of 98 preschoolers (ages 4-5 years) and their mothers. The subjects completed the following questionnaires: Emotionality, Activity, and Sociability (EAS), Edinburgh Postnatal Depression Scale (EPDS), Center of Epidemiological Studies Depression Scale (CES-D), Parenting Stress Scale, Korean Child Behavior Checklist for Ages 1.5-5 (K-CBCL 1.5-5), and Social Competence and Behavior Evaluation Inventory Short Form (SCBE-30). The data were analyzed by t/F tests, Pearson's correlation analysis, and multiple regression analysis. Results and Conclusion: First, preschooler emotionality temperament had positive correlations with attention problems and aggression. Second, maternal depression and parenting stress had a positive correlation with preschooler externalizing problem behaviors. Third, maternal parenting stress had an effect on preschooler attention problems. Forth, preschooler emotional temperament and maternal parenting stress had an effect on preschooler aggression.

• The Journal of Pediatrics of Korean Medicine
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• v.32 no.4
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• pp.13-23
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• 2018

Objectives The Eum-Yang (Yin-Yang in English) temperament was shown to have clinical and structural validity with Sasang Personality Questionnaire (SPQ), however the studies of the association with behavior problems and personality structure in adolescents were not satisfactory. The purpose of this study was to examine the relationships between Eum-Yang temperament and behavior problems in Korean middle school students. Methods 122 first grader of middle school students (68 boys and 54 girls) completed SPQ, Junior version of Temperament and Character Inventory (JTCI), and Youth Self Report (YSR). The correlations between SPQ, JTCI, and YSR subscales were investigated. And, also the differences between SPQ, JTCI, and YSR subscales among Yang (high 30% of SPQ total score) and Eum (low 30% of SPQ total score) temperament groups classified with SPQ total score were examined. Results The SPQ total score were correlated with Novelty-Seeking (r=.321) and Reward-Dependence (r=.392) in boys, and with Novelty-Seeking (r=.427) and Harm-Avoidance (r=-.444) in girls. The SPQ total score were not significantly correlated with Body Mass Index, Ponderal Index and YSR total, however significantly correlated with YSR Internalizing problems and Withdrawal/depressed subscale (r=-.242 and r=-.419) in boys and Withdrawal/depressed subscale (r=-.449) in girls. There were significant differences between Eum and Yang groups in Novelty-Seeking, Harm-Avoidance and Withdrawal/depressed as for boys and girls. Conclusions The biopsychological structure of SPQ was confirmed with middle school students. The behavioral (SPQ-B) and emotional (SPQ-E) perspectives of Eum-Yang were found to be protective and risk factors, and also correlated with Externalizing and Internalizing behavior problems, respectively. The biopsychological characteristics of Eum-Yang temperament and its relation with psychopathological symptoms in late-childhood should be carefully analyzed.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.23 no.2
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• pp.76-81
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• 2012

Objectives : Childhood is a critical period involving various developmental tasks that need to be accomplished. Childhood depression has overall negative implications for certain areas of development, including cognition, emotion, social skills, academic achievement, and ability to cope with stress. Yet, because depression can be "masked" by accompanying behavioral problems, early detection and diagnosis of childhood depression is somewhat challenging. In this study, using the Korean version of the Child Behavior Checklist (K-CBCL), we evaluated the association between children's self reports on depression and parents' assessment of children's behaviors. Methods : Subjects were recruited from the S city, a cohort comprising a non-random convenience sample of 226, 10-year-old ethnic Koreans in their fourth year of elementary school and their parents. All participants underwent several tests, including Children's Depression Inventory (CDI) and K-CBCL. Results : A total of 226 children, including 166 boys (73.5%) and 60 girls (26.5%), participated in the study. The average CDI for the participants was 14.57 (SD=7.54). Two items on the K-CBCL, total scale of adjustment scale and social withdrawal problems, showed a close association with the CDI. Conclusion : Although much remains to be elucidated, after controlling for covariates, the results of this study suggested that behavioral problems observed in children may be closely associated with depression.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.16 no.1
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• pp.47-53
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• 2005

Objectives : Few studies have examined the relation between the attachment styles of the primary caregivers and the behavioral problems of their children. This study was performed to identify the impact of the insecure parental attachment patterns on the development of their higher grades elementary school children's psychiatric manifestations and disorders. Methods : 504 higher elementary pupils and their primary caretakers were included in our study. Relationship Questionnaire, Kovacs Children's Depression Inventory, Spielberger's State-Trait Anxiety Inventory for children, and Korean Child Behavior Checklist were applied to them. Results : The grade-school children of the parents who belonged to preoccupied attachment type revealed higher Withdrawn, Anxious/depressed, Social Problems, Attention Problems, Delinquent Problems, Aggressive Problems, Internalizing Problems, Externalizing Problems, Total Behavioral Problems scores than ones of securely attached parents (p<0.01). Internalizing Problems score of preoccupied parents' children was highest, and one of avoidant and secure typed parents' kids followed in order (p=0.004) . More youngsters revealed Total Behavior Problem score high enough to clinically meaningful level in insecure parental attachment style than in secure one (p=0.038). Higher CDI score in insecure parental group was reported than in secure one (p=0.040). Conclusion : Parental insecure attachment can be associated with the development of the behavioral problems and psychiatric illness of their children.

• Journal of Korean Academy of Nursing
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• v.40 no.3
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• pp.453-461
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• 2010

Purpose: In this study differences in behavioral problems between children at risk for Attention Deficit Hyperactive Disorder (ADHD) and normally developing children were identified. Further, relationships between parental stress, depression, and child behavioral problems according to ADHD symptoms were explored. Methods: Participants were 222 elementary school children and their parents. The ADHD risk group was determined by the Korean-ADHD Rating Scale. Data were collected using the Korean-ADHD Rating Scale, Korean version of Child Behavior CheckList (K-CBCL), Parenting Stress Index, and Beck Depression Inventory. Data were analyzed using t-test, Pearson correlation coefficients, and regression analysis. Results: 1) The ADHD risk group showed higher levels of behavioral problems, parenting stress, and maternal depression than the normal group. 2) There were significant relationships between ADHD scores and parenting stress (r=.66), maternal depression (r=.35), internal behavioral problems (r=.47), and external problems (r=.55), but, ADHD risk scores were negatively correlated with social competence (r=-.40). 3) The regression analysis revealed that ADHD levels affected the child's internal behavioral problems, mediated by maternal depression ($\beta$=.29, p<.001). Conclusion: The study results show that higher risk scores for ADHD indicate a significant effect for behavioral problems. Also, parenting stress and depression influence child's behavioral problems. These results suggest that identification of children at risk for ADHD and development of parental education programs would contribute to the prevention of behavioral problems and aggravation of the ADHD symptoms.