• 제목/요약/키워드: Behavior rating scales

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초등학교 특수학급아동의 임상적 진단 및 감정 행동특성 연구 (Clinical Diagnosis and Emotional Behavioral Characteristics Study of Children in a Special Education Class in Korean Elementary School)

  • 임명호;강진경;이주현;김현우
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제17권2호
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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.

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Effect of local anesthesia on postoperative pain and hemostasis after dental rehabilitation under general anesthesia in pediatric patients: a randomized control trial

  • Amal R Batarseh
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제23권6호
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    • pp.337-346
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    • 2023
  • Background: This study aimed to investigate the effect of local anesthesia (LA) on postoperative pain and hemostasis after dental rehabilitation under general anesthesia (DRGA) in pediatric patients. Methods: A total of 43 patients, aged 3-7 years and rated ASA I or II, who had a definitely negative rating on Frankel's behavior rating scale, were included in this two-arm, parallel-design, single-blinded, randomized, controlled study. The patients were allocated equally into two main groups receiving both restorative treatments and tooth extractions. Two pain scales and one bleeding scale were used. In Group A, the treatment was done with LA, and in Group B, the treatment was done without LA. Results: The statistical analysis revealed no significant differences in the pain scores between the groups. It also revealed significant differences in the bleeding scores between the groups but no significant differences in the duration of bleeding. Conclusion: Within the limitations of this study, the use of LA in pediatric dental patients undergoing DRGA had no effects on postoperative pain reduction or bleeding duration after teeth extraction. We also observed that the use of LA had an impact on the reduction in the bleeding scores in pediatric dental patients undergoing DRGA.

요통환자의 통증행위에 대한 조사연구 (The Pain Behavior of Patients with Back Pain)

  • 이은옥;임난영;김달숙;김순자;한윤복;김주희;김광주;박점희;이선옥
    • 대한간호학회지
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    • 제17권3호
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    • pp.184-194
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    • 1987
  • The purposes of this study were; 1) to gather data relevant to demographic features. major main management practices, and the level of impairment of the activities of daily living (ADL) of patients with back pain, 2) to test the sensitivity of the Korean Pain Rating Scale and the Graphic Rating Scales, and 3) to identify indirect indicators of back pain by analysing pain related-behaviors. The level of pain was measured by Korean Pain Rating Scale(KPRS) and Graphic Rating Scales(GRS) developed by the reserchers. The GRS consists of two dimensions; the pain intensity (sensory) and unpleasantness (affective) measures. Of the 1,650 diagnosed back pain patients, from January 4 through June 30, 1987 by visiting outpatients' clinics of orthopedic and neurosurgical departments at 11 university hospitals in different districts of Korea, 330 men and women patients were self-selected by responding to the mailed questionnaires. The results were summarised as follows: Male exceeded female patients in number and onset of back pain were more prevalent in the age groups of 20s and the 30s. The average duration of suffering from the pain were 11 months, sixty three (19.1%) of the subjects retired from their jobs, one third(36.7%) have teen hospitalized for the treatment of back pain. In two thirds(64.8%) of the cases pain was characterized as lower back pain. The average sleep hour was 6.8 hours per 24 hours and the average rest hour during the day was 3.3 hours. The mean percentage of pain measured by GRS was higher than that of KPRS. The level of sensory intensity as well as the affective level of pain measured by KPRS and GRS were not highly correlated (sensory intensity r=0.4986, affective r=0.5029) which indicated low discriminative power. On the other hand, intercorrelation between sensory and affective dimension measured by KPRS and GRS showed moderate interrelation(r=0.7247; r=0.7899). One-third(32.5%) of the subjects complied with the hospital prescribed treatment while the other one-third(31.5%) depended on self-remedy and traditional practices, and the last one-third did not imply any pain management practices. The following 6 pain-related behaviors such as length of hospitalization, rest hour during day hours, varieties of pain management practice implied, number of pain sites, need for ADL and discomfort accompanied by ADL revealed to be important indicators of back pain. An investigation of sociodemographic features of patients with back pain in a larger context, i.e. with bigger number of respondents is recommended. Tests for construct validity of KPRS, i.e. factor analysis is further recommended.

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ADHD 진단에서 K-CBCL 6-18의 임상적 유용성 -아동복지시설 심리장애 아동에의 적용- (The clinical utility of K-CBCL 6-18 in diagnosing ADHD -focused on children with psychological disorders in child welfare institution-)

  • 김상아;하은혜
    • 한국아동복지학
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    • 제56호
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    • pp.253-281
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    • 2016
  • 본 연구의 목적은 아동복지시설에 거주하는 심리장애 아동의 ADHD를 진단하는 데 있어 K-CBCL 6-18 주의력 관련 지표의 임상적 유용성을 검증하는 것이다. 연구대상은 '2013-2014 아동복지시설 아동 치료 재활 지원 시범 사업'에 참여하였던 심리장애 초등학생 509명이다. 그들에게 치료 전 실시하였던 사전 심리 검사 자료 중 K-ARS와 K-CBCL 6-18의 5가지 주의력 관련 지표인 문제행동총점, 외현화총점, 주의집중문제, 공격행동, DSM ADHD 척도만을 이용하였다. 연구 결과, K-ARS와 K-CBCL 6-18의 주의력 관련 지표와의 상관관계가 높게 나타났다. 또한 K-ARS를 기준으로 대상 아동을 ADHD집단(n=334)과 비ADHD집단(n=175)으로 나누어 K-CBCL 6-18 주의력 관련 지표의 집단 간 차이를 확인한 결과, 5가지 지표 모두 ADHD집단의 평균이 유의하게 높았다. K-CBCL 6-18 주의력 관련 지표의 임상적 절단점 64T, 70T를 기준으로 산출한 분류적중률은 모든 지표에서 60-70%의 백분율을 나타냈으며 문제행동총점과 외현화 총점 척도의 민감도가 높았고 주의집중문제와 DSM ADHD, 공격행동 척도의 특이도가 높게 나타났다. 한편, 종합심리검사 결과를 기준으로 ADHD집단(n=95)과 정서장애집단(n=30)을 나누어 K-CBCL 6-18 주의력 관련 지표의 집단 간 차이를 확인한 결과, 주의집중문제 척도와 DSM ADHD 척도에서 ADHD 집단이 정서 장애 집단에 비해 유의하게 높았다. 임상적 절단점 70T를 기준으로 산출한 두 척도의 분류적중률은 약 55%의 비슷한 값을 나타냈으며 두 척도 모두 민감도가 낮고 특이도가 높았다. 종합적으로 K-CBCL 6-18 주의력 관련 지표는 ADHD를 변별해내는 데 유용한 것으로 나타났으며 특히 DSM ADHD 척도가 주의집중척도와 함께 임상 집단 내에서 ADHD 진단 능력이 높은 것으로 나타났다. 아동복지시설과 같이 여러 검사 도구를 통한 정확한 진단이 어려운 환경에서 ADHD 진단 능력이 높은 척도를 규명하였다는 데 본 연구의 의의가 있다.

남녀 유아의 의도적 통제가 행동 문제에 미치는 영향에 대한 교사-유아 관계의 매개 효과 (Relationships of Child Effortful Control and Problem Behaviors: The Mediating Role of Teacher-child Relationships)

  • 권연희
    • 한국생활과학회지
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    • 제20권3호
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    • pp.595-609
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    • 2011
  • This study examine the mediating role of teacher-child relationships on children's effortful control and problem behaviors. Boys and girls were analyzed separately. Participants were 221 children(l21 boys, 100 girls; aged 4-5), their mothers and 19 child care teachers. The teachers completed rating scales to measure the perception of teacher-child relationships and the children's problem behaviors. Children's effortful control was rated by the mother's questionnaire. The collected data was analyzed using descriptive statistics, t-tests, Pearson's correlations, and hierarchical multiple regressions. Results indicated that children's effortful control was negatively related to their problem behaviors. In addition, the associations between children's effortful control and their aggressive behaviors were mediated by conflictual teacher-child relationship. Also, the relation of girl's effortful control and her withdrawal behavior was partially mediated by conflictual teacher-child relationship. Finally, the association between boy's effortful control and his withdrawal behavior was mediated by close teacher-child relationship. Results suggest the importance of teacher-child relationships in the context of intervention planning for preschooler's problem behaviors.

취학전 아동의 색선호와 인성간의 관련성에 관한 연구 (Personality and color preference of preschool children)

  • 이연숙
    • 대한가정학회지
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    • 제24권2호
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    • pp.113-122
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    • 1986
  • The purpose of this study was to investigate the relationship between personality and color preference, thereby to suggest a personality profile on the basis of colors selected for children's preference. Materias used to determine the degree of color preference were 24 color papers which were developed and described in a previous research by Lee & Lee. The Instrument used ot determine children's personality was Burks' Behavior Rating Scales-Preschool and Kindergarten Edition. Subjects wee 70 3-, 4- and 5- year old children attending the Y Child Development research institute. Data were analyzed with SPSS using mainly F-test and Duncan's Multiple Range Test. Results showed that among 24 colors used, white, violet, sapphire, sky blue, blue, green yellow, pink, green, red, gold, purple, van dyke brown, blue, green, silver were found to be significantly related to persionality. Judging from this results, white and violet seemed to be most predictive colors to personality. Personality aspects significantly related to specific colors were discussed and a profile of personality based on color preference were developed.

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유아의 또래 괴롭힘 피해에 대한 유아 개인 및 학급 맥락의 영향 (Effects of Individual and Classroom Contexts on Peer Victimization of Preschool Children)

  • 신유림
    • 가정과삶의질연구
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    • 제27권6호
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    • pp.13-20
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    • 2009
  • This study investigates the effects of individual and classroom variables on peer victimization through the use of multi-level models. The participants were 297 preschool children recruited from preschools. Teachers completed rating scales that assessed peer victimization, aggression, and prosocial behaviors. Peer nomination was used to measure social preference and friendship. The results showed that the aggression level of classrooms as well as social preference and friendship were associated with peer victimization. The findings imply that the individual as well as the social context should be considered before preventive intervention programs for peer victimization are implemented.

미끄럼 바닥에서 안정성 유지를 위한 균형 전략과 평가방법 (Measurement and Strategies for Dynamic Stability During Locomotion on a Slippery Surface)

  • 김택훈;윤두식
    • 한국전문물리치료학회지
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    • 제10권1호
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    • pp.97-108
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    • 2003
  • Slipping during various kinds of movement often leads to potentially dangerous incidents of falling. The purpose of this paper was to review some of the research performed in the field including such topics as rating scales for balance, kinematics and kinetics of slipping, adaptation to slippery conditions, postural and balance control, and protective movement during falling. Controlling slipping and fall injuries requires a multifaceted approach. Environmental conditions (state of floor surface, tidiness, lighting, etc), work task (walking, carrying, pushing, lifting, etc), and human behavior (anticipation of hazards, adaptation to risks, risk taking, etc) must be accounted for in the assessment of slip and fall-related risks. Future directions of research must deal with modeling of basic tribophysical, biomechanical, and postural control process involved in slipping and falling.

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지역사회에서 예방적 접근으로 실시한 사회기술훈련의 효과 (The Effects of Social Skills Training as a Preventive Approach for Children in the Community Setting)

  • 윤석민;곽영숙
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제25권3호
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    • pp.128-135
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    • 2014
  • Objectives : The purpose of this study was to evaluate the effect of social skills training (SST) for children in two different community settings, an elementary school and a child community center. Methods : Two separate groups of 15 children (10 boys and 5 girls) and 13 children (4 boys and 9 girls) participated in a SST program twice per week at an elementary school and a child community center, respectively. Age range of participants was from 8 to 10 years. Sixty-minute-long sessions of SST were continued twice per week for 4 weeks. Korean-Child Behavior Checklist (K-CBCL), Conner's Rating Scales, Korean-Attention-Deficit Hyperactivity Disorder Rating Scale (K-ARS), Social Skills Rating System (SSRS), and Matson's Evaluation of Social Skills with Youngsters (MESSY) were evaluated by their parents before and after the SST program. Results : Pre-and-post analysis of SST indicated no significant statistical differences in the elementary school group. However, the child community center group showed significantly increased scores for total social ability (p<.05) and decreased scores for attention problem (p<.05) on the K-CBCL. In addition, scores of MESSY were significantly increased (p<.05). These differences between the two groups were still significant after controlling pre-SST scores ; and difference of SST scores between the two groups disappeared after SST. Conclusion : Results suggest that SST in the community setting is an effective tool for prevention of social deficits and problems in attention by promoting social function and attention.

문화예술교육이 아동의 행동과 사회기술에 미치는 영향 : 예비연구 (Effects of Art & Culture Education on Behavior and Social Skill in Children : A Preliminary Study)

  • 정연경;박수빈;백령;김기현;신민섭;이진;김미경;김붕년
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제25권4호
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    • pp.203-208
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    • 2014
  • Objectives : Art and culture education might play a good role in children's emotions ; however, few studies to verify this have been conducted. The objective of this study was to examine the effect of an art and culture education program on behavior and social skills in children aged 7-10 years. Methods : Fifteen children (mean age $7.31{\pm}0.95$ years) were recruited from a community center and participated in an art and culture education program. The participants received a once a week program for 17 sessions, and we compared scores on the Child Behavior Checklist (CBCL) and Social Skills Improvement System-Rating Scales (SSIS-RS) before and after intervention. Results : The participants' subscale scores of CBCL-aggressive behavior, social immaturity, internalizing behavior, externalizing behavior, total behavior problems and social skill scores on the SSIS-RS showed improvement (p<.05) after 15-weeks of the art and culture education program. Conclusion : These results suggest a positive effect of an art and culture education program on the reduction of externalizing and internalizing behaviors and improvement of social skills in children. Further prospective, controlled studies in large samples are needed in order to confirm our findings.