• Title/Summary/Keyword: Behavioral Problem

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Affective Factors That Contribute to the Quality of Life of Juvenile Inmates with Attention-Deficit/Hyperactivity Disorder: A Focus on Items from the Korean Youth Self Report

  • Kim, Hyesoon;Kim, Bongseog
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.30 no.4
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    • pp.161-167
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    • 2019
  • Objectives: This study investigated quality of life in Korean juvenile inmates with attention-deficit/hyperactivity disorder (ADHD) and the impact of behavioral and emotional problems on quality of life. Methods: In total, 200 inmates were evaluated using the Korean version of the Mini-International Neuropsychiatric Interview (K-MINI) and the Korean version of the Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime (K-SADS-PL-K). We extracted the inmates with ADHD and evaluated their quality of life, behavioral problems, and emotional problems with the Pediatric Quality of Life Inventory (PedsQL) and the Korean Youth Self Report (K-YSR) scale. Descriptive statistics, Pearson correlation analysis, and multiple regression analysis were conducted. Results: Among the 200 total inmates, 68 were diagnosed with ADHD by the K-SADS-PL-K. Most of the correlations between PedsQL scores and K-YSR items were significant. Multiple regression analysis showed that PedsQL could be predicted by affective problems (among the DSM-oriented scales of the K-YSR) and attention problems (among the syndrome scales of the K-YSR). Conclusion: Our results demonstrate that, among juvenile inmates with ADHD, quality of life was negatively correlated with most behavioral and emotional problems. Meanwhile, the significant influence of affective and attention problems on inmates' quality of life suggests the necessity of comprehensive treatments for this group.

Experiences of Problem drinkers Participation in Early Intervention Program for Moderate Alcohol Drinking (조기개입 프로그램에 참여한 문제음주자의 경험)

  • Kang, Kyonghwa
    • Korean Public Health Research
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    • v.44 no.4
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    • pp.1-13
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    • 2018
  • Purpose : The purpose of this study was to explore the subjective experiences of problem drinkers participating in the early intervention program for moderate alcohol drinking. Methods : A qualitative descriptive study design was used. Data were collected through individual interviews with thirteen problem drinkers and analyzed using qualitative content analysis. Results : The experiences of the problem drinkers participating in the early intervention program were derived from four themes and nine sub-themes in terms of awareness, alcohol expectancies, perceived self-efficacy and behavioral change. They participated in programs offered in the workplace, and there were differences in motivation level among individuals, but generally accepted the necessity of the program. Participants who had trust with the program provider were more likely to change drinking behavior. Conclusion : Problem drinkers who participated in the early intervention program showed that it is a useful approach to change the problem drinking behavior by promoting awareness of alcohol-related knowledge, motivation for change through acquiring enough information and acquisition of self-efficacy as a behavior skill. These findings can be used as basic information for implementing and adapting early intervention for prevention of alcoholism in primary health care setting including workplace.

Predictors of Hepatitis B Preventive Behavioral Intentions in Healthcare Workers

  • Morowatishaifabad, Mohammad ali;Sakhvidi, Mohammad Javad Zare;Gholianavval, Mahdi;Boroujeni, Darioush Masoudi;Alavijeh, Mahdi Mirzaei
    • Safety and Health at Work
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    • v.6 no.2
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    • pp.139-142
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    • 2015
  • Background: Healthcare workers' practices regarding hepatitis B have an important effect on the control of this problem in workplaces. Methods: A questionnaire-based cross-sectional study was used to investigate the role of knowledge, cues to action, and risk perceptions as predictors of preventive behavioral intentions for hepatitis B among healthcare works in Broujen, Iran (n = 150). History of hepatitis B vaccination, hepatitis B surface antigen test, and demographic characteristics were investigated. The psychometric properties of the questionnaire were established. Results: Those who had a history of hepatitis B surface antigen test had a statistically significant higher level of risk perceptions ($30.89{\pm}4.08$ vs. $28.41{\pm}3.93$, p < 0.01) and preventive behavioral intentions ($5.05{\pm}1.43$ vs. $4.45{\pm}1.29$, p < 0.01). The mean score of cues to action was significantly correlated with age and work history (r = 0.20, p = 0.02 and r = 0.19, p = 0.02). Preventive behavioral intentions were significantly correlated with cues to action and risk perceptions but not with knowledge level. Cognitional factors were responsible for a 17% change in observed variance of preventive behavioral intentions, which was statistically significant. Conclusion: Risk perceptions were the most important determinant of preventive behavioral intentions for hepatitis B among health personnel; thus, emphasizing risk perceptions is recommended in educational programs aimed at increasing health personnel's practices regarding hepatitis B.

Cognitive Impairment, Behavioral Problems, and Mental Health in Institutionalized Korean Elders -An Eligibility Issue for Care Settings- (기관별 입원/입소 노인의 인지.행동장애 및 정신건강 문제에 관한 조사연구 -노인 장기 요양 대상자의 입소기관별 적격성(eligibility) 여부를 중심으로-)

  • Kim, Hyun-Sil;Jung, Young-Mi;Lee, Hung-Sa
    • Journal of Korean Academy of Nursing
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    • v.39 no.5
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    • pp.741-750
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    • 2009
  • Purpose: The purpose of this study was to identify the prevalence of cognitive impairment, behavioral problems, and the state of mental health for elderly Korean people who have been institutionalized. Methods: A cross-sectional, nationwide survey was performed using an anonymous questionnaire. The participants in this study were 2,521 institutionalized elderly Korean people. A proportional stratified random sampling method was employed. Results: 1) Elders admitted to subacute hospitals and long term care (LTC) facilities showed a higher level of cognitive impairment compared to elders admitted to acute care hospitals. 2) Elders confined in LTC facilities showed a higher level of behavioral problems compared to elders in acute or subacute hospitals. 3) Elders admitted to subacute hospitals and LTC facilities showed more serious mental health problems, such as depression or suicidal ideation, compared to elders in acute care hospitals. Conclusion: The results of this study indicate that the severity of cognitive-behavioral or mental health problems do not match well with type of care setting. Therefore, health personnel working with elderly people should be provided guidance on detection and management of cognitive-behavioral and mental health problems. The necessity of a decision support system for eligibility and placement in long-term care is also discussed.

Association between Environmental Factors in Home and Behavioral Problems in Children with Allergic Diseases: Based on 2015 Panel Study of Korean Children Survey (알레르기질환 아동의 가정 내 환경요인과 문제행동의 관계: 2015년 한국아동패널 자료를 바탕으로)

  • Son, Miseon;Ji, Eunsun
    • Research in Community and Public Health Nursing
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    • v.30 no.4
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    • pp.426-436
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    • 2019
  • Purpose: This study aimed to investigate the association between indoor environmental exposures and behavioral problems in children with allergic diseases. Methods: We used data from 2015 Panel Study of Korean Children (PSKC). The subjects of this study included 825 children aged 7 years with asthma, allergic rhinitis, or atopic dermatitis. The data was analyzed using hierarchical multiple regression. Results: Factors influencing behavioral problems in children with allergic diseases were passive smoking (β=.15, p<.001), painting from 1year after birth until 1 year ago (β=.13, p<.001), using of linoleum as floor materials (β=.09, p<.001), change of wallpaper From 2 years before pregnancy until 1year after birth (β=.08, p<.001), change of wallpaper from 1year after birth until 1 year ago (β=.07, p<.001), keeping hot food or water in plastic container (β=.06, p<.001), remodeling from 1 year after birth until 1year ago (β=.04, p<.001), using of plastic container (β=.03, p<.001), and change of floor materials from 1 year after birth until 1year ago (β=.01, p=.006) which explained about 10% of behavioral problems. Conclusion: This study showed that indoor environmental exposures were associated with behavioral problems in children with allergic diseases. Based on the findings of this study, programs focusing on controlling of indoor environmental exposures may help to prevent and reduce behavioral problems in children with allergic diseases.

Multidisciplinary Approaches in Developing Guideline for Mediating Behavioral Problems in Children and Adolescents with Neurodevelopmental Disorders (발달장애 문제행동 치료 가이드라인 제작을 위한 다학제적 접근)

  • Hong, Kyungki;Song, Hokwang;Oh, Maehwa;Oh, Yunhye;Park, Subin;Kim, Yeni;Choi, SungKu
    • Journal of Korean Neuropsychiatric Association
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    • v.57 no.2
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    • pp.190-208
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    • 2018
  • Objectives To initiate and develop a treatment guideline in multidisciplinary approaches for related professions who are either working and/or living with children and adolescents with neurodevelopmental disorders who show behavioral problems. Methods To collect and reflect opinions from multiple professions who assumedly have different interventions or mediations on behavioral problems, a self-report survey and Focus Group Interview (FGI) were conducted for a group of child and adolescent psychiatrists, behavioral therapists, special education teachers, social welfare workers, and caregivers. Results According to a self-report survey and FGI results from multiple professional groups, aggressive behavior is the mostly common behavioral problem necessitating urgent interventions. However, both mainly used intervention strategies and effective treatment methods were different depending on professional backgrounds, such as pharmacological treatment, parent training, and behavior therapy, even though they shared an importance of improving communication skills. In addition, there was a common understanding of necessity to include parent training in a guideline. Lastly the data suggested lack of proper treatment facilities, qualified behavior therapists, and lack of standardized treatment guideline in the field needed to be improved for a quality of current therapeutic services. Conclusion It is supported that several subjects should be included in the guidelines, such as how to deal with aggressive behavior, parent training, and biological aspects of neurodevelopmental disorders. Also, it is expected that publishing the guideline would be helpful to above multiple professions as it is investigated that there are lack of treatment facility and qualified behavioral therapists compared to need at the moment.

The Impacts of Regulation, Negative Emotionality and Problem Behaviors on Children′s School Adjustment (조절력과 부정적 정서 및 문제행동이 아동의 학교생활적응에 미치는 영향)

  • 옥경희;김미해;천희영
    • Journal of Families and Better Life
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    • v.20 no.6
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    • pp.61-68
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    • 2002
  • Relations of regulation, negative emotionality and problem behaviors to school adjustment were examined for 1,105 elementary school children from 558 2nd grade and 547 5th grade. Children reported their regulation and negative emotionality and teachers rated children's problem behaviors such as hyperactive and withdrawal behaviors and school adjustment including school life, grades, social competence with peers and teacher. Measures of problem behaviors were highly contributed to the prediction of children's school adjustment, especially hyperactive to school life and grades and withdrawal to social competence with peers and teacher. Behavioral regulation was associated with school adjustment including school life and social functioning with teacher and was able to modulate the influence of hyperactive. It was found that depression had both direct and indirect effects via withdrawal behavior on school adjustment.

BIO-PSYCHOSOCIAL STUDY OF EMOTIONAL BEHAVIORAL PROBLEMS IN KOREAN ELEMENTARY SCHOOL CHILDREN(II) -Quantitated Various EEG Elements of Basic Activity in ADHD and Emotional Behavioral Problem Children by Computerized Wave Form Recognition Method - (국민학교 아동의 정서행동문제에 대한 생물 ${\cdot}$ 정신사회학적 연구(II) -뇌파자동해석장치에 의한 주의력 결핍과잉운동장애 아동과 정서행동문제아동의 뇌파조사-)

  • Lee, Chung-Kyoon;Jang, Kyung-June;Park, Seong-Ho;Hong, Kang-E
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.1 no.1
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    • pp.40-54
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    • 1990
  • The author studied EEG differences among normal, children, children with emotional behavioral problems determined by Rutter's questionnaire and children with attention-deficit hyperactivity disorder according to DSM-III-R. The results are as follows ; There were no differences in incidence and pattern of abnormal EEG between normal control children and children with emotional behavioral problems. But children with attention-deficit hyperactivity disorder tend to show lower average amplitude, and less wave percentage time of alpha wave in occipital area than normal did, furdermore wave percentage time of alpha wave appeared more in left occipital area than in right occipital area, These results demonstrated that emotional behavioral problems in elementary school children may not be related to EEG abnormality, Where as children with attention deficit hyperactivity disorder showed underdeveloped alpha waves as compared with normal control children.

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The Rule-based Agent Modeling and Simulation considering the Evacuation Behavior Characteristics on the Passenger Ship Fire (여객선 화재시 피난행동특성을 고려한 규칙기반 에이전트 M&S)

  • Lee, Eun-Bok;Shin, Suk-Hoon;You, Yong-Jun;Chi, Sung-Do;Kim, Jae-Ick
    • Journal of the Korea Society for Simulation
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    • v.20 no.3
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    • pp.111-117
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    • 2011
  • This paper suggests the passenger model considered evacuation behavioral characteristics on the passenger ship fire using a rules-based agent technique. The existing evacuation simulation system was modeled only passenger speed. The speed-based model considered passenger's physical characteristics, so it couldn't consider evacuation behavioral characteristics. For solving this problem, we modeled the passenger model using a rule-based agent applied evacuation behavioral characteristics. The rule-based agent consists of knowledge base and inference engine. In knowledge base, we represented evacuation behavioral characteristics, and chose the examples of the evacuation behavioral characteristics to show various patterns of behavior. And we simulated in the IMO MSC/Circ.1238 example 8 and we proved the simulation results could represent variety patterns of human behavior.

The effectiveness of cognitive behavioral therapy for ego-integrity of depressed elderly women living alone (우울한 여성독거노인의 자아통합감 증진을 위한 인지행동치료 프로그램 개발 및 효과)

  • Kim, Ji Hyun;Jeong, Hyo Un;Kim, Jung Min
    • Journal of Family Relations
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    • v.21 no.3
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    • pp.49-72
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    • 2016
  • Objectives: The purpose of this study is to develop a cognitive behavioral therapy program for ego-integrity of depressed elderly women living alone, and to verify its effectiveness. Method: The subjects of this study were composed of elderly women(age 65 and older) living alone who had basic literacy skills, 24 or higher in mental state examination(MMSE-K), and 6 or higher in elderly depression(GDS). 29 women were randomly assigned into an experimental group(cognitive behavioral therapy), a comparison group(reminiscence therapy) and a control group. The experimental group and the comparison group retrospectively participated in a 90-minute therapy session twice a week for a total of 12 weeks. The effectiveness of the program was assessed through a pretest, posttest, and 2-month follow-up test. The data collected were analyzed with SPSS 22.0 statistical program. Results: The main findings of this study are as follows. First, at posttest ego-integrity and self-esteem marked higher scores in both of the experimental group and the comparison group than in the control group, but the experimental group marked comparatively higher scores than the comparison group. For dysfunctional attitude, only the experimental group showed lower scores compared to the comparison group and the control group. Second, at posttest depression marked lower scores in the experimental group compared to the comparison group and the control group. Third, at posttest problem-solving and support-seeking coping strategies marked higher scores in the experimental group compared to the comparison group and the control group. Fourth, the significant improvements remained at 2-month follow-up test. Conclusions: Cognitive behavioral therapy resulted in improvements of the ego-integrity and related symptoms of depressed elderly women living alone at posttest and 2-month follow-up test respectively.