This study examined different individual and environmental factors that affect children's experience of harassment from their peers. For the individual variables, gender, behavioral problems, and self-esteem were included in the anal)'sis. For the family variables, mother's parenting style and the socio-economic status of parents were examined, and for the school variables, the supervision of the teacher and the attitudes of the classmates toward bullying were used. Two forms of peer harassment, the overt form and the relational form were examined in this study. The sample consisted of 520 fifth grade children. Statistics and methods used for the data analysis were Cronbach's alpha, factor analysis, frequency, percentage, means, standard deviation, Pearson's correlation, and multiple regression. Several major relationships were found from the analyses. First, the more the children tend to internalize behavioral problems and have lower self-esteem, the more likely they are to get victimized by overt and relational forms of harassment. Boys experience more overt harassment than girls. Second, the more the mother's parenting style is permissive-nonintervening, or rejecting-restricting, and the higher the father's social status is, the more likely the child is subjected to overt and relational forms of harassment. Third, the more the children feel that the teacher is paying attention to bullying, the less the children are subjected to the overt form of peer harassment. Fourth, children's internalizing behavioral problems, mother's permissiveness-nonintervention, children's self-esteem, children's gender, and the supervision of the teacher regarding bullying significantly affected the experience of overt forms of harassment. A twenty two percent variance in the victimization of an overt form was explained by those variables. Children's internalizing behavioral problems, mother's permissiveness-nonintervention, children's self-esteem, and mother's rejection-restriction significantly affected the experience of relational form of peers harassment. Twenty six percent of the variance in the relational form of victimization was explained by those variables.
Prevalence of pediatric obesity has increased worldwide in the last 20 years. Obese children suffer not only physical complications but also mental health problems such as depression, attention deficit hyperactivity disorder (ADHD), and eating disorders, as well as psychosocial impairments, such as school adjustment problems, bullying, and low self-esteem. Recently, there have been some studies on the association of mental health problems and pediatric obesity. In the treatment of pediatric obesity, many previous studies suggest multidisciplinary treatment. However, cognitive behavioral therapy (CBT) has attracted attention because obese children are accompanied by body image distortion, emotion dysregulation, and difficulties in stimulus control. This review is a narrative summary of the recent studies on mental health problems and CBT in pediatric obesity. The relationship between depression/anxiety and pediatric obesity is still inconsistent but recent studies have revealed a bidirectional relation between depression and obesity. Additionally, some studies suggest that obese children may have eating disorder symptoms, like loss of control eating, and require therapeutic intervention for pediatric obesity treatment. Furthermore, impulsivity and inattention of ADHD symptom is thought to increase the risk of obesity. It has also been suggested that CBT can be very effective for mental health problems such as depression, impulsivity, and body image distortion, that may coexist with pediatric obesity, and use of multimedia and application can be useful in CBT.
Journal of the Korean Academy of Child and Adolescent Psychiatry
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v.28
no.2
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pp.115-122
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2017
Objectives: Executive dysfunctions including working memory deficit have been suggested to be one of the major neuropsychological etiologies of attention-deficit hyperactivity disorder (ADHD). The purpose of this study was to investigate the augmentative effects of working memory training on the behavioral problems, quality of life, and parental stress of medicated children with ADHD. Methods: Twenty-five children with ADHD, aged 9 to 19 years, who were being treated with ADHD medication, were included. The participants were trained with a commercially available and computerized working memory program ($Cogmed^{(R)}$) for 5 weeks without any alteration of their medication. The Child Behavior Checklist (CBCL), KIDSCREEN-52 quality of life measure, and Parenting Stress Index-Short Form (PSI-SF) were administered before training, and 4 weeks and 7 months after training, respectively. Results: After completing the training, the anxiety/depression, social problems, thought problems, attention problems, aggressive behavior, and externalizing problems scores in the CBCL were significantly reduced. The score on the Parent-child dysfunctional interaction in the PSI-SF was also decreased. However, the scores related to the quality of life were not changed. These changes were still observed 7 months after the training. Conclusion: Cogmed working memory training can be a promising training option for the additional improvement of behavioral problems and parental stress in medicated children with ADHD.
Atopic dermatitis is the fastest growing skin disorder among children from infancy to adolescence in Korea. The side-effects of atopic dermatitis not only include physical discomfort, but also psychological trauma which ultimately affects the developmental growth of children. This study was conducted in order to investigate the behavioral characteristics of an atopic dermatitis sufferer. As part of this research, the relative influence of behavioral problems and, self-perceived competence were analyzed in relation to the social competence of an atopic child. In total, 301 atopic and non-atopic children, between 2 and 6 years of age, and their mothers and teachers participated in the study. From this number, 109 children had atopic dermatitis, while 192 children did not. Mothers were asked to complete a parent-report questionnaire that required information on parental stress, according to the scale parenting methodology of Abbdin(1990) and Cho(1999). Teachers were subjected to teacher-report questionnaires which included topics on social competence, socia-emotional assessment and behavioral problems of an atopic child. Furthermore, children also completed questionnaires on self-perceived competence. According to analysis on K-CBCL, ITSEA, social competence, self-perceived competence and parental stress, children with atopic dermatitis showed higher scores in depression/anxiety and depression/withdrawal, compared to children in the normal control group. In relation to parental stress, daily stress, parental role stress, and stress related disease, mothers with atopic dermatitis children exhibited higher scores. In establishing relationships among the related variables, atopic children who demonstrated more social competence were more likely to suffer less from withdrawal, attention problems, and depression/anxiety. Stress related disease in mothers with atopic children was positively related to attention problems of the child. In terms of relative influences, behavioral problems was the most significant variable, accounting for 23% of variance. Lower behavioral problems was positively related to more social competence. In summation, this study investigated the general characteristics of atopic children. In conclusion, atopic children and their mothers had difficulty in dealing with this disease. It is our belief that an atopic child would not only require physical treatment, but also need appropriate psychological care.
Instruments used in this study of social support effects on the behavioral problems of children raised by their grandparents compared with children raised by their parents were the revised Social Support Appraisal (Dubow & Ulman 1989) and the revised Children Behavior Criteria (Achenbach, 1991). Results showed that, compared with children raised by their parents, children raised by their grandparents engaged in (1) more excessive, nervous and immature behavior; (2) were aware of less support of friends and family (3) When given a higher degree of support from friends they engaged more excessive and aggressive behavior and (4) They displayed counter-buffering effects, namely immature behavior when given higher family support.
The structure of fears was identified and measured by Q methodology. Subjects were 40 school-aged children with emotional and behavioral problems. Subjectivity of children's fears was classified into 3 types by the QUANL program. Three types occupied 52% of all variance and correlations ranged between .31 and.52. The first type is "imaginative-sensitive perception" where children are fearful about unreal and imaginative objects related to death. The second type is "rational-empirical perception" where children are concerned about the impact of fearful objects and authoritative figures based on their own personal experience. The last type is "realistic-egocentric perception" where children are fearful of possible violence, crime, and disease.
The purpose of this study was (1) to examine the impact of chronic diseases and emotional-behavioral problems on school-age children's self-perceived QOL, and (2) to investigate what factors were related to the QOL of children. Participants were 972 Korean 4th, 5th, & 6th grade students and 47 teachers. Children completed a questionnaire to evaluate their self-perceived well-being and subjective health. Also they reported their height/weight and physical health state indicating whether they have chronic diseases or not. Teachers reported each child's psychosocial health problems and also reported whether the child has chronic diseases or not. Major findings were as follows : 1. Physical and psychosocial health status had significant impact on school-age children's QOL. Moreover, physical and psychosocial health status were interrelated. 2. Presence of physical and psychosocial problems contributed to substantial declines in self-perceived QOL of school-age children. Children who have chronic diseases and emotional-behavioral problems reported significantly lower QOL compared with children in a normal state. 3. Peer relationship was found to be the significant factor that contribute to the QOL of all children.
The subjects in this study of parenting attitudes, children's behavior problems and attention ability were 111 5-year-old children and their parents. Data was analyzed by mean, frequency, percent, three-way ANOVA, and Pearson's correlation. Results showed that behavior problems and attention ability of children varied by the parenting attitude of mothers and fathers. Behavior problems of boys were higher than girls, and boys' attention abilities were lower than girls.' Interaction effects were found between parenting attitudes and gender in children's behavior problems and attention ability : fathers' autonomy correlated negatively with boys' behavior problems (r=-.47), task processing speed (r=-.37), and attention inconsistency (r=-.36). Children's behavioral problems correlated positively with attention inconsistency (r=.28).
Purpose: This study was a systematic review and meta-analysis designed to investigate the effects of stimulation-oriented interventions for behavioral problems among people with dementia. Methods: Based on the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA), a literature search was conducted using seven electronic databases, gray literature, and other sources. Methodological quality was assessed using the Scottish Intercollegiate Guidelines Network (SIGN) for randomized controlled trials (RCTs). Data were analyzed using R with the 'meta' package and the Comprehensive Meta-Analysis (CMA 2.0) program. Results: Sixteen studies were included for meta-analysis to investigate the effect of stimulation-oriented interventions. The quality of individual studies was rated as '++' for eight studies and '+' for the rest. The effect sizes were analyzed according to three subgroups of interventions (light, music, and others); Hedges' g=0.04 (95% CI: -0.38~0.46), -0.23 (95% CI: -0.56~0.10), -0.34 (95% CI: -0.34~0.00), respectively. To explore the possible causes of heterogeneity ($I^2=62.8%$), meta-regression was conducted with covariates of sample size, number of sessions, and length of session (time). No moderating effects were found for sample size or number of sessions, but session time showed a significant effect (Z=1.96, 95% CI: 0.00~0.01). Finally, a funnel plot along with Egger's regression test was performed to check for publication bias, but no significant bias was detected. Conclusion: Based on these findings, stimulation-oriented interventions seem to have a small effect for behavioral problems among people with dementia. Further research is needed to identify optimum time of the interventions for behavioral problems among dementia pateints.
Journal of the Korean Academy of Child and Adolescent Psychiatry
/
v.1
no.1
/
pp.40-54
/
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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