• 제목/요약/키워드: Child/Adolescent

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소아 청소년 정신건강 선별검사 및 치료 연계 효율성에 대한 연구 : 지역사회 중심 연구 (The Effectiveness of Mental Health Problems Screening and Treatment Linkage in Children & Adolescents : Community Based Study Focused on ADHD and Depression)

  • 김효진;조수철;김재원;강제욱;신민섭;김효원;윤명주;이경영;강연주;김붕년
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제20권3호
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    • pp.129-139
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    • 2009
  • Objectives : This study evaluated the effectiveness of school-based mental health screening and treatment linkage programs, focusing on attention-deficit hyperactivity disorder (ADHD) and adolescent depression. Methods : All 11,158 children and adolescents aged 8-14 years in Seoul received a school-based mental health screening, consisting of the Korean versions of the ADHD rating scale and the Child Behavior Checklist (CBCL), for ADHD, and the Center for Epidemiological Studies Depression Scale (CES-DS) and the Suicidal Ideation Questionnaire-Junior (SIQ-JR), for depression. The high-risk children's and adolescents' diagnoses were confirmed using the Diagnostic Interview Schedule for Children-IV (DISC-IV). Treatment linkage programs were managed by the Seoul Metropolitan Community Mental Health Center (Program 1), the Seoul Metropolitan Office of Education (Program 2), or the Dongjak District Office of Education (Program 3). We estimated and compared the referral rates of the three programs. Results : Program 1 screened and referred 22.9% of ADHD youths to mental health services, Program 2, 68.8%, and Program 3, 40.0%. Program 1 screened and referred 22.8% of depressed youths to mental health services, Program 2, 53.8%, and Program 3, 88.9%. Key elements for successful screening and referral programs were an effective school/community mental health center/Office of Education network, the parents' financial support and perception of their child's mental health status as being problematic, and the teachers' active engagement. Conclusion : This is the first study investigating the effectiveness of school-based mental health screenings' linkage to treatment for primary and middle school students in Korea. An effective network for community mental health and improvements in parents' and teachers' perceptions regarding mental health are needed for more successful treatment linkage.

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Psychological Aspects of Child Maltreatment

  • Ahn, Yebin D.;Jang, Soomin;Shin, Jiyoon;Kim, Jae-Won
    • Journal of Korean Neurosurgical Society
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    • 제65권3호
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    • pp.408-414
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    • 2022
  • In this review, we provide information about the etiology, risk factors, and clinical presentations of maltreatment to help clinicians better understand child abuse and neglect. Child maltreatment is a major global health challenge that can result in severe consequences. Abused and neglected children are likely to develop psychiatric disorders, such as major depressive disorder, anxiety disorder, and posttraumatic stress disorder. Understanding child maltreatment is expected to prevent and reduce victimization in children, adolescents, and their families.

학술지 소아청소년정신의학의 공저 네트워크 분석 (Co-Author Networks in Journal of the Korean Academy of Child and Adolescent Psychiatry)

  • 김성완;최범성;김봉석;김경민
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제28권2호
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    • pp.149-154
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    • 2017
  • Objectives: The purpose of this study is to analyze the co-author networks in the Journal of the Korean Academy of Child and Adolescent Psychiatry, a representative journal published by a branch of the domestic psychiatric academy, in order to present the current state of the co-authoring of and developments in child and adolescent psychiatry. Methods: We visualized and estimated the basic characteristics of the co-author networks shown by 564 authors who wrote 251 papers published in the Journal of the Korean Academy of Child and Adolescent Psychiatry between 2005 and 2015, in order to assess their network characteristics, author centrality, and relevance to research performance. Results: The co-author networks in the Journal of the Korean Academy of Child and Adolescent Psychiatry showed the characteristics of a small world and scale-free network. There was a correlation between the author centrality within the network and the research performance of the authors, but less correlation was shown between the centrality and mean paper citation counts. Conclusion: The network structure in the Journal of the Korean Academy of Child and Adolescent Psychiatry showed similarity to the co-authoring of other branches. However, given that the mean paper citation counts were less correlated with the author centrality than those in other branches, it may be necessary to promote an increase in the mean paper citation counts.

Effect of School-Based Social Skills Training Program on Peer Relationships: Preliminary Study

  • Roh, Hong-Shik;Shin, Jung-Uk;Lee, Jae-Woo;Lee, Yeon-Woo;Kim, Tae-Won;Kim, Ji-Young;Park, Mi-Ri;Song, Gang-Sik;Seo, Sang Soo
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제29권1호
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    • pp.14-25
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    • 2018
  • Objectives: The aim of this study was to evaluate the effect of a school-based social skills training program on peer relationships in children and adolescents and to assess the plan for effective school-based mental health services. Methods: The Child and Adolescent Mental Health Promotion Team of Bugok National Hospital conducted 7-sessioned school-based social skills training for elementary and middle school students (n=90). Changes in peer relationships were evaluated before and after application of the program using a name generator question. Results: The social skills training program increased peer relations, indicating significant changes in social network indices. Conclusion: The social skills training program positively influenced peer relationships. The school-based social skills training program can be expected to have positive effects on school-based mental health services. Future investigation is needed to validate the long term effects of this program.

주의력결핍 과잉행동장애 아동에서 α-2A 아드레날린 수용체 유전자의 MspI 유전자 다형성에 따른 메칠페니데이트 치료 전후 뇌관류 비교 (Regional Brain Perfusion before and after Treatment with Methylphenidate According to the MspI Polymorphism of the Alpha-2A Adrenergic Receptor Gene in Children with Attention-Deficit Hyperactivity Disorder)

  • 박수빈;배정훈;김재원;양영희;오승민;홍순범;박민현;김붕년;신민섭;유희정;조수철
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제24권1호
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    • pp.21-27
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    • 2013
  • Objectives : Dysregulation of the central noradrenergic system may be involved in the pathophysiology of attention-deficit hyperactivity disorder (ADHD). The aim of this study was to examine the differences in pre- and post-treatment cerebral perfusion according to the MspI polymorphisms of the alpha-2A-adrenergic receptor gene (ADRA2A) in children with ADHD. Methods : Thirty seven drug-naive ADHD children (8.9+1.8 years old, M=32, F=5) were genotyped. Baseline single-photon emission computed tomography (SPECT) and clinical assessments were performed for ADHD children. After treatment with methylphenidate for eight weeks, SPECT and clinical assessment were repeated. Results : No differences in baseline clinical assessments or cerebral perfusion were observed according to the MspI genotype. However, after treatment, ADHD children with the G/G genotype at the MspI polymorphism showed hyperperfusion in the right cerebellar declive (p=.001, uncorrected) and hypoperfusion in the left lentiform nucleus and left cingulate gyrus (p<.001 and p=.001, uncorrected), compared to children without the G/G genotype. Conclusion : Although the results of this study should be interpreted cautiously, they suggest a possible role of the MspI polymorphisms of the ADRA2A gene in methylphenidate-induced changes in cerebral perfusion.

한국 소아 ${\cdot}$ 청소년정신의학 - 과거 ${\cdot}$ 현재 ${\cdot}$ 미래 - (KOREAN CHILD AND ADOLESCENT PSYCHIATRY - A REVIEW OF THE PAST, THE PRESENT AND THE FUTURE -)

  • 홍강의
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제14권2호
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    • pp.139-149
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    • 2003
  • 연구목적:대한소아청소년정신의학회 창립 20주년을 맞아 한국 소아청소년정신의학의 발전 과정(과거)을 돌아보고, 현재의 상황과 문제점을 짚어보고, 앞으로 나아가야할 방향과 주요과제를 살펴 보고자함. 연구방법:학회기록, 관련논문, 원로들과의 개인통신, 저자개인기록과 참여경험을 토대로 함. 결 과:한국소아정신과의 공식출범은 1979년 서울대학교병원외래에 소아정신과클리닉의 개설과, 다음해 동대학병원에 소아정신분과 설립으로 볼 수 있음. 대한소아, 청소년정신의학회는 1983년 한국소아정신의학연구회로 시작하여 1986년 동학회가 공식 창립되었음. 창립후 지난 20년간 학회는 괄목할만한 성장과 발전을 하였는데 그 원동력은 소아청소년정신과 전임의 수련프로그람이 주요대학병원(현재 총 7개)에 생겼고, 1994년부터 한국소아청소년정신의학회지 발간, 1996년 대한소아청소년정신과 수련심사위원회의 발족과 역할수행에서 찾을 수 있음. 현재 한국에 77명의 소아청소년정신의학 분과전문의와 48명의 부가수련중인 전문의, 18명의 전임의가 수련 중에 있음. 현재 한국소아청소년정신과는 국내적으로는 중흥기를 맞이하고 있고 인접전문분야의 발전에도 크게 기여하고 있음, 국제적으로도 아시아소아청소년학회의 창립과 학술활동에 중추적 역할을 하고 있을 뿐 아니라 미국 및 국제 소아청소년정신의학회등 국제무대로 역할을 확대 중임. 결 론:한국소아청소년정신의학은 지난 20년간 성공적인 발전을 해왔고, 의학계와 일반 사회에 크게 기여하고 있음. 그러나 청소년문제에 대한 적극적 개입, 병원 및 정신질환 관련기관에서의 자문, 연결, 학교자문서비스에 좀더 적극적인 참여가 필요함. 우리나라는 지난 30여년간 급격한 정치적, 경제적, 사회문화적 변화를 겪었고, 특히 가족체계의 변화와 붕괴현상은 날로 심각해져, 소아청소년의 정신건강문제는 증가일로에 있는 것이 분명함으로 앞으로 소아청소년정신과 전문의의 역할은 중차대함. 뿐만 아니라, 우리는 아시아지역 국가들의 낙후된 소아청소년정신과서비스 개발과 발전에도 기여하여야할 사명이 있는 것으로 제안함.

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