• 제목/요약/키워드: Child/Adolescent

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청소년 경계선 상태의 임상적 분류 (CLINICAL CATEGORIES OF ADOLESCENT BORDERLINE STATE)

  • 홍강의;전성일;신민섭
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제6권1호
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    • pp.18-33
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    • 1995
  • 본 논문에서는 청소년 경계선 장애의 개념의 발달, 역학, 공존 질환 및 감별 진단, 유형 분류, 정신 역동학적 이론, 생물학적 이론, 실험적인 연구등을 통한 병인론, 추적 연구에 대한 문헌 고찰을 하였고 청소년기에 재현되는 재접근기(rapproachment)의 혼란에 의해 현상학적으로 경계선 성격 장애와 같은 모습을 보이는 상태를 통틀어 청소년의 경계선 상태(adolescent borderline state)라고 정의하였으며 이를 성인의 경계선 성격 장애와는 다른 청소년의 한 ‘과정’으로서 개념화하였다. 또한 저자들은 청소년기의 경계선 상태를 다음의 네가지 유형으로 나누고 각각의 증례를 제시하였다 (1) 청소년 과정으로서의 경계선 상태 (2) 정신병적 상태와 연관되어 나타나는 경계선 상태 (3) 전형적 경계선 성격 장애의 시작으로서의 경계선 상태 (4) 기질적 질환과 연결되어 나타나는 경계선 상태. 결론적으로 청소년기의 경계선 장애는 단순히 아동기의 분리-개별화 단계의 실패가 지속되어 생기는 것이 아니라 이와 유사한 과제가 발달의 주제로 재현되는 청소년기의 이차 분리 개별화 과정의 갈등에 의한 것이고 만약 이 시기에 갈등의 해소가 안되면 성인기에서는 경계선 성격 장애로 나타날 수 있을 것이라고 생각되었다.

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청소년의 부모-자녀의사소통, 정서지능 및 부모화경험이 심리적 안녕감에 미치는 영향 (The Effects of Parent-Adolescent Communication, Emotional Intelligence and Parentification on the Psychological Well-being of Adolescents)

  • 김정민;이유리
    • 가정과삶의질연구
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    • 제28권3호
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    • pp.13-26
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    • 2010
  • This study investigates the effects of parent-adolescent communication, emotional intelligence and parentification on the psychological well-being of adolescents. Participants were 712 middle and high school students from Seoul. The collected data were analyzed through a Cronbach's $\alpha$, two-way ANOVA, Pearson's correlation and stepwise multiple regression. The results are as follows: 1) While parent-adolescent communication, parentification, and psychological well-being differed by grade, emotional intelligence did not differ by grade. 2) Father-adolescent communication, regulation of emotion, expression of emotion, practice of emotion, recognition of emotion and mother-adolescent communication were significant predictors of the psychological well-being of middle school students. 3) The recognition of emotion, father-adolescent communication, practice of emotion, regulation of emotion, and mother-adolescent communication were significant predictors of the psychological well-being of high school students. 4) Emotional intelligence played a partially mediating role in the relationship between parent-adolescent communication and psychological well-being.

농촌의 다문화와 비 다문화 가구 청소년의 인성과 영향 변인 비교 (Comparison of the Personality and Its Impact Variables between Multicultural and Non-multicultural Household Adolescent in Rural)

  • 양순미;정민자;오윤자
    • 농촌지도와개발
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    • 제22권4호
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    • pp.365-383
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    • 2015
  • This study aimed at identifying a differences of the factors affecting personality of multicultural and non-multicultural household adolescent in rural area. The major findings that were drawn from this study were as follows. Frist, the level of personality perceived by non-multicultural household adolescent was higher than it of the multicultural household adolescent significantly. Second, the regression analysis showed that the factors affecting personality was different between multicultural and non-multicultural household adolescent in rural area. The scholastic performance(${\beta}=.23$), namely, affected most significantly the personality perceived by adolescent of multicultural household, and the immersing time in internet game per one day(${\beta}=-.27$), on the other hand, affected most significantly the personality perceived by adolescent of non-muticultural household. In conclusion, based on results of this study, several plans improving the personality of the rural multicultural and non-multicultural household adolescent were suggested.

청소년의 소외감, 우울과 가족환경 및 학교생활 부적응이 자살생각에 미치는 영향 (Effects of Adolescent's Alienation, Depression, Family Environment and School Maladjustment on Suicidal Ideation)

  • 조윤숙;이경님
    • 대한가정학회지
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    • 제48권8호
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    • pp.27-37
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    • 2010
  • This study examined the effects of adolescent's alienation, depression, family environment and school maladjustment on suicidal ideation. Data were collected from 577 second graders from high school. The results were as follows: Firstly, family's abuse had a direct and an indirect effect through alienation and depression on adolescent's suicidal ideation. Home stress, family support and socioeconomic status had an indirect effect through school maladjustment, alienation and depression on suicidal ideation. Secondly, school maladjustment in dating had a direct effect on adolescent's suicidal ideation. School maladjustment in relations with teacher and peers and in learning activities had indirect effects through alienation and depression on adolescent's suicidal ideation. Thirdly, adolescent's depression had a greatest direct effect on suicidal ideation. Adolescent's alienation had a direct and an indirect effect through depression on adolescent's suicidal ideation and was the most important predictive variable of adolescent's suicidal ideation.

자폐스펙트럼장애의 조기선별에 대한 관련 분야 종사자의 인식 조사 (A Study on Practitioner's Perceptions on Early Screening of Autism Spectrum Disorder)

  • 선우현정;노동현;김경미;김주현;유희정
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제28권2호
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    • pp.96-105
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    • 2017
  • Objectives: The purpose of this study is to investigate the professional knowledge and perceptions of the early screening of Autism Spectrum Disorder (ASD) in practitioners who have contact with patients with ASD. Methods: A survey was carried out among 674 practitioners in total, where practitioners are defined as those who work at primary medical centers, public institutions, educational institutions and treatment institutions. The survey was carried out both online and offline, and it mainly focused on 1) knowledge about ASD symptoms, 2) knowledge about the early screening of ASD, 3) measures taken after ASD detection, 4) thoughts on the development of early screening tools for ASD, and 5) the current status of ASD treatment. The data collected were analyzed through descriptive statistics, analysis of frequency and cross tabulation analysis using SPSS WIN 22.0. Results: The results of this study suggest that the practitioners were not aware of the exact symptoms of ASD and their professional knowledge and the environment for early screening were insufficient. Furthermore, very few and inappropriate measures were taken after the detection of ASD. In addition, there was a high demand for early ASD screening tools to be used on site and, regarding treatment, the significance of the implementation of evidence based treatments as well as the continuity of relevant research came to the fore. Conclusion: It seems that there is a lack of knowledge and perception of the early screening of ASD and that education and training among practitioners is urgently required. This issue is discussed in more detail in the paper.

중학생들에서의 체 질량 지수와 삶의 질의 관계 (RELATIONSHIP BETWEEN QUALITY OF LIFE AND BODY MASS INDEX IN MIDDLE SCHOOL STUDENTS)

  • 장원석;양재원;정유숙;홍성도
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제17권1호
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    • pp.3-9
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    • 2006
  • 비만이 청소년에 미칠 수 있는 사회 심리적 영향을 평가하기 위하여 471명의 중학생에서의 체 질량 지수와 삶의 질의 관계를 알아보았다. 연구 참여 학생 중 우울 위해 CDI검사를 성향을 보이는 학생들을 배제하기 실시하였고 삶의 질을 평가하기 위한 도구로 $PedsQL^{TM}$ 4.0을 사용하였다. 체 질량 지수를 기준으로 저 체중 군, 정상 체중 군, 비만위험 군으로 나누어 삶의 질을 비교하였다. 중학생에서의 체 질량 지수는 삶의 질과 관계가 있으며 비만 중학생들의 경우 정상 체중 중학생들에 비해 자신의 삶의 질을 낮게 평가한다.

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아동 성학대에 대한 신화와 고정관념에 관한 연구 (Myths and Stereotypes regarding Child Sexual Abuse)

  • 박명숙;유서구
    • 아동학회지
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    • 제24권6호
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    • pp.61-79
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    • 2003
  • For this study of adolescent attitudes toward child sexual abuse, 200 students attending high school and college participated in a group survey. The Child Sexual Abuse Myth Scale (Collings, 1999) was used to measure social attitudes toward child sexual abuse. Overall, the attitudes of the respondents placed between negative and positive attitudes. Nevertheless, strong negative myths and stereotypes, particularly blame diffusion, denial of abusiveness, and restrictive abuse stereotypes were found in specific situations. High school students and male students had more negative myths and stereotypes than college students and female students. Hierarchical regression analysis indicated the variables of education level and gender as the most important predictors in explaining students' attitudes toward child sexual abuse.

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부모의 심리적 통제와 고등학생의 역기능적 완벽주의 및 자의식 정서가 우울에 미치는 영향 (The Effects of Parental Psychological Control, Dysfunctional Perfectionism, and Self-Conscious Emotions on Depression in Adolescents)

  • 김혜인;도현심;지연경
    • 아동학회지
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    • 제32권4호
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    • pp.15-36
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    • 2011
  • This study examined the effects of parental psychological control, dysfunctional perfectionism, and self-conscious emotions on depression in adolescents. The sample consisted of 471 adolescents (212 boys, 259 girls) attending high schools in Seoul. The results from Structural Equation Modeling indicated that dysfunctional perfectionism and self-conscious emotions mediated the impact of parental psychological control on depression only in the mother-daughter relationship, such that with mothers' greater psychological control, girls experienced higher levels of dysfunctional perfectionism and self-conscious emotions, and reported higher depression scores. Similarly, dysfunctional perfectionism functioned as a mediator in the association between parental psychological control and adolescent depression. This tends to support findings from previous studies emphasizing the importance of same sex parent-adolescent relationships. Dysfunctional perfectionism also had the largest direct effect of all variables analyzed on depression. Parental psychological control did not show statistically significant effects on self-conscious emotions for either boys or girls. These findings suggest that interventions designed to promote adolescents' mental well-being should focus on parenting of the same sex parent as well as adolescent cognitive characteristics.

소아청소년정신과에서의 허가 초과 및 비승인 약물 처방 (Off-label or Unlicensed Drug Prescriptions in Child and Adolescent Psychiatry)

  • 이소영
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제22권2호
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    • pp.67-73
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    • 2011
  • The purpose of licensing system is to ensure that the medicines are examined for safety, efficacy and quality. Nevertheless, off-label or unlicensed drug usages in pediatric practice is widespread in Korea and worldwide. Psychotropics are one of the most commonly used off-label or unlicensed drugs. The most valid approach to face this dilemma will be to have more evidences from pediatric pharmacological studies. Clinicians, in addition, need to monitor closely their off-label or unlicensed drug prescriptions to minimize the trial and error in practice. Researchers should publish their experiences and provide guidelines. Pharmaceutical companies, regulatory authorities, and consumer organizations should endeavor altogether for the children's right to get safe and efficacious drugs as adults do. Here, the definition as well as the current status of off-label and unlicensed drug prescriptions will be introduced. Critical issues regarding the off label drugs are discussed. In addition, I will describe the present condition as to the off-label and unlicensed drugs in child and adolescent psychiatry and the authorization process of off-label drug prescription in Korea. Lastly, direction we should like to take in this field will be mentioned.

대한소아청소년정신의학회 Vision 2033 보고서 (A Report on the Korean Academy of Child and Adolescent Psychiatry Vision 2033 Survey)

  • 김봉석;문덕수;곽영숙;홍민하;반건호
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제25권3호
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    • pp.113-120
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    • 2014
  • This is an analysis report of the "Korean Academy of Child and Adolescent Psychiatry (KACAP), Vision 2033 Survey". The survey questionnaires were developed by the planning department of KACAP and sent to KACAP members from 2012 to 2013. This survey consisted of six categories : membership, academic activity, journal publication, administrative system, fellowship training program, and future planning. The response rate was 40.5%. In addition to multiple choice questions, responders also described their own ideas and suggestions regarding KACAP. The results of this study can be used as evidence for planning the vision 2033 of KACAP.