• Title/Summary/Keyword: Child/Adolescent

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Stability and Reciprocal Effects of Abuse and Neglect by Parents and Adolescent Depression and Delinquency (부모의 학대 및 방임과 청소년의 우울 및 비행의 안정성 및 상호적 영향)

  • Kim, Minjoo;Doh, Hyun-Sim
    • Korean Journal of Child Studies
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    • v.38 no.2
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    • pp.133-148
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    • 2017
  • Objective: This study focused on the stability and reciprocal effects between abuse and neglect by parents and adolescent depression and delinquency. We examined both parent and child effects by adopting the transactional model proposed by Sameroff (2009). Methods: Using autoregressive cross-lagged modeling, data from the $2^{nd}$ to the $4^{th}$ wave of the Korean Children and Youth Panel Study (KCYPS) were analyzed. The sample consisted of 1,982 adolescents who were $8^{th}$ graders in 2011. Data were collected at three different phases: when participants were in $8^{th}$ grade (T1), $9^{th}$ grade (T2) and $10^{th}$ grade (T3). Results: First, the effects of abuse and neglect by parents and adolescent depression and delinquency showed stability from the $8^{th}$ to the $10^{th}$ grade. Second, abuse at T1 and T2 had effects on adolescent delinquency at T2 and T3, respectively, but not on adolescent depression. In terms of child effects, abuse was influenced by adolescent depression only. Adolescent depression and delinquency had no reciprocal effects. Finally, there were reciprocal effects between neglect on one hand and adolescent depression and delinquency on the other. That is, there were child effects as well as parent effects. No significant effects were found in the reciprocal relations between adolescent depression and delinquency. Conclusion: The present study found the stability of abuse and neglect by parents and adolescent depression and delinquency. Furthermore, this study identified the child effects as well as parent effects, thus supporting the transactional model of neglect by parents and adolescent depression and delinquency.

The Effects of Parent-Adolescent Communication and Friendship Quality on Adolescent Happiness (부-자녀 및 모-자녀 의사소통과 친구관계의 질이 중·고등학생의 행복감에 미치는 영향)

  • Yun, Kibong;Doh, Hyun-Sim
    • Korean Journal of Child Studies
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    • v.38 no.2
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    • pp.149-164
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    • 2017
  • Objective: The purpose of the study was to examine the direct effects of parent-adolescent communication and its indirect effects through adolescent friendship quality on happiness among both middle and high school students. Methods: Participants in this study were 1,126 adolescents (667 middle school students and 459 high school students) in Seoul and Gyoung-gi Do. Data were collected through self-report questionnaires for adolescents, which included measures of parent-adolescent communication, friendship quality and happiness. Data were analyzed by t-tests, correlations, and SEM using SPSS 22.0 and Mplus 6.0. Results: For middle school students, father-adolescent communication had direct and indirect effects on happiness. However, mother-adolescent communication did not directly or indirectly affect adolescent happiness. Specifically, only father-adolescent communication had an significant indirect effect through friendship quality on adolescent happiness. For high school students, father-adolescent communication had direct effects on happiness, while mother-adolescent communication had significant indirect effects on adolescent happiness via friendship quality. Conclusion: This study underscores the importance of parent-adolescent communication and friendship quality in predicting adolescent happiness with differences in direct and indirect paths between middle and high school students. These findings emphasize the role of parent-adolescent communication and friendship quality in developing programs to improve the happiness of adolescents.

Childhood Onset of Anti-N-Methyl-D-Aspartate Receptor Encephalitis Without Teratoma Masquerading as a Psychotic Disorder

  • Yeum, Tae-Sung;Lee, Jung;Park, Sung-Yeol;Joen, Yaelim;Kim, Bung-Nyun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.30 no.3
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    • pp.127-131
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    • 2019
  • Many neurologic disorders manifest as psychiatric symptoms. Anti-N-Methyl-D-Aspartate (NMDA) receptor encephalitis is an autoimmune disease of the brain characterized by numerous neurological and psychiatric features. Despite being rare, its prevalence is rapidly increasing and early management is critical in ensuring successful and sustainable recovery. Therefore, the illness should be considered as a differential diagnosis when clinically assessing patients. This report presents a case of a female child who was hospitalized for acute psychiatric manifestations, which was later confirmed as anti-NMDA receptor encephalitis. She recovered relatively successfully after combined neurological and psychiatric treatment. This report provides information on the clinical course of early onset anti-NMDA receptor encephalitis, including treatment strategy and prognosis.

The Effects of Parent-Adolescent Communication and Adolescent Optimism on Conflict-Coping Styles (부모-자녀간 의사소통과 남녀 청소년의 낙관성이 갈등대처방식에 미치는 영향)

  • Suh, Haein;Shin, Nana
    • Korean Journal of Child Studies
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    • v.37 no.5
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    • pp.65-82
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    • 2016
  • Objective: The main purpose of this study was to examine the direct and indirect effects of parent-adolescent communication (through adolescent optimism) on adolescent conflict-coping styles. Methods: A total of 337 high school students participated in this study. They completed questionnaires about communications with their parents and their own optimism and conflict-coping styles. Data were analyzed using t-tests, correlations, and SEM. Results: Neither father- nor mother-adolescent communication had direct effects on adolescent conflict-coping styles. However, mother-adolescent communication had an indirect effect on conflict-coping styles, mediated by adolescent optimism. Adolescents who had open communication with mothers displayed higher levels of optimism, which led to more positive conflict-coping styles. In addition, multigroup analyses revealed that there were significant gender differences in direct and indirect effects. For boys, mother-adolescent communication directly influenced adolescent conflict-coping styles; however, father-adolescent communication did not directly or indirectly affect adolescent conflict-coping styles. For girls, neither father- nor mother-adolescent communication had direct effects on conflict-coping styles; only optimism had a significant effect on conflict-coping styles. Conclusion: The findings from this study suggest that communication with mothers and fathers have different effects on adolescents' conflict-coping styles. These findings have implications for future research and practice by emphasizing the importance of parent-adolescent communication and optimism in designing conflict-coping programs for adolescents.

Pharmacotherapy in Child and Adolescent Psychiatric Field: Atypical Antipsychotics (소아청소년정신과 영역의 약물치료 : 비전형항정신병약물)

  • Yoo, Han-Ik K.;Paik, Kyoung-Won
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.19 no.2
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    • pp.89-103
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    • 2008
  • Although the scientific evidence is not entirely supportive, atypical antipsychotics have been used widely for the treatment of children and adolescents with mental illnesses as alternatives to typical antipsychotics which have more serious unwanted adverse effects than atypical neuroleptics. On the basis of clinical experiences and research data, atypical antipsychotics have been prescribed for adolescents with schizophrenia, manic or mixed episodes of bipolar disorders, tic disorders, aberrant behaviors in pervasive developmental disorders, and impulsive or violent behaviors in disruptive behavior disorders. Due to their efficacy and relatively more tolerable side effects, the use of atypical antipsychotics has become increasingly popular in child and adolescent psychiatry. However, we should pay attention to the limitations associated with short-term clinical experiences and the lack of well-designed controlled studies, especially in terms of adverse effects including those involving metabolic processes.

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