• 제목/요약/키워드: Child & adolescent

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

  • Hong, Kang-E;Jeon, Seong-Ill;Shin, Min-Sup
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.6 no.1
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    • pp.18-33
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    • 1995
  • The Purpose of this article is to identify the specific characteristics of borderline disorder in adolescence to conceptualize the borderline state as an adolescent process different from borderline personality disorder in adult, and to classify them according to it's unique clinical feature, porcess and outcome. The development of borderline disorder in adolescent, epidemiology, comorbid disorders and differential diagnosis, pre-existing sub-classification systems, and etiology in theories of psychodynamics, biological theories, experimental studies, and follow-up studies are reviewed. The authors conceptualize the adolescent borderline state include all clinical states generated by re-emergence of unresolved rapproachement conflicts in adolescent, and propose that there are four subgroups in adolescent borderline state. (1) Borderline state as an adolescent process. (2) Borderline state associated with psychotic disorders (3) Borderline state as an initial stnge of typical borderline personality disorder (4) Borderline state associated with organic problems. Conceptually, borderline state in adolescence is not a simple continuation of primary failure of separation-individuation but a struggle for mastering unresolved separation-individuation conflicts in adolesance i.e., the second separation-individuation state, and if it fails this time, the struggle might continue into adult life as borderline personality disorder.

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

  • Kim, Jung-Min;Lee, Yu-Ri
    • Journal of Families and Better Life
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    • v.28 no.3
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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.

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

  • Yang, Soon-Mi;Jung, Min-Ja;Oh, Yoon-ja
    • Journal of Agricultural Extension & Community Development
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    • v.22 no.4
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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.

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

  • Cho, Yoon-Suk;Lee, Kyung-Nim
    • Journal of the Korean Home Economics Association
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    • v.48 no.8
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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.

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

  • Sunwoo, Hyun-Jung;Noh, Dong-Hyun;Kim, Kyung Mee;Kim, Joo-Hyun;Yoo, Hee Jeong
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.28 no.2
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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.

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

  • Jang Won-Seok;Yang Jae-Won;Joung Yoo-Sook;Hong Sung-Do
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.17 no.1
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    • pp.3-9
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    • 2006
  • Objectives: Obesity is one of risk factors for psychological and social adjustment problems (depression, low self esteem, low school function etc). Quality of life(QOL) is comprehensive and multidimensional construct including physical, emotional, social and school functioning. Some authors reported that child and adolescent obesity is associated with impaired QOL. This study was to examine the association between QOL and body mass index (BMI) in middle school students. Methods : Cross sectional analysis of 471 adolescents between the ages of 13 and 14 years ($mean{\pm}SD,\;13.4{\pm}0.6$), who attended one of middle schools in Seoul, Korea. Participants' QOL were scored by using Korean version of pediatric QOL inventory generic score scale ($PedsQL^{TM}$ 4.0). Participants had a $mean{\pm}SD\;BMI\;of\;21.3{\pm}4.0$. Self reports and parent proxy reports using $PedsQL^{TM}$ 4.0 were administered to measure participant's QOL. Participants were divided into four groups by BMI (Male: obesity group >26.5, at risk group 23.2-26.5, normal weight group 15.8-23.1, underweight group <15.8, Female : obesity group >25.2, at risk group 22.9-25.2, normal weight group 16.0-22.8, underweight group <16.0). Results : Compared with other groups, obese adolescents reported significantly(p<0.01) love. QOL in all domains. Obese adolescents were more likely to have impaired QOL than normal weight adolescents (Odds Ratio, 8.3, 95% confidence interval, 4.0-16.7). Conclusion : Obese adolescents have lower QOL than normal weight adolescents. Psychiatrist, parents, and teachers need to be informed of the risk fur impaired QOL in obese adolescents to target interventions that could enhance health outcomes.

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

  • Park, Myung Sook;Yoo, Seo-Koo
    • Korean Journal of Child Studies
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    • v.24 no.6
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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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The Effects of Parental Psychological Control, Dysfunctional Perfectionism, and Self-Conscious Emotions on Depression in Adolescents (부모의 심리적 통제와 고등학생의 역기능적 완벽주의 및 자의식 정서가 우울에 미치는 영향)

  • Kim, Hye-In;Doh, Hyun-Sim;Chee, Yeon-Kyung
    • Korean Journal of Child Studies
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    • v.32 no.4
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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.

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

  • Lee, So-Young Irene
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.22 no.2
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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.

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

  • Kim, Bongseog;Moon, Duk-Soo;Kwack, Young-Sook;Hong, Minha;Bahn, Geon Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.25 no.3
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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.