• Title/Summary/Keyword: Child & adolescent

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Quetiapine Induced Autoimmune Hemolytic Anemia in a Child Patient: A Case Report

  • Arici, Asiye;Altun, Hatice;Acipayam, Can
    • Clinical Psychopharmacology and Neuroscience
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    • v.16 no.4
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    • pp.501-504
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    • 2018
  • Autoimmune hemolytic anemia is a disease characterized with destruction of erythrocytes as a result of antibody produce against patient's own erythrocytes and anemia. Autoimmune hemolytic anemia can be roughly stratified into two groups according to serological features and secondary causes including drugs induced hemolytic anemia. Drugs induced autoimmune hemolytic anemia is very rare in pediatric patients. Even though hematological side effects such as leucopenia, agranulocytosis, eosinophilia, thrombocytopenic purpura and aplastic anemia might occur due to psychotropic drug use; to the best of our knowledge there is no autoimmune hemolytic anemia case due to quetiapine, an atypical antipsychotics, in literature. We hereby describe the first child case of autoimmune hemolytic anemia during quetiapine treatment.We also are pointing out that one should keep in mind serious hematological side effects with atypical antipsychotic drug use with this case report.

NEUROCHEMICAL BASIS OF CEREBRAL DEVELOPMENT (뇌신경발달의 신경생화학적 기초)

  • Kim Boong-Nyun;Cho Soo-Churl
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.16 no.1
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    • pp.15-25
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    • 2005
  • During the recent decade, the new data about normal neurochemical system development have been accumulated very much. Based on these new data, the up-to-date theory and hypothesis have been developed. These development of this field results from the technological/methodological development which increase the sensitivity, specificity and validity of neurochemical research. Especially, molecular technological development support the recent neurochemical development. In this review article, the authors described the recent research findings in the field of normal neurochemical development of neurotransmitter system in animal and human. Most of child psychiatric disorder, especially neuropsychiatric developmental disorders (ADHD, Autism, Tourette's disorder, MR etc) seem to have underlying neurochemical developmental problems in the pathophysiological basis. So, the data on the normal ontogeny of neurotransmitter system can be the most valuable resources for the research on the etiology of the diverse child psychiatric disorders.

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ASSESSMENT OF CONCRETE AND ABSTRACT THINKING OF CHILD-PSYCHIATRIC CHILDREN WITH THE DRAW-A-PERSON TEST AND KEDI-WISC SIMILARITY TEST (인물화 검사와 KEDI-WISC 공통성 소검사를 통한 소아 정신과 아동의 구체적 사고와 추상적 사고의 평가)

  • Shin, Min-Sup;Kim, In-Ju
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.10 no.2
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    • pp.186-194
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    • 1999
  • Objective:This study was conducted to examine the Draw-A-Person test as a non-verbal indicator of concrete and abstract thinking. Method:Thirty child-psychiatric children and 27 normal children were individually assessed with Draw-A-person Test and KEDI-WISC, and the scores were compared between similarity test and DAP. Results:The results showed significant differences between the groups. In clinical group, there were significant correlations with DAP scores and similarity test scores, especially abstract scores on DAP were highly correlated with similarity test scores. Results indicate characteristics of abstract thinking may be more discernable on the DAP than concrete thinking in clinical group.

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Suicidal Behavior, Violent Behavior, and Neurocognitive Function in Child and Adolescent Mood Disorder Patients (기분 장애 소아 청소년 환자에서 자살 행동, 공격 행동과 인지기능과의 관계)

  • Yoon, Hee Joon;Oh, Yunhye;Joung, Yoo Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.27 no.1
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    • pp.39-47
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    • 2016
  • Objectives: The aim of this study was to examine the association between current suicidal or violent behavior and deficits of specific neurocognitive variables in child and adolescent inpatient samples diagnosed with mood disorder. Methods: A retrospective review of the charts of mood disorder patients hospitalized at Samsung Medical Center between April 2004 and April 2015 was conducted. Child and adolescent patients aged between 10 and 18 years old and those who finished neurocognitive function testing during their hospitalization were included. Among them patients whose full scale IQ was between 85 and 115 were selected (N=111). Participants were first divided into two age-groups-group Y ($10{\leq}age{\leq}15$, N=54) and group O ($16{\leq}age{\leq}18$, N=57)-because neurocognitive function test tools were different according to age [Wechsler Intelligence Scale for Children (WISC) for 10 to 15-year-old patients, Wechsler Adult Intelligence Scale (WAIS) for 16 to 18-year-old patients]. They were then divided according to their suicidal or violent behavior-non suicidal/violent group (NG), suicidal group (SG), violent group (VG), and both suicidal/violent group (BG). The Child Behavior Checklist (CBCL) was checked for measurement of participants' behavior and the Gordon Diagnostic System was checked for measurement of their attention efficiency. Kruskal-Wallis Test and Tukey test was used to determine the differences in neurocognitive function between groups. Results: O-SG patients showed lower scores on the comprehension subscale of WAIS-III than O-NG patients (${\chi}^2=8.454$, p=.015). O-VG patients showed lower scores on the block design subscales of WAIS than O-SG patients (${\chi}^2=7.496$, p=.024). Y-VG patients showed higher scores in aggressive behavior, externalizing problems, and total problems scores of CBCL. Conclusion: This study showed relationship between specific neurocognitive deficits and suicidal or violent behavior. These relationships were significant in relatively older adolescents.

The Influence of Adolescent´s Preceived the Father´s child-rearing involvement on the Adolescent´s Self-Efficacy and Achievement Motivation (청소년이 지각한 아버지의 양육참여도가 청소년의 자기효능감과 성취동기에 미치는 영향)

  • 정옥분;김경미
    • Journal of Korean Home Economics Education Association
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    • v.15 no.4
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    • pp.105-114
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    • 2003
  • The purpose of this study was to investigate the influence of adolescents´ perception of the fathers´ child-rearing on their self-efficacy and achievement motivation. The subjects of this study were 456 adolescents from 3 middle schools located in Seoul and GyeonggiDo. The main results are as follows. (1) There was a significant correlation between the father´s child-rearing involvement and the adolescent´s self-efficacy. The father´s ‘day-to-day guidance’ was the best predictor of the adolescent´s self-efficacy. (2) There was a significant correlation between the father´s child-rearing involvement and the adolescent´s achievement motivation. The father´s ‘day-to-day guidance’ was the best predictor in predicting the adolescent´s achievement motivation. In conclusion, the adolescent´s perceived father´s child-rearing involvement were found to be significant variables in predicting the adolescent´s self-efficacy and achievement motivation.

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Classification of Adolescent Suicide Based on Student Suicide Reports

  • Kwon, Hoin;Hong, Hyun Ju;Kweon, Yong-Sil
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.31 no.4
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    • pp.169-176
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    • 2020
  • Exploring the risk factors of adolescent suicide is important for effective suicide prevention. This study explored the clustering of adolescent suicides based on six risk factors: mental disorder, broken family, depression, anxiety, previous suicide attempts, and deviant behaviors. Using 173 student suicide reports obtained from the Ministry of Education, we evaluated the associations between suicide and variables related to mental disorders; dysfunctional family life; depression and anxiety; previous suicide attempts; deviant behaviors such as drinking and smoking; and school life characteristics, including attendance and discipline, problems within the past year, and incidents prior to suicide. In addition, reports of warning signs just before suicide were included in the analysis. The two-stage cluster analysis classified the students into three clusters: the silent type (cluster 1; 48.55%), in which no risk factors were observed; environmental-risk type (cluster 2: 24.28%), which featured a high frequency of broken households, deviant behaviors such as smoking/drinking and running away from home; and depressive type (cluster 3: 27.17%), which featured a high frequency of mental health problems such as depression, anxiety, and suicide attempts. Identifying the sub-types of adolescent suicide may help to inform tailored suicide prevention and intervention strategies in school.

Effects of Self-Control, Parent-Adolescent Communication, and School Life Satisfaction on Smart-phone Addiction for Middle School Students (중학생의 자기통제, 부모-자녀 간의 의사소통 및 학교생활만족도가 스마트폰 중독에 미치는 영향)

  • Lee, Su Jin;Moon, Hyuk Jun
    • Korean Journal of Human Ecology
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    • v.22 no.6
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    • pp.587-598
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    • 2013
  • This study is to examine (the) effects of self-control, parent-adolescent communication, and school life satisfaction on smart-phone addiction for middle school students. The 127 students who were classified as smart-phone addicts among first to third grade at two middle schools located in Gyunggido were sampled with a survey. T-tests, ANOVA, Pearson's correlation, and multiple regression analysis were used. The results of study were as follows. First, smart-phone addiction make no difference according to adolescent's sex and grade. Second, the relations between smart-phone addiction and the factors included self-control, parent-adolescent communication, and school life satisfaction were negatively correlated. As a result, the higher self-control, parent-adolescent communication, and school life satisfaction were, the lower smart -phone addiction was. Third, it is significant as variable that adverse effect, low rank class of parent-adolescent communication and personal relationship, same class as the former of school life satisfaction exert influence on smart phone addiction.

Influence of Mass Media, Peers' Effects and Conformity on the Consumption-oriented Attitude and Conspicuous Consumption of Adolescent Consumers (대중매체 및 또래영향력과 또래동조성이 청소년 소비자의 소비지향태도와 과시소비행동에 미치는 영향)

  • So, Young-Ha;Han, You-Jin
    • Journal of Families and Better Life
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    • v.31 no.5
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    • pp.173-184
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    • 2013
  • The purpose of this study was to investigate adolescent consumers' consumption trends to identify their tendency for conspicuous consumption. To investigate adolescent consumers' consumption factors and conspicuous propensity for consumption, mass media, peers' effects & conformity were examined. The objects of the study are 503 middle and high school students in Seoul. The data were analyzed through frequency analysis, mean, standard deviation, t-test, Pearson's correlation, and hierarchical multiple regression analysis by using SPSS Win 12.0. The major results of this study are as follows: Firstly, the factors of gender, grade and allowance suggest a consumption-oriented attitude and conspicuous consumption is revealed to be the highest among female students rather than male students, and high school students rather than middle school ones. Allowance is significantly correlated with consumption-oriented attitude and conspicuous consumption. Secondly, factors that affect the propensity for the consumption-oriented attitude of adolescent consumers are mass media, peer conformity, and effects. Thirdly, the factors affecting the propensity for the conspicuous consumption of adolescent consumers are peers' effects, mass media, and peer conformity. This investigation could contribute to enhancing the understanding of adolescent consumers.

A Preliminary Study on the Development of Parenting Education Programs for College Students and Adolescent Workers (대학생과 근로자의 부모교육 프로그램재발을 위한 기초연구)

  • 이주리;공인숙;김영주;민하영;이점숙
    • The Korean Journal of Community Living Science
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    • v.15 no.2
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    • pp.17-28
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    • 2004
  • This research explored parenting education programs for be college students and adolescent workers, and it was focused on determining whether different parenting education programs were needed for college students and adolescent workers. The participants were 254 college students in Suncheon and 135 adolescent industrial workers in Ulsan. Data were gathered via questionnaires and two-way ANOVA analyses of parenting effectiveness by sex and social status(college student, versus adolescent industrial worker), and by age and social status were performed. There were no significant differences based on sex, age, or social status, and no interaction effect. However, there were significant differences in adolescents' parenting effectiveness depending on childhood parenting experiences, parenting knowledge, and parenting education program experience. Among the predictors(sex, age, social status, childhood parenting experience, parenting knowledge, and parent education experiences) adolescents' childhood parenting experiences was the strongest variable for predicting parenting effectiveness. In this regard, the results confirmed Bronfenbrenner's Ecological System's Theory that family influences children's belief systems about parenting effectiveness in the microsystem. Furthermore, the results indicate that a different parenting education program is not needed for college students and adolescent industrial workers, respectively; instead, a more comprehensive parenting education program for all adolescents - regardless of social status is needed. And based on the present study's results, the importance of child development knowledge, and parent-child relationships in parenting education programs was also confirmed. From a broader social perspective, all adolescents are encouraged to participate in parenting education programs.

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NEUROIMAGING IN NEURODEVELOPMENT (신경발달학적 신경영상학)

  • Lee Jeone-Seop
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.16 no.1
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    • pp.26-32
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    • 2005
  • Neuroimaging in neurodevelopment is a fast growing area and new imaging techniques are rapidly developed every year. In the neurodevelopmental viewpoint, the definitive psychopathology in child and adolescent psychiatric disorders are not yet known. But many consistent findings in neuroimaging studies are being published recently. This review describes the past, present, future and limitation of neuroimaging study in neurodevelopmental perspectives.

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