• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.18 no.1
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• pp.31-37
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• 2007

Objectives : A voxel based investigation of cerebral blood flow was conducted to identify functional differences during resting state between children with early-onset schizophrenia and normal controls. Methods : 19 children and adolescents with early-onset schizophrenia(8 boys and 11 girls, mean age $14.0{\pm}1.7$ years old) and 17 comparison children(13 boys and 4 girls, mean age $11.0{\pm}1.9$ years old) were examined by HMPAO-SPECT. The SPECT images were compared using statistical parametric mapping analyses, controlling for age and sex. Results : Increased cerebral blood flow in left medial and inferior frontal gyrus, right superior and middle frontal gyrus, both inferior temporal gyrus, and right cerebellar tonsil was found in children and adolescents with early-onset schizophrenia compared to control subjects. In addition, decreased cerebral blood flow in right thalamus, left posterior cingulate gyrus, right anterior cingulate gyrus and relatively wide areas from left medical frontal gyrus to superior parietal lobule were found in children and adolescents with early-onset schizophrenia compared to control subjects. Conclusion : The results of the current study provide additional evidences for brain areas involving the onset of schizophrenia in early age.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.15 no.2
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• pp.143-151
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• 2004

Objectives : Child and adolescent onset obsessive compulsive disorder(C-OCD) is known to be associated with poor drug response, high comorbid rate and strong genetic tendencies. Till now studies for C-OCD have been very rare in Korea. We conducted this study to investigate the informations about clinical features, familial psychiatric loading, treatment profiles and course of server C-OCD from the retrospective analysis of inpatient data of Seoul National University Children's Hospital. Method : Retrospective chart review and data analysis was performed. Twenty(male 16 : female 4) patients with final C-OCD diagnosis by DSM-IV at discharge from 1994 to 2002 were found and their medical chart, psychological data, family interview data and nursing reports were collected and analyzed. Results : 1) The sex ratio of C-OCD was male dominant(4:1). 2) Phenomenological, most common obsession was pathologic doubt, contamination fear, followed by aggressive obsession, need for symmetry, sexual obsession, most common compulsion was checking and washing, followed by breathing, movement, symmetry, repetitive asking, hoarding, mental compulsion. 3) Most common comorbid diagnosis was depression. Other axis-I diagnosis associated OCD were anxiety disorder, tic disorder, conduct and oppositional defiant disorder and psychosis. 4) Regarding psychiatric familial loadings, 17 patients(85%) had relatives with psychiatric disorders, OC-spectrum disorders(OCD or OCPD) were found in 9 patients(45%). 5) The majority of patients(75%) have received SSRI and antipsychotics treatment. The response rate above 'moderate improved" by CGI was 75%. 6) During follow-up period in outpatient clinic, five patients(25%) showed continuous complete remission, 10 patients (50%) did residual symptoms with chronic course. Conclusion : This seems to be the first systemic investigation of severe pediatric OCD patients in Korea. The children & adolescents with severe OCD in inpatient-setting showed the high comorbid rate, familial psychiatric loading, and combined pharmacotherapy with antipsychotics, As for symptoms, high rate of aggressive-sexual obsession and atypical compulsions like breathing and moving was reported in this study. Severe pediatric OCD patients, however, responded well to the combined SSRI and antipsychotics regimen.

• Korean Journal of Child Studies
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• v.25 no.2
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• pp.121-132
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• 2004

In this study of adolescent aggression, the subjects were 320 male and female 7th and 8th grade students in Changwon. Data were collected with questionnaires and analyzed by Pearson's correlation and multiple regression analysis. Results showed that, 1) low friend support, empathy, and prosocial behavior had direct paths to adolescent overt aggression. 2) Low teacher and friend support, empathy, and prosocial behavior had direct paths to adolescent verbal aggression. 3) Low empathy and self-esteem were indirectly related to adolescent aggression through low prosocial behavior. 4) Low teacher support was indirectly related to adolescent aggression through low empathy and self-esteem. 5) Low friend support was indirectly related to adolescent aggression through low self-esteem.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.20 no.2
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• pp.82-89
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• 2009

Objectives: Children with attention-deficit hyperactivity disorder(ADHD) often have difficulties in social behavior. The aim of this study was to evaluate the effectiveness of a short-term training program for improving social skills, self-perception and attention deficits. Methods: The subjects were nine children diagnosed with ADHD with(or without) other mental disorders using the Diagnostic Interview Schedule for Children(DISC-ADHD) module. Children were given eight sessions of a social skills training program. Parents of children simultaneously participated in their own training which was designed to support their children's generalization of skills. Assessments included child, parent and teacher ratings of social skills, self-perception and attention deficit at baseline and post-treatment. Results: Social skills training led to significant improvements in child-reported measures of self-esteem, in teacher reported measures of social skills, and in parent-reported measures of attention deficit. Conclusion: This study suggests that short-term social skills training programs for children with ADHD may improve their social skills, self-perception and attention deficits.

• Child Studies in Asia-Pacific Contexts
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• v.3 no.2
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• pp.105-122
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• 2013

The relationship between an adolescent and his/her parents is one of the most important relationships that can have a significant effect on adolescents' well-being and functioning. While there has been an increase in research on Asian American families in recent years, still much less is known about adolescent-parent relationships in these families. Asian American adolescents face some of the challenges that mainstream European American adolescents face, but their experiences are complicated by the cultural and immigration-related factors that have unique contribution to their relationships with their parents. As such, there is urgent need for research that identifies and provides a comprehensive understanding of factors that contribute to the experiences of Asian American immigrant families. The current paper provides a systematic look at adolescent-parent relationships in Asian American immigrant families using the Bronfenbrenner's ecological model. More specifically, this paper provides a succinct review of the literature on developmental issues, immigration, and culture-related factors that affect Asian American adolescent-parent relationships, and guided by Bronfenbrenner's ecological theory, an ecological framework of Asian American adolescent-parent relationships is proposed.

• Research in Community and Public Health Nursing
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• v.32 no.2
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• pp.205-219
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• 2021

Purpose: This concept analysis was conducted to clarify 'parents' treatment adherence for an epileptic child or adolescent'. Methods: The analysis used a hybrid model comprising three phases: theoretical phase, fieldwork phase, and integration phase. In the theoretical phase, fifty studies were reviewed. Interviews with four parents of epileptic children or adolescents were conducted during the fieldwork phase. In the integration phase, the results derived from prior phases were synthesized and clarified. All phases were performed cyclically. Results: The concept, 'parents' treatment adherence for an epileptic child or adolescent' was defined as parents' voluntary and goal-directed behavior towards the epilepsy treatment for their children: a collaborative decision-making process with health-care providers, establishing a support system, adaptability to the treatment plans, and appraisals of the child's health condition. Conclusion: This achievement is thought to contribute to improving the accuracy and validity of the concept measurement. It has implications for additional research on how the concept 'treatment adherence' differs in diverse health problems and other population groups than parents of children and adolescents with epilepsy.

• Korean Journal of Child Studies
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• v.7 no.2
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• pp.55-73
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• 1986

This study analyzed the socio-psychological process of adolescent drinking behaviors. A total 1,732 high school students in Pusan city were studied by the questionnaire from May to July, 1985. A structural model based on review of the literature was examined in order to test the following three hypotheses: (1) sociocultural and environmental impact on the adolescent belief system for drinking, on drinking situations, and on experiences of deviation, (2) relationships among adolescent belief system, drinking situations, and experiences of deviation, and (3) impact of antecedent variables on adolescent drinking levels. All hypotheses were supported by the data. The important outcomes were discussed as follows: 1. Because interpersonal factors were influential for the adolescent belief system concerning drinking, public drinking education through mass communication or drinking education in the curriculum were recommended. In addition to sex variables, friends' drinking and sibling's drinking were shown to have a positive impacts on drinking situations. Also, adolescent self-reported parents' views on drinking had significant effects. Because adolescent deviant experiences were generally affected by environmental factors, it is recommended that positive extra-curricular activities at both home and school should be investigated. 2. There were significant relationships among adolescent belief systems, drinking situations, and deviant experiences. However, adolescent drinking behaviors in supervised situations had weak correlations with their belif systems and deviant behaviors. 3. Adolescent drinking levels were remarkably influenced by drinking behaviors in unsupervised situations. Because it is difficult to control actual adolescent drinking behaviors in unsupervised situations, it is important to fortify their belief system with continuous education programs.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.32 no.2
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• pp.43-50
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• 2021

Objectives: The purpose of this study was to evaluate the effects of a school bullying prevention camp for adolescent perpetrators of school violence. Methods: A total of 95 adolescents (boys=73, girls=22) were included in this study. The changes after the program were evaluated using several self-rating scales for the assessment of the degree of depression, loneliness, impulsivity, self-esteem, and interpersonal reactivity compared with the baseline scales. Results: The school bullying prevention camp significantly reduced the degree of depression severity (z=-5.874, p<0.001) and impulsivity scale (z=-3.861, p<0.001), while increasing self-esteem (z=-2.091, p=0.037). The degree of depression severity (z=-4.635, p<0.001), loneliness (z=-2.168, p=0.030), and impulsivity (z=-2.987, p=0.003) significantly reduced, whereas self-esteem significantly increased (z=-2.221, p=0.026) for male students who had no history of child abuse. However, there were no significant changes after the program for the degree of depression, loneliness, impulsivity, self-esteem, and interpersonal reactivity among female students with a history of child abuse. Conclusion: The results of our study suggest that the development of diverse standardized guidance programs is necessary for teenagers with different characteristics and backgrounds. Such programs are expected to be more effective in preventing school violence.

• Korean Journal of Child Studies
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• v.26 no.6
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• pp.59-71
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• 2005

The purpose of this study was to investigate relationship between parent's supportive parenting and adolescent sexual values. The subjects were 137 adolescents who attended high school in Keoungbok. Statistical techniques were Factor Analysis, Crosstabs, Two-way ANOVA, Scheffe' test, Multiple Regression. The results of this were as follows. First, Adolescents who more perceived supportive parenting from a parent were more likely to consult with parents about one's own sexual problems. Second, There was significant difference in adolescent sexual values by parent's supportive parenting levels or gender. Adolescents who perceived more supportive parenting from parent, or who were boys were more likely to have positive sexual values. But there was no significant interaction effect of supportive parenting level and gender on adolescent sexual values. Finally, The Multiple Regression analysis showed that gender was the stronger predictor of adolescent sexual values than parent's supportive parenting.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.11 no.2
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• pp.262-281
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• 2000

We focused on the peer relationship of adolescent patients with schizophrenia, which usually occurs around puberty. Reviewing cases with schizophrenia and the literature extensively, we had come to the conclusion as follows；1) the most robust predictors among factors influencing the prognosis of schizophrenia are premorbid interpersonal relationship and adaptive functions. 2) Especially teachers’ reports about school life and peer relationship during school life are useful for predicting the occurrence of schizophrenia in adolescents. We described characteristic and behavioral childhood features which are important in pathogenesis of schizophrenia, based on high-risk studies and long term follow-up studies. Also, pathological profiles of the interpersonal relationship and pathology in adulthood were presented. We tried to integrate various aspects of interpersonal and social weaknesses of schizophrenics applying 'primary and secondary socialization' concept. Finally, five cases of adolescent schizophrenics were described briefly and proposal for the early detection and intervention for risk factors was introduced.