• 제목/요약/키워드: Child and adolescent

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집단 지도 ${\cdot}$ 감독 과정을 통해 본 초기 놀이치료의 기법과 과제 (TASKS AND TECHNIQUES IN THE INITIAL PHASE OF PLAYPSYCHOTHERAPY ILLUSTRATED BY GROUP SUPERVISION PROCESSES)

  • 홍강의;박민숙;남민
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제4권1호
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    • pp.142-163
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    • 1993
  • 정서적인 문제로 갑자기 산만하고 공격적인 문제를 보였던 8세된 국민학교 남아의 놀이치료 내용과 이에 대한 집단 지도 ${\cdot} 감독(supervision)을 자세히 기술함으로써 놀이치료 초심자가 초기 놀이치료에서 경험할 수 있는 여러 가지 문제점과 과제에 대해 살펴보았다. 놀이치료 초기에 초심치료자가 흔히 범하는 잘못은 치료자 자신의 불안이나 성격적 특성 때문에 놀이를 환아가 선택하는 방향으로 보다는 자신에게 의미있는 내용으로 이끌려하고, 너무 적극적이거나 무반응, 과잉간섭, 과잉 및 부적절한 해석, 현실과의 직접적 인계시도이다. 놀이치료 초기의 가장 중요한 과제는 치료자가 환아의 긍정적이고 신뢰할 수 있는 관계를 형성하는 것임으로 그리기 위해서는 환아를 있는 그대로 수용하며, 환아가 이끄는 방향으로 놀이가 일어날 수 있도록 허용하며, 치료자와의 관계를 통해 수정된 발달경험을 함으로써 문제와 갈등이 해결될 수 있다는 확신을 전해주어야 한다. 치료자는 놀이치료의 초기에는 모든 노력을 관계형성을 이루는데 촛점을 맞추어야 한다.

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자폐장애 아동을 위한 애착증진치료 프로그램의 개발 (Development of Attachment Promotion Therapy Program for the Children with Autistic Spectrum Disorder)

  • 홍강의;주세진;임숙빈
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제17권2호
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    • pp.79-90
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    • 2006
  • Social deficits are the most critical and core deficits of the children with Autistic Spectrum Disorder(ASD) and they are qualitatively as well as qualitatively different from typically developing children. It is proposed that the attachment between the mother and the autistic child should be promoted foremost and early as possible, to improve social deficits, just like early social developments in normal children depend largely on interactions between the mother and the child who are attached to each other we have developed an interventional program, 'Attachment Promotion Therapy', largely based on the attachment theory. The Attachment promotion Therapy mandates the participation of both the mother and the autistic child, and consists of mutually enjoying play activities, close physical contacts and parental training on intense mother-child interactions, focusing on improving maternal sensitivity, responsiveness, and nurturing behaviors during their interactions. The program was found to be effective in improving attachment behaviors, attachment security and acquiring joint attention skills. Attachment Promotion Therapy is therefore proposed here as the important earliest intervention method for children with ASD and could become the base for many other educational and therapeutic interventions.

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불안증상을 보이는 환아에서 항우울제 투여로 유발된 조증삽화 (ANTIDEPRESSANT INDUCED-MANIC EPISODE IN ADOLESCENTS WITH PRECEDING ANXIETY SYMPTOMS)

  • 정동선;김정현;하규섭
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제16권1호
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    • pp.124-131
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    • 2005
  • 소아, 청소년기에 발생하는 양극성장애는 주의력결핍/과잉행동장애, 행동장애 뿐만 아니라 불안장애도 중복진단 비율이 높다. 불안장애 중 강박장애, 사회공포증, 공황장애, 분리불안장애가 많이 공존한다고 보고 되었지만 불안장애와 양극성장애 발생사이의 시간적 관련성에 관한 전향적이면서 믿을만한 연구는 드물다. 본 저자는 양극성장애에 선행한 불안증상에 대해 항우울제를 투여하였을 때 발생한 조증삽화 2예를 보고하고자 한다. 기분변화의 과거력이나 양극성장애의 가족력이 없어도 선행된 불안증상에 대해 항우울제를 사용할 때는 조증삽화의 가능성을 염두에 두고 조심스럽게 처방해야 될 필요성이 있으며 향후 소아, 청소년 양극성장애와 불안장애 사이의 시간적 연관성과 약물학적 치료 지침에 대해 포괄적이며 전향적인 연구가 필요할 것이다.

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부모-자녀 의사소통과 우울이 청소년 자살생각에 미치는 영향 (The Effects of Parent-Adolescent Communication and Depression on Suicide Ideation)

  • 오현아;박영례;최미혜
    • Child Health Nursing Research
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    • 제14권1호
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    • pp.35-43
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    • 2008
  • Purpose: The purpose of this study was to identify the effect of parent-adolescent communication and depression on suicide ideation in the adolescent population. Method: The participants for this study were 391 students from two middle schools, one located in Seoul and one in Kyung-gi do Province. A self-report survey was used for data collection, which was carried out from February 8 to 14, 2006. The collected data were analyzed using SPSS 11.0 Program. Results: The average score for father-adolescent communication was 61.70, and for mother-adolescent communication, 64.04. The average score for depression was 16.01, and for suicide ideation, 8.69. There was a statistically significant positive correlation between suicide ideation and depression. There was a statistically significant reverse correlation between suicide ideation and mother-adolescent communication, and between suicide ideation and father-adolescent communication. Mother-adolescent communication and depression account for 46.4% of variance in suicide ideation of adolescents. Conclusion: According to the results, programs designed to improve parent-adolescent communication and decrease depression should be developed and put into practice to decrease the rate of suicide ideation in adolescents in Korea.

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지역사회에서 예방적 접근으로 실시한 사회기술훈련의 효과 (The Effects of Social Skills Training as a Preventive Approach for Children in the Community Setting)

  • 윤석민;곽영숙
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제25권3호
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    • pp.128-135
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    • 2014
  • Objectives : The purpose of this study was to evaluate the effect of social skills training (SST) for children in two different community settings, an elementary school and a child community center. Methods : Two separate groups of 15 children (10 boys and 5 girls) and 13 children (4 boys and 9 girls) participated in a SST program twice per week at an elementary school and a child community center, respectively. Age range of participants was from 8 to 10 years. Sixty-minute-long sessions of SST were continued twice per week for 4 weeks. Korean-Child Behavior Checklist (K-CBCL), Conner's Rating Scales, Korean-Attention-Deficit Hyperactivity Disorder Rating Scale (K-ARS), Social Skills Rating System (SSRS), and Matson's Evaluation of Social Skills with Youngsters (MESSY) were evaluated by their parents before and after the SST program. Results : Pre-and-post analysis of SST indicated no significant statistical differences in the elementary school group. However, the child community center group showed significantly increased scores for total social ability (p<.05) and decreased scores for attention problem (p<.05) on the K-CBCL. In addition, scores of MESSY were significantly increased (p<.05). These differences between the two groups were still significant after controlling pre-SST scores ; and difference of SST scores between the two groups disappeared after SST. Conclusion : Results suggest that SST in the community setting is an effective tool for prevention of social deficits and problems in attention by promoting social function and attention.

청소년 자녀와 부모 관계향상 프로그램 모형 (The Model of Parent-Child Relationship Program for the Adolescents' Parents)

  • 윤명선
    • 가정과삶의질연구
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    • 제15권1호
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    • pp.71-82
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    • 1997
  • This paper concerns with parent-child relationship program for the adolescents' parents(PCRP). The purpose of this paper is to develop a model for the strength of the relationship between parents and their children as well as to prevent adolescent's individual and social problems The contents of PCRP based on the theoretical background consist of our parts: understanding adolescent physical and psychological development understanding adolescent sexuality developing effective communication skills and developing conflict solving skills. Implicationsh for the program evaluation methods and further development of family life education are discussed.

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성경험 여자 청소년의 피임실천에 영향을 미치는 요인 (Factors Affecting Contraceptive Use among Adolescent Girls in South Korea)

  • 이재영
    • Child Health Nursing Research
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    • 제23권3호
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    • pp.259-267
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    • 2017
  • Purpose: This study was done to identify contraceptive practices in adolescent girls in South Korea and predictors of contraceptive practices. Methods: The study sample included 743 girls who had experienced sexual activity. Using statistics from the 12th (2016) Korea Youth Risk Behavior Web-based Survey, hierarchical logistic regression analysis was conducted. Results: The contraceptive practice rate for adolescent girls was 34%. Contraceptive practice was associated with 'age at first intercourse' and 'sexual intercourse after drinking'. For adolescent girls who had early sexual initiation and drank alcohol before sexual intercourse there was a tendency to reduce the practice of contraception. Conclusion: It is necessary to provide practical sex education to improve the practice of contraception in these adolescents. In addition, adolescent girls should be encourage to delay their first intercourse. The results of this study can also be used to develop education interventions regarding healthy sexuality behaviour including the practice of contraception.

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.

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.