• Title/Summary/Keyword: Child and adolescent

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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.

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.

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.

Research trends related to childhood and adolescent cancer survivors in South Korea using word co-occurrence network analysis

  • Kang, Kyung-Ah;Han, Suk Jung;Chun, Jiyoung;Kim, Hyun-Yong
    • Child Health Nursing Research
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    • v.27 no.3
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    • pp.201-210
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    • 2021
  • Purpose: This study analyzed research trends related to childhood and adolescent cancer survivors (CACS) using word co-occurrence network analysis on studies registered in the Korean Citation Index (KCI). Methods: This word co-occurrence network analysis study explored major research trends by constructing a network based on relationships between keywords (semantic morphemes) in the abstracts of published articles. Research articles published in the KCI over the past 10 years were collected using the Biblio Data Collector tool included in the NetMiner Program (version 4), using "cancer survivors", "adolescent", and "child" as the main search terms. After pre-processing, analyses were conducted on centrality (degree and eigenvector), cohesion (community), and topic modeling. Results: For centrality, the top 10 keywords included "treatment", "factor", "intervention", "group", "radiotherapy", "health", "risk", "measurement", "outcome", and "quality of life". In terms of cohesion and topic analysis, three categories were identified as the major research trends: "treatment and complications", "adaptation and support needs", and "management and quality of life". Conclusion: The keywords from the three main categories reflected interdisciplinary identification. Many studies on adaptation and support needs were identified in our analysis of nursing literature. Further research on managing and evaluating the quality of life among CACS must also be conducted.

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.

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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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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THE PRELIMINARY STUDY ON THE ADOLESCENT PSYCHIATRIC PATIENTS THAT SHOW THE CHRACTERISTICS OF PEER GROUP NEGLECT OR REJECTION (청소년 정신과 환자 중 외톨이 혹은 왕따 특성을 보이는 환자에 대한 예비 연구)

  • Kim, Eun-Jung;Hong, Sung-Do;Lee, Si-Hyung;Hong, Kang-E;Son, Jung-Woo
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.11 no.2
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    • pp.240-251
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    • 2000
  • This study was a preliminary study on the adolescent psychiatric patients that show the characteristics of peer group neglect or rejection. We divided the adolescent psychiatric patients(n=25) into neglect-reject group(n=15) and non-neglect group(n=10). Each patient answered 8 scales and several questions about general relationships with friends. And, both the score of each 8 scales and answer about qusetions were examined. Lastly, records of 5 cases from neglect-reject group were analyzed. The depression dimension score of SCL-90-R, anxiety dimension score of SCL-9O-R, paranoid dimension score of SCL-90-R, interaction anxiousness scale(IAS) score were significantly different between 2 groups. On the result of case analysis about 5 patients of neglect-reject group, the adolescent psychiatric patients had a tendency to be rejected or neglected in case of having developmental problems(for example, language development or cognitive impairment).

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The Mental Effects on Child Actors in Playing a Role: Observations on Filming Sites and Interviews with Filming Personnel (배역이 아역 연기자들의 정신건강에 미치는 효과 : 영화 촬영 현장 및 관계자 면담 중심으로)

  • Bahn, Geon Ho;Kim, Bongseog;Hwang, Jun-Won;Yoo, Hee-Jeong;Min, Jung-Won;Kwack, Young-Sook;Hong, Min-Ha
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.24 no.2
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    • pp.57-64
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    • 2013
  • This study was conducted to evaluate the psychological changes and influences of child actors depending on their role. First, we met the film producer of Dogani and discussed about the filming condition. Second, we visited filming locations during the filming of Neighborhood, when shooting of parts involving the female child actor was taking place and evaluated the emotional states of the child actor before and after she played her role. Third, we interviewed various people of the movie industry, which included adult actors, directors, a professor of films and broadcasting who was a former child actor and a scriptwriter. In case of the film Dogani, the production crew provided enough care and protection and we concluded that child actors had no psychological sequelae. After interviewing the child actor and visiting filming locations, we confirmed that the child actor was not influenced by playing certain roles. In addition, after interviewing various people related to filming, we thought that child actors might not have psychological sequelae related to the character played. To the best of our knowledge, this is the first study about influences of the playing character for child actors. We concluded that playing certain roles would not have negative effects on child actors.

The Effects of Visitation and Child Support on the Adjustment of Divorced Mothers and Adolescent Children (면접교섭과 양육비 이행이 이혼한 양육모와 청소년 자녀의 적응에 미치는 영향)

  • Youngmi Shin;Meejung Chin
    • Human Ecology Research
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    • v.61 no.4
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    • pp.565-583
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    • 2023
  • This study sought to examine the effects of current single-parent family policies on the psychological adaptation of family members in single-parent homes, while also confirming that visitation and child support are indeed in the best interests of children in such cases. An online survey was conducted in 2021 for divorced single mothers and their children (aged 11 to 19) living in metropolitan regions (Seoul, Kyunggi, and Incheon). A total of 171 dyads, comprised of single mothers and their adolescent children, participated in this study. Using the collected data, descriptive statistical analysis and structural equation modeling were performed. The major results of this study are as follows. First, visitation with fathers was not significantly associated with self-esteem, aggression, or life satisfaction among the participating adolescent children. On the other hand, when child support was paid, aggression among adolescents was lower than when child support was not paid. Second, neither visitation nor child support was significantly associated with single mothers' levels of depression and life satisfaction. The enforcement of child support guarantees the welfare of children and conforms to the principle of promoting the best interests of minor children. Therefore, child support should be continuously encouraged and supported by agencies in accordance with current law. In order for the implementation of visitation to be in the best interest of the child, the amount and quality of visitation should be secured so that the child can still recognize their non-custodial parents as "caregivers."