• 제목/요약/키워드: Children and Adolescent

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

  • 임숙빈;주세진;홍강의
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제17권2호
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    • pp.91-97
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    • 2006
  • The effects of the Attachment Promotion Therapy (APT) program for the autistic children were reviewed by 8 papers. The program was consisted with play activity centered mother-child interaction, educational activity for parents, lecture, video-feedback, and support. APT program was effective to improve the attachment behaviors and attachment security. And the mother's behaviors to her child became more child-centered, positively responsive, expressive supportively. Ninety six point seven percent of the mothers were satisfied with the APT program. They described that it was helpful to understand their children's developmental limitation and strength, to learn how to play with their children, to make supportive social network among the mothers, to minimize familial conflicts, and to make them much more comfortable with their children. They thought the APT Program was to be a steppingstone of the further educational program. APT program is an effective early intervention to promote social development and decrease autistic problems.

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청소년 자녀를 둔 어머니의 학부모 역할 스트레스, 가족응집력, 가족적응력이 부모 효능감에 미치는 영향 (The Effect of Parental Role Stress, Family Cohesion, Family Adaptation on Parental Efficacy for Mothers with Adolescents)

  • 최혜영
    • Human Ecology Research
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    • 제54권4호
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    • pp.441-450
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    • 2016
  • This study examined how parental role stress, family cohesion, and family adaptation of mothers who have adolescent children influenced parental efficacy. The subjects were 739 mothers of 370 junior high school and 369 senior high school children. Collected data were analyzed using t-test, correlation analysis, and hierarchical regression analysis after analyzing the data. The results of the study were as follows. First, mothers with high incomes, high educational level, and children with high school grades saw an increase in parental efficacy. Second, there were significant positive correlations in parental role stress, family cohesion, family adaptation and the parental efficacy of mothers. Third, the results of this study showed that parental role stress, family cohesion, and family adaptation were factors to understand the parental efficacy of mothers. Family cohesion was also an important factor to understand the parental efficacy of mothers. The findings confirm that the anxiety of parental role stress for mothers who have adolescent children is not a negative factor in regards to lower parental efficacy. The findings suggest that parental education programs for mothers of adolescent children and a required social welfare system for parental roles was not recognized as a stress factor.

디지털 시대 부모 - 자녀관계가 청소년의 인터넷 과다사용에 미치는 영향 (A study on parent-children relation influences on Internet excess utility of adolescent in Digital period)

  • 이영주
    • 디지털융복합연구
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    • 제9권6호
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    • pp.103-111
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    • 2011
  • 본 연구는 부모-자녀 관계가 청소년들의 인터넷 사용에 미치는 영향을 알아보고자 하였다. 부모 자녀관계를 폭력과 방임에 따라 구분하고 인터넷과다사용은 일상생활 문제, 계획한 일을 실행못함, 과다사용, 타인과의 갈등관계 등을 포함하여 일반군, 잠재적위험군, 고위험군으로 구분하였다. 연구 결과, 폭력적이고 방임적인 부모관계에서 잠재적 위험군, 고위험청소년이 높게 나타났고 이는 부모 자녀관계가 청소년들의 인터넷 사용에 영향이 있음을 시사한다. 청소년들의 인터넷사용을 줄이고 중독으로 진행되지 않게 하기 위해서는 부모의 역할이 중요하며, 청소년들의 발달단계를 세심하게 이해해야 한다. 또한 인터넷에 몰입하는 청소년들에게 여가문화를 즐길 수 있는 놀이프로그램, 체험프로그램의 개발과 보급이 요구된다. 또한 인터넷 중독 전문인력 양성과 지원으로 문제가 발생한 청소년들에게 일회성이 아닌 지속적인 상담과 치료가 이루어져야 할 것이다.

인터넷 중독과 주의력결핍 과잉행동장애 환아 어머니의 양육 스트레스 및 효능감 (Parenting Stress and Efficacy of the Mothers of Children with Internet Addiction and Attention-Deficit Hyperactivity Disorder)

  • 최범성;김봉석
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제21권2호
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    • pp.80-86
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    • 2010
  • Objectives : The purpose of this study was to compare levels of parenting stress and efficacy in mothers of children suffering from attention-deficit hyperactivity disorder (ADHD) and internet addiction disorder (IAD), mothers of children with ADHD alone only, and those with normal children. Methods : Participants were composed of 25 mothers of children with ADHD and IAD, 35 mothers of children with ADHD alone, and 50 mothers of normal children. They completed the Parenting Stress Index (PSI) and Parenting Sense of Competence (PSOC). Results : In comparison with the mothers of normal children, the mothers of children with ADHD and IAD and the mothers of children with ADHD alone showed significantly higher levels of parenting stress and lower parenting efficacy. However, a comparison of mothers of children with ADHD and IAD with those of children with ADHD alone did not show any significant differences in their levels of parenting stress or efficacy. Conclusion : Mothers of children with ADHD, regardless of the presence of IAD exhibited a higher level of parenting stress and a lower level of parenting efficacy than mothers of normal children.

주의력결핍 과잉행동장애 치료에서 MTA의 주요 교훈 (Major Lessons from the MTA in Treatment of Attention-Deficit Hyperactivity Disorder)

  • 황준원
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제21권1호
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    • pp.3-10
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    • 2010
  • Objectives : The current review aimed to describe the major findings of the NIMH Collaborative Multisite Multimodal Treatment Study of Children with Attention-Deficit Hyperactivity Disorder (MTA) with regard to the treatment of children with attention-deficit hyperactivity disorder (ADHD). Methods : We performed a general review of the literature regarding the efficacy of the MTA's proposed treatments. Results : There is a large and still increasing body of evidence regarding the MTA's treatment outcomes. We present and discuss details of the findings at each follow-up point. Conclusion : Currently, findings regarding the MTA's treatments suggest children with combined-type ADHD exhibit significant impairment in adolescence, despite their initial symptom improvement. Further studies, using innovative treatment approaches and targeting specific areas of adolescent impairment, are needed in order to enhance ADHD treatment outcomes.

기초학습부진으로 의뢰된 일 광역시의 일반학급 초등학생의 심리, 정신과적 평가 및 부모의 특성 (Clinical Diagnoses, Psychopathology, and Neurocognitive Tests in Children Referred for Scholastic Difficulties and Their Parents)

  • 방수영;박정환;임재인
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제22권1호
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    • pp.16-24
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    • 2011
  • Objectives:This study examined the prevalence of psychiatric problems in children with scholastic difficulties who had been referred for mental health services from the Office of Education in Ulsan Metropolitan City. Methods:Child psychiatrists evaluated the referred children using the DSM-IV. Evaluation tools included the Wechsler Intelligence Scale for Children-III, the Children's Depression Inventory, the Korean form of the State-trait anxiety Inventory for children, the ADHD rating. Results:Seventy-six children consisting of 64 boys (84.2%) and 12 girls (15.8%) participated in the study. The average age was 10.3 (SD=0.93) years old. Approximately 74% of the children referred for scholastic difficulties were diagnosed with mental retardation. The Axis I diagnosis among these children were ADHD (86.8%), depression (21.1%), learning disorder (9.2%), communication disorder (4.8%), pervasive developmental disorder (3.6%), internet addiction (1.3%), and mood disorder (1.3%). Their overall measure according to the Child Depression Inventory was 22.7 (SD=16.8), that for the State-Trait Anxiety Inventory for Children was 33.3 (SD=7.9)/32.4 (SD=9.5), and that for the ADHD rating scale was 18.9 (SD=10.9). Conclusion:These results suggest that many children with scholastic difficulties have both complex psychiatric and educational problems.

청소년 한부모의 입소시설 프로그램 및 한부모가족 정책사업 수혜경험과 정신건강과의 관련성 탐색 (Associations between Use of Single-Parent Facility Programs and Public Support Programs and the Mental Health for Adolescent Single-Parent)

  • 이윤정
    • 가정과삶의질연구
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    • 제35권2호
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    • pp.93-112
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    • 2017
  • The adolescent birth rate has doubled in the recent decade. As a result, the Korean government has implemented support for adolescent single-parent families by expanding the scope of coverage of the Single-parent Family Support Act in 2010. In order to understand whether experiences of facility entry programs and the Single-parent Family Support Act for adolescent single-parents were helpful or not, this study verified the relationship to mental health. This study utilized a part of the National Youth Policy Institute's 'Research on the Actual Condition of the Adolescent Pregnancy, Birth and Rearing Children.' Participants of the study were 218 adolescent single-parents at the age of 24 and younger. This study used the research methods of descriptive statistical analysis, ${\chi}^2$test, t-test, and one-way analysis of variance. The findings and discussion of this study are as below: Firstly, the depression level of adolescent single-parents who had been raised by grandparents was higher than other family types to a meaningful standard and adolescent single-parent's cognition of the original family's economic level was related to self-esteem and parenting efficacy. Secondly, the practical single-parent family support policy for adolescent single-parent's pregnancy, birth and rearing children has shown a higher reception rate, and medical service of facility entry programs has a higher satisfaction level. However, some of the facility entry programs and the Single-parent Family Support Act have a low reception rate and it should be considered whether to maintain them or not.Lastly, parts of facility entry programs and the Single-parent Family Support Act for adolescent single-parents have increased self-esteem and parenting efficacy and reduced parenting stress and depression's levels.

Promoting Mental Health Literacy at Schools in South Korea

  • Jeewook Choi
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제34권1호
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    • pp.15-20
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    • 2023
  • The onset of many lifelong mental illnesses is during childhood and adolescence. There has been an increase in these conditions among children and adolescents especially, during the COVID-19 pandemic. It is essential to promote mental health literacy (MHL) as a preventive and universal intervention for children and adolescents. Positive mental health status in adolescence is related to an increased level of MHL, and various MHL programs at schools have been reported to be effective for adolescent students worldwide. Recently, MHL programs have been developed in South Korea to be used by schoolteachers. There is a need for active dissemination and development of future programs. For continuous and effective education, it is desirable to include MHL education in regular school curricula.

Psychological Aspects of Child Maltreatment

  • Ahn, Yebin D.;Jang, Soomin;Shin, Jiyoon;Kim, Jae-Won
    • Journal of Korean Neurosurgical Society
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    • 제65권3호
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    • pp.408-414
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    • 2022
  • In this review, we provide information about the etiology, risk factors, and clinical presentations of maltreatment to help clinicians better understand child abuse and neglect. Child maltreatment is a major global health challenge that can result in severe consequences. Abused and neglected children are likely to develop psychiatric disorders, such as major depressive disorder, anxiety disorder, and posttraumatic stress disorder. Understanding child maltreatment is expected to prevent and reduce victimization in children, adolescents, and their families.

Analysis of the Status and Future Direction for Digital Therapeutics in Children and Adolescent Psychiatry

  • Haemi Choi;Bora Kim;Insoo Kim;Jae-Gu Kang;Yoonjae Lee;Hyowon Lee;Min-Hyeon Park
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제34권4호
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    • pp.192-203
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    • 2023
  • Digital therapeutics based on software, such as artificial intelligence, virtual reality, games, and smartphone applications, are in the spotlight as new therapeutic alternatives in child and adolescent psychiatry. It draws attention to overcoming conventional therapeutics' limitations, such as toxicity, cost, and accessibility, and encourages patients to participate in the treatment attractively. The growth potential of the digital therapeutics market for psychiatric disorders in children and adolescents in Korea and abroad has been highlighted. Clinical studies and Food and Drug Administration approvals for digital therapeutics have increased, and cases approved by the Ministry of Food and Drug Safety have emerged in Korea. As seen above, digital transformation in child and adolescent psychiatry will change treatment paradigms significantly. Therefore, as this new field has just begun to emerge, it is necessary to verify the effectiveness and scope of the application of digital therapeutics and consider preparing a compensation system and institutional arrangements. Accordingly, this study analyzed the development trends and application status of digital therapeutics in children and adolescents and presented limitations and development directions from the perspective of application in healthcare. Further, the study is expected to identify the utility and limitations of digital therapeutics for children and adolescents and establish effective application measures.