• 제목/요약/키워드: Early Adolescent

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Origins of Addiction Predictably Embedded in Childhood Trauma: A Neurobiological Review

  • Wiet, Susie
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제28권1호
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    • pp.4-13
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    • 2017
  • The seeds of addiction are typically sown years prior to the onset of addictive substance use or engagement in addictive behaviors, due to the priming of the reward pathway (RewP) by alterations in the mechanism of stress-signaling from the hypothalamic-pituitary-adrenal axis (HPA) and related pathways. Excessive stress from a single-event and/or cumulative life experiences during childhood, such as those documented in the Adverse Childhood Experiences Study, is translated into neurobiological toxicity that alters the set-point of the HPA axis and limbic system homeostasis [suggested new term: regulation pathway (RegP)]. The resultant alteration of the RegP not only increases the risk for psychiatric and physical illness, but also that for early onset and chronic addictions by dysregulating the RewP. This paper reviews the interface of these symbiotic pathways that result in the phenotypic pathology of emotional dysregulation, cognitive impairment, and compulsive behaviors, as well as morbidity and shorter life expectancy when dysregulated by chronic stress.

지속적으로 마른 기침을 보이는 소아, 청소년 남아 2례 (Two Cases of Psychogenic Cough in Child and Adolescent)

  • 이영식;조주연
    • 정신신체의학
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    • 제6권1호
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    • pp.85-89
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    • 1998
  • 심인성기침은 반복적으로 지속되는 마른 기침, 개짓는 듯한 소리의 기침, 수면시 증상의 중단, 증상에 대한 무관심, 뚜렷한 이차적 이득, 객관적, 방사선학적, 다른 실험실검사에서의 정상소견, 내과적 약물치료에 대해 반응을 보이지 않는 것, 정신치료후 증상의 호전, 갑작스러운 증상의 호전등이 특징적이다. 저자는 지속적인 마른 기침을 주소로 정신과에 자문의뢰된 심인성 기침 환자 2례를 경험하였으므로 이를 문헌고찰과 함께 보고 하는 바이다.

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한국 여자 청소년의 조기초경이 성경험에 미치는 영향 (Effect of Early Menarche on Sexual Experience among Korean High School Girls)

  • 이재영
    • Child Health Nursing Research
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    • 제23권2호
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    • pp.137-146
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    • 2017
  • Purpose: The purpose of this study was to identify the influence of early menarche on sexual experience among high school girls in South Korea. Methods: The study sample was comprised of 16,286 high school girls. Using statistics from the 11th (2015) Korea Youth Risk Behavior Web-based Survey, hierarchical logistic regression analysis was conducted. Results: Among the girls, 5.8% reported early menarche. Early menarche was associated with sexual experience (Odds Ratio (OR), 5.27; 95% Confidence Interval (CI), 4.11-6.77). Controlled for sociodemographic, emotional and health behavior characteristics, early menarche was associated with sexual experience (OR, 3.98; 95% CI, 3.04-5.21). Conclusion: The results indicate that early menarche predicts an increase in sexual experience among female adolescents. Therefore, health education programs and health policy for interventions to improve sexual health are required for girls who are expected to experience early menarche.

청소년기 여학생의 의복행동에 대한 영향요인 연구;연령.지역 차이와 심리적 특성 변인들의 상대적 영향력 (Influencing Factors of Korean Female Adolescent′s Clothing Behaviors: -Effects of Psychological Characteristics, Age and Residence-)

  • 고애란;진병호;심정은
    • 한국의류학회지
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    • 제24권4호
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    • pp.475-486
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    • 2000
  • The purpose of this research were to identify the differences in clothing behaviors and psychological characteristics ill relation to age and residence and to identify the relative effects of Korean female adolescent's psychological characteristics on the clothing behaviors. The instruments measuring 9 psychological characteristics-adolescent egocentrism, social and general self-efficacy, public and private self-consciousness, boredom susceptibility, optimal stimulation level, body attitudes-were adapted from previous studies. Clothing behavior measurements were developed based on the pilot study results or adapted from previous studies. The data. collected from 2284 nationwide sample of Korean female adolescents(early, middle, late) was analyzed by frequency, two-way ANOVA, and LISREL confirmatory factor analysis. Clothing behavior were factor analyzed and 6 factors were identified: dressing for others. conformity to peers, clothing interest, self-expression, psychological dependence and clothing exhibition. Effects of age were dominant in 6 out of 9 psychological characteristics and five clothing behavior factors except conformity to peers. Dominant main effect of residence was found oかy in boredom susceptibility. From the results of LISREL, adolescent egocentrism, public self-consciousness and sensation seeking tendency were found to be the most influential psychological characteristics of female adolescents'clothing behaviors.

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청소년기의 구조적 척추측만증 환자 치험 1례에 대한 보고 (A Clinical Case Study on Treatment of Adolescent Structural)

  • 강준혁;홍서영;윤일지;오민석
    • 혜화의학회지
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    • 제15권1호
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    • pp.117-124
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    • 2006
  • Objectives : This study was performed to evaluate the effect of oriental medical treatment on adolescent structural scoliosis. Methods : A patient who has scoliosis was treated with chuna and acupuncture treatment. After the treatment, we evaluated the effects of treatment with radiological measurement by calculating the scoliosis correction angle from the initial and follow-up spine AP view. Result : After the treatment, the cobb's angle of T-spine was changed $23^{\circ}$ to $15^{\circ}$, that of L-spine was changed $25^{\circ}$ to $10^{\circ}$. Conclusions : In this study, Chuna and acupuncture treatment was efficacious against scoliosis. And it is necessary for adolescent scoliosis patient to be more early detection, earily treated and continuous observed.

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생태학적 맥락에 따른 청소년의 삶의 만족도 (Adolescent' Life Satisfaction in the Ecological Context)

  • 조성연;김혜원;김민
    • 대한가정학회지
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    • 제49권3호
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    • pp.87-98
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    • 2011
  • The purpose of this study was to examine the life satisfaction of adolescents in the ecological contexts of their individual, family, school, and social-cultural experiences. The participants were 1,099 middle and high school students in Chungnam-do. Instruments were the Satisfaction with Life Scale, Rosenberg Self-Esteem Scale, Parent-Adolescent Communication Inventory, the School Life Satisfaction Scale, and Social-Cultural Satisfaction Scale. Data analysis involved the use of descriptive statistics, t- and F-tests, Duncan's multiple range test, product-moment correlations, multiple regression, Cronbach's ${\alpha}$, and factor analysis. Results were as follows: Firstly, middle school students showed the highest levels of life satisfaction, and vocational high school students reported the lowest levels. Also, life satisfaction was inversely related to school grades. Secondly, for all the students, life satisfaction was positive correlated with self-esteem, open communication with parents, school life satisfaction, and social-cultural satisfaction. Lastly, open communication with parents and overall satisfaction with life at school explained more of the variance in adolescent life satisfaction than any other factors.

Worldwide national intervention of developmental screening programs in infant and early childhood

  • Kim, Seunghyo
    • Clinical and Experimental Pediatrics
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    • 제65권1호
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    • pp.10-20
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    • 2022
  • The prevalence of developmental disabilities is increasing worldwide over time. Developmental issues in infancy or early childhood may cause learning difficulties or behavioral problem in school age, further adversely affecting adolescent quality of life, which finally lead to low socioeconomic status in family, increase in medical expenses, and other relevant issues in various ways. Early childhood has brain plasticity, which means there is a high chance of recovering from developmental issues by early detection and timely intervention. Pediatricians are placed an ideal position to meet with young children till 6 years of age, of which age range is the time applicable to early intervention. Determining child's developmental status can be made by 2 pathways such as developmental surveillance and developmental screening tests. For better results, pediatricians should update their knowledge about developmental issues, risk factors, and screening techniques through varying educational program or other relevant educating materials. This paper will update reports on the prevalence of developmental disabilities and review the recent results of the Korean developmental screening test and discuss relevant issues. Finally, it will be addressed the pediatrician's role in early detecting developmental issues and timely intervention.

소아 ${\cdot}$ 청소년 정신분열병 환자의 또래 관계에 관한 고찰 - 사례 연구를 중심으로 - (REVIEW OF THE PEER RELATIONSHIP OF CHILD AND ADOLESCENT SCHIZOPHRENIC PATIENTS - FOCUSING CASE STUDIES -)

  • 조수철;신성웅
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제11권2호
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    • pp.262-281
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    • 2000
  • 본 논문은 사춘기를 전후하여 발병하는 정신분열병의 또래 관계에 관해 사례 연구와 문헌 고찰을 통해 정리한 논문이다. 정신분열병의 예후를 결정하는 가장 중요한 인자로서 발병 전 대인관계 양상과 적응 정도가 중요하며, 교사가 평가한 학교 생활과 또래 관계가 정신분열병의 발병 및 경과를 예측하는 데 결정적인 역할을 하는 것으로 밝혀졌다. 정신분열병 환자의 자식들을 대상으로 한 고위험군 연구(high-risk study)와 장기간 추적 연구(long-term follow-up study)들을 통해 정신분열병 발병에 관여하는 전후기 아동기 성격적 ${\cdot}$ 행동적 특성에 대해서 기술하였고, 정신분열병에 발병하고 난 후 나타나는 대인관계 양상과 병태생리에 대해서 서술하였으며, 이를 사회화(socialization)의 관점에서 통합하려는 시도를 소개하였다. 끝으로 사춘기에 발병한 정신분열병 환자들의 대인관계 양상을 사례별로 정리하고, 향후 진행되어야 할 연구 과제에 대해서 제시하였다.

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커플관계자료 분석방법에 의한 기러기 엄마와 자녀의 자아존중감과 모-자녀 의사소통이 초기, 후기 청소년과 엄마의 우울에 미치는 영향 (The Actor Effect and the Partner Effect of Self-esteem and Mother-Adolescent Communication on Depression in Mothers and Adolescents in Kirogi Families according to Adolescent' Development Stage)

  • 윤은경;신성희
    • 대한간호학회지
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    • 제40권5호
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    • pp.620-630
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    • 2010
  • Purpose: This study was conducted to compare the level of depression, self-esteem and mother-adolescent (M-A) communication perceived by both mothers and adolescents between the early adolescent (E-A) group and the late adolescent (L-A) group; and to examine the actor effect and the partner effect of self-esteem and M-A communication on depression in mothers and adolescents. Methods: Participants were 107 Kirogi families who resided in the Midwest region of the U. S. Data were collected from September, 2008 to March, 2009 using the scales of Center for Epidemiologic Studies Depression (CES-D), Self-esteem and Parent-Adolescent Communication Inventory. Results: Mothers in E-A group reported higher scores on depression than mothers in L-A group. Adolescents in L-A group reported higher scores on depression and lower scores on self-esteem than adolescents in E-A group. In the E-A group, mothers' selfesteem had big actor effect on mothers' depression and partner effect on adolescents' depression. In the L-A group, selfesteem of mothers and adolescents had actor effect on their depression respectively without partner effect. M-A communication of mothers influences mothers' depression negatively and adolescents' depression positively. In both group, M-A communication influences their depression with mediating effect of self-esteem. Conclusion: To promote Kirogi families' mental health, programs for mothers and adolescents should be developed differently according to adolescents' development stage.

사춘기 여성들의 월경경험 (Menstrual Experience of Adolescent Girls)

  • 정현숙
    • 대한간호학회지
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    • 제26권2호
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    • pp.257-270
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    • 1996
  • Studies on menstruation have focused only on menstruation itself and menstrual disorders. The menstruating girls or women have been neglected. So, the purpose of this study was to understand menstrual experience of adolescent girls in their perspective and build a theory on it, The specific purpose of this study were to find initial reaction of the girls, their strategies to adapt to menstruation. consequences of their efforts, influencing factor, and patterns of experience. The subjects of this study were eleven adolescent girls who experienced menarche three months to twenty-six months before the interview time. They were selected purposively. Their ages were in range of twelve and sixteen. One of them was a elementary school girl, three high school girls, and seven middle school girls. Two girls were handicapped because of cerebral palsy. All of them had some knowledge about menstrual physiology and hygiene during menstruation. Data were collected from September, 1994 to July, 1995. Data collection & analysis were done according to the grounded theory methodology by Strauss & Corbin(1990). Data collecting method was the long interviews and observation. Each interview took from 1 hour to 2 hours. Interview were tape-recorded and transcribed later by author. Data were analyzed immediately after interviews. Based on the results of previous interview, next interview were planned until gathered data reached the saturation point. Results were as follows. One hundred and six concepts were found. Those concepts were grouped into twenty eight categories and then fourteen higher categories. Twenty eight categories were as follows. “want to hide”, “bewildered”, “sense of burden”, “sense of heterogeneity”. “gladness”. “sense of superiority”, “negative empathy”, “positive empathy”, “limited hygenic control”, “sense of timing”, “lack of knowledge”, “lack of support”, “advance knowledge”, “informational support”, “emotional support”, “endurance”, “prayer”, “disclosing”, “avoidance”, “diversion”, “sense of powerlessness”, “discovery of sex identity”, “sense of maturation”, “sense of stability”, “acceptance of menstruation ”. fourteen higher categories were as follows. “negative feeling”, “posive feeling”, “exchange of feeling”, “limited hygenic control”, “sense of timing”, “accumulated experience”, “dysmenorrhea”, “level of knowledge”, “need for support”, “perceived support”, “sharing of feeling”, “self-control”, “passive acceptance”, “active acceptance”. The core category was “emotional shaking”, which consisted of “positive feeling” and “negative feeling”. “Emotional shaking”comes up to every adolescent girls experiencing menarche, independently of any contextual conditions, and its dimension has two directions : positive one and negative one. Its influencing factors were time of menarche, advance knowledge, support from the significant persons, expression and self-regulation. Even if they showed different process of adaptation to menstruation, general process of adaptation were as follows : 1. stage of emotional shaking 2. stage of acceptance 3. stage of internalization of the menstrual experience. Seven patterns existed on the process of adaptation to menstruation after menarche. Those are as follows. 1. If girls thought their menarche came too early and they had not much knowledge on menstruation, they had a kind of negative feeling. If they did not get enough support and dysmenorrhea superimposed, they came to accept menstruation passively. 2. If girls had menarche too early. they had negative feeling, even though they had enough advance knowledge. But support helped them accept menstruation easily. 3. If girls had menarche too early, they had negative feeling, even though they had enough advance knowledge on menstruation. But by experiencing subsequent menstruations and disclosing feeling, they began to accept menstruation. 4. If girls had menarche too lately and they had enough advance knowledge on menstruation. they had positive feeling. If dysmenorrhea superimposed later, their feeling turned in to negative one. But they came to accept menstruation positively by disclosing feeling and getting support. 5. If girls had menarche too early, they had negative feeling, even though they had enough advance knowledge on menstruation. In addition to this. if dysmenorrhes superimposed while they did not get enough support, they felt powerless and came to accept menstruation passively. 6. If girls had menarche too early and did not get enough advance knowledge, they had negative feeling. But disclosing feeling and support made them get sense of homogeneity and began to accept menstruation. 7. If girls had handicap, they had negative feeling, even though they had enough advance knowledge and menarche was late. But Menarche made them get feel sexual identity. Their limited hygenic control and negative empathy from their mothers made them accept menstruation passively. To let adolescent girls take their menstrual experience as a part of their lives forming a positive sense of feminine identity, it needs qualified teaching and, support and deep concern of the significant others. Nurses including school nurses should try to develop an educational program, which include menstrual physiology. hygiene during menstrual period, meaning of menstruation and impact of menstruation on the development of female sexual identity.

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