• 제목/요약/키워드: Externalizing Behavior Problem

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어머니 양육행동, 아동의 정서조절 및 스트레스 대처행동이 남아와 여아의 행동문제에 미치는 영향 (Effects of Maternal Parenting Behaviors, Children's Emotional Regulation, and Stress Coping Strategies on Gender-Specific Children's Behavioral Problems)

  • 김지현;권연희
    • 대한가정학회지
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    • 제48권3호
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    • pp.1-13
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    • 2010
  • We investigated the effects of maternal parenting behaviors, children's emotional regulation, and stress coping strategies on gender-specific children's behavioral problems. The participants were 191, $4^{th}$ and $5^{th}$ graders and their mothers from four elementary schools in Seoul and Kyung-gi province. Collected data were analyzed by descriptive statistics and hierarchical regressions. The major findings were summarized as follows: (1) Active coping strategies explained boys' aggressive behaviors, (2) mother's warm-encouragement parenting behaviors and active coping strategies explained boys' delinquent behaviors, (3) mother's warm-encouragement parenting behaviors explained boys' withdrawn behaviors, and (4) mother's mediation-supervision parenting behaviors and negative emotionality explained girls' aggressive behaviors. In conclusion, maternal parenting behaviors, children's emotional regulation and stress coping strategies have gender-specific influence on children's behavioral problems.

청소년의 행동 및 어머니의 양육태도와 아동학대와의 관계 (A Correlational Study of Adolescents Behavior and Mothers Childrearing Attitude with Child Abuse Experience of the Adolescents)

  • 이꽃메;안혜영
    • 지역사회간호학회지
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    • 제13권4호
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    • pp.786-794
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    • 2002
  • Purpose: The aim of the study was to investigate how adolescents' behavior is correlated with child abuse they experience, and how childrearing attitude of mothers perceived by the adolescents is correlated with child abuse experience by the adolescents. Method: A convenient sampling strategy was used. A total of 160 adolescents participated in this study. Of the 160 responses, 116 were used for final analysis. The data were analyzed using K-YSR program and SPSSWIN. Result: The results were as follows. Mild child abuse experiences reported by the subjects were Throwing the object at me (12.9%, N = 15), Clutching and pushing (12.9%, N = 15), and Slapping on the cheek (14.7%, N = 17)'. Severe child abuse experiences reported by the subjects were Kicking, pounding and biting (10.3%, N = 10), Rod, stick, belt, broom beating using various objects (41.4%, N = 38), and Beating all over the body (6.7%, N = 8). Very severe child abuse experiences reported by the subjects were Burning with cigarette (0.4%, N = 1), Threatening me with objects such as a knife, a hammer, an axe, or a gimlet (0.8%, N = 2). Injuring me with the objects (0.4%, N = 1), and Hospitalized by belting (0.4%, N = 1). In terms of correlations among the main study variables, physical child abuse had significant positive correlations with externalizing problem (r=.271, p=.001) and total behavioral problem (r=.288, p=.002). Physical child abuse also had a significant positive correlation with authoritarian childrearing attitude of mother (r=.363, p=.000). Physical child abuse had significant negative correlations with mothers affectionate childrearing attitude (r=-.191, p=.050) and active participative childrearing attitude (r=-.101, p=.035). Conclusion: Mothers childrearing attitude is a salient factor for preventing child abuse. In addition, child abuse is an important factor for preventing adolescent's behavioral problem.

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한국판 문제행동 평가도구(Behavior Problems Inventory-01) 표준화 연구 (Validation Study of Behavior Problems Inventory-01 among Korean Children and Adolescents)

  • 최미지;김예니;반지정;황석현;김붕년;양영희
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제28권4호
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    • pp.220-227
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    • 2017
  • Objectives: The purpose of this study was to examine the reliability and validity of the Korean version of the Behavior Problems Inventory (BPI-01) among children and adolescents aged between 3 and 18. Methods: The control group consisting of one hundred children and adolescents was recruited from schools and the patient group consisting of forty one children and adolescents with autism spectrum disorder were recruited from a hospital. We compared the measurements of both groups. To assess the concurrent validity of the BPI-01, we compared the problem behavior index of the Korean Scale of Independent Behavior-Revised (K-SIB-R) and, to assess the discriminant validity, we compared the Korean version of the Child Behavior Checklist (K-CBCL). The Cronbach's alpha of the BPI-01 was measured to assess its reliability. Correlation analyses between the BPI-01 and the other scale were carried out to examine the former's concurrent and discriminant validity. Results: The patient group showed a significantly higher score for all three subscales of the BPI than the control group. The Cronbach's alpha was 0.92 for the total severity score of the BPI and ranged between 0.67-0.89 for each subscale in the patient group. All subscales of the BPI-01's, i.e., self injurious behavior, stereotyped behavior and aggressive/destructive behavior, were significantly correlated with the corresponding subscales of the K-SIB-R. The BPI-01 generally did not demonstrate any significant correlation with emotional items such as anxiety/depression in the K-CBCL. Especially, the BPI-01's stereotyped behavior subscale showed little correlation with externalizing behaviors such as social problems and aggressive behaviors. Conclusion: This study found that the Korean version of BPI-01 is a reliable and valid behavior rating instrument for problem behavior in developmental disabilities among children and adolescents.

부모의 원가족 경험과 부부갈등 및 아동 행동문제의 일반적 성향과 이들간의 인과 관계 (Characteristics of and Causal Relationship among Parental Family-of-Origin Experiences, Marital Conflicts, and Children′s Behavioral Problems)

  • 정문자;전연진
    • 대한가정학회지
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    • 제42권9호
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    • pp.161-175
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    • 2004
  • This study aimed to find the general tendencies of parental family-of-origin experiences and conflict and their children's behavioral problems as a function of a child's sex, as well as the causal relationships among these variables. Three hundred and five 4th and 5th graders filled out the Korean Version of Achenbach's Child Behavior Checklist. Parents of these children answered the Family-of-Origin Scale and Marital Conflict Inventory. The results were as follows. 1) Fathers experienced more of emotional cut-off from their family of origin than mothers did. However, mothers had more of triangulation and emotional separation from their family of origin than fathers did. 2) Both fathers and mothers reported that mothers had more of marital conflicts. 3) Daughters showed more physical symptoms than sons while sons showed more delinquent behaviors. 4) While parental experiences from the family-of-origin effected the parents' marital conflicts, they didn't influence the children's behavioral problems through marital conflicts.

청소년기 정서 및 행동문제의 성차 (GENDER DIFFERENCES IN EMOTIONAL AND BEHAVIORAL PROBLEMS OF KOREAN ADOLESCENTS)

  • 이현지;하은혜;오경자
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제16권1호
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    • pp.117-123
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    • 2005
  • 본 연구의 목적은 청소년들을 대상으로 문제행동증후군과 사회능력에 있어서의 성차에 대하여 조사하는 것이다. 12세에서 17세 사이의 청소년 6570명(남 2549명, 여 4021명)의 K-YSR자료와 부모 2373명(남자 청소년 1173명, 여자 청소년 1200명)의 K-CBCL자료를 분석하였다. K-YSR분석 결과, 남자 청소년은 사회적 미성숙 척도와 비행척도에서 높은 평균 점수를 보고했고, 여자 청소년은 내재화 문제와 총행동문제증후군 척도에서 뿐만 아니라 위축, 신체 증상, 우울/불안, 공격성 척도에서도 높은 평균 점수를 보고하였다. 또한 여자 청소년들은 사회성과 총 사회능력 척도에서도 높은 점수를 보고하였다. K-CBCL에서는 부모가 남자 청소년에 대해 주의집중 문제와 비행 척도에서 높은 평균 점수를 보고하고 있는 반면, 여자 청소년에 대해서는 내재화 문제 뿐 아니라 위축, 신체 증상, 우울/불안, 공격성 척도에서 높은 평균 점수를 보고하였다. 부모의 보고인 K-CBCL의 사회능력 척도에서는 성차가 발견되지 않았다. 요약하면, K-YSR과 K-CBCL 모두에서 여자 청소년들은 내재화 문제에서 일관적으로 높은 점수를 보이고 있으며, 외현화 문제에 있어서는 유의미한 성차가 발견되지 않았다. 그러나 여자 청소년의 경우 외현화문제에 해당하는 소척도 중 공격성 척도에서 높은 평균 점수를 보였다.

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소아암 생존자 집단과 건강통제 집단의 삶의 질과 문제행동 비교 및 부모보고와 자기보고의 차이 연구 (Discrepancy between Parent and Child Report on Quality of Life and Behavioral Problems in Child and Adolescent cancer survivors and Healthy Control Group)

  • 김민희;정경미;이명아;유철주;원성철;신윤정
    • 한국심리학회지ㆍ건강
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    • 제16권3호
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    • pp.483-500
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    • 2011
  • 의학 발전과 함께 소아암이 치료 가능한 질병이 되면서, 소아암 생존자 아동, 청소년의 장기적인 심리사회적인 적응과 관련된 문제가 주목을 받고 있다. 본 연구에서는 우리나라의 소아암 생존자 아동, 청소년의 삶의 질과 문제 행동 수준을 건강 통제 집단과 비교하고, 자녀의 심리적 적응 상태를 평가하는데 나타나는 부모와 자녀의 보고 불일치 양상이 소아암 경험 여부에 따라 차이가 나타나는가를 알아보았다. 소아암 생존자 집단과 건강 통제 집단의 아동, 청소년과 그들의 어머니가 연구에 참여하였다. PedQL의 아동 버전과 부모 버전을 이용하여 삶의 질을 측정하였고, K-CBCL과 K-YSR을 이용하여 문제행동 수준을 측정하였다. 분석 결과, 소아암 생존자 집단은 건강 통제 집단과 비교하여 전반적으로 신체적, 사회적 기능에서 낮은 삶의 질을 경험하고 있었고, 높은 수준의 내재화된 문제 행동을 보이고 있었다. 이 때의 결과는 어떤 정보원을 사용하였느냐에 따라 다소 차이를 보였다. 정보원간의 보고 불일치 양상을 살펴보았을 때, 두 집단 모두에서 부모는 자기 보고에서보다 문제 행동은 더 낮게, 삶의 질은 더 높게 보고하는 경향을 보였다. 소아암 생존자 집단과 건강 통제 집단에서 나타난 부모와 자기 보고의 불일치 정도를 비교해보았을 때, 삶의 질의 대부분의 영역에서는 유의미한 차이가 없었으나 내재화된 문제행동 영역에서 소아암 생존자 집단이 건강 통제 집단보다 부모와 자녀의 보고 차이가 유의미하게 더 큰 것으로 나타났다. 본 결과를 바탕으로 본 연구의 의의와 한계점에 대해 논의하였다.

Comorbid Psychiatric Symptom Associated With Oppositional Defiant Symptom in Community School-Age Children

  • Yong Hun Kim;Duk-Soo Moon;Na Ri Kang
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제34권3호
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    • pp.169-174
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    • 2023
  • Objectives: Oppositional defiant disorder (ODD) is often comorbid with other psychiatric disorders in childhood. This study aimed to investigate comorbid psychiatric symptoms and associated factors in elementary school children with symptoms of ODD. Methods: The participants consisted of 205 mother-offspring pairs. Psychiatric symptoms were measured using the Diagnostic Predictive Scales and Korean Child Behavior Checklist. Psychiatric comorbid symptoms were compared between children with ODD symptom and those without ODD symptom. Multivariate logistic regression analysis was used to estimate the odds ratio of psychiatric symptom on ODD. Results: ODD group had a significant association with internalizing and externalizing problem (p=0.001, p<0.001, respectively). ODD group were more comorbid with anxiety disorder, depressive disorder, attention-deficit/hyperactivity disorder, and conduct disorder. Among psychiatric disorder, generalized anxiety disorder (GAD) (adjusted odds ratio [AOR]=18.620, p<0.001) and conduct disorder (AOR=9.529, p=0.014) were associated with ODD symptom. Conclusion: These findings suggest that children with ODD symptom had significantly higher rates of comorbid psychiatric symptoms. And GAD and conduct disorder are related to ODD symptom.

주의력결핍 과잉행동장애 아동과 아스퍼거장애 아동에서 사회기술훈련의 효과 비교 (The Effect of Social Skills Training for Children with Attention-Deficit Hyperactivity Disorder and Asperger's Disorder : Preliminary Study)

  • 황지희;곽영숙
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제24권4호
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    • pp.199-206
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    • 2013
  • Objectives : Attention-deficit hyperactivity disorder (ADHD) and Asperger's disorder (AD) in children are associated with attentional problems, impulsivity, hyperactivity, and difficulties with social interactions. Pharmacological treatment may alleviate symptoms of ADHD, but seldom solves difficulties with social interactions. Social skills training (SST) may assist in improving their social interactions. We examined the effects of SST on children's social competences, general behavior, and ADHD symptoms. Methods : Thirty four children, aged 7 to 12 years, participated in the cognitive behavioral SST program once a week at the outpatient division of child-adolescent psychiatry. SST was composed of 24 sessions (ninety minutes) for 6 months. Twenty-five children were diagnosed with ADHD, and 9 children were diagnosed with AD. Parents of the children rated Korea-Child Behavior Checklist (K-CBCL), Conner's rating scales, Korean-ADHD Rating Scale (K-ARS), Social Skill Rating System (SSRS), and Matson's Social Skill Rating Scale as an evaluation of the treatment effect, before the first session and after the final session of the training. Results : The ADHD group showed significantly increased scores of social and social competence of CBCL and SSRS. Further, scores of externalizing problems of CBCL, CRS, and ARS were significantly decreased. The Asperger's group showed significantly increased scores of social competence of CBCL, SSRS, and MESS. There was a significant difference of the improvement in CBCL's school and total behavior problem score, CRS between drug change group and no drug change group. Conclusion : The result of this study suggests that SST is effective in improving social skills for children with ADHD and AD. In addition, SST has shown its effectiveness in treating attentional problems for children with ADHD. To prove objective usefulness of SST, further studies with a more structured design and long-term duration along with a sufficient number of AD participants will be necessary.

복지시설 아동의 심리치료 프로그램 효과의 지속성 연구:아동 행동평가 척도를 중심으로 (Study on the Persistence of Therapy Program Effectiveness in Foster care : Focusing on K-CBCL)

  • 하은혜;신민진
    • 재활치료과학
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    • 제8권2호
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    • pp.55-66
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    • 2019
  • 목적 : 본 연구의 목적은 아동복지시설 아동 치료 재활 지원사업에 참여 한 아동, 청소년을 대상으로 사업이 종료 된 9개월 후에도 치료 프로그램의 효과가 지속되는지 여부를 확인하는 것이다. 연구방법 : 본 연구는 2016년 아동복지시설 아동 치료 재활 사업에 참여하였던 아동, 청소년 중 120명을 대상으로 아동 행동평가 척도를 사용하여 사전(2016년 5월~6월), 사후(2016년 10월~12월), 추후(2017년 9월)평가를 실시하였다. 문제행동의 변화를 확인하기 위해 반복측정 ANOVA(Repeated Mesures ANOVA)로 분석하였다. 결과 : 미취학과 중 고등학생은 사전에 비해 사후에 문제행동이 감소되었고, 추후에 치료효과가 유지되었다. 초등학생은 사전에 비해 사후에 문제행동이 감소되었고, 추후에 더 감소하였다. 결론 : 본 연구 결과, 미취학, 초등학생, 중 고등학생 모든 집단에서 치료효과가 치료 종결 9개월 후에도 지속되고 있다는 것을 확인하였다.

약물치료 중인 주의력결핍 과잉행동장애 아동 청소년에서 작업기억훈련이 행동문제와 부모 스트레스에 미치는 부가적 효과 (Augmentative Effects of Working Memory Training on Behavioral Problems and Parental Stress in Medicated Children and Adolescents with Attention-Deficit Hyperactivity Disorder)

  • 이은경;김혜선;유한익
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제28권2호
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    • pp.115-122
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    • 2017
  • Objectives: Executive dysfunctions including working memory deficit have been suggested to be one of the major neuropsychological etiologies of attention-deficit hyperactivity disorder (ADHD). The purpose of this study was to investigate the augmentative effects of working memory training on the behavioral problems, quality of life, and parental stress of medicated children with ADHD. Methods: Twenty-five children with ADHD, aged 9 to 19 years, who were being treated with ADHD medication, were included. The participants were trained with a commercially available and computerized working memory program ($Cogmed^{(R)}$) for 5 weeks without any alteration of their medication. The Child Behavior Checklist (CBCL), KIDSCREEN-52 quality of life measure, and Parenting Stress Index-Short Form (PSI-SF) were administered before training, and 4 weeks and 7 months after training, respectively. Results: After completing the training, the anxiety/depression, social problems, thought problems, attention problems, aggressive behavior, and externalizing problems scores in the CBCL were significantly reduced. The score on the Parent-child dysfunctional interaction in the PSI-SF was also decreased. However, the scores related to the quality of life were not changed. These changes were still observed 7 months after the training. Conclusion: Cogmed working memory training can be a promising training option for the additional improvement of behavioral problems and parental stress in medicated children with ADHD.