• Title/Summary/Keyword: Impulsivity

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Attention deficit hyperactivity disorder (주의력결핍 과잉행동장애)

  • Eun, So-Hee;Eun, Baik-Lin
    • Clinical and Experimental Pediatrics
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    • v.51 no.9
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    • pp.935-943
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    • 2008
  • Attention deficit hyperactivity disorder (ADHD) is a neurobehavioral developmental disorder characterized by a persistent pattern of inattention and/or hyperactivity, as well as forgetfulness, poor impulse control or impulsivity, and distractibility. The recommended evaluation includes documenting the type and severity of ADHD symptoms, verifying the presence of normal vision and hearing, screening for comorbid psychological conditions, reviewing the child's developmental history and school performance, and applying objective measures of cognitive function. Prevailing opinion characterizes ADHD as a disorder of executive function attributable to abnormal dopamine transmission in the frontal lobes and frontostriatal circuitry. A clearly defined etiology remains unknown, but studies suggest a strong genetic link. The aim of treatment is to decrease symptoms, enhance functionality, and improve well-being for the child and his or her close contacts. Stimulants remain the pharmacological agents of first choice for the management of ADHD, and psychosocial, behavioral and educational strategies that enhance specific behaviors may improve educational and social functioning in children with ADHD.

The Effects of a Self-Growth Group Counseling Program to Improve Self-Esteem on Children of Group Home (그룹홈 아동의 자아존중감 증진을 위한 자기성장 집단상담 프로그램 효과 연구)

  • 강기정;정은미
    • Journal of the Korean Home Economics Association
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    • v.41 no.11
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    • pp.171-187
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    • 2003
  • The purpose of this study was to measure the effects of self-growth group counseling program for children in a group home. The results of this study are as follows. First, the self-growth group counseling program was effective to improve self esteem. The most significant increases were seen in the global self-esteem and school-academic self-esteem. Second, the group cohesion and participation frequency of the program were improved, as the session was progressed. Third, as the changes of individual, the understanding and acceptance of oneself and the others are improved. So, impulsivity and aggression became lower, and problem behavior was less.

The use of Amantadine in Traumatic Brain Injury Patients (외상성 뇌손상환자에서 Amantadine의 사용)

  • Jung, Han Yong;Kim, Yang Rae
    • Korean Journal of Biological Psychiatry
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    • v.7 no.1
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    • pp.55-63
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    • 2000
  • Avariety of symptoms can occur following traumatic brain injury(TBI) or other types of acquired brain injury. These symptoms can include problems with short-term memory, attention, planning, problem solving, impulsivity, disinhibition, poor motivation, and other behavioral and cognitive deficit. These symptoms may respond to certain drugs, such as dopaminergic agents. Amantadine may protect patients from secondary neuronal damage after brain injury as a effect of NMDA receptor antagonists and may improve functioning of brain-injured patients as a dopaminergic agonist. Clinically, based on current evidence, amantadine may provide a potentially effective, safe, and inexpensive option for treating the cognitive, mood, and behavioral disorders of individuals with brain injury. The rationales for using amantadine are discussed, and pertinent literatures are reviewed.

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Sleep in Borderline Personality Disorder Individuals (경계성 인격 장애 환자의 수면)

  • Lee, So-Jin
    • Sleep Medicine and Psychophysiology
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    • v.19 no.2
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    • pp.59-62
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    • 2012
  • Borderline personality disorder (BPD) is characterized by identity and interpersonal problem, affective dysregulation and pervasive severe impulsivity. Although sleep disturbances are not primary symptoms of BPD, they are important aspects of this disorder. However, clinicians and researchers did not give much attention to the sleep symptoms of BPD yet. Measured by nocturnal polysomnography, increased sleep latency as well as reduced total sleep time and sleep efficiency, and 'depression-like' REM abnormalities (i.e., reduced REM latency and increased REM density) are found in BPD patients. Co-morbid sleep disorders such as chronic insomnia, nightmare disorder or circadian rhythm sleep disorder associated with BPD have been reported. Clinicians should focus on the sleep complaints of BPD patients, and carefully manage such symptoms with sleep hygiene education, cognitive psychotherapy or light therapy.

Relationship between Temperament and Emotion Regulation with Negative Emotion (아동의 기질과 부정적 정서 및 정서조절전략과의 관계)

  • Kim, Kyung-Hee
    • Korean Journal of Child Studies
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    • v.25 no.6
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    • pp.355-370
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    • 2004
  • This study was to examine the relationship between temperament and children's emotion regulation with negative emotion. Following are the purposes of this research. First, children's temperament and negative emotion, and emotion regulation was found based on children's sex and age difference. Second, if there is a relationship between children's temperament and children's negative emotion and emotion regulation. The subjects of this study were 213 students who were in 8, 10, 12 ages of elementary school in Mokpo. The scales used in this study was Buss & Plomin(1975)'s EAS(Emotionality, Activity, Sociability, Impulsivity) and Brand & Halpern(1998)'s ERACH(Emotion Response and Coping Interview). The data analysis was made by SPSS PC+, and average, two-way ANOVA, Scheffe test, correlation and were employed to test the research questions. As a result of this research a difference in age was found, and a difference in sex was not found. Children's temperament was in positive relation with anger and emotion approach. This research will assist to make the foundation of counseling psychology and developmental psychology.

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Peer relationships and personality of abused children (아동학대유형에 따른 또래수용과 인성특성)

  • 이주연
    • Journal of the Korean Home Economics Association
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    • v.34 no.3
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    • pp.21-34
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    • 1996
  • The purpose of this study was to investigate the relationship between abused (physical, emotional & neglect) children and their peer relationships and personality. The subjects were 320 fifth graders from the low-middle class of families in Seoul. The data were gathered by questionnaires and peer nomination method. The major findings of the present study were as follow : (1) Children were physically abused mainly by their fathers, and neglected mainly by their mothers. (2) The significant differences in both peer relationships and personality were found according to the type of abuse. Physically abused children were viewed as either a neglected child or a aggressively rejected child who shows higher activity and impulsivity. But emotionally abused and/or neglected children were perceived as a neglected child who shows lower sociablity. (3) There were statistically significant differences in personality among sociometric status groups.

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Association between Atopic Dermatitis and Attention Deficit Hyperactivity Disorder Symptoms in Korean Children (소아.청소년에서 아토피 피부염과 주의력결핍과잉행동장애와의 관계)

  • Han, Doug-Hyun;Kim, Seong-Hyun;Chung, Un-Sun;Cho, Jeong-Hye;Park, June-Sung;Ahn, Jee-Young;Kim, Jae-Won
    • Korean Journal of Psychosomatic Medicine
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    • v.14 no.2
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    • pp.88-93
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    • 2006
  • Objective : The aim of this study was to examine the relationship between IgE-mediated atopic dermatitis and attention deficit hyperactivity disorder(ADHD) in Korean children. Method : This case-control study included 69 patients with atopic dermatitis and 42 normal students. Diagnoses of atopic dermatitis and assessments of its severity were made by the dermatologist. The MAST tests were administered to atopic dermatitis patients. The parents of all of the subjects completed the parent versions of the ADHD Rating Scale-IV(ARS). Results: Compared to the normal control group, the atopic dermatitis group scored significantly higher in the total, inattention, and hyperactivity/impulsivity profiles of the ARS(t=3.35, p<0.01 : t=6.41, p<0.01 ; t=3.93, p<0.01, respectively), The atopic dermatitis patients with ADHD hyperactivity/impulsivity subtype showed more severe symptoms of atopic dermatitis than those with ADHD inattentive subtype. The MAST-positive atopic dermatitis patients showed significantly increased incidence of ADHD symptoms than the MAST-negative counterparts. Conclusion : The results of this study suggest the possibility of an association between IgE-mediated atopic responsiveness and ADHD symptomatology.

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The Relationship between Serum Lipid Levels and Psychologic Characteristics (혈청 지질 농도와 심리적 특성의 관련성)

  • Lee, Jun-Suk;Lee, Jang-Han;Yang, Byung-Hwan;Ji, Yong-Jin
    • Korean Journal of Psychosomatic Medicine
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    • v.9 no.2
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    • pp.194-202
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    • 2001
  • Objectives : Many studies have shown an association between serum lipid concentrations and psychologic characteristics. However, conflicting results have also been reported. This study was designed to find the relationship between serum lipid levels(cholesterol and triglycerides) and psychologic characteristics(impulsiveness, aggressiveness, depressiveness) in adolescents. Methods : Serum cholesterol concentration, serum triglycerides concentration, complete blood count, electrolytes, liver function test, and blood sugar level were measured by overnight fasting blood sampling and urinalysis was also conducted in 407 high school students. Impulsiveness level was measured by Barratt Impulsiveness Scale(BIS). Aggressiveness level was measured by Buss-Durkee Hostility Inventory(BDHI). Depressiveness level was measured by Beck Depression Inventory(BDI). Serum cholesterol was measured by standard enzymatic assay and serum triglycerides was measured by Boehringer Mannheim method. Results : 1) Low cholesterol group(<15 percentile) were found to have significantly higher BIS score than high cholesterol group(>85 percentile) in female. Female low cholesterol group were also found to have significantly higher motor impulsivity score, a subscale of BIS, than high cholesterol group. 2) High triglycerides group(>85 percentile) were found to have significantly higher BDI score than low triglycerides group(<15 percentile) in male and female separately. Especially, male high triglycerides group were also found to have significantly higher BIS and motor impulsivity score than low triglycerides group. Conclusion : These results support the previous hypothesis that serum lipid levels(cholesterol and triglycerides) affect human psychologic characteristics.

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Development of Korean Adult ADHD Rating Scale (한국형 성인 ADHD 평가척도 개발 연구)

  • Kang, Taewoong;Kim, Jae-Won;Bahn, Geon Ho;Song, Sook Hyung;Kim, Junwon;Kim, Ji-Hoon;Kim, Yoon-Jung;Kim, Eui-Jung;Kim, Tae-Ho;Yang, Su-Jin;Yang, Jaewon;Lee, Soyoung Irene;Park, Joon-Ho;Choi, Jeewook;Han, Doug-Hyun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.26 no.4
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    • pp.295-310
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    • 2015
  • Objectives : Symptoms of attention-deficit hyperactivity disorder (ADHD) during childhood may persist into adulthood. This study included the development and validation process of the Korean Adult ADHD Rating Scale (K-AARS), which was developed for screening and monitoring treatment of adults with ADHD. Methods : Preliminary questionnaires of the K-AARS were based on the reviews of previous adult ADHD scales and clinical experiences of the board certified child and adolescent psychiatrists in Korea. For this study, 136 adults (18-50 years old) with inattention, hyperactivity and/or impulsivity symptoms were enrolled as ADHD subjects, and compared with 406 control subjects (18-50 years old) without ADHD symptoms. Construct validity was examined using explorative factor analysis and Cronbach's alpha to obtain internal reliability coefficients. Concurrent validity was evaluated by comparison with the Conners' Adult ADHD Rating Scale (CAARS). Results : An explorative factor analysis showed that the K-AARS had 8 factors (inattention, hyperactivity, impulsivity, antisocial personality disorder/conduct disorder/oppositional defiant disorder, impairment, driving, emotional dysregulation, disorganization). K-AARS was highly reliable in terms of internal consistency (Cronbach's alpha 0.77-0.95) and correlation between factors (0.57-0.86). Concurrent validity with the CAARS and discriminant validity were statistically significant. Conclusion : The K-AARS is a valid and reliable measure for assessment of Korean adults with ADHD.

Effects of Preconceptional Ethanol Consumption on ADHD-Like Symptoms in Sprague-Dawley Rat Offsprings

  • Choi, In-Ah;Kim, Pitna;Joo, So-Hyun;Kim, Min-Kyeong;Park, Jin-Hee;Kim, Hee-Jin;Ryu, Jong-Hoon;Cheong, Jae-Hoon;Shin, Chan-Young
    • Biomolecules & Therapeutics
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    • v.20 no.2
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    • pp.226-233
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    • 2012
  • Ethanol exposure during gestational period is related to growth retardation, morphological abnormality, and even in neurological abnormalities including attention deficit/hyperactivity disorder (ADHD)-like behaviors on offspring. However, relatively little is known about the effects of maternal ethanol consumption prior to conception on their offspring. In this study, we investigated whether maternal ethanol administration during preconceptional phase produces ADHD-like behaviors in the rat offspring. Sprague-Dawley (SD) female rats were administrated ethanol via intragastric intubation with dosing regimen of 6 g/kg daily for 10 consecutive days and treated female rats then mated with non-treated male SD rats after 8 weeks. Another group subjected to the same procedure as those conducted on ethanol treated group except the saline administration instead of ethanol. Offspring was tested for their ADHD-like behaviors using open field test, Y maze test and impulsivity test that is performed in the aversive electronic foot shock paradigm. Offspring of preconceptional ethanol treated (EtOH) group showed hyperlocomotive activity, attention deficit and impulsivity. And reduction of striatal dopamine transporter (DAT) level was observed by Western blot in the EtOH group, compared to control (Con) group, while the immunohistochemical analysis exhibited increased expression of norepinephrine transporter (NET) in the frontal cortex. These results suggest that maternal ethanol consumption in the preconceptional phase induces ADHD-like behaviors in offspring that might be related to the abnormal expression of DAT and NET in rat.