• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• 제21권3호
• /
• pp.174-181
• /
• 2010

Objectives: To identify the factors affecting long-term adherence to methylphenidate treatment in children with attention-deficit hyperactivity disorder (ADHD). Methods: A retrospective medical record review of 239 ADHD patients (mean age $9.3{\pm}2.6$ years, range 6.0-17.4 years) who had visited the child and adolescent psychiatry clinic at a university hospital, in Seoul, Korea from March 2005 to February 2008. Subjects were diagnosed as ADHD based on the criteria set forth in the Diagnostic and Statistical Manual of Mental Disorders 4th edition, text revision version (DSM-IV-TR) and underwent neuropsychological tests including the continuous performance test (CPT). Treatment discontinuation was defined as the last prescription date when the medication possession rate (MPR) became less than 0.80. Subjects were divided into three groups and labeled as Group I, non-adherence without pharmacotherapy, Group II, non-adherence with short-term pharmacotherapy, and Group III, adherence with long-term pharmacotherapy. Results: Ninety (37.7%) patients were grouped as non-adherent (Groups I+II) and 149 (62.3%) as adherent (Group III). The adherence group exhibited lower intelligence, higher symptom severity, and a higher number of comorbid psychiatric disorders than controls. The use of stimulants was significantly associated with long-term adherence to treatment. Additionally, the duration of interval between the date of the first visit and the date of the first prescription was positively associated with long-term adherence. Conclusion: About two-thirds of patients diagnosed as ADHD adhered to the treatment six months after the first visit. With respect to patient evaluation and the development of treatment strategies, factors affecting early drop-out and longer follow-up must be considered.

• 한국간호교육학회지
• /
• 제7권2호
• /
• pp.379-390
• /
• 2001

The purpose of this study was to examine the actual condition of the adolescent status delinquency and to predict that family environments, the mother's rear attitudes and personal factors influence on the adolescent status delinquency among high school students in Busan(N=404). Under these purposes of the study, the preliminary study was performed to divided the criminal delinquency from the status delinquency, and on the basis of the result of the preliminary study, the analysis of causal pathway were performed. The data were surveyed using paper and pencil self-rating. Descriptive statistics and pathway analyses were conducted to answer research objectives. The result of this study was as follows. First, the status delinquency and the criminal delinquency are different dimensions with each other independently. Second, Contents of the status delinquencies were Drinking, Smoking, Cheating examination, Stopping out, Reckless running, Gang fighting, Reading lewdness and Watching lewd video, Sexual intercourse with the other gender, etc., The criminal delinquencies were Robbing of bicycle or auto-bicycle, Taking nalcotic drug, Robbing money of drunkard and women, Rape, Setting on fire, etc. Third, The factors of structural environments of the family and the factors of mother's rear attitude influenced on the status delinquency via adolescence's compulsivity. that is to say, if the mother's rear attitude is affective, it restrains the impulsivity of adolescence causing to the restraint of the status delinquency.

• 한국가정과교육학회지
• /
• 제12권2호
• /
• pp.107-122
• /
• 2000

The purposes of this study were to investigate the decision making process & preference for imported products and to suggest the systematic education programs for adolescent consumers. The data for this research were attained from 426 middle & high school students in Pohang. The data were analyzed by frequency distribution. mean standard deviation analysis of variance t-test, χ(sup)2-test and Pearson’s correlation with SAS program. The results of this study were as follows: 1. preference for imported products was significantly different according to sex, amount of pocket money, region. T.V advertising, friends and the attitude of their mothers. 2. Decision making process was composed of 4 dimensions in this study; information sources criteria for products problem experience of consumption and type of problem solving. In case of information sources there was a signifiant difference according to sex. grade level of parents’education. Criteria for products were significantly different according to sex grade. level of father’s education type of father’s job amount of pocket money and how they gained their pocket money. Consumption problem experience & type of problem solving were significantly different according to sex and grade. 3. Preference for imported products was significantly different according to criteria for products and consumption problem experience out of adecision making process.

• 기본간호학회지
• /
• 제12권3호
• /
• pp.413-420
• /
• 2005

Purpose: The purpose of this study is to identify health risk behaviors in adolescents according to grade in school and to of for basic data to develop a health promotion for adolescents. Methods: A descriptive survey design was used and the SPSS 12.0 program was used for the data analysis, which included Chi-square test and Spearman correlation coefficients. The instrument for this study was based on the 1999 Youth Risk Behavior Surveillance System developed by the Centers for Disease Control and Prevention. Results: The results indicate that adolescent have an average of 2 risk behaviors out of 10 health risk behaviors categories. There are various types of risk behaviors, which art: different for each grade, such as physical fights, using alcohol, using heroin, weight control, and the lack of AIDS education. Physical fights, and the lack of AIDS education are common in the 9th grade, using alcohol, heroin, and weight control are common in the 11th grade. Physical fights were correlated with using cigarettes and sexual intercourses. Using alcohol was correlated with using cigarettes, heroin, sexual intercourses and weight controls. Using heroin was correlated with sexual intercourse and weight control. Conclusion: For the promotion of health in adolescents, different approaches to health education and prevention of health risk are needed for each grade because the health risk behaviors differ between grades.

• 대한지역사회영양학회지
• /
• 제4권4호
• /
• pp.561-567
• /
• 1999

This study was conducted to provide information about weight control behavior in adolescent females. To explain the behavior intention of dieting, conceptual framework based on "Social Support, Control and the Stress Process Model" and "Theory of Reasoned Action" was used. The survey was carried out by self-questionnaires with 463 female high school and college students in Daegu. Analysis of data was done using mean, correlation and multiple regression analysis with the SAS computer program. A society preoccupied with thinness gives a burden to women, and this burden may stress dissatisfaction with body image. Social perception of ideal body image except parents' perception, and salient others'perception, and salient others' expectation of subjects' body image except parents' expectation, were much thinner than normal figures in this study. The influencing factors for behavior intention of dieting of the subjects were perceived stress and attitude toward diet behavior, especially beliefs of behavioral outcome. Influencing factors related to perceived stress-that is dissatisfaction of body image-were current figure, social perception of body image, effect of mass communication and others' estimation of subjects' body image with self-comparison with others, in order.th others, in order.

• 대한가정학회지
• /
• 제27권3호
• /
• pp.147-159
• /
• 1989

The purpose of this study is to find out significant factors which have effects on the communition styles and adolescents' satisfaction in communication through the investigation of the communication styles between adolescents and mothers and the degree of adolescents' satisfaction in communication. The subjects of this study were 44 high school students in Seoul Statistical methods emploid to analyze the data were percentage, frequency, mean, X2-test, F-test and multiple regression. The results were as follows; 1) The communication styles between adolescents and mothers were divided into 4 grpups, and the proportion of these 4 groups were mutual open style 40.3% mutual closed style 34.5%, adolescent closed-mother open style 13.1% and adolescent open-mother closed style 12.2%. 2) Factors influencing the communication styles were sex (p<.001), communication time (p<.001) and atomosphere of families(p<.001). 3) The degree of adolescents' satisfaction in communication were significantly different depending on the communication style (p<.001), sex (p<.001), communication time (p<.001) educational level of father (p<.05), employment status of mother (p<.05), atomosphere of famlies (p<.001) and economic condition of families (p<.001). 4) The most significant variables influencing the degree of adolescents' satisfaction were communication styles and the atomosphere of families. The groups using open communication styles were more satisfied with their communication that the groups using closed communication styles. The female adolescents were more sensitively influenced than male adolescents with these two variables.

• 보건의료산업학회지
• /
• 제7권1호
• /
• pp.155-165
• /
• 2013

This study aims to identify the significance of adolescent suicidal ideation in a multicultural family, propose suicidal prevention strategies, and provide considerable foundations supporting their secured future. The research results are in the follow. For the results of main factors of relative influence on the suicidal ideation, the relative dangerousness levels were 5.5 times more likely to experience with drugs, 4.5 times more likely to have depressive symptoms, 3.2 times more likely to experience violence at school, and 2.8 times more likely to experience drinking alcohol, 1.4 times more likely to feel unhappiness and 1.3 times more likely to be bad off in economic status, all of which contribute to suicidal ideation. All results turned out to be statistically significant. Therefore, the findings and results of this study indicate that appropriate and practical prevention strategies to address the suicidal behavior of adolescents in a multicultural family need to be carefully considered and designed in a most urgent manner.

• 부모자녀건강학회지
• /
• 제15권1호
• /
• pp.1-13
• /
• 2012

Purpose: The purpose of this thesis is to investigate the experience of children with a schizophrenic parent. Methods: The research methods included biographical in-depth interviews, structured questionnaires, and child's drawings. Data were collected from September until November, 2005 at one university hospital, and interviews were recorded on audio tapes and thereby transcribed. The subjects were three adolescent children (10~15 years old) of a parent with schizophrenia. Results: This study has five themes: It is often the case that the children with a schizophrenic parent are uninformed about their parent's illness, have difficulties dealing with symptoms are confused about their parent's image and display contradictory feelings of fear and sympathy toward their father; The children tend to harbor expectations on mother's role in the family affairs, and simultaneously show pity for her; Family relations without solidarity caused by the absence of their father make the children feel severance, separation, and isolation in and out of the family; The children feel the burden to assume additional household responsibilities; The children are reluctant to mention their father's disease. Conclusion: the study subjects have met negativeness in both developmental characteristics and needs, which supports the need for intervention programs that meet their actual experience.

• Journal of the Korean Data and Information Science Society
• /
• 제28권6호
• /
• pp.1403-1414
• /
• 2017

본 연구의 목적은 여자 청소년의 섭식장애 관련 변인을 파악하여 섭식장애 예방을 위한 중재방안 마련에 기반을 마련하고자 시도되었다. 연구대상자는 D, K지역에 재학중인 여자 청소년 297명으로, 수집된 자료는 SPSS 20.0으로 분석하였다. 연구결과 여자 청소년의 섭식장애 관련 변인으로 BMI, 체형만족도, 주관적 비만정도, 체중조절행동 경험방법으로 식이조절과 운동, 자기통제, 신체자존감이 통계적으로 유의하였다. 따라서 여자 청소년의 섭식장애를 예방하기 위해서는 자신의 체형에 대한 정확한 이해를 토대로 미와 건강에 대한 올바른 가치관 정립과 섭식장애 예방을 위한 중재방안을 개발하는데 기여할 것이다.

• Pediatric Infection and Vaccine
• /
• 제22권1호
• /
• pp.7-15
• /
• 2015

목적: 결핵 전파의 주요 원인인 가족 내 2차 감염 관리의 실태를 조사하고 특히 18세 이하 소아청소년에서의 결핵 노출 시의 관리 실태를 분석하는 것이다. 방법: 2011년 10월 1일부터 2012년 9월 30일까지 가천대 길병원에서 결핵균 감염에 의한 질환으로 치료받은 환자들을 대상으로 진단을 받은 시기로부터 1년이 지난 시점에 후향적으로 전화 설문 및 의무 기록을 조사하였다. 결과: 총 321명의 연구 대상자들 중 전화 응답이 가능했던 253명의 새로 진단된 결핵 환자들 중에서 가족 접촉자에 대한 결핵 감염 여부를 확인하기 위해 검사를 받은 경우는 50% 미만 밖에 되지 않았고, 검사의 필요성에 대한 인식이 부족한 경우가 많았다. 총 562명의 가족 내 접촉자 중 2차 환자가 발생한 경우는 7가족 내 8명(1.4%, 8/562)이었고, 가족 내 잠복결핵감염 환자가 발생한 경우는 13가족 내 15명(2.7%, 15/562)이었다. 가족 내 소아 청소년 접촉자 110명 중 2차 환자는 없었으며 잠복결핵감염은 7가족 내 8명으로 전체 소아 청소년 접촉자 중에는 7.3%, 검진을 받은 소아 청소년 접촉자 중에는 20.5%였다. 가족 내에 추가 환자 및 잠복결핵감염자 중 감염원이 폐외 결핵인 경우가 3명(13.0%)이 있었다. 감염원의 폐공동 존재 여부와 객담 도말 검사 결과 및 미생물학적 확진 여부는 가족 내 접촉자의 감염 여부와는 상관 관계가 없었다. 결론: 효과적인 결핵 접촉자 검진을 위해서 환자의 가족 내 접촉자 검진에 대한 인식의 개선이 필요하며 결핵 접촉자 검진 국가 지원 사업 이후 관리 실태 개선 여부에 대한 평가를 위해 지속적인 조사가 필요하다.