• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제22권4호
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• pp.302-306
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• 2011

Objectives : To investigate the cognitive functions of pediatric cancer patients and to test the hypotheses that the impairment of processing speed and working memory are more prevalent in children with medulloblastoma (MBL) compared to children with neuroblastoma (NBL). Methods : We gave the Korean version of the Wechsler Intelligent Scale for Children-III to 21 children with MBL and 24 children with NBL during outpatient follow-up after the treatment was completed. Results : Children with MBL showed below average performance across most of the sub-tests. The full scale IQ, verbal IQ, and performance IQ of children with MBL were significantly lower than those of children with NBL. There were significant differences between two groups in coding and Digit Span subtest scores. Children with MBL performed especially poorly in the coding subtest. Conclusion : These findings support previous reports of generally low IQ and the dysfunction of processing speed and working memory among children with MBL, a kind of central nervous system tumor. Further investigation is needed to determine how the deficit of processing speed and working memory affect neurocognitive development and general intelligent functions.

• Safety and Health at Work
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• 제8권1호
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• pp.77-83
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• 2017

Background: In contemporary China, most parents are dual-earner couples and there is only one child in the family. We aimed to examine the associations of parents' work stress with suicidal ideation among the corresponding adolescent. We further hypothesized that low parental support experienced by adolescents may mediate the associations. Methods: Cross-sectional data from school students and their working parents were used, with 907 families from Kunming City, China. Stress at work was measured by the effort-reward imbalance questionnaire. Perceived parental support was assessed by an item on parental empathy and their willingness to communicate with the adolescent. Suicidal ideation was considered positive if students reported thoughts about suicide every month or more frequently during the previous 6 months. Logistic regression was used to examine the associations. Results: We observed that parents' work stress was positively associated with low parental support, which was in turn associated with adolescent suicidal ideation. The odds ratio for parents' work stress and adolescent suicidal ideation was 2.91 (95% confidence interval: 1.53-5.53), and this association was markedly attenuated to 2.24 (95% confidence interval: 1.15-4.36) after additional adjustment for parental support. Notably, mothers' work stress levels exerted stronger effects on children's suicidal ideation than those of fathers. Conclusion: Parents' work stress (particularly mother's work stress) was strongly associated with adolescent's suicidal ideation, and the association was partially mediated by low parental support. These results need to be replicated and extended in prospective investigations within and beyond China, in order to explore potential causal pathways as a basis of preventive action.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제15권1호
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• pp.16-27
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• 2004

The purpose of this article is to review the recent studies about what attchment is, which historical background it has, how it develops and affects on the following development. Also the clinical implications of attachment and problems for its clinical application were discussed. As the quality of the attachment formed at earlier years is continued for a lifetime as the form of the internal working model, it affects persons' pathological development as well as normal one. Accordingly this article will be able to give a insight for prevention and treatment of pathological attachment and various psychological disorders.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제28권1호
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• pp.25-30
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• 2017

Objectives: The study compared the intelligence test profiles of Tourette's Disorder (TD), attention-deficit hyperactivity disorder (ADHD), and TD with ADHD (TD+ADHD) groups. Methods: The Korean Wechsler Intelligence Scale for Children-third edition (K-WISC-III) and Korean Wechsler Intelligence Scale for Children-fourth edition (K-WISC-IV) were administered to 13 children and adolescents with TD, 17 children and adolescents with ADHD, and 15 children and adolescents with TD+ADHD. Each parameter was compared among the groups using the Kruskal-Wallis test. Results: The mean scores of the freedom from distractibility/working memory index (FD/WMI) and the digit span and arithmetic subtests of the TD+ADHD group were significantly lower than those of the TD group. Conclusion: According to the intelligence test results, the comorbid ADHD+TD group showed a significant decrease in working memory compared to the TD group. These findings are similar to those of previous research on cognitive functions and suggest that the TD+ADHD comorbid and TD alone groups exhibit different endophenotypes. The results also imply that WISC-III and WISC-IV, the most commonly used intelligence tests clinically, are effective in evaluating cognitive functions such as attention. Further research is required to confirm these results.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제24권2호
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• pp.78-82
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• 2013

Child labor is being recognized as the key issue of human rights, and the International Labor Organization and the Convention on the Rights of the Child emphasize that children are individuals with dignity and rights. Male and female child actors belong to a profession with wide public exposure and there is a potential danger of invading classes and roles not matching the developmental stage of the child. In this study, we would like to discuss international and domestic laws and future complementary measures surrounding legal and institutional issues that need to be considered for child actors. Although the basic rights for child workers are stated in the Constitution Article 32 Paragraph 5 and Labor Standards Act Articles 64 through 70, they are insufficient. Following the revised broadcasting deliberation regulations by the Korea Communication Commission and amendment of the Juvenile Protection Law, several changes are taking place in the working environment. In certain foreign places such as California, United States, the economic and educational rights of male and female child actors are being protected. Although legal and institutional frameworks for the male and female child actors are being reinforced, more consistent devices are needed. Consideration for working hours, regulations to keep up with learning while working, and preparation for physical and emotional influences are required to keep up with international changes.

• The Journal of the Korea Contents Association
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• 제17권9호
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• pp.353-362
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• 2017

The purpose of this study aimed to investigate the mediating effect of self-esteem between attachment and depression in adolescents. The study specified theoretical assumptions based on internal working model and vulnerability model. The data were analyzed by structural equation modeling. A total of 2,058 adolescent data from 2015 Korean Children and Youth Panel Survey was used in this study. The results showed parent attachment, peer attachment, and teacher attachment did not have direct effects on adolescent depression, but have indirect effects. Self-esteem had direct and mediating effect on depression. The implications were discussed in relation to interpersonal relationships and self-esteem of adolescents for depression prevention.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제28권1호
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• pp.20-24
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• 2017

Over the past quarter century, research on physical punishment has proliferated. Almost without exception, these studies have identified physical punishment as a risk factor in children's behavioral, emotional, cognitive and brain development. At the same time, the United Nations has established that physical punishment constitutes a breach of children's basic human rights to protection and dignity. Together, research findings and human rights standards have propelled profound global change. To date, 51 countries have prohibited all physical punishment of children. In this article, we review the literature on physical punishment within its historical context, and provide recommendations for health professionals working with families.

• Korean Journal of Child Studies
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• 제20권2호
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• pp.57-74
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• 1999

The present investigation of the relations among economic hardship, parental child-rearing attitudes and adjustment in adolescence was carried out with 528 middle school children and their mothers in Kyung-gi province. Questionnaires for mothers were on economic stress, and children's questionnaires were on perceived parental attitudes as well as their own adjustment behaviors, such as aggression, depression, and negative self-concept. Adolescent boys perceived paternal child-rearing attitudes more rejecting and inconsistent when the family experienced income loss. Paternal nurturing behaviors perceived by children were also reduced under poor paternal working conditions. Change in family life style due to economic hardship resulted in higher adolescent depression.

• Journal of Korean Neuropsychiatric Association
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• 제57권2호
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• pp.190-208
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• 2018

Objectives To initiate and develop a treatment guideline in multidisciplinary approaches for related professions who are either working and/or living with children and adolescents with neurodevelopmental disorders who show behavioral problems. Methods To collect and reflect opinions from multiple professions who assumedly have different interventions or mediations on behavioral problems, a self-report survey and Focus Group Interview (FGI) were conducted for a group of child and adolescent psychiatrists, behavioral therapists, special education teachers, social welfare workers, and caregivers. Results According to a self-report survey and FGI results from multiple professional groups, aggressive behavior is the mostly common behavioral problem necessitating urgent interventions. However, both mainly used intervention strategies and effective treatment methods were different depending on professional backgrounds, such as pharmacological treatment, parent training, and behavior therapy, even though they shared an importance of improving communication skills. In addition, there was a common understanding of necessity to include parent training in a guideline. Lastly the data suggested lack of proper treatment facilities, qualified behavior therapists, and lack of standardized treatment guideline in the field needed to be improved for a quality of current therapeutic services. Conclusion It is supported that several subjects should be included in the guidelines, such as how to deal with aggressive behavior, parent training, and biological aspects of neurodevelopmental disorders. Also, it is expected that publishing the guideline would be helpful to above multiple professions as it is investigated that there are lack of treatment facility and qualified behavioral therapists compared to need at the moment.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제8권2호
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• pp.217-231
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• 1997

This paper first reviewed the current neurological theories concerning the etiology of ADHD and secondly, examined results of studies that applied neuropsychological assessment methods in the examination of ADHD children both here in Korea and abroad. ADHD children were found to exhibit characteristic responses indicating deficits in vigilance, sustained attention, distractibility, allocation and regulation of attention in many assessments of attention, in addition to deficits in executive functioning, working and associative memory. Such neuropsychological assessment results suggest that in addition to dysfunction in the frontal lobe and the reticular activation system, dysfunction may exist in other neural pathways involving many areas of the brain. However, because a substantial number of neuropsychological assessment tools being employed in Korea for ADHD children had been developed abroad, a Korean standardization project involving ADHD and normal control children, in addition to other child psychiatric population pools must be conducted in order to obtain appropriate age norms and test validity, and in order to make possible a more accurate and precise comparison and interpretation in the assessment of ADHD children.