• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제34권1호
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• pp.30-36
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• 2023

Objectives: This study examined the changes in anxiety and depressive symptoms in the parents of Korean adults with autism spectrum disorder (ASD) after participating in the Korean version of the Program for the Education and Enrichment of Relational Skills for Young Adults (PEERS^® -YA-K). Methods: Forty-six parents were enrolled (mean age 54.7 years; 22 fathers and 24 mothers), of whom 27 participated in the PEERS^® - YA-K as social coaches. Participants completed self-report scales, including the Test of Young Adult Social Skills Knowledge (TYASSK), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and Symptom Check-List-90-R (SCL-90-R). The scales were administered three times: before and after the 16-week program and 4 months after the program ended. Differences between participant variables at pretreatment, post-treatment, and follow-up were analyzed using paired-sample t-tests. Results: Participants showed a significant improvement in their social skills knowledge (TYASSK) (p<0.01). There was a significant improvement in the BAI and BDI scores of parents with severe depressive and anxiety symptoms at the baseline (p<0.05). Paternal paranoia and maternal hostility results also significantly improved on the SCL-90-R. Conclusion: This study suggests that PEERS^® -YA-K can reduce parental anxiety and depressive symptoms. To the best of our knowledge, this is the first to compare the degree of depression and anxiety after PEERS^® -YA-K in parents of adults with ASD.

• 감성과학
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• 제9권4호
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• pp.307-319
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• 2006

본 연구에서는 정서능력과 뇌반구 기능이 문제행동에 미치는 영향을 밝히는 것이 주된 목적이었다. 남자 중학생 1,050명을 연구의 대상으로 하여 정서능력척도검사(Trait Meta-Mood Scale), 뇌 정보처리 특성 검사(Brain Preference Indicator Test), 그리고 공격성과 비행은 한국판 아동자기보고 검사(Korea Youth Self Report-Child Behavior Check List)를 사용하여 조사 연구하였다 연구 대상은 초기청소년기에 해당하는 남녀 중학생 1,479명을 표집하였다. 연구결과 문제행동을 많이 가진 집단은 보통 아동들에 비해 정서능력 요인중 정서의 명확성이 유의미하게 낮았으며, 자신에 대한 정서 주의는 많이 기울이는 것으로 나타났다. 뇌정보 처리에서는 주로 우반구 우세적 정보처리를 많이 하는 것으로 나타났다 뇌정보처리 특성과 정서 명확성 그리고 정서주의가 문제행동의 하위 요인인 공격성향과 비행성향 모두 유의미하게 설명하는 것으로 나타났다. 반면, 성별과 정서개선, 성별과 정서명료의 상호작용효과가 나타나, 이 두 요인이 공격성과 비행에 영향을 주는 효과가 남자와 여자학생 간에 다르게 나타났다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권1호
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• pp.65-71
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• 2016

Although high mammographic density is one of the strongest predictors of breast cancer risk, X-ray based mammography cannot be performed before the recommended screening age, especially not in adolescents and young women. Therefore, new techniques for breast density measurement are of interest. In this pilot study in Guam and Hawaii, we evaluated a radiation-free, bioimpedance device called Electrical Breast Densitometer$^{TM}$ (EBD; senoSENSE Medical Systems, Inc., Ontario, Canada) for measuring breast density in 95 women aged 31-82 years and 41 girls aged 8-18 years. Percent density (PD) was estimated in the women's most recent mammogram using a computer-assisted method. Correlation coefficients and linear regression were applied for statistical analysis. In adult women, mean EBD and PD values of the left and right breasts were $230{\pm}52$ and $226{\pm}50{\Omega}$ and $23.7{\pm}15.1$ and $24.2{\pm}15.2%$, respectively. The EBD measurements were inversely correlated with PD ($r_{Spearman}=-0.52$, p<0.0001); the correlation was stronger in Caucasians ($r_{Spearman}=-0.70$, p<0.0001) than Asians ($r_{Spearman}=-0.54$, p<0.01) and Native Hawaiian/Chamorro/Pacific Islanders ($r_{Spearman}=-0.34$, p=0.06). Using 4 categories of PD (<10, 10-25, 26-50, 51-75%), the respective mean EBD values were $256{\pm}32$, $249{\pm}41$, $202{\pm}46$, and $178{\pm}43{\Omega}$ (p<0.0001). In girls, the mean EBD values in the left and right breast were $148{\pm}40$ and $155{\pm}54{\Omega}$; EBD values decreased from Tanner stages 1 to 4 ($204{\pm}14$, $154{\pm}79$, $136{\pm}43$, and $119{\pm}16{\Omega}$ for stages 1-4, respectively) but were higher at Tanner stage 5 ($165{\pm}30{\Omega}$). With further development, this bioimpedance method may allow for investigations of breast development among adolescent, as well as assessment of breast cancer risk early in life and in populations without access to mammography.

• Clinical and Experimental Pediatrics
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• 제50권7호
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• pp.601-605
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• 2007

The cure rate of acute lymphoblastic leukemia (ALL) in children dramatically improved over past 5 decades from zero to about 80%. The main cause of improvement is owing to the development of chemotherapy by multicenter clinical trial of large study groups with the understanding of leukemia biology. Recently, pediatric ALL protocols were applied to the treatment of adolescent and even adult ALL patients. For nearly 30 years, clinical factors have been used to risk-stratify therapy for children with ALL, so that the most intensive therapies are reserved for those patients at the highest risk of relapse. The risk groups of ALL are divided as standard- (low- plus intermediate-), high- and very high-risk group according to the prognostic factors, and treatment results improved by this risk based treatment. The factors used to risk-stratify therapy include age, gender, presenting leukocyte count, immunophenotype, cytogenetic aberrations including ploidy and translocations, and initial response after 1 to 2 weeks of therapy. But treatment efficacy is the most important determinant and can abolish the clinical significance of most, if at all, prognostic factors. Today, in the era of intensive, multiagent regimens, there is increasing evidence that we have reached the limits of prognostic significance of currently applied clinical risk factors in childhood ALL. As the cure rate of ALL is about 80%, introducing new prognostic factors such as new molecular prognostic markers, new methods of assessment about minimal residual disease, and pharmacogenetic study, with the development of stem cell transplantation and molecular targeted therapy are needed to cure residual 20% of childhood ALL patients without short and long term complications.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제31권3호
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• pp.146-153
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• 2020

Objectives: This study aimed to evaluate the reliability and validity of the Korean Form of the Premonitory Urge for Tics Scale (K-PUTS). Methods: Thirty-eight patients with Tourette's disorder who visited Jeonbuk National University Hospital were assessed with the K-PUTS. Together with the PUTS, the Yale Global Tic Severity Scale (YGTSS), the Children's Yale-Brown Obsessive Compulsive Scale (CY-BOCS), the attention-deficit/hyperactivity disorder (ADHD) rating scale (ARS), and the Adult ADHD Self-Report Scale (ASRS) were implemented to evaluate concurrent and discriminant validity. Results: The internal consistency of items on the PUTS was high, with a Cronbach's α of 0.79. The test-retest reliability of the PUTS, which was administered at 2 weeks to 2 months intervals, showed high reliability with a Pearson correlation coefficient of 0.60. There was a significant positive correlation between the overall PUTS score and the YGTSS score, showing concurrent validity. There was no correlation between the PUTS, CY-BOCS, and ASRS scores, demonstrating the discriminant validity of the PUTS. Factor analysis for construct validity revealed three factors: "presumed functional relationship between the tic and the urge to tic," "the quality of the premonitory urge," and "just right phenomena." Conclusion: The results of this study indicate that the K-PUTS is a reliable and valid scale for rating premonitory urge of tics.

• 한국엔터테인먼트산업학회논문지
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• 제13권6호
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• pp.203-210
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• 2019

본 연구는 국내 대학생을 대상으로 라이프케어를 위한 감각처리특성과 여가참여유형, 작업참여인식 그리고 삶의 질과의 상관관계에 대해 알아보고자 하였다. 대학생을 169명을 대상으로 2019년 2월부터 동년 3월까지 설문조사를 실시하였다. 감각처리는 청소년/성인 감각프로파일(Adolescent/Adult Sensory Profole)로, 여가참여유형은 여가활동 질문지로, 작업참여인식은 작업자가평가(Occupational Self Assessment)로, 삶의 질은 삶의 만족 척도(Satisfaction With Life Scale)로 평가하였다. 감각처리특성과 여가참여유형, 작업참여인식 및 삶의 만족 척도와의 관련성은 피어슨 상관분석을 사용하였다. 감각처리특성 중 등록저하와 스포츠, 감각찾기와 스포츠, 사교활동 및 관광 사이에 유의한 양의 상관관계가 나타났다. 그리고 작업참여인식에서 작업수행은 등록저하, 감각예민, 감각회피와 유의한 음의 상관관계를 나타냈다. 취미교양과 관람, 사교활동은 작업참여인식과 유의한 양의 상관관계를 보였다. 작업참여인식과 삶의 질은 양의 상관관계로 나타났다(p<.05, p<.01). 감각처리특성은 여가참여유형, 작업참여인식 그리고 삶의 질과 상관관계를 나타내었다. 앞으로의 연구에서는 감각처리특성에 기반한 여가활동, 작업참여 및 삶의 질을 향상시키는 평가도구개발이 이루어져야 할 것이다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제28권3호
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• pp.183-189
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• 2017

Objectives: The study aimed to identify the characteristics of attention-deficit hyperactivity disorder (ADHD) that was not diagnosed in childhood or adolescence, but only in adulthood. Methods: The characteristics of patients diagnosed with ADHD in adulthood were compared with those of patients diagnosed in childhood were assessed via a retrospective review of the medical records at one university hospital from 2005 to 2013. If the age at which they were confirmed as having ADHD was less than 19 years old, they were grouped as childhood-diagnosed group (CD); if they were 19 years old or more, they were grouped as adulthood-diagnosed group (AD). Results: The CD and AD included 50 (46.3%) and 58 (53.7%) patients, respectively. Inattention was the most common symptom in both groups. Behavioral and emotional problems were the second most frequent symptoms in the CD and AD, respectively. The intelligent quotient was significantly higher in the AD than in the CD. The most common comorbidity was depression in the CD and personality disorder in the AD. The most common reason for visiting the hospital was referral by acquaintances in the CD and media coverage in the AD. Conclusion: Clinicians should put ADHD on the index of suspicion when they examine adults with various psychiatric symptoms, because the diagnosis of ADHD might have been missed in childhood and the symptoms of ADHD might have changed as they grew up.

• Journal of Preventive Medicine and Public Health
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• 제47권6호
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• pp.327-335
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• 2014

Objectives: Several epidemiological studies on medical care utilization prior to suicide have considered the motivation of suicide, but focused on the influence of physical illnesses. Medical care expenditure in suicide completers with non-illness-related causes has not been investigated. Methods: Suicides motivated by non-illness-related factors were identified using the investigator's note from the National Police Agency, which was then linked to the Health Insurance Review and Assessment data. We investigated the medical care expenditures of cases one year prior to committing suicide and conducted a case-control study using conditional logistic regression analysis after adjusting for age, gender, area of residence, and socioeconomic status. Results: Among the 4515 suicides motivated by non-illness-related causes, medical care expenditures increased in only the last 3 months prior to suicide in the adolescent group. In the younger group, the proportion of total medical expenditure for external injuries was higher than that in the older groups. Conditional logistic regression analysis showed significant associations with being a suicide completer and having a rural residence, low socioeconomic status, and high medical care expenditure. After stratification into the four age groups, a significant positive association with medical care expenditures and being a suicide completer was found in the adolescent and young adult groups, but no significant results were found in the elderly groups for both men and women. Conclusions: Younger adults who committed suicide motivated by non-illness-related causes had a higher proportion of external injuries and more medical care expenditures than their controls did. This reinforces the notion that suicide prevention strategies for young people with suicidal risk factors are needed.

• 대한감각통합치료학회지
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• 제16권3호
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• pp.11-21
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• 2018

목적 : 본 연구는 대학생의 감각처리 유형과 학습유형, 학습전략 간에 상관관계를 조사하고자 실시되었다. 연구방법 : 부산소재 K대학교의 학생 115명을 대상으로 실시하였다. 측정도구는 청소년/성인 감각프로파일(Adolescent/Adult Sensory Profile; AASP)과 학습과정 설문지(Study Process Questionnaire; SPQ)와 학습동기전략 설문지(Motivated Strategies for Learning Questionnarie; MSLQ)를 사용하여 감각처리 유형, 학습유형, 학습전략에 대한 설문을 실시하였다. 수집된 자료는 SPSS/WIN 20.0을 이용하여 카이 제곱 검정(chi square test), 피어슨 상관계수(Pearson correlation coefficient)로 분석하였다. 결과 : 감각처리 유형과 학습유형의 상관관계에서 감각등록저하 유형은 표층형 학습유형(p=0.03), 감각추구 유형은 심층형 학습유형(p=0.02)과 상관관계가 있었다. 감각처리 유형과 학습전략의 상관관계에서 감각추구 유형은 조직화 학습전략(p=0.00), 감각민감 유형은 조직화 학습전략(p=0.03)및 초인지 학습전략(p=0.00)과 상관관계가 있었다. 감각추구 성향의 차이에 따라 group A와 B로 나누었을 때 학습유형(p=0.00) 및 학습전략(p=0.03)에서 유의한 차이가 나타났다. 결론 : 감각처리 유형과 학습유형, 학습전략 간에 상관관계가 나타났으며 감각처리 유형에 따라 학습유형, 학습전략이 달라짐으로 개인에게 맞는 학습 유형과 학습전략을 선택함에 있어 기초자료로써 활용되어지는데 의의가 있다.

• 말소리와 음성과학
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• 제5권1호
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• pp.81-90
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• 2013

During adolescence the mutational period is characterized by the changes in the laryngeal structure, the length of the vocal cords, and a tone of voice. Usually, adolescents at 15 or 16 reach the voice of adults but the mutational period is sometimes delayed. Therefore, studies on the voice of adolescents between 16 ~ 18 right after the mutational period are required. Accordingly, this paper attempted to provide basic data about the normal standard for patients with voice disorders during this period by evaluating the vocal characteristics of males and females between 16 ~ 18 with an objective device bycomparing and analyzing them by sex and age. The study was conducted on a total of 60 subjects composed of each 10 subjects of each age. The vocal analysis was conducted by MPT (Maximum Phonation Time) measurement, sustained vowels and sentence reading. As for /a/ sustained vowels, fundamental frequency, hereinafter referred to as $F_0$, jitter, shimmer, noise-to-harmonic ratio, hereinafter referred to as NHR were measured by using the Multi-dimensional voice program (MDVP) among the Multi-Speech program of Computerized Speech Lab (Kay Elemetrics). The sentence reading, mean $F_0$, maximum $F_0$ and minimum $F_0$ were measured using the Real-Time Pitch (RTP) Model 5121 among the Multi-Speech program of Computerized Speech Lab (Kay Elemetrics). As a result, according to sex, there were statistically significant differences in $F_0$, jitter, shimmer, mean $F_0$, maximum $F_0$, and minimum $F_0$; and according to age, there were statistically significant differences in MPT. In conclusion, the voice of the adolescents between 16 ~ 18 reached the maturity levels of adults but the voice quality which can be considered on the scale of voice disorders showed transition to the voice of an adult during the mutational period.