• Journal of Oriental Neuropsychiatry
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• v.35 no.1
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• pp.115-140
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• 2024

Objectives: This study investigates the impact of M&L psychotherapy on an adolescent with anxiety disorders transitioning into adulthood, using a retrospective mixed-method approach. Methods: An adolescent with Diagnostic Statistical Manual of Mental Disorders (DSM)-5-diagnosed anxiety disorders underwent combined treatment with M&L psychotherapy and complex Korean medicine therapy over a period of approximately two years. Patient records tracked the diagnosis, treatments, and progress. In-depth interviews were also conducted. The study used a convergent parallel mixed-method approach, integrating quantitative analysis from psychological assessments, including the State-Trait Anxiety Inventory (STAI-X), the Core Seven Emotions Inventory-short form (CSEI-s), and the Minnesota Multiphasic Personality Inventory-2 (MMPI-2), with qualitative analyses of traditional Korean medicine counseling session notes, interviews, and other qualitative psychological assessments. Results: State anxiety decreased from 40 to 36, and trait anxiety decreased from 42 to 34. MMPI-2 L scale scores decreased slightly to 64T, whereas S scale scores increased to 62T, and FRS scores decreased to 70T from an initial score of 78T. Qualitative analysis revealed an increase in the MMPI-2 Es scale, identified as "subjectivity." Joy (喜) emerged as the highest emotional profile score in the CSEI-S. Scores for anger (怒), thought (思), fear (恐), and fright (驚) decreased, indicating improved negative emotions. Qualitatively, expressions of determination to "move forward" and "strengthen the mind" were noted, suggesting enhanced "lower danjeon (下丹田)." Conclusions: Integrating traditional Korean medicine treatment with M&L psychotherapy for a vulnerable adolescent with anxiety disorders demonstrated efficacy. Further research is warranted to substantiate the effectiveness of M&L psychotherapy and advocate for its wider adoption in mainstream practice.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.19 no.3
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• pp.182-189
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• 2008

Objectives: This study aimed to evaluate preliminarily the clinical effects of cognitive-behavioral treatment in children with anxiety disorders. Methods: Subjects were 11 children between 2nd and 6th grade with anxiety disorder. All subjects were diagnosed through Kiddie-Schedule for Affective Disorder and Schizophrenia Present and Lifetime Version (K-SADS-PL) interview. The CBT program consisted of sessions once a week (60min/session) for 14 weeks with parent education. Results: Children and parents reported significantly improved social skills, social competence and decreased anxiety. However, there were no significant changes in children's negative thoughts and subjective depressive symptoms. Conclusion: Cognitive-behavioral treatment is expected to be effective in children with anxiety disorders such as generalized anxiety disorder, phobia, separation anxiety disorder, and obsessive-compulsive disorder.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.10 no.1
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• pp.50-63
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• 1999

Introduction：Test anxiety is a pervasive problem among high school students in Korea. While anxiety in test situations may actually facilitate the performance of some students, more often it is disruptive and leads to performance decrements. Over the past years, many child psychiatrists have become concerned with understanding the nature of test anxiety, but it is not clearly understood yet. In order to understand the nature of test anxiety, the relationship between test anxiety and depression, state anxiety, trait anxiety, temperament and family environment were examined. Methods：The Test Anxiety Inventory, Chidlren's Depression Inventory, State-Trait Anxiety Inventory, Temperamnet and Family Environment Scale Scale were administered to 576 high school students in Seoul. The relationships between test anxiety and other measures were tested using Pearson correlation coefficients and to test the causal relationship among the variables, regression analysis was performed. Results：The correlation coefficients between test anxiety and depression, state anxiety, trait anxiety, temperament and family environment scale were 0.42(p<0.01), 0.34(p<0.05), 0.38(p<0.05), 0.36(p<0.05) and -0.23(p<0.01), respectively. Regression analysis showed that only state and trait anxiety had direct causal relationship with test anxiety. Depression, temperament and family environment were indirecly related with test anxiety. Conclusions：This study indicates that the level of state and trait anxiety are directly related with test anxiety, and other variables such as temperament, family environment and depression are indirectly related with test anxiety. Thus, in order to develop the effective methods for treatment, these psychopathological characteristics should be kept in mind and the most important factors are the levels of state and trait anxiety.

• Women's Health Nursing
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• v.14 no.2
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• pp.93-103
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• 2008

Purpose: This descriptive study was to explore the factors relating to Social Physique Anxiety(SPA) in the adolescent girls(N=700). These factors included the biological(level of school[age], period of menstruation, and BMI), the sociocultural(Influence of Mass Media, [IMM], Stereotype of Ideal Female Body[SIFB], type of school, perceived figure, and ideal figure) and the BW control-related factors(experience of bodyweight [BW] control, satisfaction at the result of BW control, and motive of BW control). Method: The sample was 700 girls of the middle and high schools in Jeju-do. The data was collected by the self-reported questionnaire and processed with the SPSS Win 12.0 program. Result: 26% of the variance in SPA was explained by the biological factors(level of school) and the sociocultural factors (perceived figure, ideal figure, type of school, and IMM). SPA, IMM, and SIFB were significantly correlated with each others(r=1,65-2.92, p<.05). The mean SPA scores according to BW control-related factors were significantly different. Conclusion: This results suggest that media education is necessary to reduce or eliminate the adolescent girl's SPA. In addition, SPA needs to be considered as the important concept for the future nursing researches and interventions related to BW control.

• Journal of Families and Better Life
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• v.15 no.1
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• pp.201-212
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• 1997

The purpose of this study was to examine the usefulness of Beavers Systems Model on adolescent adjustment. For this study adolescents' perceptions of family health/competence family style and adolescent adjustment were utilized. The 443 subjects were selected randomly from the second grade of middle schools and high schools in the city of Taegu. The instruments of measurement were SFI II State-Trait Anxiety Inventory Depression Scale Self-Esteem Scale and Delinquency Scale. Factor Analysis Cronbach's a, MANOVA and Scheffe test were conducted for the data analysis. The conclusion of this research findings was as follows: There is significant differences I nadolescents' anxiety depression global self-esteem social-peer self esteem property predatory behaviors and school-norm avoidant behaviors by the family functioning types of BSM. Therefore the group classification by BSM was generally useful in evaluating adolescent adjustment.

• Journal of the Korean Home Economics Association
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• v.33 no.2
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• pp.73-87
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• 1995

The purpose of this study was to identify the infuence of adolescent-perceived family adaptability on adolescent adjustment. The 443 subjects were selected randomly from the second grade of middle and high schools in the city of Taegu. The instruments of measurement were FACESIII, State-Trait Anxiety Inventory. Depression Scale, and Self-Esteem Scale. Factor analysis, Cronbach's α, MANOVA, and Scheff'e test were conducted for the data analysis. The major findings of this study were as follows: There differences in adolescents' adjustment by their perception of family adaptability levels. Namely, adolescents who perceived family adaptability to be low level- i.e. rigid family- felt anxiety and depression more, and adolescents who perceived family adaptability to be higher lever- i.e very flexible family-had higher self-esteem than other levels of adaptability.

• Journal of the Korean Home Economics Association
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• v.34 no.3
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• pp.137-155
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• 1996

The purpose of this study was to identify the relative influence of OCM and BSM's family functioning dimensions and develop a new family system model related to adolescent adjustment. The 443 subjects were selected randomly from the second grade of middle and high schools in the city of Taegu. The survey instruments were FACESⅢ, SFI-Ⅱ, State-Trait Anxiety Inventory, Depression Scale, Self-Esteem Scale, and Delinquency Scale, Factor Analysis, Cronbach's α, Multiple Regression, MANOVA, Scheffe test were conducted for the data analysis. The major findings of this study were as follows: First, OCM's and BSM's family functioning dimensions respectively had different relative influence that affected adolescent adjustment level. In anxiety and depression. BSM's family health/competence dimension had superior influence to any other family functioning dimensions and in self-esteem and delinquency, OCM's cohesion dimension was superior to any other family functions. Second, family system classification method by a new family system model using family cohesion(OCM's relationship dimension) and family health/competence(BSM's change dimension) was more useful than OCM in evaluating adolescent adjustment.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.2 no.1
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• pp.49-55
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• 1991

Test anxiety has been defined as a situational-specific personality trait, with cognitive worry and affective emotionality components. Various treatments differ in the extent to which they attempt to modify the emotional and cognitive components of test anxiety, and can thus be placed along a cognitive-emotional continum on the basis of the intended locus of impact of the therapeutic techniques. Various treatments along a cognitive-emotional continum and study habits, test-taking skills and modeling in the treatment of test anxiety were reviewed. On the basis of a recent review of a number of test-anxiety treatment studies, most cognitively-focused treatments tend to be more effective in reducing test anxiety and its worry and emotionality components.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.32 no.2
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• pp.71-78
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• 2021

Objectives: This study was conducted to investigate the reliability and validity of the Korean version of the DSM-5 Level 2 Cross-Cutting Symptom Measure-inattention [Swanson, Nolan and Pelham, version IV (SNAP-IV)] and anger [Patient-Reported Outcome Measurement Information System (PROMIS) Anger] for parents and guardians of children aged 6-17 years. Methods: We included 104 children and adolescents diagnosed with attention-deficit/hyperactivity disorder (ADHD), ADHD with anxiety and depression, depressive disorder, anxiety disorder, and tic disorder with somatic symptoms (ADHD=41, depression=9, anxiety=14, ADHD+anxious depression=11, tic+somatic symptoms=29). Their ages ranged from 8 years to 15 years. The participants' mothers completed the SNAP-IV, PROMIS Anger scale, Korean version of the IOWA Conners Rating Scale (K-IOWA), and Korean ADHD Rating Scale (K-ARS) so that the reliability and validity of the SNAP-IV and PROMIS Anger scales, which are DSM-5 scales for assessing inattention and anger of children and adolescents, could be examined. Results: The reliability coefficient of SNAP-IV (Cronbach's α) was 0.94. The correlation coefficients between SNAP-IV, K-IOWA inattention, and K-ARS inattention scores ranged from 0.73 to 0.86. The mean SNAP-IV scores of the ADHD and the ADHD+anxious depression groups were significantly higher than those of the anxiety and the tic+somatic symptoms groups. The reliability coefficient of the PROMIS Anger was 0.91. The correlation coefficient between PROMIS Anger and K-IOWA oppositional/defiant scores was 0.75. The PROMIS Anger mean score of the ADHD+anxious depression group tended to be higher than that of the other groups. Conclusion: These results suggest that the Korean version of the DSM-5 Level 2 Cross-Cutting Symptom Measure-inattention and anger for parent and guardian of child age 6-17 might be a reliable and valid test and may be useful for screening children and adolescents with ADHD.

• International Journal of Contents
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• v.15 no.2
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• pp.29-37
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• 2019

This study investigates how adolescents' smartphone attachment, social anxiety, and offline and smartphone network sizes are related to their friendship in regards to maintaining either a strong or weak bond. Based on an online survey involving 402 adolescent smartphone users in South Korea, this study found that smartphone attachment was positively related to a strong ties friendship maintenance and negatively related to weak ties friendships. Similarly, social anxiety was found to be negatively associated with friendship maintenance for both strong and weak - tie relationships. More importantly, this study revealed that the types and size of social networks moderated the relationships among adolescents with smartphone attachment, social anxiety, and friendship maintenance through smartphones.