• Title/Summary/Keyword: adolescent anxiety

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CHARACTERISTICS OF UNRULY & DELINQUENT ADOLESCENTS ADMITTED TO A PSYCHIATRIC INPATIENT UNIT (청소년 병동에 입원한 비행 청소년의 특성에 관한 연구)

  • Lee, Young-Sik;Kim, Wun-Jung;Carey, Michael
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.8 no.1
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    • pp.70-82
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    • 1997
  • Objective:This study was performed to identify and understand the characteristics of adolescents who had a history of police arrest and/or were adjudicated unruly/delinquent by the juvenile court. Method:The study employed a retrospective reivew of coumputer-recorded data set on 210 consecutive admissions to an adolescent psychiatric inpatient unit. Three groups(No Police Contact, N=115;Police Contact Only, N=60;Adjudicated, N=35) were compared on the areas of a) cognitive and educational performance b) emotion:anxiety, depression, suicidality c) personality d) family and life experiences. Standardized assessments were administered to all subjects using WISC-Ⅲ, Kaufman Test of Educational Achievement, Millon Adolescent Personality Inventory, Reynolds Adolescent Depression Scale, Revised-Chilren’s Manifest Anxiety Scale, Suicide Ideation Questionnarie, Suicide Behavior Interive, Life Events Checklist, and Family Environmental Scale. A subgroup of the subjects, 60 cases also received a standardized interview by Child Assessment Schedule. Results:The characteristic findings of the delinquent group(the police contact only and adjudicated subjects combined) included (1) a high rate of adoption, sexual promiscuity, out of home placement, and repeated psychiatric hospitalization, (2) low verbal IQ scores and educational achievements, (3) high impulsivity, low social conformity, and high forcefulness in personality inventory, (4) low activityrecreation orientation and low moral religious emphasis in family environment, (5)a high frequency of adverse life experiences, (6) among 3 groups, the Police Contact Only group showed the lowest depression, anxiety and suicidal ideation scores, (7) a high diagnostic frequency of conduct disorder, ODD, and ADHD. Conclusions:The adolescent psychiatric inpatients with a delinquent history presented with a certain clinical, family, psychometric characteristics that warrant specific clinical intervention strategies for their cognitive deficits, an impulsive personality style, family dysfunction with adverse life experiences and disruptive behavioral disorders, different from the rest of adolescent psychiatric inpatients.

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COGNITIVE BIASES IN INTERPRETATION, EXPECTATION AND JUDGEMENT OF SOCIALLY ANXIOUS CHILDREN (사회불안 아동의 해석, 기대 및 판단에서의 인지 편향)

  • Yang, Yoon-Ran;Oh, Kyung-Ja
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.15 no.2
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    • pp.152-159
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    • 2004
  • Objective : The present study investigated the interpretation bias and expectation and judgemental bias of performance in socially anxious children. Method : Children with high social anxiety (n=18) and low social anxiety (n=16) were recruited through self-report and peer nomination, Participants performed three tasks to assess for cognitive bias. The first task measured interpretation of ambiguous social situations. The second task measured expectations regarding performance in a three minute impromptu speech. The third task assessed for judgemental bias via comparison between post-speech self rating and observer rating. Result : Children with high social anxiety did not differ significantly from low social anxiety children on the dependent measures assessing bias in interpretation, expectation and judgement. However, a significant difference was found in the judges' rating of children's performances on the speech task, with high social anxiety children obtaining significantly lower scores compared to low social anxiety children. Conclusion : The role of cognitive biases in the development and maintenance of social anxiety in children was discussed.

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PARENT-ADOLESCENT AGREEMENT IN THE ASSESSMENT OF BEHAVIOR PROBLEMS OF ADOLESCENTS:COMPARISON OF FACTOR STRUCTURES OF K-CBCL AND YSR (문제행동에 대한 청소년 자신과 부모 평가간의 관계:K-CBCL과 YSR의 하위요인 구조 비교)

  • Ha, Eun-Hye;Lee, Soo-Jung;Oh, Kyung-Ja;Hong, Kang-E
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.9 no.1
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    • pp.3-12
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    • 1998
  • The present study compared the self report and parental report on the behavior problems of adolescents as a way to explore similarities and differences in the ways that adolescents and their parents conceptualize behavior problems of adolescents. Specifically, K-CBCL and YSR data from 3271 adolescents between the ages of 12 and 17 were subjected to factor analyses. Five factors;Depression/Anxiety/Withdrawal, Aggressiveness, Somatic Symptom, Disruptiveness, Attention Getting were obtained from the YSR data with the first factor, Depression/Anxiety/Withdrawal explaining 14.23% of the total variance. K-CBCL data yielded somewhat different factor structure with Aggression/Delinquency as the first factor explaining 14.08% of the total variance, followed by Somatic Symptoms, Social Withdrawal, Disruptiveness, and Depression/Anxiety. Total K-CBCL and YSR score showed a moderate correlation(r=.51), and correlation between pairs of comparable K-CBCL and YSR factor scores were also moderate. Regression analyses of the variables contributing to the total problem score of the K-CBCL and YSR suggested that social competence and academic achievement are two important sources of influence on the evaluation of behavior problems both in self-report and parental report. However, externalizing problems such as aggressiveness/delinquency appeared to be more salient for parents, while adolescents themselves appeared to be more concerned with internalizing problems such as depression/anxiety. Implications of these subtle differences for assessment of adolescent behavior problems were discussed.

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PSYCHOLOGICAL CHARACTERISTICS OF ADOLESCENT CHILDREN OF PROBLEM DRINKERS (문제성 음주자의 청소년 자녀들의 심리적 특성)

  • Sohn, Young-Kyoon;Oh, Kyung-Ja
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.5 no.1
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    • pp.172-183
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    • 1994
  • The present study investigated the relationship between parental problem drinking and risk for malajustment in adolescents. A group of adolescent children of problem drinkers(126 boys, 210 girls) and a group of children of non-problem drinkers(190 boys, 222 girls) were compared on demographic variables, perceived relationships with parents(parental care and parental over-protection), depression, anxiety, alcohol expectancies, alcohol involvement and self-reported delinquency. Adolescent children of problem drinkers reported lower level of perceived parental care and higher level of perceived parental overprotection compared to the children of nonproblem drinkers. They also reported higher depression, anxiety and alcohol expectancies, as well as more alcohol involvement and delinquent behaviors. Multiple regression analyses were performed seperately for male and female adolescents with depression, anxiety, alcohol expectancies, alcohol involvement and self-reported delinquency as outcome variables. Adolescents' emotional distress(depression and anxiety) was associated with perceived relationships with parents rather than parental problem drinking, but adolescents' alcohol problems and delinquency were associated with parental problem drinking and adolescents' emotional distress rather than their perceived relationships with parents.

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Subjective Symptom of Visual Display Terminal Syndrome and State Anxiety in Adolescent Smartphone Users

  • Park, Soonjoo;Choi, Jung-wha
    • International Journal of Contents
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    • v.11 no.4
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    • pp.31-37
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    • 2015
  • The objectives of this study were: 1) to determine smartphone addiction, visual display terminal syndrome (VDTS) related symptoms, and state anxiety among adolescents, and 2) to identify the relationship among these variables. Data were collected via selfadministrated questionnaire survey from May to June, 2013. The survey was carried out with 540 voluntary participants at 13 to 24 years old from middle schools, high schools, and universities in Korea. The presence and severity of smartphone addiction, VDTS symptoms, and state anxiety were measured using Korean Smartphone Addiction Proneness Scale, VDTS Questionnaire, and State Anxiety Inventory, respectively. Data were analyzed by Cohen’s Kappa coefficient, Kruskal-Wallis test, and Mann-Whitney U test. The mean score of smartphone addiction for all students was 2.17 ± 0.51. The mean scores of smartphone addiction depending on school grade were 2.12 ± 0.53, 2.03 ± 0.48, and 2.42 ± 0.43 for middle school, high school, and college students, respectively. Subjects who experienced minor level of VDTS symptoms had a score of 0.49 ± 0.49 for VDTS symptoms. The score was increased when the level of addiction was higher. There were significant differences in VDTS subjective symptoms among smartphone addiction groups (p<.001). High-risk group of smartphone addiction had the highest scores in every subdomain of VDTS symptoms. Differences were also found in state anxiety among the three groups with smartphone addiction. The findings of this study showed that approximately one out of three adolescents might be classified into problematic smartphone users. Therefore, it is important to educate problematic smartphone users about smartphone addiction and VDTS symptoms to prevent further addiction and aggravation of anxiety.

THE PARENT INFLUENCE ON STUDENT'S TEST ANXIETY (부모의 양육태도가 자녀의 시험불안에 미치는 영향)

  • Kim, Moon-Joo;Lee, Hye-Sung
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.2 no.1
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    • pp.24-31
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    • 1991
  • It has long been accepted that test anxiety is developed by parent-child relationship. The purpose of this study was to investigate the parent influence on student's test anxiety. The Korean Form of Test Anxiety Inventory(TAI-K) and the Parent Attitude Scale were used. 481 primary school-and 500 high school students were participated in the study. The results were as follows ; 1) The parental factor identified as 'rejecting' was positively correlated with students' test anxiety, while the parental factor identified as 'rearing as self-controlled being' was negatively correlated. 2) The students who identified their parents as 'being achievement-oriented' reported significantly higher test anxiety than those who identified their parents as 'accepting'. Many studies also report that high test anxiety interferes with student's performance. Therefore, parents should accept and understand their children in order to alleviate test.

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DEVELOPMENT OF THE KOREAN FORM OF THE TEST ANXIETY INVENTORY (우리나라 학생들의 시험불안 진단을 위한 도구 개발 과정)

  • Kim, Moon-Joo
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.2 no.1
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    • pp.32-42
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    • 1991
  • Spielbergers Test Anxiety Inventory(TAI) is a self-report scale which can measure the cognitive(Worry) and affective(Emotionality) components of test anxiety separately. After having administered it to 756 Korean middle school students, it was concluded that some of the items of TAI were not relevant for Koreans as they were. They have been revised on the basis of informations collected from interviews with Korean students. The Korean Form of TAI(TAI-K) consists of 25 items for primary school- and 35 for high school students. The Cronbach's ${\alpha}$ of the TAI-K and the test-retest reliability were proved(${\alpha}=.90,$ r=.78 for primary school students ; ${\alpha}=.94,$ r=.85 for high school students). General Anxiety Scale and Self-esteem Scale were used to prove its validity. test Anxiety correlates with general anxiety positively. while it correlates with self-esteem negatively.

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Clinical Diagnosis and Emotional Behavioral Characteristics Study of Children in a Special Education Class in Korean Elementary School (초등학교 특수학급아동의 임상적 진단 및 감정 행동특성 연구)

  • Lim Myung-Ho;Kang Jin-Kyung;Lee Joo-Hyun;Kim Hyun-Woo
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.17 no.2
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    • pp.114-123
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    • 2006
  • Objectives : The special class has been made, bringing rapid increase quantitatively. The authors carried out the child psychiatric interview and evaluation for 9 special-classed children in Asan city to find out clinical diagnosis and emotional/behavioral characteristics. Methods : The child psychiatrists evaluated special class children by DSM-IV and K-SADS-PL. Tools for the evaluation were Child Behavior Checklist- Korean version, Korean Personality Inventory for Children, Children's Depression Inventory, Abbreviated Conners Parent-Teacher Rating Scale-Revised, State-Trait Anxiety Inventory for Children, Vineland Social Maturity Scale, Wechsler Intelligence Scale for Children-III, and Childhood Autism Rating Scale. Results : Ultimately 53 children, consisting of 35 boys(67.9%) and 18 girls(32.1%), participated, and the average age was $10.5{\pm}1.3$ years old. Their measure of Vineland Social Maturity Scale was $78.7{\pm}20.0$, Childhood Autism Rating Scales was $25.4{\pm}9.0$, Child Depression Inventory was $22.2{\pm}5.2$, State-Trait Anxiety Inventory for Children was $35.2{\pm}8.2/36.5{\pm}6.2$, and Abbreviated Conners Parent-Teacher Rating Scale was $11.0{\pm}4.6$. In the clinical diagnosis evaluation, the prevalence rate of learning disorder was decreased compared to early research, ADHD had been newly appeared and depression disorder and anxiety disorder had been increased. Conclusion : This result suggests that a lot of children in a special class have complex emotional and behavioral problems in addition to educational problems.

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Psychological Health Problems Among Adolescent Workers and Associated Factors in Istanbul, Turkey

  • Ornek, Ozlem Koseoglu;Esin, Melek Nihal
    • Safety and Health at Work
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    • v.9 no.1
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    • pp.101-108
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    • 2018
  • Background: Work and work environment have a critical influence on adolescent workers' health. They are subjected to more risks than adults. The aim of this study is to examine psychological health outcomes in adolescent workers in the areas of depression, somatization, anxiety, hostility, and negative self-concept, and to investigate any related factors. Methods: This is a descriptive and cross-sectional study. Research samples were collected from adolescent workers between 15 and 18 years old attending a 1-day mandatory education course at vocational training centers, working 5 days per week in small enterprises. Data were collected using the following instruments: Brief Symptom Inventory, Multidimensional Scale of Perceived Social Support, and Descriptive Characteristics of Children's Assessment Form. Results: The investigation covers 837 young workers, of whom 675 were males and 162 were females. The majority of the families had low incomes (68.1%). Overall, 33.5% of the adolescents had been hospitalized because of health problems. Their average weekly working hours were $78.1{\pm}10.7$. Almost 50% of adolescent workers scored above the mean average in the Brief Symptom Inventory, indicating serious pschological health symptoms. Those who scored high for hostility, depression, negative self-concept, anxiety, and somatization were between 45.4% and 48.9% of the sample. Logistic regression analysis was conducted to determine the underlying factors: a perception of "feeling very bad" health conditions was 2.07-fold whereas the rate of "no annual leave" was 0.73-fold, and both were found to be effective on psychological problems. Conclusion: In this study, it seems likely that psychological health problems are the result of multiple adverse factors including working conditions, annual leave, and health considerations.

The Effects of Group Cognitive Behavioral Therapy on the Improvement of Depression and Anxiety in Adolescents with Problematic Internet Use

  • Kim, Sang-Hyun;Yim, Hyeon-Woo;Jo, Sun-Jin;Jung, Kyu-In;Lee, Kina;Park, Min-Hyeon
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.29 no.2
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    • pp.73-79
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    • 2018
  • Objectives: The overuse of the Internet among adolescents has increased dramatically in recent years, leading to pathological or problematic Internet use. Cognitive behavioral therapy (CBT) is known to be effective for the treatment of problematic Internet use, particularly for adolescents. The aim of the present study was to evaluate the therapeutic efficacy of group CBT for problematic Internet use in adolescents. Methods: A total of 17 patients aged 12-17 years who met Young's diagnostic questionnaire criteria of problematic Internet use participated in a school-based eight-session group CBT program. The level of problematic Internet use among participating students was measured using Young's Internet Addiction Scale (IAS). Depression and anxiety levels were evaluated using the Children's Depression Inventory (CDI) and the State-Trait Anxiety Inventory (STAI), respectively. Each construct was assessed at baseline, immediately after the intervention, and at a one-month follow-up visit. Statistical significance was based on a p-value of <0.05. Results: Immediately after the program, the IAS, CDI, and State Anxiety Inventory (SAI) scores were significantly lower than before the program. At the one-month follow-up assessment, the IAS scores remained low, and the CDI and SAI scores were even lower than immediately after the program. Conclusion: Group CBT was effective for adolescents with problematic Internet use, and was also demonstrated to improve depression and anxiety.