• Title/Summary/Keyword: behavior disorder

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Development of an Interaction Behaviors Checklist for Early Detection of Autistic Children (자폐아동의 조기 선별을 위한 상호작용행동체크리스트 개발)

  • Im, Sook-Bin
    • Journal of Korean Academy of Nursing
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    • v.35 no.1
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    • pp.5-15
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    • 2005
  • Purpose: This study was conducted to develop a behavioral checklist to predict an autistic disorder and to identify the earliest detecting time. Method: One hundred and fifty eight children including normal, autistic, institutionalized normal, and retarded were assessed using critical interaction behavioral markers from literature review. Data was collected by semi-structured mother-child interaction by videotape recording and analyzed byfactor analysis, Cronbach a, Kappa, $x^2$, and Duncan. Result: Ten behavioral markers were sorted into 2 factors; joint-attention and synchronized behavior. Autistic children were impaired in pretend play, odeclarative pointing, proimperative pointing, gaze-monitoring, referential looking, showing, joint-attention, rhythmical vocal exchange, and synchronized laughing. The sychronized behavior was also a critical marker to predict the autistic disorder. However, it was difficult to differentiate autistic disorder from mental retardation. In addition, the appropriate detecting time was around 18 months after birth. Conclusion: This checklist should be behavior markers to predict autistic disorder and could be useful as educational material at children's clinics, parents class, and for caregivers in the health center. In addition, early detection should lead to treatment being started as soon after 18 months of age as possible.

A Case Report on Korean Medicine Psychotherapy in an Adolescent Patient with Major Depressive Disorder Accompanied by Suicidal Ideation and Behavior (자살생각과 자살행동을 동반한 청소년 주요우울장애 환자의 한의정신요법 활용 1례 보고)

  • Esther Jang;Soomin Jo;Kyeong-Ok Kim
    • Journal of Oriental Neuropsychiatry
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    • v.34 no.4
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    • pp.453-461
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    • 2023
  • Objectives: Major depressive disorder is a severe disease that is associated with suicidal ideation and behavior. In this case, Korean medicine psychotherapy and Korean medicine treatment were used to treat an adolescent patient with major depressive disorder. Methods: The Beck Depression Inventory, Reynolds Suicidal Ideation Questionnaire, and Crisis Triage Rating Scale were used as psychological evaluation scales. Korean medicine psychotherapy focuses on Giungoroen-therapy and IiGyeungByunQi-therapy and Korean medicine treatment combined with acupuncture, moxa, and herbal medicine. Results: Comparison before and after treatment showed improvement in clinical symptoms, Beck Depression Inventory, Reynolds Suicidal Ideation Questionnaire, and Crisis Triage Rating Scale. Conclusions: As a result of applying Korean medicine, psychotherapy and Korean medicine treatment reduces to an adolescent patient with major depressive disorder, depression, suicidal thoughts, and suicidal behavior.

Effectiveness of Behavior Group Counseling Utilizing the Games of Children with Attention Deficit Hyperactivity Disorder (게임을 이용한 행동적 집단상담이 ADHD 아동의 행동변화에 미치는 효과)

  • Cho, Bung Hwan;Lim, Kyung Hee
    • Korean Journal of Child Studies
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    • v.23 no.5
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    • pp.167-182
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    • 2002
  • The effectiveness of behavior group counseling using the games of children with Attention Deficit Hyperactivity Disorder(ADHD) was studied with 24 primary school children (12 each in the experimental and in the control groups). The subjects were selected on the basis of the Abbreviated Conners Teacher Rating Scale-Revised. The counseling program consisted of 12 sessions over a 6-week period. Effectiveness of the training was evaluated with the Conners Teacher Rating Scale-Revised, the ADHD teacher's rating scale, and the Korea-Child Behavior Checklist. Findings were that the group receiving counseling exhibited improved attention, social relationships, and self control. They also exhibited decreased carelessness-passivity, hyperactivity, hostility and fewer behavior problems.

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REM Sleep Behavior Disorder and Nightmares (렘수면행동장애와 악몽)

  • Yoon, In-Young
    • Sleep Medicine and Psychophysiology
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    • v.2 no.1
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    • pp.3-12
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    • 1995
  • In the International Classification of Sleep Disorders(ICSD), REM sleep behavior disorder(RBD) and nightmares are classified as 'parasomnias usually associated with REM sleep'. RBD can be defined as the intermittent absence of REM sleep EMG atonia and the appearance of the elaborate motor activity associated with dream mentation. Bilateral pontine tegmental lesions in cats induce RBD-like behavior, but in human cases, more than 60% are idiopathic. Polysomnograpy shows characteristic findings in REM sleep and treatment with clonazepam is highly effective. With nightmares as long, frightening dream decreasing with age, their persistence or apperance in adults is related with certain drugs, trauma, personality and psychotic episode. Psychotherapy, behavior techniques or medication is used for treatment, but all of nightmares do not require treatment.

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Changes of Appetite and Eating Behavior in Bipolar Disorder Patients : Measurement with General-Food Craving Questionnaire-Trait and the Drug-Related Eating Behavior Questionnaire (양극성 장애 환자에서 나타나는 식욕 및 섭식 행동의 특성 : 일반적 음식갈망-특질척도(G-FCQ-T)와 약물 관련 섭식행동 설문지(DR-EBQ)를 이용한 평가)

  • Lee, Sunny;Ryu, Seung-Hyong;Ko, Hyo-Jung;Hong, Kyung-Sue;Nam, Hee-Jung
    • Korean Journal of Biological Psychiatry
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    • v.18 no.4
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    • pp.245-253
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    • 2011
  • Objectives In the current study, we quantitatively estimated changes in appetite and eating behavior of bipolar disorder patients during the pharmacotherapy. We also investigated their contribution to the weight gain and their association with specific food-craving characteristics of the patients. Methods Subjects included forty-one bipolar disorder patients and fifty-six controls. Currently sustained natures of food craving were assessed using the General-Food Craving Questionnaire-Trait (G-FCQ-T) and changes in appetite and eating behavior were measured using the Drug-Related Eating Behavior Questionnaire (DR-EBQ). Results Compared to the control group, the patients' group showed significantly higher body mass index (t=2.028, p=0.045). The patients' group had significantly higher 'Preoccupation with food' factor score of G-FCQ-T (p=0.016) than that of the control group. Hierarchical multiple regression analysis showed that only 'preoccupation with food' factor independently predicted psychotropic medication-induced appetite change. Conclusions Appetite change while receiving psychotropic medication seems to be related to the weight-gain and associated with craving natures of 'preoccupation with food' in bipolar disorder. Appetite and/or eating behavioral changes measured by G-FCQ-T and DR-EBQ could be regarded as an important mediating factor in future studies exploring biological mechanisms of weight gain related with pharmacotherapy for bipolar disorder.

Mealtime Behavior and Food Preferences of Children with Autism Spectrum Disorder and Nutrition Education Needs Perceived by Special Education Teachers (특수교사가 인식하는 자폐범주성장애 아동의 식행동 및 식품기호도와 영양교육 요구도)

  • Choi, Su Jin;Oh, Ji Eun;Kim, Yu-Ri;Kim, Yuri
    • Journal of the Korean Society of Food Culture
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    • v.36 no.1
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    • pp.40-55
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    • 2021
  • The purpose of this study was to provide basic information on the development of nutrition education programs to improve the mealtime behavior of children with autism spectrum disorder (ASD) by investigating the mealtime behavior and food preferences of children with ASD through the perception of special education teachers. Surveys were given to 108 special education teachers in special education schools in Korea regarding the demographic characteristics, nutrition education support needs, mealtime behavior, and food preferences of children with ASD. Most of the special education teachers responded that nutrition education in special schools had not been conducted properly and nutrition education for ASD children is necessary. Mealtime behavior analysis classified the behavior into three clusters: cluster 1, 'less problematic mealtime behavior'; cluster 2, 'general feature of autism'; cluster 3, 'difficulty in self-directed diet'. The age, eating habits, and food preferences were different according to each mealtime behavior cluster. Therefore, it will be necessary to develop a nutrition education program based on the characteristics of mealtime behavior.

A Validation Study of the Korean Child Behavior Checklist 1.5-5 in the Diagnosis of Autism Spectrum Disorder and Non-Autism Spectrum Disorder

  • Cho, Han Nah;Ha, Eun Hye
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.30 no.1
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    • pp.9-16
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    • 2019
  • Objectives: The purpose of this study was to analyze the discriminant validity and the clinical cut off scores of the Child Behavior Checklist 1.5-5 (CBCL 1.5-5) in the diagnosis of autism spectrum disorder (ASD) and non-ASD. Methods: In total, 104 ASD and 441 non-ASD infants were included in the study. T-test, discriminant analysis, receiver operating characteristic (ROC) curve analysis, and odds ratio analysis were performed on the data. Results: The discriminant validity was confirmed by mean differences and discriminant analysis on the subscales of Emotionally reactive, Somatic complaints, Withdrawn, Sleep problems, Attention problems, Aggressive behavior, Internalizing problems, Externalizing problems, and Total problems, along with the Diagnostic and Statistical Manual of Mental Disorders (DSM)-oriented scales between the two groups. ROC analysis showed that the following subscales significantly separated ASD from normal infants: Emotionally reactive, Somatic complaints, Withdrawn, Sleep problems, Attention problems, Aggressive behavior, Internalizing problems, Externalizing problems, Total problems, and DSM pervasive developmental problems. Moreover, the clinical cut off score criteria adopted in the Korean-CBCL 1.5-5 were shown to be valid for the subscales Withdrawn, Internalizing problems, Externalizing problems, Total problems, and DSM pervasive developmental problems. Conclusion: The subscales of Withdrawn, Internalizing problems, Externalizing problems, Total problems, and DSM pervasive developmental problems significantly discriminated infants with ASD.

Study on the Physique Status and Eating Disorder Behavior among High School Students in Daejeon (대전시에 거주하는 남ㆍ녀 고등학생의 체격지수 평가 및 섭식 장애 행동 분석)

  • Kim Jung-Hyun
    • Journal of Korean Home Economics Education Association
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    • v.16 no.3
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    • pp.115-129
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    • 2004
  • We investigated the prevalence of eating disorder risk group and its relationship with Physique status and eating behavior among high school students in Daejeon. In May - June 2002, 350 students were sampled from 6 high schools in Daejeon by multi-stage cluster sampling and assessed with self-completing questionnaires. We used the Korean version of Eating Attitude test(EAT-26) to screen eating disorder risk group. and other instruments to screen physique status and eating behavior. The response rate was 91%(total 320) and numbers of female students were 167(52.2%) and male students were 153(47.8%). Average age was 16.0${\pm}$0.35 years, and average body-mass index(BMI) and PIBW(Percent Ideal Body Weight) were 20.9${\pm}$3.3 Kg/m2 and 102${\pm}$4.2% in male students, 20.2${\pm}$3.7 Kg/m2 and 98${\pm}$7.2% in female students(p<0.0001). Over 50% of the subjects were dissatisfied with their body shape; the degree of dissatisfaction with body shape was higher in those who believed themselves to be fat. Mean score of EAT-26 was higher in female students (10.78${\pm}$7.36) than male students(6.07${\pm}$4.39)(p<0.0001). The prevalence of high risk eating disorder group was 2.6% in male students, 11.4% in female students(p<0.0001). Eating behavior was better in female students than male(p<0.0001). Eating behavior was significantly higher in eating disorder risk group in both sex. Therefore eating disorder symptomatology was highly prevalent among high school students in Daejeon. And this symptomatology has a more close relationship with physique status and eating behavior in female students.

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Association between self-esteem and temporomandibular disorder in the high school students (일부 고등학생들의 자아존중감과 턱관절 기능장애의 관련성)

  • Cho, Mi-Suk;Kim, Chang-Suk;Cheon, Sae-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.1
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    • pp.111-120
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    • 2016
  • Objectives: The aim of this study was to investigate the association between self-esteem and temporomandibular disorder among high school students. Methods: A self-reported questionnaire was completed by 584 high school students in Gyeongnam. The questionnaire consisted of socio-demographic profile, anxiety, self-esteem, oral parafunctional habits, and temporomanibular disorder. Data were analyzed using SPSS 19.0 program. Results: In univariate analysis, there were significant differences between self-esteem and temporomandibular disorder(p<0.05). The self-esteem was negatively correlated with parafunctional habits(r=-0.253, p<0.001) and temporomandibular disorder(r=-0.221, p<0.001). In multivariate analysis, self-esteem was significantly associated with temporomandibular disorder(${\beta}=-0.119$, p=0.025) after adjusting for socio-demographic characteristics and anxiety. Conclusions: The self-esteem negatively influenced on temporomandibular disorder in the high school students.

The Relationship of Clinical Symptoms with Social Cognition in Children Diagnosed with Attention Deficit Hyperactivity Disorder, Specific Learning Disorder or Autism Spectrum Disorder

  • Sahin, Berkan;Karabekiroglu, Koray;Bozkurt, Abdullah;Usta, Mirac Bans;Aydin, Muazzez;Cobanoglu, Cansu
    • Psychiatry investigation
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    • v.15 no.12
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    • pp.1144-1153
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    • 2018
  • Objective One of the areas of social cognition is Theory of Mind (ToM) is defined as the capacity to interpret, infer and explain mental states underlying the behavior of others. When social cognition studies on neurodevelopmental disorders are examined, it can be seen that this skill has not been studied sufficiently in children with Specific Learning Disorder (SLD). Methods In this study, social cognition skills in children diagnosed with attention deficit hyperactivity disorder (ADHD), SLD or Autism Spectrum Disorder (ASD) evaluated before puberty and compared with controls. To evaluate the ToM skills, the first and second-order false belief tasks, the Hinting Task, the Faux Pas Test and the Reading the Mind in the Eyes Task were used. Results We found that children with neurodevelopmental disorders as ADHD, ASD, and SLD had ToM deficits independent of intelligence and language development. There was a significant correlation between social cognition deficits and problems experienced in many areas such as social communication and interaction, attention, behavior, and learning. Conclusion Social cognition is an important area of impairment in SLD and there is a strong relationship between clinical symptoms and impaired functionality.