• Title/Summary/Keyword: child behavioral problems

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Interventions to Reduce the Problems of Abused Children and Adolescents in Residential Facilities in South Korea: An Integrative Review

  • Kim, Sungjae;Bang, Kyung-Sook;Lee, Gumhee;Song, Min Kyung;Jeong, Yeseul
    • Child Health Nursing Research
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    • v.25 no.3
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    • pp.273-289
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    • 2019
  • Purpose: The purpose of this study was to review the literature on intervention studies for abused children and adolescent in residential facilities in South Korea (ACARF-K). The goal was to understand the problems they experience, to evaluate the content and effectiveness of interventions applied to them, and to develop evidence-based nursing intervention programs. Methods: We used four electronic databases to search for relevant articles. 18 studies according to Whittemore and Knafl's integrative review method to synthesize the literature. Results: The ACARF-K experienced problems in biophysical, psychological, and sociocultural domains related to attachment impairment. Effective intervention strategies were building trust through empathy and fulfillment of needs, encouraging ACARF-K to express themselves and helping them to clarify emotions in an unthreatening environment, and improving their self-concept through activities in which they experienced achievement. Conclusion: Interventions are needed to help restore attachment damage among ACARF-K. The interventions in this study utilized emotional, cognitive, relational, and behavioral therapeutic tools to improve their psychological and social capacities. Future intervention programs for ACARF-K should include these key elements.

Analyses on Nutritional and Behavioral Risk Factors of Atopic Dermatitis (AD) in Korean Preschoolers (학령 전 아동에서 아토피피부염의 영양.행동 위험 요인 분석)

  • Shin, Kyung-Ok;Park, Hyun-Suh;Oh, Se-Young
    • Journal of Nutrition and Health
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    • v.39 no.8
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    • pp.795-800
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    • 2006
  • In order to examine nutritional and behavioral risk factors of atopic dermatitis (AD) in Korean preschoolers, we analyzed data on 144 children aged 3-6 years with AD and their 434 healthy counterparts. The data included breast-feeding history, current weight, food behaviors assessed by the Mini Dietary Assessment (MDA), food intake by a semi-quantitative food frequency questionnaire, and behavior problems by the Preschool and Kindergarten Behavior Scale (PKBS). Multivariate logistic regression analyses were performed after controlling for preschool location and child's age, gender and total energy intake, as appropriate. There was no group difference of child and household characteristics. Breastfeeding history was related to lower AD risk (OR = 0.63, 95% Cl = 0.40-0.99), yet no statistically significant association was found with overweight status. Regarding food behaviors, AD risk was lower in children who drank milk at least one cup per day (OR = 0.52, 95% Cl = 0.35-0.78) and had regular meals (OR = 0.62, 95% Cl =0.42-0.92). Moreover, there were lower risks of AD in the second (OR =0.48, 95% Cl = 0.28-0.82) and the highest (OR = 0.55, 95% Cl = 0.32-0.94) intake quartiles as compared with the lowest quartile of kimchi intake. Similarly, AD risk was lower in the highest quartile of rice (OR = 0.51 Cl = 0.28-0.93) and the second quartile of fruit (OR =0.45, 95% Cl = 0.25-0.82) intakes. AD children had more problems in social interaction (OR = 1.97,95% Cl = 1.26-3.07) and independence (OR = 1.60, 95% Cl = 1.01 -2.54) measures than the healthy controls. Likewise, AD children tended to show more problem behaviors such as anxiety (OR = 1.63, 95% Cl = 0.99-2.69). Our results suggest that nutritional and behavioral dimensions are related to AD risk, yet the case control study design may preclude generalization of these results.

Differences in Social Maturity and Behavioral Problems According to the Level of Sleep Problems in Infants With Autism Spectrum Disorder (자폐스펙트럼장애 영유아의 수면문제 경계선 및 임상 수준 집단과 정상 수준 집단 간 사회성숙도와 문제행동의 차이)

  • Lee, Jin Kyeong;Ha, Eun Hye
    • Therapeutic Science for Rehabilitation
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    • v.10 no.2
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    • pp.129-140
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    • 2021
  • Objective : The purpose of this study was to examine differences in social maturity and behavioral problems according to the level of sleep problems in children with ASD. Methods : The participants were 102 mothers of infants with ASD aged 1-5 years. The Social Maturity Scales (SMS) and Child Behavior Checklist 1.5-5 were used as the measuring tools. Results : The level of sleep problems in infants with ASD was 56.58T on the sleep problems scale. The participants were grouped based on scores on the sleep problems scale: those with scores <65 (good sleepers) or scores ≥65 (poor sleepers). Sleep problems significantly correlated with all the scales on the CBCL. However, no association was found between sleep problems and social quotients. Poor sleepers achieved significantly lower scores on the social quotient scale of the SMS than good sleepers. Poor sleepers achieved significantly higher scores in internalizing problems, externalizing problems, and DSM-oriented scales on the CBCL compared to those in the good sleepers. Conclusion : The significance of this study is that it has verified the severity of sleep problems in infants with ASD and has examined the differences in social maturity and behavioral problems between poor sleepers and good sleepers.

Impact of Maternal Depression on Their Children: A Literature Review (임산부 우울이 자녀건강에 미치는 영향에 대한 고찰)

  • Bang, Kyung-Sook
    • Korean Parent-Child Health Journal
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    • v.11 no.1
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    • pp.15-24
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    • 2008
  • Maternal depression is known to have important negative effects on mother, child and mother-child relationship. To review current research evidence of association between maternal depression and their children's health and development, relevant studies were identified using Medline and Kiss(Korean studies Information Service System). The majority of research has reported that children of mother with depression are at risk for impaired physical functioning, growth and developmental delays, and behavioral problems compared to general population. From these studies, it is suggested that these kinds of studies are necessary in this country to examine the relation between maternal depression and children's health and development. Recommendations are included for future research and screening programs for maternal depression.

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Open Adoption : Analysis of Types and Characteristics of Conflicts Experienced by Adoptive Parents (공개입양 가정의 부모가 경험하는 갈등의 유형과 특성 분석)

  • Koo, Mee-Hyang
    • Korean Journal of Child Studies
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    • v.27 no.3
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    • pp.117-133
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    • 2006
  • Twenty-one adoptive parents participated in this study on adoption-related conflicts perceived by adoptive parents in open adoption. Q-methodology, which provides understanding of individual attitudes and experiences, identified three types of conflict. Type 1 experienced a great deal of conflict and concern prior to the adoption decision; they also faced difficulties stemming from lack of information about parenting an adopted child and institutional inertia. For type 2, the major factors of conflict were discord among siblings, negative bias against adoption in the community, and insufficient national assistance. Type 3 reported that they feel concerned for their adopted-child's developmental and psychological wellbeing they worried that adoption status might lead to behavioral and attitudinal problems in their adopted-child during youth and young adulthood.

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The Effects of After-school Care, Family Environment on Self-regulatory Learning Ability and Emotional-behavioral Problems in Each Gender of Early School-aged Children from Dual Income Families (맞벌이가정 초등학교 저학년 아동의 성별 방과후보호, 가정환경과 자기조절학습능력 및 정서·행동문제의 관계)

  • Chun, Hui Young
    • Korean Journal of Childcare and Education
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    • v.10 no.6
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    • pp.265-289
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    • 2014
  • This study analyzed the change of after-school guardians' absence types during the first 3 school years, and the relations of after-school care, family environment(family income, parental monitoring) to self-regulatory learning ability and emotional-behavioral problems in each gender of early school-age children from dual income families. The data from 526 boys and 483 girls among 3rd graders of Korean Child and Youth Panel Survey(KCYPS) were statistically analyzed by Friedman's test, t-test, correlational coefficient analysis, regression analysis. The results showed that 45% of boys and 50% of girls were with a guardian for their after-school care in each of the first 3 school years and after-school care had changed gradually into the types of temporal or contingent absence of a guardian. Family income and children's self-regulatory learning ability were different from adult-care and self-care in each gender, but there were differences in the parental monitoring of girls and emotional-behavioral problems of boys according to the care types. Both of boys and girls showed that family environment meaningfully related with the ability and the problems, and also showed the relatively different effects of after-school care and family environment on those ability and problems variables. The results suggested some implications for after-school care.

Effects of Children's Emotional Regulation and Social Support on Gender-Specific Children's Behavioral Problems (학령기 아동의 정서 조절 능력과 아동이 지각하는 사회적 지원이 남아와 여아의 문제 행동에 미치는 영향)

  • Han, Jun-Ah;Kim, Ji-Hyun
    • Journal of the Korean Home Economics Association
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    • v.49 no.3
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    • pp.11-21
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    • 2011
  • The purposes of this study were to explore the gender differences in children's behavior problems, emotional regulation and social support, and to investigate differences between boys and girls in the interrelationships between these kinds of variables. The participants were 189 children in 4 to 6 grades and their teachers from one elementary school in Seoul. The data were analyzed using descriptive statistics, t-test, Pearson's correlation, and multiple regression. The results were as follows: (1) There were statistically significant gender differences in the children's behavior problems, emotional regulation and social support. (2) Children's negative emotion explained boys and girls acting out problems and learning problems. Children's positive emotion regulation explained boys' and girls' shy-anxious and learning problems. Boys, who perceived less support from parents, displayed more acting out behavior, boys who perceived less supports from friends showed more shy-anxious behavior, and boys who perceived less supports from teachers exhibited more learning problems.

ASSESSMENT OF CHILDREN WITH ATTENTION DEFICIT HYPERACTIVITY DISORDER (주의력결핍과잉활동 장애의 평가)

  • Oh, Kyung-Ja
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.1 no.1
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    • pp.65-76
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    • 1990
  • Behavioral characteristics of Attention Deficit Hyperactivity Disorder (ADHD) are aften observed in normal children. As a result, it is at times difficult to distinguish behavior disorder of clinical significance and normal developmental phenomenon. In addition, symptoms of ADHD can vary greatly depending on situations and social context, creating considerable difficulties in assessment. Therefore it is important to obtain information from various sources and in diverse situations. It is also desirable to quantify the severity of the problems whenever possible and determine their clinical significance by comparing the data to developmental norms. Specifically, various assessment methods such as interview with parent and child, behavior rating scales, behavioral observation and psychological testing were reviewed with discussion on merits and limitatious of each. It was emphasized that systematic and comprehensive assessment utilizing appropriate methods is necessary for accurate diagnosis and treatment evaluation of ADHD.

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A Study on the Development of Children's Health Assessment Tools in Child Care Centers (보육시설 영유아의 건강사정을 위한 기록지 개발)

  • Han, Kyung-Ja;Bang, Kyung-Sook;Kwon, Mi-Kyung;Kim, Ji-Soo;Choi, Mi-Young;Huh, Bo-Yun
    • Korean Parent-Child Health Journal
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    • v.12 no.1
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    • pp.61-76
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    • 2009
  • Purpose: The purpose of this study was to develop child's health assessment tools for children in child care centers. Methods: Based on the literature review and several types of workshops participated with the child health nursing professors, doctoral students, nurses in pediatric units and pediatric psychiatric units from July to December 2006, the standards of child health assessment tools were developed. Graduate students and 4th grade students in nursing were trained for health assessment and used these assessment tools to validate the content and reliability of said tools. Results: Some record forms were newly developed, including demographic characteristics, past history, present health status, behavioral problems, and appropriate developmental screening tests in child care centers were selected. For systematic health care management in child care centers, daily care report, illness log, and referral sheet were also developed. Conclusion: In the face of growing utilization of daycare and their association with increased risk of various diseases, assessment and control measures are indispensable to the promotion of child health. Children's physical and mental health and developmental problems can be assessed using this assessment tools. They can be used for establishing the direction for developing a health care service system for young children.

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A CASE OF CONDUCT DISORDER CONFINED TO FAMILY CONTEXT (가정에 국한된 품행장애 1례)

  • Chung, Sun-Ju;Cho, Soo-Churl
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.8 no.2
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    • pp.287-297
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    • 1997
  • Conduct disorder has been subclassified by the symptom characteristics of socialization, aggression, or age of onset. In ICD-10, ‘Conduct disorder confined to family context’ has been developed as a distinct subtype. Which delineates the conduct problems which take place only in the family and related situation. These authors experienced a case which presents a child who shows aggressive and violent behavior to his parent and brother, severe tamper tantrum and destructiveness only in family. By through history taking, observation and treatment after admission, we could find that insecure and ambivalent attachment between parent and child due to chronic neglect and abuse, and inconsistent parental behavior contribute to many behavioral and emotional problems of this child. We reviewed the relationship between conduct disorder and family pathology and treatment strategy for conduct disorder with family problems.

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