• Title/Summary/Keyword: emotional and behavioral problem

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가출청소년에서 학대력과 정신병리와의 관계 (Relation between Abuse History and Psychopathology in Runaway Sheltered Adolescents)

  • 곽영숙;이혜숙
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제17권2호
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    • pp.149-162
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    • 2006
  • Objectives : This study examined psychopathology, abuse history and the relation of them in sheltered runaway adolescents. The purpose is to investigate characteristics of adolescents who are in shelters according to abuse type and then to offer basic data which are needed in establishing comprehensive protection policy for runaway adolescents. Methods : One hundred twenty eighty adolescents who stay in the runaway shelters were asked to complete self-report questionnaires including basic sociodemographic data, Korean Youth Self Report (K-YSR), Minnestota Multiphasic Personality Inventory (MMPI), and Symptom Checklist-90-Revised (SCL-90-R) and then examined the correlation of psychopathology and abuse in runaway adolescents. Results : In abused runaway adolescents, social performance scale of K-YSR was higher than school performance sealer and among scales of behavioral problem syndrome delinquent scale was highest. Scales of behavioral problem syndrome showed relatively significant correlation with abuse history. In MMPI scale of psychopathic deviate scale was highest, social introversion showed significant correlation with emotional abuse, and psychopathic deviate and hypomania showed significant correlation with physical abuse, neglect and sexual abuse. In SCL-90-R somatization scale was highest. Scales of somatization, hostility, and paranoid ideation scale were significantly high in adolescents with emotional abuse and neglect history, and scores of anxiety and depression scale were significantly high in sexually abused adolescents. Conclusion : Runaway adolescents who had abuse experience showed significantly higher level of psychopathology than general adolescents and there were various interrelations between them according to the presence and the type of abuse. More precise psychiatric evaluation and detailed treatment intervention for runaway adolescents are needed.

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애착문제 유아 가족을 위한 인형을 이용한 가족놀이치료 프로그램의 개발 및 효과 (The Development and Effectiveness of a Family Play Therapy Program Using Puppets for Families with Children Having Attachment Problems)

  • 노남숙;한유진
    • 가정과삶의질연구
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    • 제32권3호
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    • pp.115-135
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    • 2014
  • The purpose of this study was to develop a "Family Play Therapy Program" using puppets to decrease attachment problems for families with children having attachment problems and to examine its effectiveness. The participants were an experimental group of 16 individuals(8 children with attachment problems whose ages ranged from 4 to 5 and 8 mothers) and a control group of 16 individuals (8 children with attachment problems whose ages ranged from 4 to 5 and 8 mothers). The experimental group was treated through the Family Play Therapy Program, which involved the use of puppets and was held for twelve sessions twice a week. The changes in the participants were measured in order to examine the effects of the program. The researcher measured children's emotional and behavioral expression(TBP), the mothers' sense of self(Self-Differentiation Scale), personal relationships(ECR-R), and the perception of family functions(ICPS-FFS) both before and after the FPT program and compared their differences. The MIM Rating Scale and Marschak Behavior Rating Scale were administered to examine the interactions between mothers and children, and 1:1 interviews were also conducted. The data thus gathered were used for non-parametric analysis(Mann-Whitney U test and Wilcoxon rank sum test)using SPSS WIN 17.0. The results of this study were as follows: First, the program had a positive effect on children's emotional expression. After the problem were over, negative emotional and behavioral expression in the experimental group decreased. Second, the program had a positive effect on mothers' self-differentiation and personal relationships. Third, the program had a positive effect on changes in the interaction behaviors between the mother and child. Fourth, the program had a partially positive effect on the responses from their group developmental stages, especially on the subscale of both a program for the reinforcement of mothers' emotions and family play program utilizing puppets.

청소년의 비행 문제 감소를 위한 롤플레잉게임형식 인지행동 집단치료 프로그램의 개발 (Development of RPG-based Cognitive Behavioral Group Therapy for Reducing Delinquency in Adolescents)

  • 배성훈;유성은
    • 한국심리학회지:학교
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    • 제16권3호
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    • pp.471-499
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    • 2019
  • 본 연구의 목적은 비행 청소년의 비행 행동을 감소시키고 사회적 문제해결 기술, 정서조절 능력, 자기 통제능력을 향상시키기 위한 프로그램을 개발하여 그 프로그램의 효과를 검증하는 것이다. 본 연구에서는 인지행동치료의 치료 구성요소들을 롤플레잉게임(Role Playing Game)의 형식으로 구성하여 치료 효과 뿐 아니라 프로그램 참여 동기를 향상시킬 수 있는 프로그램을 개발하였다. 본 연구의 대상은 서울과 경기도 소재의 중학교에서 비행 문제로 의뢰된 36명의 청소년들과 이들의 담임교사 18명이었다. 청소년들은 각각 실험집단과 비교집단에 무선 배정되었고 담임교사 역시 청소년들의 무선 배정에 의해 함께 무선 배정되었다. 실험집단에는 RPG형식 인지행동 집단치료 프로그램이 수행되었고 비교집단에는 문제해결 기술 집단치료 프로그램이 수행되었다. RPG형식 인지 행동 집단치료 프로그램에 할당된 담임교사에게는 매 회기 후에 청소년 지도와 관련된 교사 교육을 실시하였다. 문제해결 기술 집단치료 프로그램에 할당된 담임교사는 교사 교육을 받지 않고 사후 및 추후 측정에만 관여하였다. 치료 효과를 알아보기 위해 비행행동, 사회적 문제해결 기술, 정서조절, 자기 통제 수준을 사전, 사후, 추후(두 달 후)에 측정하였다. 연구 결과 사후 검사에서 실험집단의 비행행동은 비교집단에 비해 통계적으로 유의미하게 감소되었고 사회적 문제해결 기술, 정서조절 능력, 자기 통제력은 비교집단에 비해 통계적으로 유의미하게 증가되었다. 프로그램이 종결된 시점에서 한 달이 지난 후에 재측정을 했을 때에도 비행 행동, 사회적 문제해결 기술, 정서조절 능력 및 자기 통제력 수준이 모두 사후 평가 때와 유사한 수준으로 유지되었다. 더불어 실험집단은 비교집단에 비해 통계적으로 유의미한 수준에서 높은 프로그램 만족도를 보고하였다. 본 연구의 결과는 RPG 형식의 인지행동 집단치료 프로그램이 청소년들의 비행 문제 감소 및 비행 문제 감소와 관련된 기술 및 전략의 향상에 효과적이면서도 비행 청소년들이 흥미를 갖고 참여할 수 있는 집단치료 프로그램임을 보여준다.

아토피피부염 소아 청소년에서의 정신병리와 양육태도 연구 (A STUDY ON CORMORBID PSYCHOPATHOLOGY AND PARENTING ATTITUDE IN CHILDREN AND ADOLESCENTS WITH ATOPIC DERMATITIS)

  • 정재석;김규한;홍강의
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제10권1호
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    • pp.34-42
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    • 1999
  • 본 연구는 정서 행동적 문제를 자주 동반하는 것으로 알려진 아토피피부염 소아 청소년에 대해, 정신과적 문제의 정도와 병변 심각도에 영향을 미칠 수 있는 심리 사회적요인을 알아보고자 하였다. 서울대학교병원 아토피 크리닉을 방문한 아토피피부염 환자 70명(평균 나이 9.9세, 범위:$4{\sim}15$세)과 그 어머니를 대상으로 병력조사설문지, CBCL, MBRI, CDI, STAI을 주어 완성하도록 한 후, 정신과적 면담을 시행하였다, 환자의 피부 병변에 대해 SCORAD index를 이용하여 침범부위, 병변의 경중도, 주관적 증상으로 나누어 평가하였다. 16명(22.9%)이 임상적으로 유의한 정서 행동적 문제가 있을 것으로 예측되었으며 이들은 우울, 특성 불안, 어머니의 통제적 태도, 부정적평가 척도에서 다른 아토피 군보다 점수가 높았다. 병변의 경중도는 특성불안이나 우울정도와, 주관적 증상은 우울, 특성불안, 가족영향, 사회능력, 내재화 및 외현화 문제, 성문제, 아이에 대한 부정적 평가와 관련이 있었다. 아토피피부염을 가진 소아 청소년은 정신과적 문제의 고위험군이며 이러한 정신과적 문제는 양육태도와 함께 피부증상의 주관적 지각에 영향을 미칠 가능성이 높다고 할 수 있다. 향후 이에 대한 정신과적 개입이 필요할 것으로 생각된다.

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Coping and Quality of Life in Turkish Women Living with Ovarian Cancer

  • Tuncay, Tarik
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권9호
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    • pp.4005-4012
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    • 2014
  • Background: This study investigated the utilization of both problem and emotion focused coping strategies and their association with aspects of quality of life among Turkish women with ovarian cancer undergoing chemotherapy. Materials and Methods: The convenience sample consisted of 228 patients in all disease stages. The data were collected using the brief COPE, QOL-Cancer patient tool, sociodemographic sheet, and medical variables were gathered from patients' medical charts. Results: Findings reveal that quality of life is moderately high for this group of cancer patients, despite some specific negative facets of the illness and treatment experience. Acceptance, emotional support and religion were the most frequently used problem-focused coping strategies and self-distraction, venting and behavioral disengagement were the most frequently used emotion-focused coping strategies reported by patients. Overall quality of life and, particularly, psychological and spiritual well-being scores of younger patients were lower. Patients reported using significantly more problem-focused coping than emotion-focused coping, and more problem-focused and less emotion-focused coping predicted greater quality of life. Problem-focused coping was related to patients' physical and spiritual well-being and emotion-focused coping was related inversely with psychological and social well-being. Conclusions: Coping strategies are influential in patient quality of life and their psychosocial adaptation to ovarian cancer. Psycho-oncology support programs are needed to help patients to frequent use of problem-focused coping and reduce emotion-focused coping strategies to improve overall quality of life.

아토피 피부염 아동의 문제행동, 자아 역량 인식, 사회적 능력과 양육 스트레스와의 관계 (Behavioral Problem, Self-Perceived Competence, Social Competence, and Parental Stress in Children with Atopic Dermatitis)

  • 조복희;오세영;정자용;이형민
    • 대한가정학회지
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    • 제46권5호
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    • pp.97-109
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    • 2008
  • Atopic dermatitis is the fastest growing skin disorder among children from infancy to adolescence in Korea. The side-effects of atopic dermatitis not only include physical discomfort, but also psychological trauma which ultimately affects the developmental growth of children. This study was conducted in order to investigate the behavioral characteristics of an atopic dermatitis sufferer. As part of this research, the relative influence of behavioral problems and, self-perceived competence were analyzed in relation to the social competence of an atopic child. In total, 301 atopic and non-atopic children, between 2 and 6 years of age, and their mothers and teachers participated in the study. From this number, 109 children had atopic dermatitis, while 192 children did not. Mothers were asked to complete a parent-report questionnaire that required information on parental stress, according to the scale parenting methodology of Abbdin(1990) and Cho(1999). Teachers were subjected to teacher-report questionnaires which included topics on social competence, socia-emotional assessment and behavioral problems of an atopic child. Furthermore, children also completed questionnaires on self-perceived competence. According to analysis on K-CBCL, ITSEA, social competence, self-perceived competence and parental stress, children with atopic dermatitis showed higher scores in depression/anxiety and depression/withdrawal, compared to children in the normal control group. In relation to parental stress, daily stress, parental role stress, and stress related disease, mothers with atopic dermatitis children exhibited higher scores. In establishing relationships among the related variables, atopic children who demonstrated more social competence were more likely to suffer less from withdrawal, attention problems, and depression/anxiety. Stress related disease in mothers with atopic children was positively related to attention problems of the child. In terms of relative influences, behavioral problems was the most significant variable, accounting for 23% of variance. Lower behavioral problems was positively related to more social competence. In summation, this study investigated the general characteristics of atopic children. In conclusion, atopic children and their mothers had difficulty in dealing with this disease. It is our belief that an atopic child would not only require physical treatment, but also need appropriate psychological care.

Ukrainian Students' Analysis of Abuse Treatment by Parents: Retrospective and Perspective in Virtual and Real Environments

  • Stoliarchuk, Olesia;Kokhanova, Olena;Prorok, Nataliia;Khrypko, Svitlana;Shevtsova, Olena;Tkachyshyna, Oksana;Lobanchuk, Olena
    • International Journal of Computer Science & Network Security
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    • 제22권8호
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    • pp.197-207
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    • 2022
  • Given the prevalence of violence in Ukrainian families, measures to prevent parental abusive treatment against children are urgent. It is important to study today's youth awareness about violence within families in order to enhance a culture of engagement with spouses and children in future. The aim of the study is to examine students' reflective experiences and their attitudes towards forms, frequency, causes and effects of parental abusive treatment. During the research the following methods were used step-by-step: theoretical analyses of scientific resources, anonymous questionnaire, quantitative and correlation analyses. According to result of survey 98 students who were interviewed, none of them fell victim of sexual abuse in their families. However, more than a half (51%) of the students surveyed experienced some forms of parental physical punishment. All the interviewed students encountered psychological cases of parental violence. The mostprevalent forms of parental abuse among the interviewees are criticism, negative comparison, emotional detachment, arrogance, intimidation, blackmail and humiliation. The most prevalent consequences of parental abuse among students are anxiety, low self-esteem, insecurity, impatience, suspiciousness, constraint in communication. Students agree that budget limitations, forced labor, criticism, spanking, emotional detachment, ignoring type of communication, reproach, blackmail are acceptable methods of punishment to use when raising their own children. These results clearly demonstrate the problem of the impact of parental abuse on children and its consequences in the future. A virtual dimension of the actualized problem is considered, namely: - virtualization of aggression and cruelty in the postmodern world. - the level of determining the factor of cruelty from the space of virtual culture. - the mirror image of everyday cruelty in the virtual environment; - the phenomenon of video games as a source and context of representation of the factor of cruelty in behavioral realities; - cybercrime as a virtualized result of cruelty in family and everyday realities. - futurological perspectives of virtualization of cruelty in communicative culture in general and in family relations in particular. The postmodern world is fundamentally different from the traditions and culture of the past, primarily due to the development of computer technologies and the virtualization of life in general. So, for example, virtual communities have become, in a certain way, another world, a second reality of life in general. And certain behavioral factors, in particular cruelty in the private environment, became a projection of such a phenomenon as cybercrime. Video games are a unique modern phenomenon, which multipolarly absorb all facets of human potential, communicative tendencies, behavioral and characterological factors, from the warmth of interpersonal relationships to the extreme degree of cruelty.

청소년기 정서 및 행동문제의 성차 (GENDER DIFFERENCES IN EMOTIONAL AND BEHAVIORAL PROBLEMS OF KOREAN ADOLESCENTS)

  • 이현지;하은혜;오경자
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제16권1호
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    • pp.117-123
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    • 2005
  • 본 연구의 목적은 청소년들을 대상으로 문제행동증후군과 사회능력에 있어서의 성차에 대하여 조사하는 것이다. 12세에서 17세 사이의 청소년 6570명(남 2549명, 여 4021명)의 K-YSR자료와 부모 2373명(남자 청소년 1173명, 여자 청소년 1200명)의 K-CBCL자료를 분석하였다. K-YSR분석 결과, 남자 청소년은 사회적 미성숙 척도와 비행척도에서 높은 평균 점수를 보고했고, 여자 청소년은 내재화 문제와 총행동문제증후군 척도에서 뿐만 아니라 위축, 신체 증상, 우울/불안, 공격성 척도에서도 높은 평균 점수를 보고하였다. 또한 여자 청소년들은 사회성과 총 사회능력 척도에서도 높은 점수를 보고하였다. K-CBCL에서는 부모가 남자 청소년에 대해 주의집중 문제와 비행 척도에서 높은 평균 점수를 보고하고 있는 반면, 여자 청소년에 대해서는 내재화 문제 뿐 아니라 위축, 신체 증상, 우울/불안, 공격성 척도에서 높은 평균 점수를 보고하였다. 부모의 보고인 K-CBCL의 사회능력 척도에서는 성차가 발견되지 않았다. 요약하면, K-YSR과 K-CBCL 모두에서 여자 청소년들은 내재화 문제에서 일관적으로 높은 점수를 보이고 있으며, 외현화 문제에 있어서는 유의미한 성차가 발견되지 않았다. 그러나 여자 청소년의 경우 외현화문제에 해당하는 소척도 중 공격성 척도에서 높은 평균 점수를 보였다.

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ADHD 치료에서 가족치료캠프의 적용 (Application of Family Treatment Camp in Treatment of ADHD)

  • 황병주;안동현;이재영
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제23권2호
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    • pp.82-89
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    • 2012
  • Objectives : Demands for comprehensive and intensive treatment programs for treatment of children with attention-deficit hyperactivity disorder (ADHD) who suffer from serious impairment in various psychosocial areas are increasing. The aim of this study was to evaluate the possibility of developing new types of camp programs focused on improving social adjustment of children and helping parents effectively manage their children's problem behaviors. Methods : Fifteen children diagnosed as ADHD according to Diagnostic and Statistical Manual of Mental Disorders-IV (mean age 9.5 years) and their parents participated in this program. Eight consecutive camps were held at two-week intervals, from Jun 2007 to Oct 2007 in an adolescent training center located at Chungtaesan, in Korea. Each camp program included social skills training in the classroom and outdoor activities in the forest for children, as well as parent training for mothers. In addition, after the sixth camp, we conducted one parental session for fathers and a three-day booster family camp three months later. Finally, eleven families adhered to the program. Results : All children, parents, and therapists rated questionnaires or checklists at baseline, intra-, and post-treatment. Parenting burden rated using the Parenting Stress Index showed a significant decrease, from 57.89 to 46.22 (p=.019). And, overprotection rated using the Parenting Bonding Instrument showed a significant decrease, from 16.56 to 12.44 (p=.046). However, no significant improvement in children's behavioral and emotional problems was observed. Conclusion : In this study, the consecutive ADHD family camp program was effective for empowerment of parental competency, but not for general improvement of children's behavioral and emotional symptoms.

학교폭력 예방을 위한 인터넷 기반 분노조절 프로그램의 개발과 효과 검증 (The Effect of an Internet-Based Anger Management Program for School-Aged Children to Prevent School Violence)

  • 오서진;장현아;최지윤;신민섭
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제24권3호
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    • pp.132-140
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    • 2013
  • Objectives : This study aims to investigate the effectiveness of an internet-based anger management program for school-aged children. Methods : Forty-eight elementary school students took part in an anger management training program; subsequently, participants, their parents, and their teachers answered questionnaires assessing the participants' anger, aggressiveness, and other emotional/behavioral problems, pre- and post-training. Results : At the post-training self-assessment, the participants showed significant reductions in their "anger-out" tendencies and physical aggressiveness. In addition, the effects of the program on "anger-out" tendencies, aggressiveness, anger and peer relational problem were found to be more significant in participants who reported depressive symptoms. Teachers rated the participants' peer-relational problems as having decreased after the training. Conclusion : The proposed internet-based anger management program had a significant effect on the school-aged children's abilities to control their anger.