• Title/Summary/Keyword: general adolescent

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Origins of Addiction Predictably Embedded in Childhood Trauma: A Neurobiological Review

  • Wiet, Susie
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.28 no.1
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    • pp.4-13
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    • 2017
  • The seeds of addiction are typically sown years prior to the onset of addictive substance use or engagement in addictive behaviors, due to the priming of the reward pathway (RewP) by alterations in the mechanism of stress-signaling from the hypothalamic-pituitary-adrenal axis (HPA) and related pathways. Excessive stress from a single-event and/or cumulative life experiences during childhood, such as those documented in the Adverse Childhood Experiences Study, is translated into neurobiological toxicity that alters the set-point of the HPA axis and limbic system homeostasis [suggested new term: regulation pathway (RegP)]. The resultant alteration of the RegP not only increases the risk for psychiatric and physical illness, but also that for early onset and chronic addictions by dysregulating the RewP. This paper reviews the interface of these symbiotic pathways that result in the phenotypic pathology of emotional dysregulation, cognitive impairment, and compulsive behaviors, as well as morbidity and shorter life expectancy when dysregulated by chronic stress.

Communications and Family Cohesion & Adaptability Between Mother and Adolescent (어머니와 청소년자녀가 지각하는 의사소통유형과 가족 응집성 및 적응성)

  • 박은주
    • Journal of the Korean Home Economics Association
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    • v.33 no.5
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    • pp.27-38
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    • 1995
  • The purposes of this study were to find out general trends of mother-adolescent communication patterns and to analyze communication variables which influence on family cohesion and adaptability. The subjects were 386 high school students and their mothers living in Kwang-ju. PACI and FACESIII were used to measure mother-adolescent communication patterns and family cohesion and adaptability. The results are as follows : Mothers highly perceived open communication pattern with adolescents, but adolescents perceived close communication more. Communication patterns, family cohesion and adaptability showed significant differences in according to communication variables as communication time and satisfaction. Family cohesion and adaptability were significantly different in according to communication patterns. Especially, open communication pattern between mothers and adolescents was the most important in order to increase family cohesion and adaptability.

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Major Lessons from the MTA in Treatment of Attention-Deficit Hyperactivity Disorder (주의력결핍 과잉행동장애 치료에서 MTA의 주요 교훈)

  • Hwang, Jun-Won
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.21 no.1
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    • pp.3-10
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    • 2010
  • Objectives : The current review aimed to describe the major findings of the NIMH Collaborative Multisite Multimodal Treatment Study of Children with Attention-Deficit Hyperactivity Disorder (MTA) with regard to the treatment of children with attention-deficit hyperactivity disorder (ADHD). Methods : We performed a general review of the literature regarding the efficacy of the MTA's proposed treatments. Results : There is a large and still increasing body of evidence regarding the MTA's treatment outcomes. We present and discuss details of the findings at each follow-up point. Conclusion : Currently, findings regarding the MTA's treatments suggest children with combined-type ADHD exhibit significant impairment in adolescence, despite their initial symptom improvement. Further studies, using innovative treatment approaches and targeting specific areas of adolescent impairment, are needed in order to enhance ADHD treatment outcomes.

Gender Differences of Adolescent Suicidality: Focused on the General Strain Theory (일반긴장이론에 근거한 청소년의 자살성 남녀 비교 : 서대문구 중학생을 중심으로)

  • Nam, Seok In;Choi, Kwon Ho;Min, Ji A
    • Korean Journal of Social Welfare Studies
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    • v.42 no.2
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    • pp.467-491
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    • 2011
  • The purpose of this study is to examine relationship between social strains such as status strains and relational strains and adolescent suicidality by gender. As method, a self-report survey was completed by students (n = 819) from 3 middle schools in Seodaemun area, Seoul, Korea. Logistic regression analyses were conducted to identify factors associated with adolescent suicidality, t-test analyses were used to verify gender difference. Results show that male adolescents are more likely to experience abuse from their father, and school violence related to relational strains than female. Differences were found in strains for males and females contributing to suicidality; male are responsive to economic status, a dimension of status strain, whereas female are reactive to non-physical abuse from father, a type of relational strains. Non-physical school violence was appeared to be a significant factor influencing suicidality for both genders. Based on these findings, research draws implications for social work interventions. First, different approaches by gender are needed to prevent adolescent suicide in consideration of the tendency that men are status-oriented and women are relationship-oriented. Second, it is suggested to hire full-time school social worker to provide consistent social service for students. Third, intensive effort is necessary to reduce non-physical school violence.

Influencing Factors of Korean Female Adolescent′s Clothing Behaviors: -Effects of Psychological Characteristics, Age and Residence- (청소년기 여학생의 의복행동에 대한 영향요인 연구;연령.지역 차이와 심리적 특성 변인들의 상대적 영향력)

  • 고애란;진병호;심정은
    • Journal of the Korean Society of Clothing and Textiles
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    • v.24 no.4
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    • pp.475-486
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    • 2000
  • The purpose of this research were to identify the differences in clothing behaviors and psychological characteristics ill relation to age and residence and to identify the relative effects of Korean female adolescent's psychological characteristics on the clothing behaviors. The instruments measuring 9 psychological characteristics-adolescent egocentrism, social and general self-efficacy, public and private self-consciousness, boredom susceptibility, optimal stimulation level, body attitudes-were adapted from previous studies. Clothing behavior measurements were developed based on the pilot study results or adapted from previous studies. The data. collected from 2284 nationwide sample of Korean female adolescents(early, middle, late) was analyzed by frequency, two-way ANOVA, and LISREL confirmatory factor analysis. Clothing behavior were factor analyzed and 6 factors were identified: dressing for others. conformity to peers, clothing interest, self-expression, psychological dependence and clothing exhibition. Effects of age were dominant in 6 out of 9 psychological characteristics and five clothing behavior factors except conformity to peers. Dominant main effect of residence was found oかy in boredom susceptibility. From the results of LISREL, adolescent egocentrism, public self-consciousness and sensation seeking tendency were found to be the most influential psychological characteristics of female adolescents'clothing behaviors.

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Variables Associated with Adolescent Deviant Behaviors (청소년의 경비행에 영향을 미치는 요인)

  • Kang, Hee Kyung
    • Korean Journal of Childcare and Education
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    • v.6 no.3
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    • pp.45-63
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    • 2010
  • The purpose of this investigation was to examine the mediating effects of delinquent peers between attachment to parents, low self-control and adolescent deviant behaviors. After specifying a research model based on Gottfredson and Hirschi's general theory of crime and Hirschi's control theory of delinquency, the study analysed the model using structural equation modeling. The data for this investigation came from a sample of 2,448 Korean adolescents. The results showed the both measurement model and structural model had a good fit to the data and all paths of structural model were statistically significant. The main findings were the attachment to parents and low self-control had direct and indirect effects on adolescent deviant behaviors through delinquent peers. The implications for practical intervention and further research in the field of delinquency were discussed.

Relationship between Internet Game Addiction and Psychiatric Symptoms in a Child and Adolescent Psychiatric Clinic (일 대학병원 소아청소년 정신건강클리닉에 내원한 청소년에서 인터넷게임중독과 정신과적 증상의 관계)

  • Oh, Eun-Jeong;Choi, Sam-Wook;Lee, Hae-Kook;Park, Jang-Ho;Ahn, Joon-Ho;Choi, Ji-Eun;Bhang, Soo-Young
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.25 no.3
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    • pp.136-141
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    • 2014
  • Objectives : The aim of this study was to examine the relationship between internet game addiction and psychiatric symptoms. Methods : A total of 447 adolescents who were recruited from a child and adolescent psychiatric clinic of university hospital completed a self-report questionnaire consisting of Korean Internet Addiction Self-scale (K-scale), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Korean-Attention-Deficit Hyperactivity Disorder Rating Scale (K-ARS), and Adolescent Happiness Index (AHI). They were classified into three internet user groups, non-addicted group (below or equal to 94), potential risk group (95 to 107) and high risk group (above or equal to 108) according to K-scale total score. Results : Significant mean differences in BDI, BAI, K-ARS, and AHI scores were observed among the three groups. The BDI, BAI and K-ARS scores showed positive correlation with K-score. The AHI score showed negative correlation with K-score. Conclusion : Findings of this study suggest that depression, anxiety, inattention, hyperactivity/impulsivity, and happiness are associated with internet game addiction.

A study on experience of childcare service providers for adolescent parents (청소년부모 양육지원가의 양육지원서비스 제공 경험)

  • Kim, Ji-Hye
    • Journal of Digital Convergence
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    • v.19 no.10
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    • pp.435-451
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    • 2021
  • The purpose of the study is to explore the experience of participants who have provided a chidlcare service, and to suggest implications for childcare service for adolescent parents. The author used a purposive sampling method to select 3 cases with experiences related to childcare service, collecting data via direct interview and by obtaining a written text describing their case management. An inductive (open) coding approach was utilized to draw themes and categories from the data. The 6 categories describing service providing experiences of the study participants include "motives for participate a childcare service", "contents of service provided by participants", "tries to establish relationship with adolescent parents", "deepening of understand about adolescent parents", "limits of providing services". Implications and future directions were discussed for childcare services on adolescent parents having crisis related to childbirth and child rearing.

A Study about Long-Term Effects of Attention-Deficit Hyperactivity Disorder Medication on Height and Weight in the Korean School-Aged Boys with Attention-Deficit Hyperactivity Disorder Based on Observation of Natural Course (자연경과 관찰에 의한 주의력결핍 과잉행동장애 아동에서 장기간의 약물치료가 성장에 미치는 영향)

  • Yeom, Chan-Woo;Eun, Tae-Kyung;Park, Hoon-Sub;Lee, Kyu-Young;Kim, Eui-Joong;Joo, Eun-Jeong;Koo, Young-Jin
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.25 no.2
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    • pp.89-94
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    • 2014
  • Objectives : This study was conducted naturalistically in order to observe the long-term effects of attention-deficit hyperactivity disorder (ADHD) medications on growth rates among Korean school-aged boys with ADHD. Methods : Participants in the study were boys with ADHD aged 6 to 11 years who have taken ADHD medication, methylphenidate (extended release) or atomoxetine. They attended scheduled visits monthly or bimonthly for clinical assessment with measurement of height and weight. In this study, 35 boys with ADHD (mean age at baseline=$7.90{\pm}1.77$ years ; mean age at endpoint= $12.54{\pm}1.91$ years) were included, with a mean follow-up period of 4.64 years (${\pm}1.62$ years), ranging from 2 to 9.7 years. Height, weight, and body mass index (BMI) measurements were converted to "age-corrected Z-scores" using data from Growth Charts provided by the Korean Center for Disease Control and Prevention from 2007. Results : Age-corrected endpoint growth parameters (height, weight, BMI Z-scores) did not differ significantly from the baseline values (height t=0.027 ; weight t=-0.61 ; BMI t=-1.86, in paired t-test). Especially high correlation was observed between the baseline and endpoint height Z-scores (r=0.876, p<.001), for which the coefficient of determination $r^2$ was 0.767, meaning that the amount of variability in endpoint height Z-scores explained by the baseline height Z-scores was 76.7%. Conclusion : Our results suggested that the long-term effects of ADHD medications on growth parameters to be tolerable in Korean school-aged boys with ADHD.

THE PRELIMINARY STUDY ON THE ADOLESCENT PSYCHIATRIC PATIENTS THAT SHOW THE CHRACTERISTICS OF PEER GROUP NEGLECT OR REJECTION (청소년 정신과 환자 중 외톨이 혹은 왕따 특성을 보이는 환자에 대한 예비 연구)

  • Kim, Eun-Jung;Hong, Sung-Do;Lee, Si-Hyung;Hong, Kang-E;Son, Jung-Woo
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.11 no.2
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    • pp.240-251
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    • 2000
  • This study was a preliminary study on the adolescent psychiatric patients that show the characteristics of peer group neglect or rejection. We divided the adolescent psychiatric patients(n=25) into neglect-reject group(n=15) and non-neglect group(n=10). Each patient answered 8 scales and several questions about general relationships with friends. And, both the score of each 8 scales and answer about qusetions were examined. Lastly, records of 5 cases from neglect-reject group were analyzed. The depression dimension score of SCL-90-R, anxiety dimension score of SCL-9O-R, paranoid dimension score of SCL-90-R, interaction anxiousness scale(IAS) score were significantly different between 2 groups. On the result of case analysis about 5 patients of neglect-reject group, the adolescent psychiatric patients had a tendency to be rejected or neglected in case of having developmental problems(for example, language development or cognitive impairment).

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