• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제22권1호
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• pp.16-24
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• 2011

Objectives：This study examined the prevalence of psychiatric problems in children with scholastic difficulties who had been referred for mental health services from the Office of Education in Ulsan Metropolitan City. Methods：Child psychiatrists evaluated the referred children using the DSM-IV. Evaluation tools included the Wechsler Intelligence Scale for Children-III, the Children's Depression Inventory, the Korean form of the State-trait anxiety Inventory for children, the ADHD rating. Results：Seventy-six children consisting of 64 boys (84.2%) and 12 girls (15.8%) participated in the study. The average age was 10.3 (SD=0.93) years old. Approximately 74% of the children referred for scholastic difficulties were diagnosed with mental retardation. The Axis I diagnosis among these children were ADHD (86.8%), depression (21.1%), learning disorder (9.2%), communication disorder (4.8%), pervasive developmental disorder (3.6%), internet addiction (1.3%), and mood disorder (1.3%). Their overall measure according to the Child Depression Inventory was 22.7 (SD=16.8), that for the State-Trait Anxiety Inventory for Children was 33.3 (SD=7.9)/32.4 (SD=9.5), and that for the ADHD rating scale was 18.9 (SD=10.9). Conclusion：These results suggest that many children with scholastic difficulties have both complex psychiatric and educational problems.

• 한국심리학회지:학교
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• 제18권3호
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• pp.317-349
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• 2021

본 연구에서는 디지털 미디어 과사용 여부를 측정하는 인터넷(IOS-Q), 게임(GOS-Q), 스마트폰(SOS-Q) 과사용 선별 질문지를 대규모 일반 청소년 집단을 대상으로 타당화하여, 선별검사 장면에서 활용할 수 있는 유용한 검사 도구를 제시하고자 하였다. 이를 위해 총 9,336명의 중학생(남 4,796명, 여 4,540명)을 두 개 집단으로 구분하고 확인적 요인분석과 탐색적 요인분석을 각각 실시하였으며, 타 지역에서 모집된 초등학생 4,536명(남 2,260명, 여 2,276명) 및 중학생 6,551명(남 3,013명, 여 3,538명)을 대상으로 한 번 더 확인적 요인분석을 실시하였다. 세척도 모두 네 개 하위요인으로 구분되었으며 IOS-Q는 17문항, GOS-Q는 19문항, SOS-Q는 18문항을 포함하였다. IOS-Q와 GOS-Q의 하위요인은 심리적 의존, 문제를 인식함에도 조절실패, 위험한 사용, 다른 영역에의 흥미 감소로 명명되었고, SOS-Q의 경우 위험하고 강박적인 사용, 문제를 인식함에도 조절실패, 다른 영역에의 흥미 감소, 금단/내성으로 명명되었다. 이들은 모두 행동중독이나 충동조절장애의 주요 특징들을 잘 반영하는 것으로 보이며, 내적 합치도 역시 .880-.915로 우수한 편이었다. 이어서 고위험군을 선별하기 위한 절단점을 탐색하고자 잠재프로파일분석과 ROC 분석을 실시하였고, IOS-Q 30.5점, GOS-Q 31.5점, SOS-Q는 36.5점이 최적 절단점으로 제안되었다. 끝으로 연구 의의와 한계점을 논하고 후속연구를 제언하였다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제26권1호
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• pp.1-11
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• 2015

Phenomenology has been developed by philosophers like Kant and Husserl since the late 18th century. Jaspers, a German psychiatrist, adopted it into psychopathology studies and accumulated data by closely observing and recording the patients' symptoms and signs. Among descriptions done even before the psychopathology or diagnostic criteria of disorders in the field of child psychiatry was established, we can find exact and valuable descriptions matching the autism spectrum disorder or attention deficit/hyperactivity disorder. The diagnostic criteria of modern childhood psychiatric disorders were established based on these grounds. Phenomenological/descriptive methods in various psychiatric fields lead to medical study methods for social phenomenon such as oiettolie, hikikomori, and internet game addiction. Since Romanian orphans were adopted to the western world, descriptive studies along with neurobiological studies on the influence of stimulus deprivation on emotional and physical development are being conducted. While phenomenology, which was adopted by Jaspers to verify psychopathology, was developed mainly by observation and description, recent studies are explaining such descriptive phenomena even at the synapse level due to advances in neurobiology. Although phenomenological/descriptive psychiatry, describing precise and detailed experiences of patients, is less applied nowadays among modern study methods, we must remember that such descriptions may lead to biological studies and provide evidence to improve the accuracy of choosing and applying treatment methods.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제24권4호
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• pp.191-198
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• 2013

Objectives : The objective of this study is to find out the differences in psychopathology, temperament, and character factors between young adults with and without childhood attention-deficit hyperactivity disorder (ADHD) symptoms. Methods : The subjects consisted of 314 university students (male=72, female=242) in Gongju. They were divided into childhood ADHD group (N=54) and normal group (N=260) to the Wender-Utah Rating Scale. Participants were assessed using Korean Adult ADHD Scale, Beck Depression Inventory-II, Beck Anxiety Inventory, Kimberly Young's Internet Addiction Test, Barratt Impulsiveness Scale, Paranoia Scale, Korean-Schizotypal Ambivalence Scale, Lubben Social Network Scale, and Temperament and Character Inventory-Revised. Descriptive statistics, t-test, chi-square, spearman correlation, and stepwise multiple regression were applied to analyze the data. Results : Participants with childhood ADHD symptoms had high level of adult ADHD symptoms (p<.001), impulsiveness (p=.001), depression (p<.001), anxiety (p<.001), internet addiction (p<.001), paranoia tendency (p<.001) and low level of selfesteem (p<.001) compared to normal group. Self-directedness (p<.001) was lower, Harm avoidance (p=.001) and Self-transcendence (p=.029) were higher in the childhood ADHD group. In correlation and stepwise multiple regression, childhood ADHD symptoms were significantly associated with cooperativeness (r=-0.515 and ${\beta}$=-0.547, p<.001 respectively). Conclusion : This result showed that young adults with childhood ADHD symptoms had various forms of psychopathology and childhood ADHD symptoms were influenced by character such as cooperativeness. Therefore, more thorough evaluation regarding childhood ADHD symptoms is needed.

• 사물인터넷융복합논문지
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• 제8권5호
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• pp.63-70
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• 2022

본 연구는 연구자가 정신건강사회복지 전문가로서 신개념의 전문적인 정신건강 모바일 서비스 플랫폼을 개발하고 상용화시켜 새로운 도전을 하기까지의 전 과정에서의 실제경험을 질적연구방법인 자문화기술지를 통해 자료를 수집하고 분석한 연구이다. 본 연구의 결과는 다음과 같다. 첫째, 우리나라 국민들 중에는 정신건강 이슈에 직접 노출되어 전문적인 의료서비스를 받아야 하는 사람들도 있으나 치료적 개입 수준을 요하지는 않지만 일반적인 정신건강 서비스에 대한 욕구를 가진 대중들 또한 상당히 많다는 것이다. 둘째, 현대사회의 특성을 고려하고 특히 코로나-19와 같은 감염병 팬더믹 상황에서 모바일을 활용한 다양한 정신건강 서비스 플랫폼을 선호하는 대중들이 많아 지고 있다는 것이다. 셋째, 전 세대에서 가족문제, 스트레스, 대인관계, 직업 등에서의 정신건강 관련 이슈들을 많이 호소하고 있고 이와 같은 문제들이 우울이나 불안, 중독 및 외상후스트레스장애 등의 정신병리와 연관되어 자해나 자살사고와 같은 또 다른 정신건강 문제들과 잣은 빈도로 언급되고 있다는 것이다. 넷째, 청소년들이 다양한 정신건강관련 이슈들에 노출되어 있다는 것과 무엇보다 자해 및 자살사고와 같은 심각한 정신건강 문제들을 호소하고 있었다. 다섯째, 전문적인 정신건강 서비스를 전달하는데 있어 모바일 기기를 통한 온라인에서의 서비스 제공과 오프라인에서의 서비스 제공이 가능한 역량을 갖춘 정신건강전문가들이 필요하다는 것이다. 마지막으로 본 연구 결과를 바탕으로 향후 정신건강서비스 제공과 관련한 정책 및 실천적 제언과 후속 연구에 대한 방향성을 제언하였다.

• Journal of Preventive Medicine and Public Health
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• 제54권1호
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• pp.22-30
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• 2021

Objectives: The coronavirus disease 2019 (COVID-19) pandemic is a public health emergency posing unprecedented challenges for health authorities. Social media may serve as an effective platform to disseminate health-related information. This study aimed to assess the extent of social media use, its impact on preventive behavior, and negative health effects such as cyberchondria and information overload. Methods: A cross-sectional observational study was conducted between June 10, 2020 and August 9, 2020 among people visiting the outpatient department of the authors' institution, and participants were also recruited during field visits for an awareness drive. Questions were developed on preventive behavior, and the Short Cyberchondria Scale and instruments dealing with information overload and perceived vulnerability were used. Results: The study recruited 767 participants with a mean age of about 45 years. Most of the participants (>90%) engaged in preventive behaviors, which were influenced by the extent of information received through social media platforms (β=3.297; p<0.001) and awareness of infection when a family member tested positive (β=29.082; p<0.001) or a neighbor tested positive (β=27.964; p<0.001). The majority (63.0%) of individuals often searched for COVID-19 related news on social media platforms. The mean±standard deviation scores for cyberchondria and information overload were 9.09±4.05 and 8.69±2.56, respectively. Significant and moderately strong correlations were found between cyberchondria, information overload, and perceived vulnerability to COVID-19. Conclusions: This study provides evidence that the use of social media as an information- seeking platform altered preventive behavior. However, excessive and misleading information resulted in cyberchondria and information overload.