• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.18 no.4
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• pp.230-237
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• 2015

Purpose: Various gastrointestinal factors may contribute to maladaptive behavior in children with autism spectrum disorders (ASD). To determine the association between maladaptive behavior in children with ASD and gastrointestinal symptoms such as severity, intestinal microbiota, inflammation, enterocyte damage, permeability and absorption of opioid peptides. Methods: This observational cross-sectional study compared children with ASD to healthy controls, aged 2-10 years. Maladaptive behavior was classified using the Approach Withdrawal Problems Composite subtest of the Pervasive Developmental Disorder Behavior Inventory. Dependent variables were gastrointestinal symptom severity index, fecal calprotectin, urinary D-lactate, urinary lactulose/mannitol excretion, urinary intestinal fatty acids binding protein (I-FABP) and urinary opioid peptide excretion. Results: We did not find a significant difference between children with ASD with severe or mild maladaptive behavior and control subjects for gastrointestinal symptoms, fecal calprotectin, urinary D-lactate, and lactulose/mannitol ratio. Urinary opioid peptide excretion was absent in all children. Children with ASD with severe maladaptive behavior showed significantly higher urinary I-FABP levels compared to those with mild maladaptive behavior (p=0.019) and controls (p=0.015). Conclusion: In our series, maladaptive behavior in ASD children was not associated with gastrointestinal symptoms, intestinal inflammation (no difference in calprotectin), microbiota (no difference in urinary D-lactate) and intestinal permeability (no difference in lactulose/manitol ratio). ASD children with severe maladaptive behavior have significantly more enterocyte damage (increased urinary I-FABP) than ASD children with mild maladaptive behavior and normal children.

• The Journal of Korean Academic Society of Nursing Education
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• v.14 no.1
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• pp.80-87
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• 2008

Purpose: This study examined the effects of a personality-development program on ego-resilience and maladaptive behavior of school age children. Method: This study used a non-equivalent control group pre-post design. The data was collected from Apr. 2007 to Nov. 2007. The subjects consisted of 33 children. The experimental group (n=17) participated in a self-development program that consisted of 8 sessions during an 8 week period, each session lasted for 45 minutes. To examine the effects of the self-development program an ego-resilience scale and behavior problem scale (BPPS)of K-YSR were measured before and after the program. Result: The results of analyses indicated that the score of ego-resilience increased but not significantly in the experimental group. There was significant change in anxiety/depression, social problems, and aggressive behavior of BPS of K-YSR after the intervention. Conclusion: This study showed that the 'Personality-Development Program' was effective on maladaptive behavior. Therefore, it is advisable to use it in a community-based child center for maladaptive behavior in vulnerable children.

• Korean Journal of Childcare and Education
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• v.12 no.3
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• pp.159-176
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• 2016

The purpose of this study was to provide initial information aboutthe reliability and validity of the Korean version of the BBRS-2(Burks Behaviors Rating Scales, Second Edition). Data were collected for 217 children aged 3-5. K-BBRS-2 consists of a total of 93 questions in 7 factors. The results were as follows. First, internal consistency of the7 factors ranged from 0.81 to 0.94.Results of the confirmatory factor analysis confirmed that the 7-factor model presented in the original tool was the most appropriate. Second, children's maladaptive behavior in Korea based on K-BBRS-2 indicated evidence of validity with a meaningful correlation with children's self-esteem and peer relationships. Third Korean children's maladaptive behavior was not to have significant difference by age of children. The conclusion was that it is not necessary to calculate independent norms for age. Also, when considering gender differences, it was shown that maladaptive behavior appears more in boys than girls. K-BBRS-2 is expected to be utilized as a suitable tool for measuring the maladaptive behavior of Korean children. A nationwide standardized study for Korean children and further research with clinical groups is needed.

• Journal of the Korea Convergence Society
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• v.11 no.9
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• pp.181-191
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• 2020

The purpose of this study was to compare the difference between the adaptive and internalizing/externalizing maladaptive behaviors of the sensory processing problemtic group classified from non-disabled preschoolers and to confirms the effects of sensory processing sub-factors on adaptive and maladaptive behaviors. This study participated in 335, 3-6 years typical preschoolers, carried out Short sensory profile, Vineland-II adaptive behavior scales. The study result in the sensory processing showed a significant positive correlation with the adaptive behavior, and a significant negative correlations were found in the internalizing/externalizing maladaptive behaviors. In the t-test, the problemtic group had lower adaptive behavior scores than the typical group. This study confirmed that atypical sensory processing affected not only adaptive behavior, but also internalizing/externalizing maladaptive problems, that sensory processing difficulties were more related to emotional and behavioral issues.

• Korean Journal of Childcare and Education
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• v.5 no.2
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• pp.43-71
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• 2009

This study is aimed at performing art therapy and looking into the effect on declining depression and anxiety and improving self-esteem, targeting at maladaptive behavior child in home and school living. So, this study made an application of fine art programs 2 session a week, for 50minutes each, total 24 sessions, targeting at elementary 1st girl graders(7 years old in full) in J city. In the end-term, this study performed a fine art therapy for 6 sessions together with mother-children. This study used a Korean-style Children Depression Inventory(CDI) developed by Kovacs and Beak(1977) and adapted by Jo Su Cheol and Lee Young Sik(1990) to look into children's decline in depression and anxiety and Revised Child Manifest Anxiety Scale(RCMAS) produced by Reynolds and Richmond(1978) and adapted by Jo Su Cheol and Choi Jin Suk(1990) to look into improvement of self-esteem. This study performed and analyzed KHTP, KFD painting examination, prior as well as post, to perform children's emotional appraisal and analyzed, classified with sessions, children's change in the progress of programs. The results of this study were as follows: First, fine art therapy was effective in declining children's depression and anxiety. Second, fine art therapy was effective in improving children's self-esteem. Third, children changed their emotional stability affirmatively in KHTP, KFD painting tests. Family affinity and cohesion were strengthened and changed into friendly family. Fourth, in the progress of programs, classified with sessions, children inclined their depression and anxiety and improved their self-esteem. This study leads to the result that art therapy inclines depression and anxiety in maladaptive behavior child and has an affirmative effect on improving self-esteem.

• Child Health Nursing Research
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• v.27 no.1
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• pp.24-33
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• 2021

Purpose: This study aimed to evaluate the effects of a rational emotive behavior therapy (REBT)-based emotional regulation program for mothers of premature infants in the neonatal intensive care unit (NICU). Methods: The study utilized a nonequivalent control group pretest-posttest design. Seventeen mothers were recruited for the experimental group and 21 mothers for the control group. Data were collected from July 9, 2018, to Oct 12, 2018 from mothers of premature infants in the NICU regarding parental stress, state anxiety, depression, and maladaptive cognitive emotion regulation. The experimental group received eight sessions of the REBT-based emotional regulation program for 3~4 weeks, and the control group only received standard nursing care. Results: Significant differences were found between the two groups in maladaptive cognitive emotion regulation (Z=-3.88, p<.001), stress (Z=-2.76, p=.006), state anxiety (Z=-3.72, p<.001), and postpartum depression(Z=-2.62, p=.009) after the intervention in the experimental group. Conclusion: The REBT-based emotional regulation program for mothers of premature infants was effective for reducing maladaptive cognitive emotion regulation, stress, anxiety, and postpartum depression. Therefore, it may be necessary to provide an REBT-based emotional regulation program for mothers of premature infants in the NICU in clinical practice.

• Human Ecology Research
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• v.56 no.4
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• pp.377-390
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• 2018

This study examined the double mediating effects of work-family conflict and parenting guilt on the relationship between perfectionism and parenting behavior for working mothers. The survey was conducted on 340 working mothers with 3 to 5 year-old children, who lived in Daegu and Kyungpook Province, Korea. Data were collected through questionnaires on perfectionism, work-family conflict, parenting guilt, and parenting behavior. To analyze the collected data, descriptive statistics, factor analysis, and analysis of variance were conducted by using SPSS 22.0 and Model 6 in PROCESS macro, with bootstrapping method. Work-family conflict and parenting guilt were used as mediators. Children's birth order and household income were controlled throughout the analysis. The major findings of this study were as follows. First, work-family conflict and parenting guilt had inconsistent double mediating effects on the relationship between adaptive perfectionism and positive parenting behavior. Second, work-family conflict and parenting guilt had complete double mediating effects on the relationship between adaptive perfectionism and negative parenting behavior. Third, work-family conflict and parenting guilt did not have double mediating effects on the relationship between maladaptive perfectionism and positive parenting behavior. Finally, work-family conflict and parenting guilt had partial double mediating effects on the relationship between maladaptive perfectionism and negative parenting behavior. The findings provide a better understanding of the relationship between perfectionism and parenting behavior. The results also have implications for providing education for and counseling working mothers with children.

• Journal of Families and Better Life
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• v.30 no.1
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• pp.65-76
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• 2012

The purpose of this study was to investigate effects of maladaptive personality (borderline personality, narcissistic personality, and dependent personality) and conflict behavior on marital adjustment(dyadic satisfaction, dyadic consensus, dyadic cohesion, and affectional expression) among married women. Subjects in this study were 725 married women who lived in Cheong-buk, in Gyeonggi province, Korea. Data were analyzed by the methods of frequency, percentage, Cronbach's ${\alpha}$, and factor analysis, Pearson's correlation, and hierarchical regression using SPSS-WIN version 12.0. The results of this study were as follows: 1) the less borderline personality was perceived, the more narcissistic personality was perceived, In addition, a greater perceived amount of destructive conflict behavior of wives was linked to highdyadic satisfaction in the wives'. Wives' destructive conflict- behavior was the most important parameter to predict dyadic satisfaction. 2) The less borderline personality was perceived, the less dependent personality was perceived, while the more narcissistic personality was perceived, the more destructive conflict behavior of husbands was perceived, with the, wives' incidence of dyadic consensus appearing high. Husbands' destructive conflict behavior was the most important parameter to predict a dyadic consensus. 3) The less borderline personality was perceived, the more narcissistic personality was perceived, In addition, more destructive conflict behavior of the husbands was linked to highdyadic cohesion in the wives'. Husbands' destructive conflict behavior was the most important to predict dyadic cohesion relatively. 4) The more destructive conflict behavior of wives was perceived, the higher the wives' affectional expression appeared. The wives' destructive conflict behavior was the most important parameter to predict affectional expression.

• Korean Journal of Childcare and Education
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• v.9 no.3
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• pp.229-252
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• 2013

In this study, WSS developmental checklist and nursery maladaptive test were conducted and applied to 203 multicultural children and non-multicultural children. The children were 3-5years old and were attending 34 kindergartens located in Gimpo-si and Ansan-si, Gyeonggi-do to investigate the developmental level and status of adaptation to the nursery in multicultural children. The result shows that there is no difference in the development of scientific thinking and mathematical thinking while developmental level is lower in personality, sociality, language, reading and writing area in multicultural children compared to non-multicultural children. According to age, there is no difference in the development between 4~5-year-old multicultural children and non-multicultural children while there is a difference in the development between 3-year-old multicultural and non-multicultural children. It also shows that there are no significant differences in nursery adaptation between multicultural children and non-multicultural children.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.32 no.1
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• pp.35-40
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• 2021

Objectives: Among the many intervention programs for children with autism spectrum disorder (ASD), the Early Start Denver Model (ESDM) is one of the few approaches that has succeeded in demonstrating clinical efficacy in randomized control trials. Here, we investigate the clinical efficacy of ESDM intervention in young children with ASD in a community setting within Japan. Methods: All subjects were children with ASD who received ESDM intervention during the study period. Each ESDM session lasted 75 min and occurred once per week for at least 12 weeks. The outcome measures consisted of the Kyoto Scale of Psychological Development (K-test), Aberrant Behavior Checklist-Japanese version (ABC-J), and the Clinical Global Impression-Severity scale (CGI-S). Results: Twenty-seven subjects (29.4±6.4 months old) received ESDM intervention that lasted for 8.0±2.6 months on average. The score on Language and Social developmental quotient on the K-test increased significantly after the intervention. The total scores on the ABC-J and CGI-S significantly decreased after completion of the ESDM intervention. Conclusion: Our results suggest that ESDM intervention could reduce the severity of distinct clinical features of ASD, such as impairments in social interaction and communication assessed by the K-test, and maladaptive behavior rated by the ABC-J and CGI-S. We believe that the ESDM adapted to each institution might become one of the standard options for children with ASD in Japan.