• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제18권4호
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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.

• 한국간호교육학회지
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• 제14권1호
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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.

• 한국보육지원학회지
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• 제12권3호
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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.

• 한국융합학회논문지
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• 제11권9호
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• pp.181-191
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• 2020

본 연구의 목적은 비장애(non-disabled) 유아에서 선별된 감각처리문제군의 적응행동과 내재화/외현화 증상 관련 부적응행동을 대조군과 비교하고 감각처리가 적응/부적응행동에 미치는 영향력을 확인하는 것이다. 3-6세 어린이집에 재원하는 비장애 유아에게 단축감각프로파일과 바인랜드 2판을 실시하였고 최종 335명을 연구대상으로 하여 Pearson 상관, t-test, 다중회귀분석을 실시하였다. 연구 결과 감각처리는 적응행동과 유의한 정적 상관관계를, 부적응 행동과 유의한 부적 상관관계를 나타냈고, 부적응행동의 상관계수 범위가 적응행동 상관계수 범위에 비해 높았다. t-test 결과 감각처리문제군은 대조군에 비해 적응행동의 의사소통 및 사회성 관련 영역에서 유의하게 평균이 낮았고, 부적응행동의 모든 영역에서는 유의하게 평균이 높았다. 감각처리 하위요인이 적응/부적응행동에 미치는 영향에서 유의한 설명력이 확인되었다. 비장애 유아에서도 발생하는 비정형 감각처리는 적응행동에도 영향을 미치지만 내재화/외현화 증상 관련 부적응행동에 좀 더 많은 영향을 미치는 것으로 확인되었다.

• 한국보육지원학회지
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• 제5권2호
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• pp.43-71
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• 2009

본 연구는 가정이나 학교생활에서의 부적응 행동 아동을 대상으로 미술치료를 실시하여 우울 및 불안 감소와 자아존중감 향상에 어떠한 효과가 있는지 알아보기 위한 것이었다. 연구대상은 J시 초등학교 1학년 여자 아동(만 7세)으로 주 2회, 50분씩 총 24회기 미술치료 프로그램을 적용하였으며, 치료 종결부분에 어머니-아동과 함께 6회기 미술치료를 실시하였다. 아동의 우울 및 불안 감소를 알아보기 위해 Kovacs와 Beak(1977)이 개발한 Children's Depression Inventory(CDI)를 조수철 이영식(1990)이 번안한 한국형 아동용 우울 척도와 자아존중감 향상을 알아보기 위해 Reynolds와 Richmond(1978)가 제작한 Revised Child Manifest Anxiety Scale(RCMAS)을 조수철 최진숙(1990)이 번안한 척도를 사용하였다 그리고 아동의 정서적인 평가를 위해 KHTP, KFD 그림검사를 사전-사후로 실시하여 분석하였으며, 프로그램 진행과정에서의 아동의 변화를 회기별로 분석하였다. 본 연구의 결과는 다음과 같다. 첫째, 미술치료가 아동의 우울 및 불안을 감소시키는데 효과가 있었다. 둘째, 미술치료가 아동의 자아존중감을 향상시키는데 효과가 있었다. 셋째, 아동의 KHTP, KFD 그림검사에서는 긍정적으로 정서적 안정이 변화되었으며, 가족의 소속감 응집력이 강화되어 친밀한 가족으로 변화하였다. 넷째, 회기별 미술치료 프로그램 진행과정에서 아동의 우울 및 불안이 감소되고 자아존중감이 향상되었다. 이상의 연구결과를 통해 미술치료가 부적응 행동 아동의 우울 및 불안을 감소시키고 자아존중감을 향상시키는데 긍정적인 효과가 있음을 알 수 있었다.

• Child Health Nursing Research
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• 제27권1호
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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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• 제56권4호
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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.

• 가정과삶의질연구
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• 제30권1호
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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.

• 한국보육지원학회지
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• 제9권3호
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• pp.229-252
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• 2013

이 연구는 다문화 아동의 발달수준 및 어린이집 부적응행동 실태를 확인하기 위하여 경기도 김포시와 안산시에 소재한 34개 어린이집에 재원 중인 만 3-5세의 다문화 아동과 일반 아동 203명을 대상으로 WSS 발달적 체크리스트와 유아교육기관 생활적응행동검사를 실시하였다. 연구결과 다문화 아동이 일반 아동에 비하여 인성 및 사회성, 언어 및 읽고 쓰기 영역에서 발달수준이 낮은 것으로 나타났으나 수리적 사고와 과학적 사고 발달에는 차이가 없는 것으로 나타났다. 연령별로는 3세에서는 다문화 아동과 일반 아동 간 발달의 차이가 있는 것으로 나타났으나 4세와 5세에서는 차이가 없는 것으로 나타났다. 또한 다문화 아동과 일반 아동의 어린이집 부적응행동 수준에는 차이가 없는 것으로 밝혀졌다. 하위영역별로 어린이집 적응 수준을 살펴보면 다문화 아동이 일반 아동에 비하여 또래협력 항목에서는 적응수준이 낮게 나타났으나 개인사회기술과 환경적응, 활동적응 영역에서는 차이가 없는 것으로 나타났다. 아동의 발달과 어린이집 부적응행동의 관계를 살펴본 결과 아동의 발달 수준이 낮을수록 어린이집에 부적응하는 것으로 나타났으며, 발달 영역 중 '인성 및 사회성'영역의 발달이 아동의 어린이집 부적응행동을 가장 잘 예측해주는 변인인 것으로 나타났다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제32권1호
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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.