• Title/Summary/Keyword: psychological problems of children

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Neuropsychological Assessment for Children with Psychiatric Disorders (소아정신과 장애 아동의 신경심리학적 평가)

  • Shin, Min-Sup
    • Sleep Medicine and Psychophysiology
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    • v.2 no.2
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    • pp.115-128
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    • 1995
  • Present study reviewed various standardized neuropsychological assessment methods for children that are widely used in Korean child-psychiatric clinic settings to evaluate neurological problems, especially soft neurological signs that could not be identified by neurological techniques like CT, MRI. The characteristics of those neuropsychological test responses in children with psychiatric disorders that neurological factors are thought to play more important role than psychological factors in their etiology were examined. It is more important and required to establish the developmental norms for interpreting the results of neuropsychological tests and for identifying the signs of brain damage in case of children than adults. There are many difficulties in diagnosing brain dysfunction and conducting research for neurological problems in psychiatric disordered children due to lack of the standardized Korean version of neuropsyhological test for children, Therefore, several issues on developing the Korean version of neuropsyhological tests for children were discussed.

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The Relationships Among Home Environment, Locus of Control, Social Supports, and Behavior Problems of Korean-Chinese Children in Yanbian (연변 조선족 아동의 가정환경, 내외통제성, 사회적 지지 및 행동문제간의 관계)

  • Cho Bok Hee;Lee Jin Sook;Han Sae-young
    • Journal of the Korean Home Economics Association
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    • v.43 no.3 s.205
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    • pp.91-104
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    • 2005
  • This study was designed to examine the relations of home environment, locus of control, social support and behavior problems of fourth-grade Korean-Chinese children in Yanbian in China. The subjects were 190 children who completed the locus of control and social support scale and their parents who completed the Child Behavior Checklist. T-test, correlation analysis, and multiple regression analyses were conducted. Mother's education level, and psychological and physical environment at home were negatively related to children's behavior problems. The scores of internal locus of control and support from the teacher were negatively related to children's behavioral disturbances. The factors with the greatest contribution to explaining behavior problems of Korean-Chinese children in Yanbian were found to be physical environment at home, internal locus of control, and teacher's social support.

Children with Epilepsy: Quality of Life and Management (간질아동의 삶의 질과 간호관리)

  • Shin Yeong-Hee
    • Child Health Nursing Research
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    • v.10 no.2
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    • pp.225-232
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    • 2004
  • The purpose of this article is to describe the overview of current medical treatments of childhood epilepsy in Korea and to review several recent nursing researches related to quality of life problems, especially psychological functioning in children with epilepsy and the stress of the family. The prognosis of childhood epilepsy has been improved considerably and about 80% of patients can now be expected to achieve complete seizure control by the antiepileptic drug treatment. Even for the intractable epilepsy, with the combination of ketogenic diet program and antiepileptic drug therapy or surgical treatment, the prognosis became very much better than before. The majority of research has reported that children with epilepsy were experiencing quality of life problems. They are at risk for impaired functioning, compared to either general population controls or to other chronic illness groups such as asthma and diabetes. The ultimate goal of providing care to children with epilepsy is to control seizures while facilitating an optimal quality of life for the child as well as the family. Recommendations are included for future research and intervention programs for children, parents and our society.

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Effects of the Attention Span Temperament, Affectionate Rearing Attitudes of Mothers and Family Support on Behavioral Problems of Children : The Mediating Effects of Self-resilience (주의집중성 기질, 어머니의 애정적 양육태도 및 가족지지가 아동의 문제행동에 미치는 영향: 자아탄력성의 매개효과를 중심으로)

  • Cho, Yun Mi;Lee, Sook
    • The Korean Journal of Community Living Science
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    • v.25 no.3
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    • pp.303-319
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    • 2014
  • This study considers structural equation model and examines the-relationships between various model variables to identify the causal relationships of between the attention span temperament, affectionate rearing attitudes of mothers, and family support (individual external variables) to children's behavioral problems though self-reliance, psychological variable. According to the results, the attention span temperament had significant direct, indirect, and total effects on the externalization of behavioral problems, but affectionate rearing attitudes and family support had only significant indirect effects. Self-resilience had a significant direct effect. These results can be used as basic data to prevent behavioral problems of children and increase their self-resilience.

Pathogenesis of Enuresis: Brain, Sleep Dysfunction and Psychological Effects (야뇨증의 병태생리: 뇌, 수면장애 그리고 정신적 효과)

  • Park, Kwan-Jin
    • Childhood Kidney Diseases
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    • v.16 no.1
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    • pp.9-14
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    • 2012
  • The relationship between central nervous system (CNS) and enuresis has not been sufficiently elucidated despite the presence of several circumstantial evidences. Contrary to common belief, polysomnographic sleep analysis revealed that the disturbance of arousal rather than deep sleep was responsible for enuresis. Subsequent studies confirmed depressed sympathetic tone and retarded brainstem reflex indicating abnormal arousal threshold in enuretics. In accordance with the bladder-brain dialogue, chronic stimulation of bladder may modify the brainstem function elevating arousal threshold. Epidemiological studies have suggested the association between enuresis and various psychosomatic disorders like attention deficit hyperactivity disorder (ADHD), which has shown the abnormal brainstem reflex similar to enuresis. Taken together, CNS is assumed to play a crucial role in the pathogenesis of enuresis. Psychological assessment is vital to understand the psychodynamic effect of enuresis. Studies have shown that the prevalence of psychological problems was higher in enuretic children and externalization of the symptoms was usually found. Several explanations have been brought up regarding the development of enuresis and psychological problems. Enuresis may cause psychological problems and vice versa. Otherwise, both may be associated with other variables, such as socioeconomic status (SES).

Relationship among Perception of Parenting Attitude, Behavior Problems and Resilience of School Age Children (학령기 아동이 인지한 부모의 양육태도, 문제행동과 적응유연성과의 관계)

  • Yun, Hyun-Jung;Yoo, Il-Young;Oh, Eui-Geum
    • Child Health Nursing Research
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    • v.17 no.3
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    • pp.174-180
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    • 2011
  • Purpose: This study was conducted to describe the relationship of perception of parenting attitude, behavior problems and resilience of school age children. Methods: Participants were 131 children enrolled in the 4th to 6th grades. Data were collected from November 29 to December 6, 2010 using a self-report questionnaire. The questionnaire included the Parental Bonding Instrument, Korean version of Youth Self-Report, and Resilience. Data were analyzed using SPSS WIN 18.0 program. Results: There were significant differences in resilience according to gender, relationship with peers, academic achievement and school satisfaction. Resilience showed a positive correlation with parental bonding attitude and negative correlation with problem behavior in the children. Conclusion: This result suggests that interventions focusing on parenting attitude to enhance resilience should be developed to help school age children.

Factors Affecting Depressive Symptoms in Children and Adolescents With Epilepsy

  • Park, So Hyun;Lee, Hyang Woon;Kim, Ga Eun;Kim, Eui-Jung
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.33 no.4
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    • pp.106-112
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    • 2022
  • Objectives: We aimed to evaluate the clinical and psychological factors influencing depressive symptoms in children and adolescents with epilepsy. Methods: We administered self-reported questionnaires assessing children's depressive symptoms (Children's Depression Inventory, CDI) and anxiety (Revised Children's Manifest Anxiety Scale, RCMAS) to children and adolescents with epilepsy (n=87, age range=6-17 years). We asked their parents to complete questionnaires on epilepsy-related variables, parental stress (Questionnaire on Resources and Stress, QRS), parental anxiety (State-Trait Anxiety Inventory, STAI), family functioning (Family Adaptability and Cohesion Evaluation Scale, FACES), children's attention problems (Abbreviated Conners Parent Rating Scale Revised, CPRS), and children's behavioral problems (Korean Child Behavior Checklist, K-CBCL). Stepwise multiple regression analysis was performed to identify predictive variables affecting depressive symptoms. Results: Family adaptability (r=-0.240, p=0.026), family cohesion (r=-0.381, p<0.001), children's attention problems (r=0.290, p=0.006), children's anxiety (r=0.714, p<0.001), children's behavioral problems (r=0.371, p<0.001), parental anxiety (r=0.320, p=0.003), and parental stress (r=0.335, p=0.002) were significantly correlated with children's depressive symptoms. Children's anxiety (β=0.655, p<0.001) and parental stress (β=0.198, p=0.013) were significantly related to their depressive symptoms (adjusted R2=0.539). Conclusion: Clinicians should detect and manage children's anxiety and parental stress, which may affect depressive symptoms in children and adolescents with epilepsy.

Effects of Forest Experience on Emotional Changes in Preschool Children Exposed to Smartphones (산림체험 프로그램이 스마트폰에 노출된 미취학아동의 정서 변화에 미치는 영향)

  • Lee, Juyoung
    • Journal of Environmental Science International
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    • v.25 no.9
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    • pp.1323-1328
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    • 2016
  • This study aims to identify the beneficial effects of forest experience on emotional changes in young children who are exposed to smartphones in daily life. This research was conducted on 41 children aged five and six years at a kindergarten in Chungcheongnamdo province. The children participated in a five-month forest experience program, conducted twice a week. Before beginning the study, its purpose and procedure were explained to the children's parents and kindergarten teachers, after which written content was collected. Before and after the five-month experience, questionnaires about smartphone use and emotional conditions were administered through the parents. The participants were divided into two groups, namely average-use and high-use groups, depending on the smartphone addiction proneness score. It was found that negative psychological subscales such as anxiety, impulse, and depression decreased following the five-month forest experience in both groups. Positive psychological attitudes such as sociability and creativity increased significantly after the forest experience. The high-use group showed a wider range of positive changes compared to the average-use group. Accordingly, forest experiences can be used as an effective solution for smartphone addiction problems among young children.

Interventions to Reduce the Problems of Abused Children and Adolescents in Residential Facilities in South Korea: An Integrative Review

  • Kim, Sungjae;Bang, Kyung-Sook;Lee, Gumhee;Song, Min Kyung;Jeong, Yeseul
    • Child Health Nursing Research
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    • v.25 no.3
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    • pp.273-289
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    • 2019
  • Purpose: The purpose of this study was to review the literature on intervention studies for abused children and adolescent in residential facilities in South Korea (ACARF-K). The goal was to understand the problems they experience, to evaluate the content and effectiveness of interventions applied to them, and to develop evidence-based nursing intervention programs. Methods: We used four electronic databases to search for relevant articles. 18 studies according to Whittemore and Knafl's integrative review method to synthesize the literature. Results: The ACARF-K experienced problems in biophysical, psychological, and sociocultural domains related to attachment impairment. Effective intervention strategies were building trust through empathy and fulfillment of needs, encouraging ACARF-K to express themselves and helping them to clarify emotions in an unthreatening environment, and improving their self-concept through activities in which they experienced achievement. Conclusion: Interventions are needed to help restore attachment damage among ACARF-K. The interventions in this study utilized emotional, cognitive, relational, and behavioral therapeutic tools to improve their psychological and social capacities. Future intervention programs for ACARF-K should include these key elements.

The Difficulties for Parents of Children with Terminal Cancer (말기 암 환아 부모가 경험하는 어려움)

  • Kang, Kyung-Ah;Kim, Shin-Jeong
    • Child Health Nursing Research
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    • v.11 no.2
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    • pp.229-239
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    • 2005
  • Purpose: The objective of this study was to provide an understanding of the difficulties for facing parents of children with terminal cancer. Method: The design of this study was an inductive and descriptive study. Thirty???]one parents of children with terminal cancer participated in???]depth were interviewed s. C in depth and content analysis was used for analyzing the data. Results: The main categories in the findings were 'difficulties in coping', 'physical and psychological suffering of children', 'suffering of family', 'bereavement with children', 'economic problems', 'incurable situation', 'preparation of death', 'social isolation', 'coping after a child dies', 'spiritual problems', receiving active treatment', 'informing children of their condition', 'a sense of meaninglessness', 'emotional iunstability', and 'giving up hope'. Conclusion: The main point identified from this result in this study was that parents who have a child with terminal cancer don't never give up the hope of recovery for their child even when the child is in by the terminal stage of their children, even though and they are unwillingly to prepare for their child's death. This is a unique characteristic in the attitude of the families' attitude in child hospice care and differs from that found in adult hospice care. This result can be used as an important guide for nurses to in assessing the parents' needs in the terminal care setting.

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