• Title, Summary, Keyword: 장애 청소년

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BORDERLINE PERSONALITY DISOREDER IN ADOLESCENTS (청소년기의 경계선 인격장애)

  • Jang, Kyung-June;Chung, Jea-Yun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.6 no.1
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    • pp.34-42
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    • 1995
  • Borderline personality disorder in adolescents present with suicide attempts or gestures, and they are characterized by the same patterns of splitting, devaluation, manipulation, need-gratifying object relations, impulsivity, and ego deficits that are finds in borderline adults, Symptomatolgy are depression, anxiety, identity crisis, and occasionally antisocial behavior in borderline personality disorder in adolescents. These findings should be differentiated to normal stormy adolescents. Theses borderline personality disorder in adolescents are known about the instability of object relations, labile affect, splitting, and psychotic episode in severe stress. According to thses finding, schizophrenia, mood disorder, schizoptypal personality disorder, paranoid personality disorder could be differentiated. Etiology is complex including psychodynamic, genetic, familial factor. Treatments are individual psychotherapy, group therapy, and pharmacotherapy. The continuity or discontinuity of borderline states from childhoon to adult life is controversy.

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THERAPEUTIC APPROACHES FOR TREATMENT RESISTANT OBSESSIVE-COMPULSIVE DISORDER IN CHILDREN AND ADOLESCENTS (소아청소년기 치료저항성 강박장애의 치료적 접근)

  • Suh, Hyun-Ju;Kim, Boong-Nyun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.14 no.1
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    • pp.64-80
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    • 2003
  • Although obsessive-compulsive disorder(OCD) affects children, adolescents, and adults whether its juvenile(dhild and adolescent) and adult forms are different subtype of a disorder remains unknown. But there are increasing findings that suggest that juvenile OCD may be unique subtype of the disorder. One proposed subtype is the childhood OCD associated with high comorbidity of tic disorder and increased familial loading for OCD or tic disorder. The other proposed subtype is the childhood OCD and/or tic disorder occuring in association with streptococcal infection(PANDAS). These two subtypes of OCD are unlikely to respond to SSRI due to possible different pathphysiological mechanism. So this paper reviews the characteristics of OCD and therapeutic approaches for treatment resistant OCD in childhood and adolescence. Considering the likely heterogeneity of OCD, the possibility that juvenild OCD may be a variant of the disorder can have important clinical and scientific implications because it may further our understanding of this disorder, its etiology, and perhaps its treatment.

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The Analysis of Difference in Awareness and Needs of Social Communication of Guardians Caring for Adolescent with Development Disorders Adolscents (발달장애 청소년 양육자의 사회적 의사소통 인식과 요구도 차이 분석)

  • Park, Hyun;Lee, Myung-Soon
    • The Journal of the Korea Contents Association
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    • v.18 no.8
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    • pp.561-572
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    • 2018
  • This study the awareness and the demands of the parents on the communication level for social participation of the youth with developmental disability were identified and investigated the relation on client's age, detection time of the condition, disability grades, handicapped types, speech therapy period. For the non-parametric test, Man-Whitney U test, and Kruskal-Wallis test were performed and for post-hoc test, Scheffe test was performed. The results of this study was that the significant difference was found in the awareness and the demand of the communication level of the youth with developmental disability according to the age of children, time of discovery, disability grade, type of disability and speech therapy period. In conclusion, the speech therapy for the youth with developmental disability should be made in the dimension of communication for the purpose of social participation. The follow-up research to emphasize the social support and the institutional backup will be required.

A Study on Information Needs and Information Behavior of Visually Impaired Children and Teenagers (시각장애 아동 청소년의 정보요구 및 정보행태에 관한 연구)

  • Song, Hanna;Lee, Jee Yeon
    • Proceedings of the Korean Society for Information Management Conference
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    • pp.85-88
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    • 2017
  • 본 연구는 시각장애 아동 군과 청소년 군이 가지는 정보요구의 주제, 자주 이용하는 정보원, 정보를 찾는 데 있어 느끼는 어려움, 그리고 학교도서관 이용행태에 대해 파악하고자 하였다. 연구는 국내시각장애 특수학교에 재학 중인 아동과 청소년 25명을 대상으로 한 개별심층면담을 통해 이루어졌다. 연구 결과, 시각장애 아동은 취미, 학업 등에 대한 정보요구가 있었으며, 이를 해결하고자 인적정보원과 인터넷을 주로 이용하는 것으로 나타났다. 아동들은 정보를 획득할 때, 기기 이용에 있어 제한된 환경으로 인해 어려움을 느끼는 것으로 나타났다. 시각장애 청소년은 취미, 진로 등에 대한 정보요구가 있었으며, 이를 해결하고자 인터넷을 주로 이용하였다. 청소년들은 정보를 획득 할 때, 장애 등으로 인해 어려움을 느끼는 것으로 나타났다.

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THE CHARACTERISTICS OF CHILD AND ADOLESCENT INPATIENTS WITH SEVERE OBSESSIVE-COMPULSIVE DISORDER (심각한 소아 ${\cdot}$ 청소년 강박장애로 입원한 환아들의 특징)

  • Hwang, Jun-Won;You, So-Young;Chang, Jun-Hwan;Shin, Min-Sup;Cho, Soo-Churl;Hong, Kang-E;Kim, Boong-Nyun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.15 no.2
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    • pp.143-151
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    • 2004
  • Objectives : Child and adolescent onset obsessive compulsive disorder(C-OCD) is known to be associated with poor drug response, high comorbid rate and strong genetic tendencies. Till now studies for C-OCD have been very rare in Korea. We conducted this study to investigate the informations about clinical features, familial psychiatric loading, treatment profiles and course of server C-OCD from the retrospective analysis of inpatient data of Seoul National University Children's Hospital. Method : Retrospective chart review and data analysis was performed. Twenty(male 16 : female 4) patients with final C-OCD diagnosis by DSM-IV at discharge from 1994 to 2002 were found and their medical chart, psychological data, family interview data and nursing reports were collected and analyzed. Results : 1) The sex ratio of C-OCD was male dominant(4:1). 2) Phenomenological, most common obsession was pathologic doubt, contamination fear, followed by aggressive obsession, need for symmetry, sexual obsession, most common compulsion was checking and washing, followed by breathing, movement, symmetry, repetitive asking, hoarding, mental compulsion. 3) Most common comorbid diagnosis was depression. Other axis-I diagnosis associated OCD were anxiety disorder, tic disorder, conduct and oppositional defiant disorder and psychosis. 4) Regarding psychiatric familial loadings, 17 patients(85%) had relatives with psychiatric disorders, OC-spectrum disorders(OCD or OCPD) were found in 9 patients(45%). 5) The majority of patients(75%) have received SSRI and antipsychotics treatment. The response rate above 'moderate improved" by CGI was 75%. 6) During follow-up period in outpatient clinic, five patients(25%) showed continuous complete remission, 10 patients (50%) did residual symptoms with chronic course. Conclusion : This seems to be the first systemic investigation of severe pediatric OCD patients in Korea. The children & adolescents with severe OCD in inpatient-setting showed the high comorbid rate, familial psychiatric loading, and combined pharmacotherapy with antipsychotics, As for symptoms, high rate of aggressive-sexual obsession and atypical compulsions like breathing and moving was reported in this study. Severe pediatric OCD patients, however, responded well to the combined SSRI and antipsychotics regimen.

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A Study on Effective Software Education Model by Disability Type for Youth

  • Lee, Hyun Ju;Lee, Won Joo;Jung, Hoe Kyung
    • Journal of the Korea Society of Computer and Information
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    • v.25 no.10
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    • pp.261-268
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    • 2020
  • In this paper, we propose an effective software education model for youths with disability. This software education model consists of a four-step process. In the first step, it draws the education curriculum of the software education for different types of disabled youths based on the results of comparative analysis of software education field in special education curriculum. In the second step, it suggests achievement standards for effective software education for the disabled students by classifying students with intellectual disabilities and visual, hearing, and physical disabilities without any multiple disabilities. In the third step, the study developed a modular textbook comprised of unplugged activities using coding robot Albert, physical computing, and block/text coding with the reflection of the characteristic of each type of disability. In the fourth step, it applied the textbook to the school field and educated disabled students focusing on experience to allow them to think logically and by stages about different problems they face in daily lives. In addition, by analyzing the results of youths' performance evaluation and surveys, it was shown that 82.3% of developmental disabilities, 78.8% of visual impairments, 90.9% of hearing impairments, and 78.8% of physically disabilities achieved achievements above the "medium" level. These results prove that the software education model for youths with disabilities proposed in this paper is very effective in improving computational chinking of youths with disabilities.

The effect of female adolescent body-relation variables, body esteem, and self-control on eating disorder behavior (여자 청소년의 신체관련변인, 자기통제, 신체자존감이 섭식장애 행동에 미치는 영향)

  • Jung, Sun Young
    • Journal of the Korean Data and Information Science Society
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    • v.28 no.6
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    • pp.1403-1414
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    • 2017
  • The purpose of this study is to examine the factors that affect eating disorder of female adolescents. Collecting data from 297 female adolescents, we carried out logistice regression on SPSS Win 20.0. The significant predictors of eating disorder for female adolescents were BMI, body-shape satisfaction, subjective body-fatness, experience weight control (diet control and exercise), self-control, and body esteem. The results of this study may help to design a school health nursing program which treats female adolescents eating disorder.

An Exploratory Study on Life Experiences of Youth with Intellectual Disabilities in Residential Facilities (지적장애청소년의 시설생활 경험에 관한 탐색적 연구)

  • Kim, Mi-Ok;Park, Hyeon-Jung
    • Korean Journal of Social Welfare
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    • v.64 no.2
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    • pp.213-239
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    • 2012
  • This study aimed to explore the life experiences of youth with intellectual disabilities in residential facilities. The residential facilities in this study include large scale residential facilities where many residents live and a group home where a few residents live. This study used a qualitative research method; the youth participants were selected from the recommendations of professional groups, and interviewed using the focus group and individual interview methods. In addition, social workers and parents were interviewed to complement interviews of youth with intellectual disabilities. According to the results, the following main themes were extracted from the experiences of youth with intellectual disabilities who live in residential facilities: 'restricted lives by strict rules', 'limitation of individual lives and choice experiences', 'not being respected' at large scale residential facilities, and 'starting independent living', 'a still hardship of independence', 'a tranquil life like home', 'difficulties of communal living' at the group home. Also, they have common experiences in both types of residential facilities: 'depending on each other', 'missing their family', 'being excluded from peer groups at school', 'not wanting to be known as living at residential facilities'. The implication of this study results are for the policy making, and the actual practices were discussed focusing on their right and well-being.

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Mixed Methods Research on Issues of Residential Care Services for Children and Youth with Disabilities (장애아동청소년의 거주서비스 쟁점에 관한 혼합방법론 연구)

  • Kim, Mi-Ok
    • Korean Journal of Social Welfare
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    • v.63 no.3
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    • pp.55-82
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    • 2011
  • This study aims to explore the issues of residential care services for children and youth with disabilities using mixed methods research. In Korea, welfare policies for people with disabilities tend to focus on adults with disabilities. As a result, children and youth with disabilities often receive less attention in welfare policies, which is especially true of children and youth with disabilities at residential facilities, who have confronted more serious situations than children and youth with disabilities living together with their families. Thus, the goal of this study explores the issues of residential care services for children and youth with disabilities, and suggests alternatives grounded in the research results. This study used a mixed methodology; in particular the embedded design that is designed by Creswell and Clark(2007). In qualitative research, representative professionals who work at residential facilities were selected using the recommendations of professional groups, and were interviewed using focus group interview methods. In quantitative research, this study investigated the thoughts of professionals on the issues of residential care services for children and youth with disabilities, using questions that were developed through qualitative research results. This study is significant in that it explored the issues of residential care services for children and youth with disabilities, focusing on field experiences, for the first time in Korea, and suggested political alternatives for the future.

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