Journal of the Korean Academy of Child and Adolescent Psychiatry

대한소아청소년정신의학회 (Korean Academy of Child and Adolescent Psychiatry)
권호 표지
DOI QR코드

DOI QR Code

한국 소아청소년정신과 의사의 전문적 치료 현황

A Practice Patterns of Child and Adolescent Psychiatrists in South Korea

  • 정경희 (계요의료재단 계요병원 정신건강의학과) ;
  • 안동현 (한양대학교 의과대학 한양대학교병원 정신건강의학교실) ;
  • 김정유 (마음과 마음 정신과의원) ;
  • 김현정 (한양대학교 정신건강연구소) ;
  • 방양원 (계요의료재단 계요병원 정신건강의학과)
  • Jung, Kyung-Hi (Department of Psychiatry, Keyo Medical Foundation Keyo Hospital) ;
  • Ahn, Dong-Hyun (Department of Psychiatry, Hanyang University Seoul Hospital, Hanyang University College of Medicine) ;
  • Kim, Jeong-Yu (Maum to Maum Clinic) ;
  • Kim, Hyoun-Jeong (Institute of Mental Health, Hanyang University) ;
  • Bang, Yang-Won (Department of Psychiatry, Keyo Medical Foundation Keyo Hospital)
  • 투고 : 2013.11.04
  • 심사 : 2014.02.06
  • 발행 : 2014.03.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives : The aim of this study is to assess the career paths and practice patterns of child and adolescent psychiatrists in South Korea. Methods : A survey on demographic data, work environment, opinion on fellowship training program, and current practice patterns was conducted in 76/223 (34.0%) of all child and adolescent psychiatrists (N=223) were from 1980 to 2008. The survey data from the responders were analyzed. Results : More than half of those surveyed were women. The mean age of survey participants was 40.8 years; most were married, and lived in the Seoul National Capital Area. In general, the responders were very satisfied with their work. They worked in private practice, public sector, group practice, and as consultants. Up to 87% of the patients treated were children and adolescents. The most common treatment modalities were medication and parent psychoeducation. Social skills training and play therapy were applied mainly for children aged 4 to 12 years old. Cognitive behavioral therapy and counseling were preferred in adolescents. Conclusion : The current study used a database approach in order to define current practice patterns. These data may be helpful in consideration of future training programs, workforce issues in child and adolescent psychiatry in South Korea, and also in collaboration with other mental health providers.

키워드

참고문헌

  1. Hong KE. Korean child and adolescent psychiatry-a review of the past, the present and the future. J Korean Acad Child Adolesc Psychiatry 2003;14:139-149.
  2. Hong KE. An epidemiological survey of behavior problems in Korean elementary school children (I). Seoul J Psychiatry 1985;9:48-63.
  3. Min SK, Oh KJ, Kim HJ, Lee H, Shin YJ, Lee KY, et al. Model development of school mental health service: 2 model development of school mental health service in Korean urban communities. J Korean Neuropsychiatr Assoc 1997;36:826-840.
  4. Cho SC, Go BJ, Kim BN, Kim JW, Shin MS, Yoo HI, et al. The 2005 Seoul child and adolescent mental health survey. Seoul: Seoul Child and Adolescent Mental Health Center;2006.
  5. Statistics Korea. 2006 Annual Report on the Cause of Death Statistics. Daejeon: Statistics Korea;2006.
  6. Statistics Korea. 2011 Annual Report on the Cause of Death Statistics. Daejeon: Statistics Korea;2011.
  7. Kwon SJ, Park TW, Park SH, Yang JC, Chung YC, Chung SK. Prevalence of school bullying and related psychopathology in children and adolescents. J Korean Acad Child Adolesc Psychiatry 2012;23:143-153. https://doi.org/10.5765/jkacap.2012.23.3.143
  8. McCarthy M, Abenojar J, Anders TF. Child and adolescent psychiatry for the future: challenges and opportunities. Psychiatr Clin North Am 2009;32:213-226. https://doi.org/10.1016/j.psc.2008.11.008
  9. Hubbard WK. Estimation methodology for children with a serious emotional disturbance (SED). Fed Req 1997;62:52139.
  10. Ahn DH, Jung SA, Kim SH, Song WJ, Lee MS. Mental health of elementary and middle school students, and related familial-social factors in health promoting school. J Korean Soc School Health 2008;21:1-12.
  11. Stubbe DE, Thomas WJ. A survey of early-career child and adolescent psychiatrists: professional activities and perceptions. J Am Acad Child Adolesc Psychiatry 2002;41:123-130. https://doi.org/10.1097/00004583-200202000-00005
  12. Stubbe DE. Preparation for practice: child and adolescent psychiatry graduates’ assessment of training experiences. J Am Acad Child Adolesc Psychiatry 2002;41:131-139. https://doi.org/10.1097/00004583-200202000-00006
  13. Hendren RL. Casting a wide net to nurture mentally healthy children. J Am Acad Child Adolesc Psychiatry 2008;47:123-128. https://doi.org/10.1097/chi.0b013e31815d77f8
  14. Thomas CR, Holzer CE 3rd. The continuing shortage of child and adolescent psychiatrists. J Am Acad Child Adolesc Psychiatry 2006; 45:1023-1031. https://doi.org/10.1097/01.chi.0000225353.16831.5d
  15. Kim WJ; American Academy of Child and Adolescent Psychiatry Task Force on Workforce Needs. Child and adolescent psychiatry workforce: a critical shortage and national challenge. Acad Psychiatry 2003;27:277-282. https://doi.org/10.1176/appi.ap.27.4.277
  16. Beresin EV. Child and adolescent psychiatry residency training: current issues and controversies. J Am Acad Child Adolesc Psychiatry 1997;36:1339-1348. https://doi.org/10.1097/00004583-199710000-00015
  17. Sarvet BD, Wegner L. Developing effective child psychiatry collaboration with primary care: leadership and management strategies. Child Adolesc Psychiatr Clin N Am 2010;19:139-148. https://doi.org/10.1016/j.chc.2009.08.004
  18. Winters NC, Pumariga A; Work Group on Community Child and Adolescent Psychiatry; Work Group on Quality Issues. Practice parameter on child and adolescent mental health care in community systems of care. J Am Acad Child Adolesc Psychiatry 2007;46:284-299. https://doi.org/10.1097/01.chi.0000246061.70330.b8
  19. Zachik AA, Naylor MW, Klaehn RL. Child and adolescent psychiatry leadership in public mental health, child welfare, and developmental disabilities agencies. Child Adolesc Psychiatr Clin N Am 2010;19:47-61. https://doi.org/10.1016/j.chc.2009.08.007
  20. Heneghan A, Garner AS, Storfer-Isser A, Kortepeter K, Stein RE, Horwitz SM. Pediatricians' role in providing mental health care for children and adolescents: do pediatricians and child and adolescent psychiatrists agree? J Dev Behav Pediatr 2008;29:262-269. https://doi.org/10.1097/DBP.0b013e31817dbd97
  21. Zito JM, Tobi H, de Jong-van den Berg LT, Fegert JM, Safer DJ, Janhsen K, et al. Antidepressant prevalence for youths: a multi-national comparison. Pharmacoepidemiol Drug Saf 2006;15:793-798. https://doi.org/10.1002/pds.1254
  22. March J, Mulle K, Stallings P, Erhardt D, Conners C. Organizing an anxiety disorders clinic. In: March J, editor. Anxiety disorders in children and adolescents. New York: Guilford;1995. p.420-435.
  23. Bridge JA, Salary CB, Birmaher B, Asare AG, Brent DA. The risks and benefits of antidepressant treatment for youth depression. Ann Med 2005;37:404-412. https://doi.org/10.1080/07853890500284937
  24. March JS, Szatmari P, Bukstein O, Chrisman A, Kondo D, Hamilton JD, et al. AACAP 2005 Research Forum: speeding the adoption of evidence-based practice in pediatric psychiatry. J Am Acad Child Adolesc Psychiatry 2007;46:1098-1110. https://doi.org/10.1097/chi.0b013e318074eb48
  25. Gabbard GO, Kay J. The fate of integrated treatment: whatever happened to the biopsychosocial psychiatrist? Am J Psychiatry 2001;158:1956-1963. https://doi.org/10.1176/appi.ajp.158.12.1956

피인용 문헌

  1. Life Persistence of Attention-Deficit/Hyperactivity Disorder vol.36, pp.1, 2016, https://doi.org/10.7599/hmr.2016.36.1.38
  2. Utilization of Western and Traditional Korean Medicine for Children and Adolescents with Mental Disorders: a Nationwide Population-based Study from 2010 to 2012 vol.31, pp.5, 2016, https://doi.org/10.3346/jkms.2016.31.5.770