• Title/Summary/Keyword: 장애아동 부모

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THE SOCIAL SKILLS TRAINING IN CHILDREN WITH ATTENTION-DEFICIT HYPERACTIVITY DISORDER(ADHD) (주의력결핍/과다활동장애(ADHD) 아동에서 사회기술훈련)

  • Han, Eun-Sun;Lee, Yang-Hee;Ahn, Dong-Hyun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.12 no.1
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    • pp.79-93
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    • 2001
  • Objectives:The children with ADHD have some deficits in social skills including the peer relationship. There are several approaches to teaching social skills to children with ADHD, and many are combined in comprehensive programs to maximize treatment effects. We conducted this study to explore the direct effects of social skills training program applied to children with ADHD. Method:Five children and their mothers who were diagnosed to Attention Deficit-Hyperactivity Disorder(ADHD) in Y elementary school survey participated to the study. We performed the 8-session program with the modified the Pfiffner and McBurnett's program(1997), and assessed the social skills, problem behaviors, peer acceptance, parenting behaviors, and parenting stress. Results:Parent's reports were some different from teacher's reports;teacher reported improvement in social skills and peer acceptance, but parent notified decrement in problem behaviors. And also, there were no changes in maternal behaviors, but significant reducing effects in parenting stress. Conclusion:The stimulants are mainstream in treatment of children with ADHD. The social skills training programs are combined in comprehensive treatment programs in children with ADHD to maximize treatment effects.

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The Influence of Stress in Families of Children with Disabilities upon Problem-solving Ability - Centering on the Buffering Effect of Family Resilience - (장애아동가족의 스트레스가 문제해결능력에 미치는 영향 - 가족탄력성 조절효과 중심으로 -)

  • Kang, Hyo-Kyung;Yoo, Jang-Soon
    • The Korean Journal of Elementary Counseling
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    • v.11 no.3
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    • pp.427-446
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    • 2012
  • The purpose of this study was to investigate the influence of stress in families of children with disabilities upon a problem-solving ability based on a buffering effect of family resilience through life cycle. To achieve this purpose, the subjects in this study was 546 parents who have kindergarten, elementary, middle & high school students in special schools. The date for this study were derived from questionaries and the answer sheet was analyzed by SPSS(VER. 14). A descriptive statistics, correlation analysis, hierarchical moderating regression analysis were used to investigate the general information and the difference of perception between groups. The findings of this study were as follows: Higher belief system, higher organization type, higher communication process of the family with disabled children tend to appear more positive influences on buffering effects for stresses of family and solving-problem abilities. Findings from the current study demonstrate that the buffering effect of family resilience indicate to have positive influences on the relationship between the stress and the problem-solving ability in the family with disabled children.

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The Influence of Maternal Overprotective Parenting on the Externalizing Behaviors of Child with Disability : Testing the Moderated Mediation Effect of Child's Effortful Control through Defense Style of Mother and Child (장애아동의 외현화 행동에 어머니의 과보호 양육행동이 미치는 영향 : 어머니 및 아동의 방어유형에 의한 아동의 의도적 통제의 조절된 매개효과 검증)

  • Lee, Dong-Young
    • The Journal of the Korea Contents Association
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    • v.21 no.10
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    • pp.550-563
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    • 2021
  • This study recognizes that the externalizing problem behaviors of child with disabilities are the result of the social interaction between mother and child, and empirically verifies its systematic causal structure and multidimensional influence relationship. It was attempted to derive practical implications that can help the smooth normalization process of children's families. Therefore, 135 children with disabilities and their mothers selected by convenience sampling were targeted, and in the relationship between maternal overprotective parenting and externalizing behaviors of child, effortful control was used as a mediating variable, and defense style of mothers and children was used as a moderating variable. A Conditional Process Analysis(CPA) that can verify the moderated mediation Effect was performed by establishing a research model. As a result of the analysis, first, the overprotective parenting behavior of mother was statistically significant in both direct and indirect effects in increasing externalizing behaviors of child, and the mediation effect by effortful control was also statistically significant. Second, it was confirmed that the moderated mediation effect of effortful control by the mother's defense style was statistically significant, and the moderated mediation effect of effortful control by the child's defense style was not statistically significant. Based on the above results, assuming the importance of the influence of maternal parenting, a direct strategy for change in maternal overprotective parenting, child's Practical implications of parallel strategies with the tendency toward effective control and suboptimal strategies through the application of mothers' coping strategies were discussed.

The guideline and outcome about powered wheelchair use for children with disabilities (장애아동을 대상으로 한 전동휠체어 적용 지침 및 성과)

  • Kim, Mijung;Kim, Seoeun;Ma, Hyunjeong
    • Therapeutic Science for Rehabilitation
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    • v.4 no.2
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    • pp.17-32
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    • 2015
  • Purose : This study was to find the factors of guideline and expressing outcome about powered wheelchair use for children with disabilities. Method : The chosen studies were 38 published in Korea or abroad from 2000 to 2014, and the key research is 2 review articles among them. And 19 studies were used by first search and 2 review articles to find outcome factors and categorize followed ICF terminology. Moreover, 2 studies were analysed to find the guidelines about powered wheelchair use for children with disabilities. Result : All reviewed researches were published abroad. These suggested that powered wheelchair use for children with disabilities didn't affect delayed development but many advantages. And they recommended checking information about the guideline, child, parents and environmental support befor applying the powered wheelchair to children with disabilities. Also, they usually used participation level to express outcome about powered mobility use. Conclusion : The power wheelchair was useful means of mobility for children who were delayed movement, and it was important strategy to apply the powered wheelchair early for promote children's development and participation normally. Finally, professionals needed to intervene contextual approaches concerning children's families and environment, also institutional and social effort.

Social Interaction of Caregivers and Their Children with Down Syndrome or Without Disability (다운증후군 아동과 정상아동의 보호자와의 사회적 상호관계에 대한 비교연구)

  • Cho, Mi-hyun;Cho, mi-suk
    • Proceedings of the Korea Contents Association Conference
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    • 2009.05a
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    • pp.1076-1082
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    • 2009
  • This study investigated caregivers' communication styles and children's emotional development. Emotion-laden puzzle tasks were used to elicit caregivers' communication styles while interacting with their children. Participants included children with Down syndrome (N=10) and typical children (N=15) and their caregivers. As expected, caregivers of children with Down syndrome (DS) used more behavior and attention directives with their children, and caregivers of typical children used more conversation-eliciting prompts with their children. Parents of children with Down syndrome also used a unique communication style in which they asked a question and immediately answered it themselves. Additionally, caregivers of typical children focused more on emotion concepts in their communications with their children and caregivers of DS used more cognitive concepts such as labeling colors and shapes. The results revealed that caregivers of children with Down syndrome usually tried to educate children by emphasizing cognitive concepts to compensate for their delayed development. Because the children are delayed in their emotional development, parents may need help in intervening on the area of emotional development.

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The Utility of Telepractice in Language Assessment for Children with Language Developmental Disabilities and Parental Satisfaction Survey (언어발달장애 아동의 원격 언어검사의 효용성 및 부모 만족도 조사)

  • Chun, Woong;Hong, Gyung Hun
    • The Journal of the Korea Contents Association
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    • v.21 no.7
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    • pp.510-518
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    • 2021
  • This study analyzed (1) the utility of telepractice in language assessment and (2) parental satisfaction for telepractice. Young children with language disabilities conducted REVT through both face-to-face and telepractice system. The correlation and paired t-test were analyzed. The results showed (1) the strong correlations between telepractice and face-to-face assessment scores. However, the telepractice score was significantly lower than face-to-face in the receptive vocabulary test and (2) the overall average of parental satisfaction for telepractice was 3.6 out of 5 points. The parents showed the highest satisfaction in terms of time and convenience of telepractice while the equivalence between telepractice and face-to-face item was the lowest. This study suggested the possibility and considerations in applying telepractice of language assessment in Korea.

MMPI PROFILE TYPES OF MOTHERS WITH PSYCHIATRIC DISORDERED CHILDREN (정신 장애 아동들의 어머니의 MMPI 유형 분석)

  • Shin, Min-Sup;Oh, Kyung-Ja;Hong, Kang-E
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.3 no.1
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    • pp.97-105
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    • 1992
  • Present study investigated the relationship between children's psychiatric disorders and their mothers' psychological problems. Ninety-one psychiatric outpatients from a children's hospital were classified into three diagnostic groups - internalizing symptom group(n=35), externalizing symptom group(n=35), and developmental disorder group(n=21) - based on their psychiatric problems. A normal control group was formed by matching on the age and education of mothers. Mothers' MMPI profiles which were classified into five types - normal, depression, anxiety disorder, somatization disorder, and personality disorder - were examined in relation with children's diagnoses. The profiles of the mothers in the normal control group were mostly normal, while depressive profiles were dominant among those of the clinical groups regardless of the children's diagnoses. Therefore, the data implied association between children's psychiatric problems and their mothers' psychological problems. A possibility of negative reciprocal interactions between children and their mothers was discussed. It was also suggested that further research need to examine the specific effects of children's psychiatric problems on the psychological adjustment of their mothers, as well as the effects of parental psychiatric problems on the adjustment of their offsprings.

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Understanding Assessment for Feeding Disorders in Autistic Spectrum Disorders: A Literature Review (자폐 스펙트럼 장애 섭식장애 평가의 이해: 문헌 고찰)

  • Min, Kyoung-Chul;Kim, Bo-Kyeong
    • Therapeutic Science for Rehabilitation
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    • v.13 no.2
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    • pp.9-25
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    • 2024
  • Objective : Children with autism spectrum disorder (ASD) commonly suffer from feeding disorders. Major feeding problems include mealtime behavior problems, picky eating, and a lack of food variety can lead to nutritional problems, developmental and social limitations, and stress for the caregivers. A review of the latest literature was conducted to gain an in-depth understanding of assessment tools for feeding disorders in children with ASD. Method : This study analyzed assessments to identify feeding problems in ASD based on previous studies searched through keywords such as ASD, ASD feeding problem, and ASD feeding evaluation. Results : The ASD feeding disorder assessment was divided into direct and indirect assessments. Indirect assessment, in which caregivers measure a child's situation using questionnaires, is mainly used. The assessment of feeding disorders in children with ASD was divided into 1) mealtime behavior, 2) sensory processing, 3) food consumption, and 4) others. Conclusion : As the main feeding disorder characteristics of children with ASD are very diverse, a comprehensive evaluation is necessary but is still limited. Swallowing rehabilitation experts, such as occupational therapists, should apply comprehensive assessment tools based on a basic understanding of the feeding problems, behaviors, and sensations in ASD.

A Clinical Usefulness of Korean Version of Strengths and Difficulties Questionnaire (강점.난점설문지의(SDQ-Kr)의 임상 활용도)

  • Shin, Jong-Soo;Ahn, Joung-Sook;Choi, Young-Hun;Kim, Hae-Ji
    • Korean Journal of Psychosomatic Medicine
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    • v.17 no.2
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    • pp.75-81
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    • 2009
  • Objectives : This study aimed to evaluate the clinical usefulness of Korean version of Strengths and Difficulties Questionnaire(SDQ-Kr) by comparing with Korean version of Childhood Behavior Checklist (K-CBCL). Methods : The parent version of SDQ-Kr and K-CBCL were administered to parents of 313 children in psychiatric clinic, 91 children referred for psychiatric consultation from pediatric clinic and 93 control children in pediatric clinic. All children aged 4-11 years old. Children in psychiatric clinic were diagnosed with one of followings;ADHD, emotional disorders and oppositional/conduct disorder. Mean scores were compared among three groups by gender. Coefficients were calculated for corresponding problem scales and total scores of both questionnaires. ROC analysis was performed for discriminant validity to distinguish psychiatry and pediatrics samples, and also to distinguish diagnostic groups of psychiatry sample. Results : The psychiatry sample showed highest means of problem scales and total scores, followed by consultation and control sample of pediatrics. SDQ-Kr and K-CBCL were significantly correlated, and equally able to distinguish those samples with SDQ-Kr showing better results. Within the psychiatry sample, SDQ-Kr had higher predictive power for all diagnostic groups. Conclusion : This study supports clinical usefulness of SDQ-Kr. We suggest that SDQ-Kr could be used not only as a diagnostic tool for children in psychiatric clinic but also as an effective and efficient screening instrument for children in need for psychiatric evaluation in pediatric clinic.

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A Systematic Literature Review of School Readiness Programs for Children With Disabilities (장애아동의 학교준비도 프로그램(School Readiness Program)에 대한 체계적 문헌 고찰)

  • Kim, Eun Ji;Kwak, Bo-Kyeong;Park, Hae Yean
    • Therapeutic Science for Rehabilitation
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    • v.12 no.3
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    • pp.7-18
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    • 2023
  • Objective : This study aimed to confirm the research characteristics by analyzing the literature that applied the school readiness programs for children with disabilities. Methods : Studies were collected from the PubMed, Embase, Web of Science, and Research Information Sharing Service databases. The key terms were "School readiness" AND ("Occupational Therapy" OR "Rehabilitation") in English and Korean. Total eight articles were selected through the selection and exclusion criteria. Results : The programs included multi-type training, motor skill training, parent training, and mobile application training. The providers were psychologists, occupational therapists, physical therapists, speech pathologists, community workers, educators, and the psychologists who conducted most of the research. The program factors can be classified into academic function, motor function, social function, parental training, and others. Academic and social functions accounted for the largest proportion of the respondents. The intervention improved multiple skills, literacy, parenting skills, and gross fine motor function. Conclusion : This study aimed to provide basic data for school-based occupational therapy by analyzing school readiness programs for children with disabilities. Recently, interest in and research on school readiness has increased. Occupational therapists should also establish their roles in the field of school-related rehabilitation and provide various school-based occupational therapies.