• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제25권1호
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• pp.14-19
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• 2014

Objectives : This study was conducted in order to describe prescribing practices in treatment of pediatric bipolar disorder in a Korean inpatient sample. Methods : We performed a retrospective chart review of 66 youths who had been hospitalized and diagnosed with bipolar disorder according to the Diagnostic and Statistical Manual of Mental Disorders, fourth edition criteria. Demographics, clinical characteristics, medications used, doses, and related adverse events were examined. Results : Mood stabilizers and/or atypical antipsychotic medications were the primary treatment. Risperidone, valproate, and lithium were the most commonly used. Thirty seven patients (58.1%) were treated with combination therapy of an atypical antipsychotic and mood stabilizer for improvement of manic/mixed symptoms. Conclusion : Combination pharmacotherapy was necessary for most patients in this admission sample group. Conduct of further studies will be needed for evaluation of treatment response according to the clinical characteristics, and the safety and efficacy of treatment for child and adolescent bipolar disorder.

• 대한가정학회지
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• 제41권1호
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• pp.59-76
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• 2003

The relationship between adolescent children and parents has a profound effect on not only the adolescents development into healthy adults but also the psychological welfare of the parent. A program focused to improve adolescents relationship with parents has not been developed until now. To achieve the educational goals enhancing mutual understanding, it is more effective to educate both the parents and adolescent children. Thus, this study developed and carried out a program in which adolescent children and mothers, being fully in charge of raising children, participated. The study analyzed the program effects after implementing on 6 pairs of adolescent children and mothers. The results are as follows: 1) adolescent children and mothers placed high values on the fact that they can understand each other well, 2) both parties accepted each other by recognizing the inevitability of the generation gap, and 3) the program gave them a chance to admit that they should try to communicate openly. Most of all, adolescent children could find self-confidence while mothers could collect valuable data essential to raise children and build a new mother's role model adapting to social changes.

• 가정과삶의질연구
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• 제21권4호
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• pp.79-92
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• 2003

This research aims to verify the generation transfer of proper manners from mothers to adolescent children and the relationship between adolescents' proper manners and strengths of family life. The data from 826 questionnaires (413 pairs of adolescents and mothers) were used for the final analysis. The findings of the study are summarized as follows: First, as for the extent of the implementation of manners of mothers and adolescent children both parties generally abided by good manners, but a significant difference emerged in the patterns. Second, both mothers and adolescent children were influenced by psychological determinants of self-esteem, values of humanism, emotional intimacy between mother and child, and social support for the implementation of good manners. On the other hand, adolescent children were affected the most by the emotional intimacy with mothers. Third, children generally showed significant differences in their implementation of manners according to the manners their mothers. Fourth, there were significant differences in the strengths of family life for adolescent children depending on their implementation of manners. Fifth, when comparing the relative contribution of the mothers' psychological determinants on strengths of family life and adolescent children's psychological determinants on the implementation of manners, strengths of family life gained more credibility as more variables were added.

• Human Ecology Research
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• 제61권1호
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• pp.141-154
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• 2023

This research was conducted in order to examine previous studies on paternal parenting methods involving adolescent children in terms of their academic field, research period, method and subjects, and family variables. A total of 104 research publications from the period between 2003 and 2022 were investigated, with 99 quantitative research (43 theses and 56 academic journals) and five qualitative data sources. The analysis results show that the topic of fathers with adolescent children was the most studied in the field of education, and it rapidly increased from 2011 to 2014 and then rapidly decreased from 2019. The main subject of the studies was middle-school students, while most of the studies adopted a quantitative approach, with a minimal number of qualitative studies. Parenting studies were concentrated on father variables and several such studies were found to be related to positive resources such as self-esteem and self-efficacy as variables of adolescent children related to fathers' parenting. The results of these studies provide meaningful implications for future research on the fathers of adolescent children and can be used as basic data for developing detailed education and programs.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제21권3호
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• pp.168-173
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• 2010

Objectives: This study was conducted to compare emotional problems in children with neurosurgical diseases prior to surgery as well as levels of parenting stress experienced by mothers of children treated with surgery and those without surgery. The goals was to provide a basis on which comprehensive treatment interventions could be established. Methods: Subjects included 78 elementary school children who visited the Department of Pediatric Neurosurgery as well as their mothers. The Children's Depression Inventory (CDI) and the Revised Children Manifest Anxiety Scale (RCMAS) were administered to children. The Parenting Stress Indexs (PSI) and Beck Depression Inventory (BDI) were administered to their mothers. Results: The children with neurosurgical diseases showed higher levels of depression prior to surgery. In their mothers, parenting stress was relatively higher and parenting competence was lower. In particular, for those children who underwent surgery, depression was significantly higher. Specifically, they exhibited more negative expectations, and negative self-image. In mothers of children who underwent surgery, depression was significantly higher. Conclusion: Our results suggest higher levels of emotional distress and parental stress in children who undergo neurosurgical operations and their mothers, respectively. Based on this, the necessity for surgical and comprehensive psychological intervention is suggested.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제19권2호
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• pp.112-119
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• 2008

Objectives : This study was conducted to examine whether there are qualitative differences in attention problem among children with various psychiatric disorders, including attention-deficit hyperactivity disorder (ADHD), depressive disorder, anxiety disorder, and tic disorder using clinical ADHD diagnostic system (ADS) T-scores. Methods : The subjects were 794 outpatient children aged from 5 to 15 years, including 540 children with ADHD, 95 children with depressive disorder, 86 children with anxiety disorder, and 73 children with tic disorder. Clinical T-scores on the ADS were calculated using the mean and standard deviations of four ADS variables for the ADHD group. Results : All four groups had T-scores on the ADS in the abnormal range. However, when comparing the clinical T-scores, the children with depressive and anxiety disorders performed better than the children with ADHD. We also found that although the four groups seemed to be similar in terms of clinical T-scores for omission and commission errors, there were significant differences in clinical T-scores for reaction time and the standard deviation of response time (RT) between the ADHD and other groups. Conclusions : We concluded that inattention and impulsivity might not be specific only to ADHD and that the clinical T-scores of RT and standard deviation of RT on the ADS could be used to discriminate between ADHD and other clinical groups.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제35권1호
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• pp.44-50
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• 2024

Parents of children with autism spectrum disorder (ASD) often encounter unique challenges when attempting to understand their children's challenging behaviors such as self-injury, aggression, noncompliance, and stereotypies. In this study, we aimed to analyze and clarify the definition of challenging behaviors in individuals with ASD, identify the variables associated with challenging behaviors, and determine the function of these behaviors. Systematic observation and data collection are crucial to understand the functions of specific behaviors exhibited by individuals with ASD based on their antecedents and consequences. Knowledge regarding these will enable clinicians to develop and implement effective interventions. Additionally, the treatment approach should aim for generalization to improve the quality of lives of both children with ASD and their caregivers.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제18권2호
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• pp.154-161
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• 2007

Objectives: The aim of the current study is to test for the association of DRD4 exon III VNTR polymorphism with attention-deficit hyperactivity disorder(ADHD) in Korean children population. Methods: 113 Korean children with ADHD, 102 parents, and 133 control subjects participated with the current study. The distribution of genotypes and alleles of DRD4 exon III VNTR in children with ADHD was compared with that in control subjects. In addition, 69 children with ADHD and their parents were analyzed using the transmission disequilibrium test(TDT). Results: We could not find any significant differences in the distribution of genotypes and alleles at DRD4 exon III VNTR polymorphism between children with ADHD and control subjects. In addition, there was no preferential transmission of long allele of DRD4 exon III VNTR polymorphism. Conclusion: These results suggest that DRD4 is not associated with ADHD in Korean children population.

• 대한가정학회지
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• 제43권5호
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• pp.163-181
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• 2005

This study compared influential factors on adolescent's (10-16 years of age) self-concept in Korean-chinese and Korean cultures. The influence of parenting, peer relationship, and teacher's support on the development of children's and adolescent's self-concept was assessed with Korean-Chinese and Korean elementary, middle, and high school students. The subjects were 210 Korean-Chinese children and 300 Korean-Chinese adolescent from Shenyang, China, and 280 Korean children and 400 Korean adolescents from Seoul and Ulsan, Korea. Data were analyzed by t-test, factor analysis, and multiple regression. The results revealed differential influences of factors between the two cultures. Korean-Chinese children's self-concepts were influenced by teacher's support and parenting, while Korean children's self-concepts were significantly influenced tv their peer relationships and teacher's support. Korean-Chinese adolescent's! self-concepts were influenced tv teacher's support and parenting, while Korean adolescent's self-concepts were influenced by parenting and teacher's support.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제26권3호
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• pp.176-182
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• 2015

Objectives : The purpose of this study was to analyze the factors related to the disclosure patterns of sexual abuse in children and adolescent victims. Methods : A sample of 153 children and adolescents who visited the Sunflower children's Center (Incheon) between January 1, 2011 and December 31, 2012 were analyzed. The medical records of the victims were reviewed retrospectively. Results : Ninety (58.8%) subjects made a disclosure of sexual abuse voluntarily. The revelation was most commonly made to a parent. The severity and duration of sexual abuse were related to the disclosure patterns. In addition, the group that displayed below average intelligence, particularly subjects in the group with borderline intellectual functioning, tended to disclose their history of abuse less voluntarily than the subjects with normal intelligence. Conclusion : The current study provides insight into the factors that affect disclosure patterns in children and adolescent sexual abuse victims. To prevent sexual abuse, we suggest that special legal assistance and social concern be required for children and adolescents with borderline intellectual functioning.