• 제목/요약/키워드: Adolescent Children

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소아청소년 양극성장애 입원 환자의 약물 사용 특성 : 후향적 차트 분석 연구 (Prescribing Patterns for Treatment of Pediatric Bipolar Disorder in a Korean Inpatient Sample)

  • 권오향;박수빈;이수민;김재원;신민섭;유희정;조수철;김붕년
    • 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.

청소년자녀와 어머니를 위한 세대간 이해증진 프로그램 개발 및 실시 (A Program Development and Implementation Enhancing to Understand Generations between Adolescent Children and Parents)

  • 김명자;이정우;계성자;박미석;송말희;김경아;박수선;유을용;정진희
    • 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.

청소년의 예절수행 세대전이 및 가정생활건강성 -어머니와 청소년기 자녀를 중심으로- (Adolescents' Proper Manners and Strengths of Family Life : Generational Transfer between Mothers and Adolescent Children)

  • 김경아;이정우
    • 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.

청소년기 자녀를 둔 아버지 연구에 대한 동향분석 (Analysis on the Research Trend of Fathers with Adolescent Children)

  • 황지연;김준미;서은애;신효정
    • 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.

외과적 뇌질환을 가진 학령기 아동의 수술 전 정서적 불안정감과 어머니의 양육스트레스에 관한 예비연구 (The Emotional Distress Prior to the Surgery and the Parenting Stress in Elementary School Children with Neurosurgical Diseases : The Preliminary Study)

  • 원주식;엄소용;김동석;심규원;송동호
    • 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.

연속수행검사에서 주의력결핍 과잉행동장애 감별 진단 시 임상 T-점수의 유용성 - 주의력결핍 과잉행동장애, 우울장애, 불안장애, 틱장애를 중심으로 - (Usefulness of Clinical T-Score of Continuous Performance Test for Differential Diagnosis : among Attention-Deficit Hyperactivity Disorder, Depressive Disorder, Anxiety Disorder, and Tic Disorder)

  • 윤수연;구훈정;김붕년;조수철;신민섭
    • 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.

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Multifaceted Approach to Addressing Problem Behaviors in Developmentally Challenged Children

  • Yearin Kim;Bung-Nyun Kim;Yeni Kim
    • 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.

도파민 소용체 제4형 Exon III 다형성과 주의력결핍 과잉운동장애의 연합연구 (No Association of DRD4 Exon III Polymorphism with Attention-Deficit Hyperactivity Disorder in Korean Children Population)

  • 조수철;박태원;김재원;유희정;김붕년;신민섭;황준원
    • 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.

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부모, 또래, 교사가 아동과 청소년의 자아개념발달에 미치는 영향: 중국 조선족과 한국 아동 및 청소년 비교 (Parents' Peers' and Teachers' Influence on the Self-concept of Korean-Chinese and Korean Children and Adolescents)

  • 이사라;박혜원
    • 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.

아동청소년 성폭력 피해자의 피해사실 폭로에 영향을 미치는 요인 (Factors Associated with Disclosure of Sexual Abuse of Children and Adolescent Victims)

  • 한정수;조성진;배승민
    • 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.