• 대한가정학회지
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• 제38권9호
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• pp.41-56
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• 2000

The purpose of this study is to compare the psychological environment of adolescent family between parents and their children through analysis each party's perception. A survey was conducted on 1235 high school students and their parents from 19 high schools. The main results are as follows: 1. Regarding family cohesion and family adjustment, both the parents and their children showed an average level, whereas parents had a tendency to show a higher level than their children. There is no significant difference between girls and boys and between fathers and mothers as for family cohesion, while the girls and their mothers showed significantly higher level of adjustment than boys and their fathers. 2. The adolescents and their parents showed relatively open communication style and parents have significantly more open communication style than their children. 3. The adolescents felt that they were viewed more negatively by their parents than what their parents actual views were.

• Clinical and Experimental Pediatrics
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• 제52권12호
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• pp.1327-1336
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• 2009

Increasing numbers of children and adolescents prefer undertaking physical exercise to overcome overweight or obesity. Children and adolescents are in the growth stage and require adequate nutrient supply. More calories and nutrients are required especially when they are engaged in physical exercise. Exercise is the only means to increase lean body mass and decrease body fat, but adequate nutrient supply is also essential. Lack of adequate nutrient supply causes muscle mass loss, menstruation irregularity, reduced bone density, fatigue, or frequent injury in children undertaking physical exercise. Here, I have introduced some guidelines on the nutrient requirement for child and adolescent athletes.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제31권2호
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• pp.74-79
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• 2020

Coronavirus disease 2019 (COVID-19), which was first identified in Wuhan, China, in late December of 2019 is rapidly spreading across the globe. The South Korean government has ordered the closure of all schools, as part of its attempts to use social distancing measures to prevent the spread of COVID-19. The effects of the school closures on reducing contagion are generally positive; however, the measure is controversial because of the socioeconomic ripple effect that accompanies it. The author briefly reviewed the existing literature on the mental health aspects of disasters and presents the issues related to school closures due to pandemics, from medical and socioeconomic perspectives and in terms of children's mental health. The results of this review suggest that research on children's mental health in relation to the adoption of school closures as a pandemic mitigation strategy is urgently needed.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제23권3호
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• pp.154-160
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• 2012

Objectives : The purpose of this study was to investigate clinical characteristics of children and adolescents with autism spectrum disorders (ASDs) using methylphenidate (MPH). Methods : Retrospective review of the charts of 79 children and adolescents with ASDs, who visited the Department of Child and Adolescent Psychiatry of Seoul National Hospital, from July 2010 to July 2011, was conducted. Changes in illness severity and improvement were measured using the Clinical Global Impression-Severity of illness (CGI-S) and Clinical Global Impression-Improvement (CGI-I) Scales. Results : We found that MPH was prescribed in 23 (29.1%) children and adolescents. Of the 23 patients on MPH, 4 patients (17.4%) were on MPH monotherapy and 18 patients (78.3%) were using risperidone concomitantly. MPH was prescribed primarily for symptoms of hyperactivity and impulsivity in ASDs patients. The mean dosage of MPH was $26.2{\pm}11.1$mg/day and mean duration of treatment was $31.9{\pm}28.7$ months. Mean CGI-S score improved significantly from baseline to endpoint (from $5.4{\pm}0.6$ to $4.1{\pm}0.9$ ; p<.01). MPH was reported to be effective in 17 patients (17/23, 73.9%), and 10 patients (10/23, 43.5%) reported side effects. Side effects included decreased appetite (4/23, 17.4%), tic (2/23, 8.6%), sleep disturbances (2/23, 8.6%), headache (1/23, 4.3%) and irritability (1/23, 4.3%). Conclusion : The results of this study demonstrate that MPH may be used effectively and safely in children and adolescents with ASDs with hyperactivity and impulsivity. Future controlled trials are needed to confirm these findings.

• Child Studies in Asia-Pacific Contexts
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• 제3권2호
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• pp.105-122
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• 2013

The relationship between an adolescent and his/her parents is one of the most important relationships that can have a significant effect on adolescents' well-being and functioning. While there has been an increase in research on Asian American families in recent years, still much less is known about adolescent-parent relationships in these families. Asian American adolescents face some of the challenges that mainstream European American adolescents face, but their experiences are complicated by the cultural and immigration-related factors that have unique contribution to their relationships with their parents. As such, there is urgent need for research that identifies and provides a comprehensive understanding of factors that contribute to the experiences of Asian American immigrant families. The current paper provides a systematic look at adolescent-parent relationships in Asian American immigrant families using the Bronfenbrenner's ecological model. More specifically, this paper provides a succinct review of the literature on developmental issues, immigration, and culture-related factors that affect Asian American adolescent-parent relationships, and guided by Bronfenbrenner's ecological theory, an ecological framework of Asian American adolescent-parent relationships is proposed.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제25권3호
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• pp.128-135
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• 2014

Objectives : The purpose of this study was to evaluate the effect of social skills training (SST) for children in two different community settings, an elementary school and a child community center. Methods : Two separate groups of 15 children (10 boys and 5 girls) and 13 children (4 boys and 9 girls) participated in a SST program twice per week at an elementary school and a child community center, respectively. Age range of participants was from 8 to 10 years. Sixty-minute-long sessions of SST were continued twice per week for 4 weeks. Korean-Child Behavior Checklist (K-CBCL), Conner's Rating Scales, Korean-Attention-Deficit Hyperactivity Disorder Rating Scale (K-ARS), Social Skills Rating System (SSRS), and Matson's Evaluation of Social Skills with Youngsters (MESSY) were evaluated by their parents before and after the SST program. Results : Pre-and-post analysis of SST indicated no significant statistical differences in the elementary school group. However, the child community center group showed significantly increased scores for total social ability (p<.05) and decreased scores for attention problem (p<.05) on the K-CBCL. In addition, scores of MESSY were significantly increased (p<.05). These differences between the two groups were still significant after controlling pre-SST scores ; and difference of SST scores between the two groups disappeared after SST. Conclusion : Results suggest that SST in the community setting is an effective tool for prevention of social deficits and problems in attention by promoting social function and attention.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제29권2호
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• pp.47-53
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• 2018

Objectives: This study aimed to develop the attention-deficit hyperactivity disorder (ADHD)-After School Checklist (ASK) to evaluate the severity of ADHD symptoms and self-management ability in children and adolescents in South Korea. Additionally, we evaluated the reliability and validity of the scale. Methods: We developed the ASK to evaluate the effect of ADHD psychopathologies on self-management and interpersonal impulsivity. We investigated the reliability and validity of the scale with 1349 parents (male 56.9%; 1202 parents of non-ADHD children, 147 parents of children with ADHD) in Seoul and Gyeonggi Province, Korea. Results: According to the construct validity test using principal constant analysis with the varimax rotation method, two factors explained 60.7% of the cumulative variance in ASK scores. Cronbach's alpha for the whole scale was 0.71. There was no statistical difference between mean ASK scores at test and retest. Mean total ASK scores of the ADHD group were significantly higher than those of the non-ADHD group (p<0.001). Conclusion: The ASK can be used as a reliable and valid tool to evaluate not only self-management capability of children and adolescents with ADHD in their academic and everyday life, but also their impulsiveness in interpersonal relationships.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제4권1호
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• pp.142-163
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• 1993

정서적인 문제로 갑자기 산만하고 공격적인 문제를 보였던 8세된 국민학교 남아의 놀이치료 내용과 이에 대한 집단 지도 ${\cdot} 감독(supervision)을 자세히 기술함으로써 놀이치료 초심자가 초기 놀이치료에서 경험할 수 있는 여러 가지 문제점과 과제에 대해 살펴보았다. 놀이치료 초기에 초심치료자가 흔히 범하는 잘못은 치료자 자신의 불안이나 성격적 특성 때문에 놀이를 환아가 선택하는 방향으로 보다는 자신에게 의미있는 내용으로 이끌려하고, 너무 적극적이거나 무반응, 과잉간섭, 과잉 및 부적절한 해석, 현실과의 직접적 인계시도이다. 놀이치료 초기의 가장 중요한 과제는 치료자가 환아의 긍정적이고 신뢰할 수 있는 관계를 형성하는 것임으로 그리기 위해서는 환아를 있는 그대로 수용하며, 환아가 이끄는 방향으로 놀이가 일어날 수 있도록 허용하며, 치료자와의 관계를 통해 수정된 발달경험을 함으로써 문제와 갈등이 해결될 수 있다는 확신을 전해주어야 한다. 치료자는 놀이치료의 초기에는 모든 노력을 관계형성을 이루는데 촛점을 맞추어야 한다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제24권3호
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• pp.295-305
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• 2021

Purpose: Hepcidin levels have previously been reported to be correlated with liver damage. However, the association between hepcidin levels and liver fibrosis in children with fatty liver disease remains unclear. This study therefore aimed to investigate the pathophysiology of fibrosis in children with fatty liver disease and its association with hepcidin levels. Methods: This retrospective case series included 12 boys aged 6-17 years who were diagnosed with nonalcoholic fatty liver disease (NAFLD) or nonalcoholic steatohepatitis (NASH) at the Tokyo Medical University Hospital. Sixteen liver biopsy samples from 12 subjects were analyzed. Serum hepcidin levels were assayed using enzyme-linked immunosorbent assay. Immunostaining for hepcidin was performed, and the samples were stratified by staining intensity. Results: Serum hepcidin levels were higher in pediatric NAFLD/NASH patients than in controls. Conversely, a significant inverse correlation was observed between hepcidin immunostaining and Brunt grade scores and between hepcidin scores and gamma-glutamyltranspeptidase, hyaluronic acid, and leukocyte levels. We observed inverse correlations with a high correlation coefficient of >0.4 between hepcidin immunostaining and aspartate aminotransferase, alanine aminotransferase, total bile acid, and platelet count. Conclusion: There was a significant inverse correlation between hepcidin immunoreactivity and fibrosis in pediatric NAFLD patients; however, serum hepcidin levels were significantly higher, suggesting that these patients experienced a reduction in the hepcidin-producing ability of the liver in response to iron levels, leading to subsequent fibrosis. Therefore, hepcidin levels can be used as markers to identify the progression of fibrosis in patients with NAFLD.

• 농촌지도와개발
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• 제18권1호
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• pp.35-72
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• 2011

Study on children from international marriage so far has been conducted focusing on the school-aged children, and it uniformly presents those children as a mere being with problem, overlooking regional variables of rural area. Hence, this study aims to seek various means of adaptation of children from international marriage by considering both variables rural area and adolescence. For this study, six children from international marriage living in the rural area of H county in Jeonlanamdo were chosen, in-dept interview were conducted, and Giorgi(1985) was used to analyze qualitative data. The results shows that these adolescences appear to have extensive experiences in the areas of learning, personal relationship, home and identity. Level of academic achievement was influenced by what school they attend to, and personal relationship aspect was affected by prejudice and discriminative perception from people around them. In addition, in home environment, hatred toward father, sympathy for mother, comparison with mothers who have great cultural adaptation skills, and pressure as the firstborn appear to be on the increase. Adolescent children tend to be addicted to internet games in order to escape from anxiety, experiencing identity crisis. They tend to be negative about international marriage of their parents, and exhibit behaviors refusing values and religious view of their parents. At the conclusion, limitation of the study and suggestion for further study are presented.