• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.17 no.2
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• pp.124-130
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• 2006

Objectives : The objective of this study was to evaluate the differences in patterns of temperament and character, as assessed by the Junior Temperament and Character Inventory (JTCI), between the children with attention-deficit/hyperactivity disorder (ADHD) and the control group in a community sample. In addition, we examined the potential differences on JTCI profiles according to the ADHD subtypes. Methods : Parents of 185 ADHD subjects (mean age $9.0{\pm}1.7$ years), as diagnosed by the DISC-IV, and 185 age- and gender-matched comparison children have completed the parent's version of the JTCI. Results : The ADHD group scored significantly higher in Novelty Seeking and lower in Persistence than the comparison group on JTCI. However, there were no significant differences in the temperament or character profiles by the ADHD subtypes. Conclusion : The results of this study suggest that the temperamental factors of higher Novelty Seeking and lower Persistence are related to ADHD. The temperament or character profiles in this study do not provide support for the distinctiveness of the ADHD subtypes.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.27 no.3
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• pp.216-225
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• 2016

Objectives: The purposes of this study are to evaluate the effect of a school-based social skills training program on the emotional regulation of children and adolescents and to assess the plan for effective school-based mental health services. Methods: The Child and Adolescent Mental health promotion team of Bugok National Hospital conducted school-based social skills training (N=90, 7 sessions) for elementary and middle school students. Evaluations were conducted before and after the application of the program using a prosocial behavior questionnaire, a cohesiveness questionnaire, the Korean version of the 20-item Toronto Alexithymia Scale, a self-esteem scale, and the Novaco anger scale, in order to identify any changes. Results: The social skills training program increased the prosocial behavior and cohesiveness of the children and adolescents and decreased their alexithymic tendency and degree of anger, but did not significantly change their self-esteem. Conclusion: The social skills training program positively influences the emotional and behavioral levels of children and adolescents. The emotional regulation program based on a social skills training program is expected to have positive results in school-based mental health services. Future investigations are needed to validate the long term effects of this program.

• Journal of Korean Academy of Nursing
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• v.24 no.1
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• pp.85-95
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• 1994

The effects of media violence on the delinquent behavior and violence of children and adolescent are controversial. However, a small but genuine association appears to exist between media violence and aggression or violence. At the present, for a considerable proportion of the population of children and adolescent, delinquent behavior and violence has become a major problem and a way of life. One factor contributing to this problem has been assumed to be the negative influence of mass media including television, drama, videotapes and fiction magazines and so on. Therefore, this paper is intended to discriminate the causal relationship of influence of mass media and juvenile delinquent behavior and violence and to provide nine hypotheses derived from reviewing the literature related to mass media and delinquent behavior. The nine hypotheses are as follows : 1. The presence of modeling mass media crime themes and the extent of interest in and exposure of children and adolescent to media violence themes will be positively correlated to their delinquent(aggressive) behavior. 2. A higher positive correlation will be revealed between interest in and exposure to media violence themes and aggressive behavior among adolescent having parental rejection than among adolescent not experiencing parental rejection. 3. A higher positive relationship will be found between interest in and exposure to mass media crime themes and delinquent behavior among youth having need deprivation than among youth not having need frustration. 4. A higher positive relationship will be presented between the presence of imitating mass media crime themes and interest in and exposure to media violence themes and delinquent or aggressive behavior among youth dysplaying their maladaptive character tendency than among those adolescent dysplaying adaptive character tendency. 5. A higher positively correlating relationship will be shown between interest in and exposure to mass media crime themes and delinquent behavior among youth with a higher scores of depressive trend than among those youth having few or no depression. 6. A higher positive relationship will be found between interest in and exposure to media violence themes and aggressive behavior among adolescent complaining of a high degree of psychosomatic complaints than among those youth having few or no psychosomatic complaints. 7. A higher positive correlation will be appeared between interest in and exposure to mass media crime themes and delinquent behavior among youth displaying aggressive impulsiveness than among those youth having few or no aggressive impulsiveness. 8. A higher positive relationship will be found between interest in and exposure to media violence themes and aggressive behavior among youth having antisocial character or neurotic character with weak ego functioning than among those adolescent not having antisocial character or neurotic character with weak ego functioning. 9. A higher positive correlation will be existed between interest in and exposure to mass media crime themes and delinquent behavior among adolescent displaying the lack of sociality than among those youth not having the lack of sociality. The above nine hypotheses will be tested by statistical methods including Chi-square test, simple correlation, principal component analysis, principal component regression analysis and LISREL path analysis.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.34 no.1
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• pp.37-44
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• 2023

Objectives: Tic disorders are highly heritable; however, growing evidence suggests that environmental factors play a significant role in their pathogenesis. Studies on these factors have been inconsistent, with conflicting results. Therefore, this study aimed to examine the associations of pre- and perinatal exposure to Tourette syndrome (TS) or chronic tic disorders (CTD) in Korean school-aged children. Methods: This case-control study used data from a large prospective cohort study. The primary outcome was TS/CTD diagnosis according to the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5) criteria and Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version-Korean Version. Demographic, pre-, and perinatal information was obtained from the maternal questionnaires. Data between the TS/CTD and control groups were compared using the chi-squared or Student's t-test, as appropriate. Two-step logistic regression analyses were used to test the association between TS/CTD and pre- and perinatal risk factors. Results: We included of 223 children (78 with TS/CTD and 145 controls). Significant differences in the demographic data between the two groups were observed. The male sex ratio, mean parental age, parental final education level, and family history of tics were included as confounders. In the final adjusted multivariable model, TS/CTD was significantly associated with antiemetic exposure during pregnancy (odds ratio [OR]=16.61, 95% confidence interval [CI] 1.49-185.22, p=0.02) and medically assisted reproduction (OR=7.89, 95% CI 2.28-27.28, p=0.01). Conclusion: Antiemetic exposure and medically assisted reproduction are significantly associated with the risk of TS/CTD. These results should be replicated in future prospective and gene-by-environment studies.

• Therapeutic Science for Rehabilitation
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• v.12 no.4
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• pp.67-80
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• 2023

Objective : This study aimed to investigate the current status of physical therapy in children and adolescents. Methods : Sixty questionnaires from physical therapists treating children and adolescents with disabilities were analyzed. The questionnaire consisted of questions on physical therapy, participants, satisfaction, and the assessment of pediatric and adolescent physical therapy. Descriptive statistics and frequencies were used to investigate the current status, participants, and satisfaction. Differences between physical therapy participation difficulty, importance-ability of major aspects of pediatric and adolescent physical therapy, and therapy goal frequency were analyzed using paired T-test. Results : 11 to 15 cases (66.7%) and one-on-one treatment (95.0%) were performed independently (95.0%). The main ages of the subjects were preschool and school, the diagnoses were brain lesions and developmental delay, and treatment was conducted for up to 20 years or older. Satisfaction with pediatric and adolescent physical therapy was high (70.0%), as was the intensity of work (71.7%). Neurodevelopmental therapy, gait training, and goal-directed rehabilitation were the main treatments, and Gross Motor Function Measures of 88 and 66, respectively, were used. Respondents said that current fee system is inadequate (66.1%) and appropriate fee system is needed. Conclusion : This study extensively investigated the content of and factors related to pediatric and adolescent physical therapy. Based on the current situation, efforts to improve the expertise and continuity of pediatric and adolescent physical therapists and apply the latest treatment techniques are required.

• International Journal of Contents
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• v.12 no.4
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• pp.69-75
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• 2016

Adolescent media addiction has emerged as an important social agenda in Korea. However, there has not been enough discussion on the causal structure of media addiction and policy interventions. The objective of this study is to identify and assess the mechanism of the existing and the revised Shutdown policy based on the systems thinking approach. To achieve this purpose, we establish the relationship between media usage, flow, and addiction, and develop a causal loop diagram. Based on the causal loop diagram, we explore the causal structure of two policy scenarios: shutdown policy and deregulation. Our study suggests that policy interventions inducing direct parental control on children's media usage time are ineffective since the time control reduces children's autonomy, which helps alleviate media addiction. Therefore, this study suggests that policy intervention should focus on alleviating addiction itself rather than on controlling media usage time.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.21 no.3
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• pp.141-146
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• 2010

This summary of literature during the past year reviews published studies relating to risk factors for depressive disorders in children and adolescents. Risk factors include environmental toxins, socio-environmental, and genetic factors. As depression has a complex, multifactorial causal mechanism, it is likely that the accumulation and/ or interaction among multiple risk factors lead to depression. Findings related to the result of toxin exposure have been difficult to interpret given that risk factors tend to interact and that higher mental functions are not easily measurable. However, some findings have been consistent. Clinical research data has also shown that the risk for negative outcomes may be modified both by genetic and environmental factors through a gene environment interplay mechanism.

• International Journal of Human Ecology
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• v.5 no.2
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• pp.51-59
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• 2004

Parents' marital conflicts are often linked to various emotional and behavioural difficulties of their children but rarely known about later adolescent and adult lives. This study was undertaken to examine if serious parental conflict such as divorce and/or separation in childhood was associated with emotional and social performance during later adolescent and adult lives. The research literature on divorce was briefly reviewed. The data was derived from the National Child Development Study (NCDSS 1974/age 16 - 1991/age 33) which followed the lives of 17,500 individuals born on March 3-9, 1958 in England, Scotland and Wales. Regression analyses indicate strong evidence that the experience of parental divorce or separation in childhood negatively affects the child's emotional and social performance in their subsequent life. The higher likelihood of having emotional problems, being less competent at their job, experiencing health/disability problems, being a lone-parent, unemployed, and homeless were strongly associated with parental divorce or separation experienced in childhood. Intervention is desirable to address the concerns influencing socio-psychological performance amongst children who have experienced parental divorce or separation.

• Korean Parent-Child Health Journal
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• v.8 no.1
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• pp.17-22
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• 2005

Adolescence can be a time of turmoil and of stress. Rebellion against authority and against convention is to be tolerated for the sake of growth. The adolescence of children is a difficult time for parents. It is difficult to tolerate his/her manners, language, shifting moods, and constant confrontations of an adolescent child. Because of his/her egocentric thought process, he/she will be truly surprised if parents feel hurt by his/her behaviors. The parents need to learn that all these irrational behaviors fit his/her developmental phase. Adolescents have to free themselves from childhood ties with parents, establish new identification with peers, and find their own identity. The parents can be role models, maintain communication channels, and show their love while adolescents go through temporary disorganization and madness necessary for reorganization which will lead to mature human beings.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.32 no.3
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• pp.99-103
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• 2021

The purpose of this review is to examine the clinical use of functional near-infrared spectroscopy (fNIRS) in children and adolescents with psychiatric disorders. Many studies have been conducted using objective evaluation tools for psychiatric evaluation, such as predicting psychiatric symptoms and treatment responses. Compared to other tools, fNIRS has the advantage of being a noninvasive, inexpensive, and portable method and can be used with patients in the awake state. This study mainly focused on its use in patients with attention-deficit/hyperactivity disorder and autism spectrum disorder. We hope that research involving fNIRS will be actively conducted in various diseases in the future.