• 치위생과학회지
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• 제20권2호
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• pp.89-96
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• 2020

Background: Multicultural families are constantly on the rise as marriage migrants and foreign workers increase. Multicultural families appear to record poor health levels compared to native families. As health is a social issue, children of surviving generations of multicultural families are also a growing interest. This study was conducted to confirm the effect of multicultural families and parents' educational level on the scaling experience of children. Methods: For this study, the 2016~2018 Korea Youth Risk Behavior Web-based Survey data were used. In order to make the two groups of adolescents belonging to multicultural and native families similar, a total of 5,362 people were included in the survey, consisting of 2,681 individuals each from multicultural and native families using the propensity score matching method. Logistic analysis was performed to identify factors influencing the scaling experience of adolescent children. Results: The results confirm that, even after controlling for factors such as parents' educational level, household income, and children's oral health behavior, parents' nationality appeared to have a statistically significant effect on their children's scaling experience. In addition, it was confirmed that the experience of oral health education had a significant effect. Conclusion: Cultural heterogeneity and the lack of adequate language ability of immigrants affects health behavior and medical accessibility. Therefore, children from multicultural families are more likely to be exposed to unhealthy environments compared to the children of native Korean families. Based on an understanding of the socioeconomic multicultural background of individuals, education and public policy should be prepared to improve the awareness for the need for preventive oral health and provide unhindered accessibility to dental services.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제28권4호
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• pp.228-234
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• 2017

Objectives: The aim of this study was to investigate the clinical characteristics of aggressive behavior problems in children and adolescents with autism spectrum disorder (ASD). Methods: Children and adolescents with ASD, aged 6-18 years, were included in this study. We divided them into two groups according to the presence or absence of aggressive behavior. They were assessed using three scales, the Korean-Child Behavior Checklist (K-CBCL), Behavior Problem Inventory, and Social Communication Questionnaire, which were completed by their parents, who conducted a continuous performance test to evaluate their attention function. The statistical analysis was done using the Mann-Whitney U-test between the two groups at a p-value of 0.05. Results: A total of 17 children participated in this study. Ten children (7 boys, $12.4{\pm}4.27years$) were included in the group with aggressive behavior problems and 7 children (6 boys, $13.8{\pm}3.53years$) in the group without aggressive behavior problems. There were no significant differences in the age, gender or intelligence quotient of the two groups. The children with aggressive behavior problems showed a trend of higher T-scores in the attention problems and anxiety/depressed subscale of the CBLC (p<0.1). Conclusion: The results suggest that aggressive behavior problems in children with ASD may be related to their attention problems, anxiety and depression.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제23권2호
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• pp.82-89
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• 2012

Objectives : Demands for comprehensive and intensive treatment programs for treatment of children with attention-deficit hyperactivity disorder (ADHD) who suffer from serious impairment in various psychosocial areas are increasing. The aim of this study was to evaluate the possibility of developing new types of camp programs focused on improving social adjustment of children and helping parents effectively manage their children's problem behaviors. Methods : Fifteen children diagnosed as ADHD according to Diagnostic and Statistical Manual of Mental Disorders-IV (mean age 9.5 years) and their parents participated in this program. Eight consecutive camps were held at two-week intervals, from Jun 2007 to Oct 2007 in an adolescent training center located at Chungtaesan, in Korea. Each camp program included social skills training in the classroom and outdoor activities in the forest for children, as well as parent training for mothers. In addition, after the sixth camp, we conducted one parental session for fathers and a three-day booster family camp three months later. Finally, eleven families adhered to the program. Results : All children, parents, and therapists rated questionnaires or checklists at baseline, intra-, and post-treatment. Parenting burden rated using the Parenting Stress Index showed a significant decrease, from 57.89 to 46.22 (p=.019). And, overprotection rated using the Parenting Bonding Instrument showed a significant decrease, from 16.56 to 12.44 (p=.046). However, no significant improvement in children's behavioral and emotional problems was observed. Conclusion : In this study, the consecutive ADHD family camp program was effective for empowerment of parental competency, but not for general improvement of children's behavioral and emotional symptoms.

• 한국가정과교육학회지
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• 제18권1호
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• pp.1-16
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• 2006

이 연구의 목적은 청소년 자녀가 부부갈등에 대해 어떻게 지각하고 있으며, 그것이 부모-자녀간 의사소통과 어떤 관계를 갖는지를 살펴보는 것이다. 이를 위해 서울과 경기도 소재 중학교 남, 여 학생 480명을 대상으로 자녀가 지각한 부부 갈등 척도(The Children's Perception of Interparental Conflict Scale)와 부모-자녀간 의사소통척도(Parent-Adolescent Communication Inventory)를 통해 자료를 수집하였고, SPSS 10.0 프로그램을 사용하여 빈도, 백분율, t-test, 일원변량 분석, Duncan검증 Pearson 상관계수 둥을 통해 자료를 분석하였다. 본 연구의 주요 결과를 요약하면 다음과 같다. 첫째, 자녀가 지각하는 부부갈등은 전반적으로 높지 않은 수준으로 대처효율성은 다른 차원에 비해 높게 지각하고 내용은 낮게 지각하였다. 남학생이 여학생보다 부부갈등을 높게 지각하였고, 부모의 학력이 낮고, 생활수준이 중하류 이하일 경우 부부갈등을 높게 지각하였다. 둘째, 부모-자녀간 의사소통은 전반적으로 개방형 의사소통이 많이 이루어졌고 어머니와 더 개방적 의사소통을 하는 것으로 나타났다. 어머니는 첫째와 가장 개방형 의사소통이 많이 이루어졌고 중간 서열의 자녀와는 의사소통이 원활하지 못하였다. 부의 연령이 적을수록, 자녀가 생활수준을 높게 지각할수록 부모와 개방형 의사소통이 이루어졌고 모연령이 적을수록, 부직업이 전문직일수록, 핵가족일수록 아버지와 개방형 의사소통을 많이 하고, 확대가족일수록 아버지와 문제형 의사소통이 많이 이루어졌다. 셋째, 자녀가 부부갈등을 낮게 인식할수록 부모와 개방형 의사소통이 많이 이루어졌고, 부부갈등을 높게 인식할수록 부모와 문제형 의사소통이 많이 이루어졌다. 부부갈등의 하위요인에서는 어머니와의 개방형 의사소통은 모든 영역에서 상관 관계를 가지고 있지만 아버지와의 개방형 의사소통에서는 '내용'과 '지기비난' 영역에서는 상관관계가 나타나지 않았다. 반면 부모와의 문제형 의사소통은 모든 영역에서 상관관계를 가지는데 특히 '빈도'에서 높은 상관관계를 보였다.

• 아동학회지
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• 제38권3호
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• pp.49-63
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• 2017

Objective: The main purpose of this study was to examine the relationship between marital conflict, parentification, and adolescent anxiety. Methods: The participants comprised 301 high school students from the Seoul province. They were asked to complete questionnaires that consisted of the State-Trait Anxiety Inventory, the Children's Perception of Interparental Conflict Scale, and the Filial Responsibility Scale-Youth. The data were analyzed by frequency analysis, Cronbach's ${\alpha}$, descriptive statistical analysis, Pearson's correlation coefficients, multiple regression analysis, and hierarchical multiple regression analysis. To analyze the collected data, SPSS 18.0 was used. Results: First, the content and resolution of marital conflict had an effect on both adolescent state anxiety and trait anxiety. Second, unfairness parentification had an effect on both adolescent state anxiety and trait anxiety. Third, the frequency of marital conflict had an effect on emotional parentification. Further, the intensity, content, and resolution of marital conflict had effect on unfairness parentification. Fourth, unfairness parentification played a partial mediating role in the relationship between the content of marital conflict and adolescent anxiety (state anxiety/trait anxiety). In addition, unfairness parentification played a complete mediating role in the relationship between the resolution of marital conflict and adolescent trait anxiety. Conclusion: These results indicate that parentification plays an important role in marital conflict and adolescent anxiety. In addition, this study also shows that marital conflict has an important effect on adolescent anxiety directly. Therefore, this study will be useful for developing both parental education and counseling programs for adolescents.

• 대한불안의학회지
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• 제9권2호
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• pp.101-105
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• 2013

Objectives : This study was conducted to evaluate the association between first episode polarity of pediatric bipolar disorder and prognosis. Methods : We analyzed the clinical records of 66 inpatient subjects with DSM-IV defined pediatric bipolar disorder. The patients were split into 2 groups according to the polarity of the illness onset [depressive onset (DO) vs. manic/hypomanic/mixed onset (MO)]. Clinical feature and prognosis were compared between the two groups of patients. Results : In our sample, 68% of patients experienced a depressive onset. In DO patients, rates of suicidal attempt, episodic illness course and comorbid disruptive behavior disorder were higher than rates in MO patients. Conclusion : Findings from this study suggest that polarity of illness onset may be useful in predicting the prognosis of pediatric bipolar disorder.

• 한국생활과학회지
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• 제13권4호
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• pp.507-519
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• 2004

The purpose of this study is to explore the general trends and the correlations of parent-child conflicts, copings, and psychological well-being of single mothers and their children, and to analyze the variables explaining relationships between single mothers and their children. The subjects were 196 dyads of single mothers and their children who reside in Gwangju city and Jeonnam area. The data were analyzed with frequency, t-Test, Pearsons' r, and multiple regression by SPSS. The major findings are as follows: 1. Scores of single mothers and their children had conflicts and emotion-focused copings lower than median. Another scores of single mothers and their children had significantly higher problem solving focused copings and emotion-focused copings than their children except life satisfaction; 2. Conflicts, copings, life satisfaction, and depression of a single mother were positively related to those of children; 3. Life satisfaction of single mothers depends on the reason for spouse-loss, their own education background, and problem solving-focused copings. Also, that of children depends on problem solving-focused copings, mother-child conflicts, and the mothers' education. Depression of single mothers is dependent upon mother-child conflicts, emotion-focused copings, and mothers' education. Also, that of children is upon mother-child conflicts, emotion-focused copings, mothers' education, and problem solving-focused copings.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제4권1호
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• pp.46-53
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• 1993

본 연구는 $1990 1 1{\sim}1992 12 31$ 기간 중 서울대학 어린이 병원 소아정신과와 중앙 대학부속 용산병원 소아청소년 크리닉을 방문한 자폐아동 중에서 1986년 및 1988년에 출생한 환자를 대상으로 하여 출생계절 및 출생순위, 자폐아 출산 당시의 산모 연령에 어떤 특이점이 있는지를 알아보기 위해 일반 인구집단의 출생자료와 비교하여 다음과 같은 결론을 얻었다. 1) 자폐아군은 총 357명이었으며 이중 남아가 319명 (89.4%), 여아가 38명(10.4%)으로 남녀 성비는 8.4:1이었다.2) 자폐아군의 월별분포나 계절별분포에 있어 대조군과 차이가 없었다. 3) Slater 및 Greenwood-Yule 방법에 의한 자폐아군의 출생순위를 대조군과 비교 분석한 결과 통계적으로 유의한 차이는 없었다.4) 자폐아군은 일반 대조군에 비해 출생 당시의 산모의 연령이 통계적으로 의미있게 높았다(p<01) 5) 출산의 위험도가 높은 임신은 일반 대조군에 비해 자폐아군에서 통계적으로 의미있게 많았다(p<01)

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제14권1호
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• pp.26-35
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• 2003

소아청소년 정신과에서는 정신분열증과 기타 정신증상에 기존 항정신병 약물을 사용하고 있다. 이들 약물은 졸리움, 기립성 저혈압, 추체외로 증상 등의 부작용이 문제가 된다. 성인에서는 최근 비정형 항정신병 약물사용이 기존 약물을 대체해가고 있다. 소아정신과에서도 기존 항정신병 약물과 비슷한 효과를 보이면서도 부작용이 훨씬 적은 비정형 항정신병 약물의 사용을 시도하고 있다. 하지만 소아환자에 대한 장기 사용 자료는 물론 단기 사용 자료도 매우 빈약한 실정이다. 본 논문에서는 소아청소년 환자에서의 비정형 항정신병 약물 사용에 대한 자료를 검토하였다. 그렇게 하므로 써 소아청소년 정신과에서의 비정형 항정신병 약물 사용에 대한 적절한 접근 방법을 제시하고자 한다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제32권3호
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• pp.93-98
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• 2021

Electroencephalography (EEG) measures neural activation due to various cognitive processes. EEG and event-related potentials (ERPs) are widely used in studies investigating psychopathology and neural substrates of psychiatric diseases in children and adolescents. The present study aimed to review recent ERP studies in child and adolescent psychiatry. ERPs are non-invasive methods for studying synaptic functions in the brain. ERP might be a candidate biomarker in child-adolescent psychiatry, considering its ability to reflect cognitive and behavioral functions in humans. For the EEG study of psychiatric diseases in children and adolescents, several ERP components have been used, such as mismatch negativity, P300, error-related negativity (ERN), and reward positivity (RewP). Regarding executive functions and inhibition in patients with attention-deficit/hyperactivity disorder (ADHD), P300 latency, and ERN were significantly different in patients with ADHD compared to those in the healthy population. ERN showed meaningful changes in patients with anxiety disorders, such as generalized anxiety disorder, separation anxiety disorder, and obsessive-compulsive disorder. Patients with depression showed significantly attenuated RewP compared to the healthy population, which was related to the symptoms of anhedonia.