• Journal of the Korean Home Economics Association
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• v.42 no.3
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• pp.65-77
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• 2004

This study investigated emotional regulation, motive for emotional regulation and behavior problems of children. 64 boys and 58 girls in fourth grade and their mothers were selected for the subject. The children were interviewed about eight interpersonal conflict situations, while their mothers completed the CBCL(Child Behavior Check List). Major findings were as follows: emotional regulation, motive for emotional regulation and behavior problems differed according to the children's gender. Girls used more appropriate display rules for managing negative emotions, and more often, prosocial motives than boys. While girls displayed greater immature behavior, boys displayed more hyperactive and aggressive behavior. Negative emotional regulation was the most predictable variable for boy's behavior problems. Positive emotional regulation and prosocial motives were significant variables predicting girl's behavior problems. These findings implicate that emotional regulation and motive for emotional regulation are important factors in preventing behavior problems of school-age children.

• Child Health Nursing Research
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• v.11 no.4
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• pp.396-404
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• 2005

Purpose: The purpose of this study was to examine the effects of group art therapy on the withdrawn behavior, social behavior, social problems, anxiousness/depression, internalizing problems, total behavior problems and self-esteem in children who are withdrawn. Method: A randomized controlled pre-post test design was used. The participants were 31 children who were withdrawn attending J. P. Elementary School in Pohang City. Sixteen were assigned to the experimental group and 15 to the control group. The program consisted of 20 sessions of 80 minutes per session, 2 days a week, for 10 weeks. Instruments used for this study were the Children's Behavior Check List -Korean version (K-CBCL) and a self-esteem inventory. The data were analyzed using fisher exact test and Mann-Whitney U test. Results: Thescores for withdrawn behavior, social problems, anxiousness/depression, internalizing problems and total behavior problems decreased significantly in the experimental group as compare to the control group. Social behavior and self-esteem increased significantly in the experimental group as compared to the control group. Conclusions: This study provides evidence for the pontential and beneficial effects of group art therapy in children who are withdrawn. The program could be adequately used to improve problem behavior in withdrawn children.

• Journal of the Korean Home Economics Association
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• v.37 no.11
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• pp.167-179
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• 1999

This study was designed to investigate the relation between stress coping behavior and social adjustments in late childhood. Total 657 teenagers (238 ten-year-olds, 230 twelve-year-olds, and 189 fourteen-year-olds) and their parents living in Inchon area participated in the study. Each child was evaluated whether they cope either (a) defensively or (b) actively in several stressful domains by completing the Stress Coping Hating Scales (Korean). Their social adjustments were measured in areas like peer relationship, family relationship, and conformity with Social Adjustment Scales (Korean). The final examination scores were used to rate children’s Academic Achievements. Finally Korean version of Achenbach’s Child Behavior Check List were completed by parents. As results, girls were found to use more defensive strategies to cope stress, showed more conformity and withdrawn behaviors and achieved higher scores academically than boys. Generally younger children tended to adjust better socially than older children. As children grew older they used more and more defensive strategies to cope with everyday stress. Also older children showed more withdrawn behavior and aggressive behavior than younger children. As anticipated children who used more defensive coping strategies were reported to have more behavior problems, showed poorer social adjustments and academic achievements. Children who used more active coping strategies, on the other hands, were reported to haute less behavior problems, adjusted better socially and had better academia achievements. Finally children who adjusted better socially and had high academic achievements were reported to have less behavior problems.

• Child Health Nursing Research
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• v.9 no.1
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• pp.85-95
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• 2003

Purpose: The purpose of this study was to compare psychosocial adjustment in children aged 4-11 years with cancer between on and off treatment. Method: The data was collected from parents of children with cancer through interviews with structured questionnaire at the pediatric outpatient department and inpatient ward of one university hospital located in Seoul. The instrument were the Child Behavior Check List(CBCL) developed by Achenbach(1991) and revised to standardize for Korean children by Oh et al(1997). Result: Total behavior problem score for children on treatment was greater than the score off treatment but there was no significant difference. Children on treatment reported higher levels of depression/anxiety, withdrawal, internalizing scores than children off treatment. Social competence score of children off treatment was greater than the score on treatment and the difference of school performance score of children between on and off treatment was not significant. The scores on the withdrawal, somatic complaints, social immaturity, internalizing scales in the cancer group including both on and off treatment was greater than normative findings in the general population. The scores on the school competence of children off treatment were lower than the norms for healthy children. Conclusion: Findings from this study support the importance of nursing interventions to facilitate the adjustment of children with cancer both on and off therapy.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.4 no.1
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• pp.106-113
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• 1993

Using a reliable assessment procedure and according to the severity of hyperactivity, thirty-six clinic-referred outpatients, 6-12 years of age, were given a diagnosis of Attention Deficit Disorder with Hyperactivity(ADD+H) or without Hyperactivity(ADD-H). Comparisons of behavioral measurement by Conners Rating Scale(CRS) and Home/School Situations Questionnaire(HSQ/SSQ) revealed that the children with ADD+H displayed more pervasive behavior problems at home and school than the children with ADD-H. Also the children with ADD+H were more likely to be delinquent and aggressive compared to the children with ADD-H when using the Child Behavior Check-list(CBCL) for parents Hyperactivity symptom in ADHD is highly correlated with aggression scale on CBCL These finding suggest that ADD+H and ADD-H may differ in clinical disease entity.

• Child Health Nursing Research
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• v.11 no.4
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• pp.490-497
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• 2005

Purpose: The purpose of this study was to investigate the effect on pain of distraction with an operating doll in preschool children(3-6 years old) during an IV catheter insertion. Method: The research design was a nonequivalent control group posttest design, and the participants were 22 children in the experimental group, and 23 children in the control group. The children were hospitalized for enteritis and pharyngitis in a university hospital. The subjective pain was measured using FACES Pain Rating Scale by self report, and the pain behavior responses were scored using Procedure Behavior Check List by observing a film of the entire procedure, and changes in pulse and oxygen saturation as the physiological pain responses were measured by pulse oximeter. Data were analyzed with the SPSS Win 10.0 program. Result: The degree of subjective pain, pain behavior responses, and changes in pulse during IV catheter insertion were significantly lower in the experimental group. But there was no significant difference in $O_2$ saturation between the two groups. Conclusion: Distraction using an operating doll was effective in decreasing pain during inserting the IV catheter in preschool children.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.22 no.4
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• pp.307-313
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• 2011

Objectives : This study explored the clinical differences in attention-deficit hyperactivity disorder (ADHD) patients with and without developmental coordination disorder (DCD). Methods : Participants were 49 children and adolescents with ages between 6 and 18 years. These subjects were placed into 2 groups: ADHD without DCD (24) and ADHD with DCD (25). We used several evaluation tools on both groups: the Affective Disorders and Schizophrenia-Present and Lifetime Version- Korean Version (K-SADS-PL), Wechsler Intelligence Scale for Children-III (WISC-IIII), Child Behavior Check List (CBCL), Korean Personality Rating Scale for Children (K-PRC), and Bruininks-Osretsky Test of Motor (BOT-2). Results : Patients with both ADHD and DCD had a lower performance intelligence quotient and more internal and external behavioral symptoms than patients with ADHD but not DCD. It is possible that patients with ADHD and motor coordination problems should be noticed earlier and given intensive treatment.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.7 no.1
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• pp.92-109
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• 1996

The objectives of the present study were to provide comprehensive assessment of the impact of epilepsy on the psychological well-being of children with epilepsy and to identify the neurological factors associated with the psychopathology. The participant patients were recruited from the population of children and adolescent aged 7 to 16 attending the OPD of department of pediatric neurology in Seoul National University Hospital in Korea. We exclude mental retardation, pervasive developmental disorder and brain organic pathology. As control group, formal students were chosen and their sex, age, achievement, socioeconomic status were matched to patients. The first author interviewed the children and their family members and obtained the developmental history and family information. We used the following 10 scales for assessing psychological and behavioral problems in patients and their family member. The scales were standardized and their validity and reliability were confirmed before. Parent rating scales : Yale children's inventory, Disruptive behavior disorder scale, Parent's attitude to epilepsy questionnaire, Family environment scale, Symptom check-list-90 revision, Children behavior check-list. Children's self rating scales : Children's depression inventory, Spielberger's state-trait anxiety anxiety, Piers-Harris self-concept inventory and Self-administered Dependency questionnaire for Mother. The result showed the risk factors associated depression were early onset, complex partial seizure, lateralized temporal focal abnormality on EEG, Drug polypharmacy, high seizure frequency and sick factors associated anxiety were old age of patient, lateralized temporal focal abnormality EEG, Drug polypharmacy, high seizure frequency. Also the result of this present study indicated that risk factors associated oppositional defiant disorder, conduct disorder and attention deficit hyperactivity disorder were young age, male, early onset, lateral temporal EEG abnormality and high seizure frequency. According to these results, common risk factors associated psychological and behavioral problems were lateralized EEG temporal abnormality, high seizure frequency in neurological factors.

• Journal of Korean Academy of Nursing
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• v.40 no.3
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• pp.453-461
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• 2010

Purpose: In this study differences in behavioral problems between children at risk for Attention Deficit Hyperactive Disorder (ADHD) and normally developing children were identified. Further, relationships between parental stress, depression, and child behavioral problems according to ADHD symptoms were explored. Methods: Participants were 222 elementary school children and their parents. The ADHD risk group was determined by the Korean-ADHD Rating Scale. Data were collected using the Korean-ADHD Rating Scale, Korean version of Child Behavior CheckList (K-CBCL), Parenting Stress Index, and Beck Depression Inventory. Data were analyzed using t-test, Pearson correlation coefficients, and regression analysis. Results: 1) The ADHD risk group showed higher levels of behavioral problems, parenting stress, and maternal depression than the normal group. 2) There were significant relationships between ADHD scores and parenting stress (r=.66), maternal depression (r=.35), internal behavioral problems (r=.47), and external problems (r=.55), but, ADHD risk scores were negatively correlated with social competence (r=-.40). 3) The regression analysis revealed that ADHD levels affected the child's internal behavioral problems, mediated by maternal depression ($\beta$=.29, p<.001). Conclusion: The study results show that higher risk scores for ADHD indicate a significant effect for behavioral problems. Also, parenting stress and depression influence child's behavioral problems. These results suggest that identification of children at risk for ADHD and development of parental education programs would contribute to the prevention of behavioral problems and aggravation of the ADHD symptoms.

• Korean Journal of Child Studies
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• v.19 no.2
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• pp.77-96
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• 1998

The purpose of this study was the development of a scale to assess the daily hassles of school age children. The subjects were 398 third and sixth grade children selected from elementary schools in Seoul, Inchon, Taejon, Kwangju and Pusan. Instruments included a questionnaire composed of a 96-item Daily Hassles Coping Scale, demographic questions, a 27-item Children's Depression Inventory, the 42-item Han & Yoo Daily Hassles Scale for Children, and a 30-item Children's Behavior Check List for mothers. Mean, %, ${\chi}^2$, Cramer's V, Cronbach's ${\alpha}$, factor analysis and Pearson's r were used for data analysis. 82 items from the 96-item Daily Hassles Coping Scale were selected through the item discriminant method. (Cramer's V discriminant coefficients ranged from .36 to .79). Five factors were extracted from the lst and 2nd factor analyses. Subscales were "parent-related," "friend-related I," "study-related," "friend-related II," and "teacher-related" stress. Criterion validity of the 82-item scale was confirmed through significant correlations with the Children's Depression Inventory (r=.55) and the Han & Yoo Daily Hassles Scale for Children (r=.22). Internal consistency of this scale was high, including internal reliability of subscales. These results confirm this scale as a valid and reliable measure of daily hassles of school age children.