• Title/Summary/Keyword: Child psychopathology

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Self-Differentiation and Family Function in Parents of Children with Psychopathology (정신병리아동 부모의 자아분화, 가족기능 관한 연구)

  • Hwang, Kyu Sun;Choi, Youn Shil
    • Korean Journal of Child Studies
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    • v.23 no.6
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    • pp.65-79
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    • 2002
  • The present study surveyed both the parents of 130 children with psychopathology and the parents of 240 normal children. children were between 2 and 12 years of age. No differences were found between parents in self-differentiation or in family function by type of disorder. Parents of children with psychopathology were lower than parents of normal children in self-differentiation; this was particularly evident in cognitive function-emotional function, and emotional cut-off. Patents of children with psychopathology were lower than parents of normal children in terms of family function. Multiple regression analyses indicated that parent's self-differentiation, children's psychopathology, and parent's education level had a significant influence on family function. The regression model explained 52% of the variance.

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Parent-adolescent Discrepancies Regarding Adolescent Psychopathology and its Relation to Parental Characteristics in a Clinical Sample

  • Yuh, Jongil;Weihs, Karen;Reiss, David
    • International Journal of Human Ecology
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    • v.14 no.2
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    • pp.15-24
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    • 2013
  • This study investigated the differences between adolescents' own perceptions of their psychopathology and perceptions by clinically depressed parents of their adolescents' psychopathology. The study also examined parental characteristics that accounted for discrepancies between parents and adolescents. The clinical sample consisted of 61 adolescents and their parents who were diagnosed with a major depressive disorder. The adolescents and parents evaluated the adolescents' psychopathology in separate interviews with the Child Behavior Checklist (CBCL) and the Youth Self-Report (YSR). Parents reported on current depressive symptoms and parenting practices using questionnaires. The results revealed that parent-adolescent discrepancies were greater in regard to affective and anxiety problems compared to oppositional defiant and conduct problems. Parental rejection was associated with differences in scores for affective problems after controlling for parents' current depressive symptoms and adolescents' age and gender. The findings highlight the importance of considering adolescents' affective and anxiety problems when treating depressed parents. Furthermore, the findings suggest that parental rejection may play a pivotal role when interpreting the discrepancy concerning adolescents' affective problems.

Impact of Trauma due to Sexual Violence on Psychopathology and Quality of Life in Children and Adolescents (성폭력 외상이 소아청소년의 정신병리와 삶의 질에 미치는 영향)

  • Kim, Hye-Young;Hwang, Jun-Won;Choi, Seung-Mi;Lee, Hye-Kyoung;Kim, Byul-Nim
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.25 no.4
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    • pp.217-223
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    • 2014
  • Objectives : This study was conducted in order to investigate the influence of sexual trauma on the psychopathology and quality of life of children and adolescents in Korea. Methods : Twenty-seven children and adolescents and their caretakers who visited the Kangwon Sunflower Center participated in a cross-sectional study. Participants completed the Korean version of Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version, Child Behavior Checklist (CBCL), and Child Health Questionnaire-Parent Form-50 (CHQ-PF-50). Their scores were compared with those of a age and sex-matched control group of 27 healthy children and adolescents. Results : Victims of sexual violence showed higher t score in Withdrawn, Social problems, Delinquent behavior, Externalizing problems, and Total problems in CBCL, compared with control group. In CHQ-PF-50, there were lower scores on Bodily pain/discomfort, Behavior, Mental health, Time impact in parents, and Family activities subscales in victims of sexual violence. While Behavior and Family activities subscale showed negative correlations with Delinquent behavior, Externalizing problems, and Total problems in CBCL. Mental health subscale showed negative correlations with Social problems, Delinquent behavior, Externalizing problems, and Total problems. In addition, Time impact on parent subscale showed a negative association with Delinquent behavior in CBCL. Conclusion : The current study provided evidence suggesting that victims of sexual violence had a higher level of psychopathology and lower level of quality of life.

What Event-Related Potential Tells Us about Brain Function: Child-Adolescent Psychiatric Perspectives

  • Kim, Ji Sun;Lee, Yeon Jung;Shim, Se-Hoon
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.32 no.3
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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.

Relation between Abuse History and Psychopathology in Runaway Sheltered Adolescents (가출청소년에서 학대력과 정신병리와의 관계)

  • Kwack Young-Sook;Lee Hae-Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.17 no.2
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    • pp.149-162
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    • 2006
  • Objectives : This study examined psychopathology, abuse history and the relation of them in sheltered runaway adolescents. The purpose is to investigate characteristics of adolescents who are in shelters according to abuse type and then to offer basic data which are needed in establishing comprehensive protection policy for runaway adolescents. Methods : One hundred twenty eighty adolescents who stay in the runaway shelters were asked to complete self-report questionnaires including basic sociodemographic data, Korean Youth Self Report (K-YSR), Minnestota Multiphasic Personality Inventory (MMPI), and Symptom Checklist-90-Revised (SCL-90-R) and then examined the correlation of psychopathology and abuse in runaway adolescents. Results : In abused runaway adolescents, social performance scale of K-YSR was higher than school performance sealer and among scales of behavioral problem syndrome delinquent scale was highest. Scales of behavioral problem syndrome showed relatively significant correlation with abuse history. In MMPI scale of psychopathic deviate scale was highest, social introversion showed significant correlation with emotional abuse, and psychopathic deviate and hypomania showed significant correlation with physical abuse, neglect and sexual abuse. In SCL-90-R somatization scale was highest. Scales of somatization, hostility, and paranoid ideation scale were significantly high in adolescents with emotional abuse and neglect history, and scores of anxiety and depression scale were significantly high in sexually abused adolescents. Conclusion : Runaway adolescents who had abuse experience showed significantly higher level of psychopathology than general adolescents and there were various interrelations between them according to the presence and the type of abuse. More precise psychiatric evaluation and detailed treatment intervention for runaway adolescents are needed.

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The Relationship between Anxiety and Depression Symptoms of Children with Post-Traumatic Stress Disorder and Their Parents (외상 후 스트레스장애 아동의 정신병리와 부모의 우울불안 증상과의 관계)

  • Park, Subin;Kim, So Yoon;Kwon, Oh-Hyang;Bae, Jeong-Hoon;Yoo, Hee Jeong
    • Anxiety and mood
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    • v.9 no.1
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    • pp.19-24
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    • 2013
  • Objectives: The objective of this study is to examine the association between the children's psychopathology and age, intellectual quotient, and parental psychopathology in children with post-traumatic stress disorder (PTSD). Methods: The emotional and behavioral problems of 35 children with PTSD (23 boys, 12 girls, mean age, $10.26{\pm}2.47$ years) were investigated by retrospective chart review. Their parents' anxiety and depression symptoms were also investigated. We examined the correlations between children's psychopathology and their parents' anxiety and depression symptoms, as well as their age and IQ. Results: There were positive correlations between maternal trait anxiety and depression, and children's emotional problems. State and trait anxiety of children with PTSD were positively correlated with age, and attention-deficit hyperactivity disorder symptoms were negatively correlated with age. Conclusion: Our results suggest that psychiatric manifestation of children who experienced trauma could differ according to the development stage, and the treatment of children with PTSD should involve parental education about the effect of maternal emotional states on children.

Descriptive Psychiatry and the Development of Diagnostic Criteria in the History of Child Psychiatry and Phenomenological Descriptive Psychiatry (소아정신의학 역사 속의 진단기준 발전과 현상학적 기술정신의학)

  • Bahn, Geon Ho;Lee, Yeon Jung;Han, Ju Hee
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.26 no.1
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    • pp.1-11
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    • 2015
  • Phenomenology has been developed by philosophers like Kant and Husserl since the late 18th century. Jaspers, a German psychiatrist, adopted it into psychopathology studies and accumulated data by closely observing and recording the patients' symptoms and signs. Among descriptions done even before the psychopathology or diagnostic criteria of disorders in the field of child psychiatry was established, we can find exact and valuable descriptions matching the autism spectrum disorder or attention deficit/hyperactivity disorder. The diagnostic criteria of modern childhood psychiatric disorders were established based on these grounds. Phenomenological/descriptive methods in various psychiatric fields lead to medical study methods for social phenomenon such as oiettolie, hikikomori, and internet game addiction. Since Romanian orphans were adopted to the western world, descriptive studies along with neurobiological studies on the influence of stimulus deprivation on emotional and physical development are being conducted. While phenomenology, which was adopted by Jaspers to verify psychopathology, was developed mainly by observation and description, recent studies are explaining such descriptive phenomena even at the synapse level due to advances in neurobiology. Although phenomenological/descriptive psychiatry, describing precise and detailed experiences of patients, is less applied nowadays among modern study methods, we must remember that such descriptions may lead to biological studies and provide evidence to improve the accuracy of choosing and applying treatment methods.

Prevalence of School Bullying and Related Psychopathology in Children and Adolescents (소아청소년 집단에서 집단 따돌림의 유병률과 이와 관련된 정신병리 현상)

  • Kwon, Soon-Jae;Park, Tae-Won;Park, Seon-Hee;Yang, Jong-Chul;Chung, Young-Chul;Chung, Sang-Keun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.23 no.3
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    • pp.143-153
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    • 2012
  • Objectives : This study examined the current prevalence rate of school bullying and its related psychopathology. Methods : A total of 3,550 elementary/middle school students and their parents were recruited for this study. A self-report questionnaire on perpetration and victimization in school bullying was used for collection of data regarding prevalence and the present state of school bullying. For evaluation of associated psychopathology, self report forms, including the Children's Depression Inventory (CDI), State-Trait Anxiety Inventory for Children (STAIC), attention-deficit hyperactivity disorder Rating Scale (ARS), Korean-Child Behavior Checklist (K-CBCL), Korean-Youth Self Report (K-YSR), and the Korean Eppendorf Schizophrenia Inventory (K-ESI) were applied. Samples were classified according to four subtype groups (control, victim, perpetrator, and victim-perpetrator) and characteristics of each group were compared. Results : Overall, the prevalence rate for bullying perpetration was 64.4% and the prevalence rate for bullying victimization was 63.4%, indicating involvement of more than half of students in school bullying. Bully-victims reported high social immaturity and depressive and suicidal tendency, whereas bully-perpetrators reported less social immaturity and more externalizing problems. Among the subtype groups, the victim-perpetrator group showed the most prominent depressive/anxiety tendency and behavioral problems. Conclusions : Both victimization and perpetration of bullying are common problems for child and adolescent groups and several psycho-social problems were found to be related. The results of this study will guide direction of future study and development of strategies for prevention of bullying.

Agreement between Parent and Teacher Reports in Clinical Setting : Comparing SDQ-Kr with K-CBCL (임상에서 부모-교사 보고의 일치 : SDQ-Kr과 K-CBCL의 비교)

  • Kim, Heung-Kyu;Ahn, Joung-Sook;Kim, Min-Hyock
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.23 no.3
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    • pp.127-133
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    • 2012
  • Objectives : The aims of this study were to examine agreement between parent and teacher ratings of the Korean version Strengths and Difficulties Questionnaire (SDQ-Kr) for the children's psychopathology and to determine whether it is effective in diagnostics as the Korean version of Childhood Behavior Checklist (K-CBCL). Methods : SDQ-Kr and K-CBCL were completed by parents and teachers of 165 children aged 6-12 years. The clinical diagnosis was made by a child and adolescent psychiatrist who did not have knowledge of the outcome. Spearman's correlations were computed for associations between parents' and teachers' ratings on a subscale level. The Mann-Whitney U test was performed for the influence of child's age and sex on the results. Finally, AUC values were calculated for the diagnostic capacity and the difference between informants was tested using the z test. Results : High correlations were observed between parents' and teachers' SDQ-Kr on every scale. Parents were more sensitive to emotional symptoms of girls, while teachers appeared to be more responsive to externalized symptoms of boys, inattention-hyperactivity of young children, and emotional symptoms of seniors. Parents' SDQ-Kr demonstrated the highest prediction of attention-deficit hyperactivity disorder. Conclusion : Teachers' SDQ-Kr can be used in identification of child psychopathology when parents are absent or when their reliability is considered low.

Development of the Children's Separation Rating Scale Its Clinical and Research Use (아동분리반응척도의 개발 : 임상 및 연구응용)

  • Kim, Wun-Jung;Hahn, Sung-Up
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.1 no.1
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    • pp.148-160
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    • 1990
  • This paper reports on the development of the Children's Separtion Rating Scale(CSRS), its initial reliability and validity, and clinical/research utility with psychiatrically hospitalized children. The CSRS appears to be a reliable and valid instrument, and useful in distinguishing children's separation reaction from their general psychopathology. It may be also useful in aiding clinicians in differential diagnosis. This study points to the need for further understanding of children's psychiatric hospitalization in relation to their separation reaction and its possible untoward effects. Findings of this pilot study support the notion that inpatient treatment programs should address the developmental needs and abilities of the various age groups and the particular deficits reflected in their psychopathology.

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