• 제목/요약/키워드: Childhood Depression

검색결과 127건 처리시간 0.023초

초등학교 특수학급아동의 임상적 진단 및 감정 행동특성 연구 (Clinical Diagnosis and Emotional Behavioral Characteristics Study of Children in a Special Education Class in Korean Elementary School)

  • 임명호;강진경;이주현;김현우
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제17권2호
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    • pp.114-123
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    • 2006
  • Objectives : The special class has been made, bringing rapid increase quantitatively. The authors carried out the child psychiatric interview and evaluation for 9 special-classed children in Asan city to find out clinical diagnosis and emotional/behavioral characteristics. Methods : The child psychiatrists evaluated special class children by DSM-IV and K-SADS-PL. Tools for the evaluation were Child Behavior Checklist- Korean version, Korean Personality Inventory for Children, Children's Depression Inventory, Abbreviated Conners Parent-Teacher Rating Scale-Revised, State-Trait Anxiety Inventory for Children, Vineland Social Maturity Scale, Wechsler Intelligence Scale for Children-III, and Childhood Autism Rating Scale. Results : Ultimately 53 children, consisting of 35 boys(67.9%) and 18 girls(32.1%), participated, and the average age was $10.5{\pm}1.3$ years old. Their measure of Vineland Social Maturity Scale was $78.7{\pm}20.0$, Childhood Autism Rating Scales was $25.4{\pm}9.0$, Child Depression Inventory was $22.2{\pm}5.2$, State-Trait Anxiety Inventory for Children was $35.2{\pm}8.2/36.5{\pm}6.2$, and Abbreviated Conners Parent-Teacher Rating Scale was $11.0{\pm}4.6$. In the clinical diagnosis evaluation, the prevalence rate of learning disorder was decreased compared to early research, ADHD had been newly appeared and depression disorder and anxiety disorder had been increased. Conclusion : This result suggests that a lot of children in a special class have complex emotional and behavioral problems in addition to educational problems.

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지역 저소득층 아동의 우울증상과 주의력결핍-과잉행동증상에서 사회경제적 요소의 관련성 (Association of Psychosocial Factors in Developing Childhood Depression and ADHD in a Community Low Income Family Children)

  • 김설연;하지현;황원숙;유재학
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제20권2호
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    • pp.76-81
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    • 2009
  • Ovjectives: As the attention devoted to children's mental health increases, medical costs and burdens mount as well. In the present study, we evaluated the association between socioeconomic status(SES) and major child psychiatric symptoms. Methods: The subjects of this study were children of recruited from a mental health screening program in the Seoul Sungbuk mental health center over the course of 3 months. To establish the SES of each child, we collected data about each child's medical insurance, years of parental education, household income, family structure and housing. 149 children & parents completed questionnaires including the Childhood Depression Inventory(CDI) and the Korean Attention Deficit Hyperactivity Disorder Rating Scale(K-ARS). Results: The mean K-ARS-P score was $12.1{\pm}11.1$ and the suspected prevalence of ADHD was 20.8%(n=31). The mean cm score was $12.9{\pm}7.9$, and the prevalence of suspected depression was 16.8%(25). Depressive symptoms and ADHD symptoms were both more severe than those observed in a previous epidemiologic study in Korea. Depressive symptoms were more closely associated with family SES status. Conclusion: SES status is one of the most important risk factors in the development of major child psychiatric symptoms. In our study we found that depressive symptoms in particular were most tightly associated with psychosocial factors. Evaluation of the risk factors, early screening and intervention for low SES children would be valuable mental health management tactics to implement in a community mental health system.

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소아암 환아 부모의 스트레스와 삶의 질 (Perceived Stress and Quality of Life in the Parents of Children with Cancer)

  • 이상혁;김지은;유철주;변경민;최태규
    • 정신신체의학
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    • 제11권2호
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    • pp.159-169
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    • 2003
  • 연구목적: 본 연구의 목적은 소아암 환아 부모와 일반 부모 사이의 스트레스와 삶의 질을 비교하는 데 있다. 방 법: 스트레스 인자지각는 전반적인 스트레스평가 척도(global assessment of recent stress)를, 스트레스 반응(정신병리)은 간이정신진단척도(Symptom checklist-90-revised)를 이용하였다. 대응전략은 대응척도를 이용하였으며, 삶의 질은 스미스클라인비참 삶의 질 척도를 이용하였다. 결 과: 소아암 환아 부모군은 대인관계, 관계의 변화, 질병 및 상해, 경제적 문제, 비일상적인 사건 등과 관련한 스트레스인자 지각점수가 대조군보다 각각 유의하게 더 높았다. 대응전략에서는 소아암 환아 부모군이 대조군보다 자기 통제, 긍정적 재평가 점수가 각각 유의하게 더 높았다. 정신병리에서는 소아암 환아 부모군이 대조군보다 불안, 우울, 신체화, 공격성 점수가 각각 유의하게 더 높았다. 삶의 질 척도 점수는 소아암 환아 부모군이 대조군보다 유의하게 더 낮았다. 급성 백혈병 환아 부모 사이의 비교에서 대응전략에서는 ANLL 환아 부모가 ALL 환아 부모보다 거리감두기, 책임수용 점수가 각각 유의하게 더 높았다. 정신병리에서 ANLL 환아부모가 ALL 환아 부모보다 우울 점수가 유의하게 더 높았다. 결 론: 소아암 환아 부모들이 높은 스트레스 지각과 낮은 삶의 질을 보고하고 있으므로 이에 대한 스트레스 관리프로그램 등 정신사회적 개입이 필요하다.

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유아의 행복에 대한 유아의 정서성과 어머니의 우울 및 양육행동의 영향 (Child's Happiness: Effects of Emotionality, Mother's Depression and Parenting Behaviors)

  • 권연희
    • 한국생활과학회지
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    • 제22권4호
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    • pp.525-537
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    • 2013
  • This study investigated the relations among a child's emotionality, mother's depression and parenting behaviors in predicting a child's happiness. Participants were 384 children(175 boys, 209 girls) and their mothers. The teachers completed the rating scale to measure a child's happiness. A child's emotionality, mother's depression and parenting behaviors were assessed by a mother-reported questionnaire. The collected data was analyzed using descriptive statistics, correlations, and hierarchical multiple regressions. Results showed that child's emotionality was negatively related to their happiness. Mother's depression had a negative relation to child's happiness. Mother's warmth-encouragement, overprotection-permission, and reject-nonintervention was significantly related to a child's happiness. Hierarchical regression analysis indicated that the interaction of child's emotionality and mother's reject-nonintervention predicted child's happiness. Child's emotionality, whose mother demonstrated a higher level of reject-nonintervention, was associated significantly with happiness. In addition, the association between mother's depression and child's happiness was mediated by mother's warmth-encouragement and reject-nonintervention. Results suggest the importance of mother's role in the context of intervention planning for child's happiness.

유아기 자녀를 둔 아버지의 부부갈등과 양육행동간 관계에 대한 우울의 매개효과 (The Mediating Effects of Depression in the Relationships between Marital Conflict and Parenting Behavior of Young Children's Fathers)

  • 이형실
    • 융합정보논문지
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    • 제7권6호
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    • pp.237-244
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    • 2017
  • 본 연구는 유아기 자녀를 양육하고 있는 아버지를 대상으로 하여 부부갈등과 우울, 양육행동의 관련성과 더불어 부부갈등, 우울, 양육행동이 관련되는 과정에서 우울의 매개효과를 살펴보았다. 한국아동패널 5차년도 자료를 사용하여 아버지가 지각한 부부갈등과 우울, 양육행동의 구조적 관계를 분석하였다. 연구의 자료 분석 결과, 부부갈등은 우울에 직접적인 영향을 미치고, 우울은 양육행동에 유의한 영향을 미쳤다. 구조모형 분석 결과를 살펴보면, 부부갈등은 양육행동에 직접적인 영향을 미치며, 또한, 우울을 통해 양육행동에 간접적인 영향을 미치는 것으로 나타났다. 본 연구는 아버지의 부부갈등이 우울을 통해 양육행동에 영향을 미친다는 것을 밝힘으로써 부부갈등과 우울, 양육행동의 관련성에서 우울의 매개효과를 확인하였다.

아동기 대인관계 외상, 정신 증상의 복잡성 및 해리의 매개 효과 (The Association Between Childhood Interpersonal Trauma and Psychiatric Symptom Complexity, and the Mediating Impact of Dissociation)

  • 김예슬;김석현;김대호;김은경;김지영;최나연
    • 대한불안의학회지
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    • 제18권2호
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    • pp.72-79
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    • 2022
  • Objective : Any traumatic event can be a risk factor, for subsequent mental disorder. However, childhood trauma, especially in interpersonal nature, is associated with later development of complex symptom patterns. This study examined the role of dissociation as a mediator between childhood trauma and symptom complexity. Methods : A pooled data of 369 psychiatric outpatients at a university-affiliated hospital was analyzed for descriptive statistics, group differences, and bivariate correlation analysis to verify a structural model. The questionnaires included the Symptom Checklist-90-Revised, the Trauma History Screen, the Dissociative Experiences Scale-Taxon, the Beck Depression Inventory, the Beck Anxiety Inventory, and the Abbreviated PTSD checklist. Results : When other trauma variables were controlled, childhood interpersonal trauma had significant correlation with symptom complexity (r=0.155, p=0.003). Among the paths analyzed, that of childhood interpersonal trauma and dissociation showed the greatest impact on symptom complexity (b=9.34, t=5.75, p<0.001). Based on the significance of the indirect impact, the results suggest a complete mediation impact of dissociation on symptom complexity. Conclusion : This study validated that childhood interpersonal trauma impacts symptom complexity, through the sequential mediating impact of dissociation. Thus, clinicians should understand childhood interpersonal trauma, dissociation, and symptom patterns in a complex and interacting mode, and develop effective pertinent treatment strategies.

유아기 자녀를 둔 어머니의 역할행동과 내외통제성, 심리적 안녕감 및 우울과의 관계 (The Study of Relationships between Mother's Parenting Style and Internal-External Control, Psychological Well-being and Depression in Ear]y Childhood)

  • 이종신;문혁준
    • 가정과삶의질연구
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    • 제29권1호
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    • pp.127-138
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    • 2011
  • This study analyzed the internal-external controls, psychological well-being and depression of mothers as factors that affect mothers's parenting style of young children. The participants were 228 mothers of preschoolers. Data were analyzed by descriptive statistics, Pearson's productive correlation, and stepwise multiple regression analysis. Results showed that positive mothers parenting style had positive relationships with internal control and psychological well-being. On the other hand, positive mother's parenting style had negative relationships with external control and depression. In addition, negative mother's parenting style had positive relationships with external control and depression. On the other hand, negative mother's parenting style had no relationship with psychological well-being and internal control. Psycholobrical well-being had the strongest effect on positive mother's parenting style and external control had the strongest effect on negative mother's parenting.

다문화가족 어머니의 양육스트레스 관련 변인에 관한 연구 (A Study on the Influencing Factors of Mother's Parenting Stress with the Context of Multicultural Families)

  • 이미란
    • 아동학회지
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    • 제34권4호
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    • pp.143-162
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    • 2013
  • The purpose of this study was to investigate factors which influence the degrees of parenting stress experienced by mothers within multicultural famiiles. This study will provide basic data which can be used to develop services and programs for multicultural families. The data were collected utilizing questionnaires administered to 155 mothers of multicultural families. The data were analyzed by means of ANOVA, Pearson's correlation and multiple regression using the SPSS 18.0 program. The results were as follows : Firstly, the educational level, self-esteem, depression, and marital satisfaction of the mother are factors that significantly influence a mother's parenting stress within the context of a multicultural family. Secondly, the mother's psychological factor, including her self-esteem and depression, and the mother's educational level were the clearest indicators for their relative level of their parenting stress.

여성결혼이민자와 한국어머니의 양육효능감과 양육행동의 매개적 역할 : 아동의 자존감 모형 탐색 (The Mediational Role of Parenting Self-Efficacy and Behavior on Child Self-Esteem : Female International Marriage Immigrant and Korean Mothers)

  • 최형성
    • 아동학회지
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    • 제30권5호
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    • pp.245-262
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    • 2009
  • This study investigated the relations between young children's self-esteem and mother's parenting self-efficacy, husband support, parenting behavior, and mothers' depression, focusing on the mediational role of mother's parenting self-efficacy and behavior. Participants were 762 young child-mother dyads in Busan and Gyungnam, Korea. Mothers were Korean and female international marriage immigrants from China, Philippines, and Vietnam. Questionnaires were based on Choe and Chung (2001), Hong (1995), Shin (1996), Lee and Song (1991), and Lee (1994). Structural equation modeling indicated that parenting self-efficacy and parenting behavior were significant mediators of the relation between husband support and depression and child's self-esteem in Korea mothers, but in female international marriage immigrants. The results will be helpful for understanding parenting for child self-esteem in both groups.

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소아암 치료 종료 아동의 사회적응에 영향을 미치는 요인 (Factors Affecting Social Adjustment of Childhood Cancer Survivors)

  • 오수미;이혜정;김광숙;박경덕
    • Child Health Nursing Research
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    • 제19권3호
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    • pp.238-245
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    • 2013
  • 목적 본 연구의 목적은 소아암 치료 종료 아동의 사회적응 정도를 알아보고 사회적응 관련 요인들의 상관관계를 비교한 후 아동의 사회적응에 영향을 미치는 요인을 파악하기 위함이다. 방법 서울시내 S대학병원에서 10-19세의 소아암 치료 종료 아동 79명과 그의 부모 79명을 대상으로 자료수집을 시행하였다. 아동의 사회적응은 Koo와 Choi (1998)의 사회적 역량 척도를 이용하여 측정하였고, 사회적응 관련 요인은 신체기능, 우울, 자아존중감, 대처전략으로 하였다. 수집된 자료는 SPSS 18 program을 이용하여 기술통계, t-test, ANOVA, Pearson correlation, Regression으로 분석하였다. 결과 소아암 치료 종료 아동의 사회적응은 평균 83.5점으로 중간 이상의 수준을 나타내었으며 가족과의 대화시간, 학교생활의 즐거움, 친구관계 만족도에 따라 차이가 있는 것으로 나타났다. 또한 신체기능, 적극적 대처전략, 자아존중감과 유의한 정적 상관을 보이고 우울, 공격적 대처전략과는 유의한 부적 상관을 보였다. 사회적응에 영향을 미치는 요인을 파악하기 위해 회귀분석한 결과 아동의 신체기능이 사회적응에 직접적인 영향을 미치는 것으로 나타났다. 결론 가족과 친구를 포함한 소아암 치료 종료 아동의 사회적응 증진 프로그램이 필요하며, 이러한 프로그램은 아동의 신체 정서적 측면이 모두 고려되어야 하고 효과적인 대처전략의 사용과 자아존중감을 증진시킬 수 있도록 구성되어야 할 것이다.