• Child Health Nursing Research
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• 제11권4호
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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Purpose: The purpose of this study was to examine the effects of group art therapy on the withdrawn behavior, social behavior, social problems, anxiousness/depression, internalizing problems, total behavior problems and self-esteem in children who are withdrawn.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 The participants were 31 children who were withdrawn attending J. P. Elementary School in Pohang City.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 Results: Thescores for withdrawn behavior, social problems, anxiousness/depression, internalizing problems and total behavior problems decreased significantly in the experimental group as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This study provides evidence for the pontential and beneficial effects of group art therapy in children who are withdrawn. The program could be adequately used to improve problem behavior in withdrawn children.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 Academy of Child and Adolescent Psychiatry
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• 제30권1호
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• pp.9-16
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• 2019

Objectives: The purpose of this study was to analyze the discriminant validity and the clinical cut off scores of the Child Behavior Checklist 1.5-5 (CBCL 1.5-5) in the diagnosis of autism spectrum disorder (ASD) and non-ASD. Methods: In total, 104 ASD and 441 non-ASD infants were included in the study. T-test, discriminant analysis, receiver operating characteristic (ROC) curve analysis, and odds ratio analysis were performed on the data. Results: The discriminant validity was confirmed by mean differences and discriminant analysis on the subscales of Emotionally reactive, Somatic complaints, Withdrawn, Sleep problems, Attention problems, Aggressive behavior, Internalizing problems, Externalizing problems, and Total problems, along with the Diagnostic and Statistical Manual of Mental Disorders (DSM)-oriented scales between the two groups. ROC analysis showed that the following subscales significantly separated ASD from normal infants: Emotionally reactive, Somatic complaints, Withdrawn, Sleep problems, Attention problems, Aggressive behavior, Internalizing problems, Externalizing problems, Total problems, and DSM pervasive developmental problems. Moreover, the clinical cut off score criteria adopted in the Korean-CBCL 1.5-5 were shown to be valid for the subscales Withdrawn, Internalizing problems, Externalizing problems, Total problems, and DSM pervasive developmental problems. Conclusion: The subscales of Withdrawn, Internalizing problems, Externalizing problems, Total problems, and DSM pervasive developmental problems significantly discriminated infants with ASD.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제22권2호
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• pp.120-127
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• 2011

Objectives:The purpose of this study was to verify discriminant validity and the clinical cutoff score of Child Behavior Checklist 1.5-5 in the diagnosis of developmental delayed infants. Methods:The participants were screened by Denver II which includes 156 developmental delayed infants and 288 normal infants. Chi-squared test, t-test, ROC curve analysis, odds ratio analysis were performed on the data. Results:Only 47 items out of 99 items among the CBCL 1.5-5 of total groups, 36 items of boys and 48 items of girls, discriminated developmental delayed infants well. Discriminant validity was confirmed by mean differences on the subscales of Withdrawn, Sleep Problems, Attention Problems, Internalizing Problems, Externalizing Problems, Total Problems, DSM Pervasive Developmental Problems and DSM Attention Deficit/Hyperactivity Problems between the two groups. Additionally, ROC analyses demonstrated that Withdrawn, Attention Problems, Internalizing Problems, Total Behavior Problems and DSM Pervasive Developmental Problems significantly predicted developmental delayed infants compared to normal infants. Also, the clinical cutoff score criteria adopted in the Korean CBCL 1.5-5 for subscales of Withdrawn, Attention Problems, Internalizing Problems, Total Behavior Problems and DSM Pervasive Developmental Problems were shown to be valid. Conclusion:The subscales of Withdrawn, Attention Problems, Internalising Problems, Total Behavior Problems and DSM Pervasive Developmental Problems significantly discriminated in the diagnosis of developmental delayed infants well.

• Journal of Chest Surgery
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• 제24권3호
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• pp.287-291
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• 1991

Intra-aortic balloon pump [IABP] was applied to 12 patients between July, 1987, and September, 1990. The 12 patients included 8 who were assisted with IABP intraoperatively; 4 patients used IABP postoperatively. 8 patients could not be withdrawn from cardiopulmonary bypass [CPB], but 6 of them [75%] were able to separate from CPB with IABP. They all were withdrawn from the balloon. Four [50%] of them are hospital survivors, and alive at the time of this report. 4 additional patients were assisted with IABP, postoperatively. 2 of them [50Yo] were withdrawn from the balloon but died. The overall survival and balloon weaning rates are 33.3% [4/12] % 66.7% [8/12], respectively. IABP was most effective when applied early to patients who had transient and reversible injury to the myocardium.

• 한국보육지원학회지
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• 제16권5호
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• pp.47-67
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• 2020

Objective: The main purpose of this study was to investigate the direct effect of maternal parenting behavior and indirect effects through preschoolers'executive function on three types of social behavior, prosocial, aggressive and withdrawn behavior. Methods: A total of 299 mothers and their preschool-aged children were the subjects of this study. Mothers completed the questionnaire that included measures of their parenting behavior, preschoolers' executive function, and social behavior. Results: First, mothers' positive parenting behavior had a direct effect on preschoolers' prosocial behavior, and mothers' negative parenting behavior had direct effects on preschoolers' aggressive and withdrawn behavior. Second, mothers' positive parenting behavior had indirect effects on preschoolers' prosocial, aggressive and withdrawn behavior through preschoolers' executive function. In contrast, indirect paths from maternal negative parenting behavior to social behavior through preschoolers' execution function were not significant. Conclusion/Implications: These findings underscore the importance of executive function during early childhood and suggest the need for effective parenting programs to promote executive function.

• 아동학회지
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• 제26권6호
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• pp.201-216
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• 2005

The social behaviors of 177(84 girls, 93 boys) 5-6 year olds were rated by the SCBE teacher questionnaire. Mothers reported on their reactions to children's negative emotions and on children's emotionality by questionnaires. Results showed that girls' emotionality was related to maternal punitive responses and their withdrawn behaviors. Maternal emotion-focused reponses were associated with boys' social behaviors. Maternal distress reactions were correlated with girls' prosocial behaviors; maternal punitive responses were related to girls' prosocial and withdrawn behaviors. Maternal emotion-focused responses were associated with girls' aggressive behaviors. Partial correlation analysis indicated girls' emotionality was not related to their withdrawn behaviors when maternal punitive responses were taken into account.

• 아동학회지
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• 제28권5호
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• pp.269-284
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• 2007

A sample of 654 elementary school children(330 boys and 324 girls) and their mothers responded to three questionnaires regarding mother's job satisfaction and parenting behavior and children's problem behavior. Results showed that working mothers perceived themselves as more permissive/neglecting compared with non-working mothers. Children of working mothers perceived themselves as hyperactive, anxious, withdrawn, aggressive, and immature. Parenting of working mothers with higher job satisfaction was more warm/accepting; their daughters perceived themselves as less anxious, withdrawn, and immature than children of mothers with lower job satisfaction. Children of rejecting/restrictive working mothers, especially girls, reported hyperactive, withdrawn, aggressive, and immature behaviors. Children of permissive/neglecting working mothers were immature. Warm/accepting parenting of working mothers played mediating roles between their job satisfaction and maturity of their daughters' behavior.

• 한국콘텐츠학회논문지
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• 제19권10호
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• pp.649-659
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• 2019

본 연구는 중학생의 자살생각에 학교 및 부모폭력, 학업스트레스가 우울과 위축을 매개로 하여 어떠한 영향을 미치는지를 분석하였다. 이를 위해서 한국복지패널 제13차년도 아동부가조사 자료를 사용하였고, 조사 응답 중학생은 391명이었다. 구조방정식 모형을 통해서 분석한 결과, 자살생각에 효과가 가장 큰 것은 학교폭력의 총효과였으며, 직접적인 효과도 크게 나타났다. 즉, 학교폭력은 자살생각에 우울과 위축을 통한 부분매개효과라고 할 수 있다. 부모폭력은 자살생각에 직접적인 영향보다는 우울을 통한 간접적인 영향이 큰 것으로 나타났다. 즉, 부모폭력은 자살생각에 우울을 통한 완전매개효과라고 할 수 있다. 학업스트레스는 자살생각에 직접적인 영향보다는 우울과 위축을 통한 간접적인 영향이 큰 것으로 나타났다. 즉, 학업스트레스는 자살생각에 우울을 통한 완전매개효과라고 할 수 있다. 위축은 자살생각에 직접적으로 영향을 미치지 않았으나, 자살생각에 우울을 통한 간접효과가 큰 것으로 나타났다. 따라서 중학생의 자살예방을 위해서 우울의 감소와 우울을 발생시키는 원인인 학교폭력 예방과, 부모폭력, 학업스트레스를 줄이기 위한 방안이 필요하다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제26권1호
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• pp.30-37
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• 2015

Objectives: The purpose of this study was to verify the validity and clinical cutoff score of the Child Behavior Checklist for ages 1.5-5 (CBCL 1.5-5) for diagnosis of autism spectrum disorder (ASD). Methods: 44 ASD infants and 100 normal infants participated. T-test, discriminant analysis, receiver operating characteristic (ROC) curve analysis, and odds ratio analysis were performed on the data. Results: Discriminant validity was confirmed by mean differences and discriminant analysis on the subscales of Withdrawn, Attention problems, Internalizing problems, Externalizing problems, Total problems, and all Diagnostic and Statistical Manual of Mental Disorders (DSM)-oriented scales between the two groups. ROC curve analysis showed that Withdrawn, Attention problems, Internalizing problems, Externalizing problems, Total problems, DSM pervasive developmental problems, DSM attention deficit/hyperactivity problems, and DSM oppositional defiant problems significantly predicted ASD infants compared to normal infants. In addition, the clinical cutoff score criteria adopted in the Korean CBCL 1.5-5 for subscales of Withdrawn, Attention problems, Internalizing problems, Externalizing problems, Total problems, DSM pervasive developmental problems, DSM attention deficit/hyperactivity problems, and DSM oppositional defiant problems were shown to be valid. Conclusion: The subscales of Withdrawn, Attention problems, Internalizing problems, Externalizing problems, Total problems, DSM pervasive developmental problems, DSM attention deficit/hyperactivity problems, and DSM oppositional defiant problems significantly discriminated for the diagnosis of ASD.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제22권4호
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• pp.262-270
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• 2011

Objectives : The definition of a hidden youth is a young person who has completely withdrawn from society and shut himself or herself away for more than 3 months. Those pathologically-withdrawn youths have become a burden not only to society but also to the family. However, screening of these hidden youths cannot be done easily. This study focused on developing a primary effective screening tool for these hidden youths. Methods : The 42 participants of this study were parents of hidden youths that are between 8 to 25 years old. They were selected from from mental health centers and psychiatric clinics around Seoul and Gyeonggi Province. We also recruited 239 parents of middle and high school students in the Seoul metropolitan area for a control group. In order to decide the concurrent validity of this questionnaire, we used the Symptom Checklist-90-Revision, Children's Depression Inventory, Beck Depression Inven-tory, Social Anxiety Scale for Children-Revised, Social Anxiety and Distress Scale, Avoidant Personality Disorder Scale, and State-Trait Anxiety Inventory for Children. SPSS version 12.0 was used for statistical analysis. Results : Cronbach's alpha values, the reliability coefficient to represent internal consistency, were between 0.396 and 0.935, which showed relatively high internal consistency for this questionnaire. The test-retest coefficient was between 0.68 and 0.78, which was a statistically significant result. In a factor analysis, 4 factors such as avoidance, withdrawal, isolation, and apathy were extracted. In a concurrent validity test with SCL-90-R, the isolation factor showed a statistically-significant relationship with a phobic-anxiety sub-scale, and avoidance and withdrawal sub-scales were remarkably correlated with the interpersonal sensitivity sub-scale. Conclusion : Since the questionnaire for socially withdrawn youths has achieved statistically-satisfactory reliability and validity, it will be a useful method to screen for hidden youths in educational, community, and clinical settings.