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The Effects of Group Cognitive Behavioral Therapy on the Improvement of Depression and Anxiety in Adolescents with Problematic Internet Use

  • Kim, Sang-Hyun;Yim, Hyeon-Woo;Jo, Sun-Jin;Jung, Kyu-In;Lee, Kina;Park, Min-Hyeon
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.29 no.2
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    • pp.73-79
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    • 2018
  • Objectives: The overuse of the Internet among adolescents has increased dramatically in recent years, leading to pathological or problematic Internet use. Cognitive behavioral therapy (CBT) is known to be effective for the treatment of problematic Internet use, particularly for adolescents. The aim of the present study was to evaluate the therapeutic efficacy of group CBT for problematic Internet use in adolescents. Methods: A total of 17 patients aged 12-17 years who met Young's diagnostic questionnaire criteria of problematic Internet use participated in a school-based eight-session group CBT program. The level of problematic Internet use among participating students was measured using Young's Internet Addiction Scale (IAS). Depression and anxiety levels were evaluated using the Children's Depression Inventory (CDI) and the State-Trait Anxiety Inventory (STAI), respectively. Each construct was assessed at baseline, immediately after the intervention, and at a one-month follow-up visit. Statistical significance was based on a p-value of <0.05. Results: Immediately after the program, the IAS, CDI, and State Anxiety Inventory (SAI) scores were significantly lower than before the program. At the one-month follow-up assessment, the IAS scores remained low, and the CDI and SAI scores were even lower than immediately after the program. Conclusion: Group CBT was effective for adolescents with problematic Internet use, and was also demonstrated to improve depression and anxiety.

Effect of Stress and Serotonin-Transporter-Linked Polymorphic Region Variants on Internet Gaming Disorder in Korean Adults (한국 성인남녀에서 스트레스와 세로토닌 전달체(5-HTTLPR) 유전자 변이가 인터넷 게임장애(IGD)에 미치는 영향)

  • Hong, Hyung-Sook;Jeong, Jo-Eun;Cho, Hyun;Kwak, Su-Min;Choi, Mi Ran;Choi, Jung-Seok;Choi, Sam-Wook;Kim, Dai-Jin
    • Korean Journal of Biological Psychiatry
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    • v.25 no.3
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    • pp.79-87
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    • 2018
  • Objectives Internet gaming disorder (IGD) is known to be related to stress and the serotonin-transporter-linked polymorphic region (5-HTTLPR) that is known to be associated with stress and has been studied to affect various psychiatric illness outbreaks. We tried to examine the relationship between stress, 5-HTTLPR and IGD. Methods A total of 59 participants with IGD, diagnosed according to the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria and 67 normal controls (NC) were enrolled. The IGD group and the NC were compared using chisquare test and independent sample t-test, and logistic regression analysis was used to examine the relationship between stress, the 5-HTTLPR, and IGD. Results The mean scores for anxiety, impulsivity and stress were significantly higher in the IGD group than in the NC. In addition, there was a significant association between stress and IGD [odds ratio (OR) = 1.172, 95% confidence interval (CI) = 1.008-1.362]. Conclusions This study showed that stress would affect IGD. Therefore, the evaluation and management of stress should be included in the diagnosis and treatment of IGD.

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The Moderated Effects of Self-control on the Relationship between Excessive Use of the Internet and the Stress Levels of Elementary School Children (초등학생의 인터넷 과다 사용과 스트레스와의 관계에 대한 자아통제력의 중재효과)

  • Cho, Song-Yon
    • Korean Journal of Child Studies
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    • v.31 no.5
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    • pp.47-61
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    • 2010
  • This study examined the moderated effects of self-control on the relationship between elementary school children's excessive use of the Internet and their stress levels. The participants were 403 elementary school children from Chungnam-do. The instruments used were the 'Internet Addiction Autodiagnosis Scale (K-Scale)', the 'Stress Scale' and the 'Self-control Rating Scale'. The collected data were analyzed by t test, F test and the Scheffe test for a post hoc test, Pearson's partial correlation and stepwise multiple regression, and Cronbach's ${\alpha}$ for reliability by SPSS program (17.0 version). The results were as follows : First, it was found that there were significant differences in terms of excessive use of the Internet, stress levels, and self-control by gender, grade, academic achievement, the beginning year of first Internet access and the number of hours of Internet usage hours per day. Second, there were significant positive correlations between excessive use of the Internet (r = .40, p < .001) and stress levels (r = .44, p < .001) and the immediate satisfaction of self-control. Finally, the immediate satisfaction of self control was seen to moderate the relationships between the total scores for the excessive use of the Internet and stress levels and between withdrawal of excessive use of the Internet and the accompanying stress levels.

Relationship Self-control, Stress, Loneliness among University Students (대학생의 자기통제력, 스트레스, 외로움 및 자살시도의 상관관계)

  • Lee, Young-Mee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.12
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    • pp.5541-5549
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    • 2011
  • The purpose of this study was to investigate the relationship self-control, stress, loneliness among University Students, to provide the basic data for prevention of suicide occurrence. Methods: The subjects of this study were 1,253 university students. The collected data was analyzed using descriptive statistics, $x^2$-test, t-test, Pearson correlation coefficient and stepwise multiple regression with SPSS 17.0 Program. Results: The degree of the suicide attempt was 13.6%. The reported scores for self-control, internet addiction, stress, self-efficacy, anxiety, loneliness were 69.9, 42.5, 86.4, 48.2, 46.2, 40.1, respectively. The degree of suicide attempt was significantly different according gender, religion, parents status, family economic status, living, friendship, exercise, alcohol drinking, loneliness, state anxiety, stress, self-control, and internet addiction. The influential factors affecting suicide attempt were parents status, internet addiction, gender, exercise, and loneliness, which explained about 5.5% of the variance. Conclusions: These result suggest that earlier screening and suicide prevention programs for university students will be helpful in preventing suicide attempt. Future studies need to be pursued to find various variances for suicide attempt for university students.

SOCIOPSYCHIATRIC CHARACTERISTICS OF ELEMENTARY SCHOOL CHILDREN WHO USE COMPUTERS EXCESSIVELY - ON THE BASIS OF CARERS' REPORT - (컴퓨터 과다사용 초등학생의 정신사회적 특성 - 보호자의 보고를 근거로 -)

  • Jhin, Hea-Kyung;Kim, Mun-Sun
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.14 no.2
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    • pp.229-237
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    • 2003
  • Objectives:Among the studies related to excessive computer use, the studies for elementary school students are relatively rare. Because children have relatively poor ability to recognize and express themselves, the carers' information is important to assess the children. This study attempted to investigate the relationship between children's computer use and sociopsychiatric characteristics on the basis of carers' reports. Methods:The subjects of this study were 287 5th- and 6th-grade students in the elementary school in Seoul. The student carers were asked to answer the questions for children's computer use, the computer addiction test modified from Young's parent-child internet addiction test, Korean Personality Inventory for Children(K-PIC). SPSS(version 10) was used to analyse the differnece of computer use between genders and the relation of the computer addiction test with K-PIC. Results:1) The score of computer addiction test was significantly higher in male children than in female children and more male children compared to female children were distributed in the excessive user group. 2) The score of computer addiction test correlated with the scores of most clinical scales of K-PIC and the average scores of most clinical scale were significantly higher in the excessive user group than in the general user group. 3) More children with score above 65 in HPR, DLQ, FAM scale were distributed in excessive user group than in general user group. Conclusion:The 5th- and 6th-grade elementary school students with excessive computer use were found to show more sociopsychiatric problems. With these finding we suggest that social and clinical attention to the children who use computer excessively shoud be required.

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Depression, Attachment and Addiction Problems in Runaway Youths (가출청소년에서 우울증상과 애착 및 중독문제)

  • Ko, Miae;Hong, Minha;Kim, Young-Eun;Ha, Juwon;Lee, Sang Min;Kim, Hyun-Soo
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.27 no.3
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    • pp.181-187
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    • 2016
  • Objectives: This study investigated the relationship between depression, attachment and addiction problems in runaway youths. Methods: We sent a questionnaire package to 187 runaway youths in 18 adolescent shelters. The questionnaire package collected their sociodemographic data and included the Patient Health Questionnaire-9, Inventory of Parent Attachment (IPA), Korean Internet Addiction Self-Scale (K-Scale), Korean version of Alcohol Use Disorders Identification Test, and Korean version of the $Fagerstr{\ddot{o}}m$ Test for Nicotine Dependence. Results: The percentage of youth with depression was 28.8% (N=54). In the depression group, there were significantly more problematic alcohol users (53.06%, p=.0199) and significantly lower IPA scores (p=.0064). There was a significant negative correlation between depression and a IPA, and significant positive correlation between depression and the K-Scale. Conclusion: These results suggest that runaway youths with depression have more problematic alcohol drinking and attachment problems.

Factors Affecting Addictive Shopping Behavior on Fashion Product Comparison of Off-line & On-line Shopping (패션상품 쇼핑중독에 대한 영향요인 - 일반 쇼핑과 인터넷 쇼핑의 비교 -)

  • Lee, Seung-Hee;Park, Ji-Eun
    • Journal of the Korean Society of Clothing and Textiles
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    • v.31 no.2 s.161
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    • pp.269-279
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    • 2007
  • The purposes of this study were to investigate factors affecting addictive shopping behavior and to compare the factors affecting between on-line and off-line addictive shopping. Four hundred eighty-nine female college students who have purchased fashion goods on-line shopping or off-line shopping were surveyed. For data analysis, descriptive statistics, Pearson's correlations, t-test, and multiple regression analysis were used. As the results, 15.5% of respondents were revealed as addictive buyers. Approximately 18% and 13% of subjects were revealed as on-line addictive buyers and off-line addictive buyers. There were statistically significant differences between addictive buyers and non-addictive buyers regarding self-mastery, depression, stress, and impulse. Addictive consumption scores were correlated to lower self-mastery, higher depression, and higher stress. Factors such as self-mastery, stress, impulse showed differences between on-line and off-line addictive buyers. Also, there were statistically significant differences between on-line and off-line addictive buyers. Based on these results, fashion social responsibility marketing strategies and implications regarding on-line and off-line shopping addiction would be suggested.

Influence of SNS Addiction Tendency on Nursing Student's Adjustment of University Life (간호대학생의 SNS 중독 경향성이 대학 생활 적응에 미치는 영향)

  • Cha, Hyun-su
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.11
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    • pp.139-150
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    • 2020
  • The purpose of this study was to understand the influence of social network site (SNS) addiction on the ability of nursing students to adjust to university life and to generate the basic data to develop programs that could improve this ability. The data was collected from questionnaires that were filled out by 255 nursing students in two universities located in Jeollanam-do and Gyeonggi-do from May 16, 2020 to May 20, 2020. The data was analyzed using the SPSS 23.0 program (frequency, ANOVA, Pearson's correlation, multiple regression). The mean scores of SNS addiction and adjustment to university life were 2.16±0.54 (range:1-5) and 3.13±0.39 (range:1-5) respectively. SNS addiction accounts for 27% of the variance in adjustment to university life. The study concluded that SNS addiction negatively affects adjustment to university life among nursing students. To ensure better adjustment a program should be developed to treat SNS addiction early. Also, a study will have to be conducted to determine the time when tendency toward SNS addiction becomes apparent, to initiate treatment.

VDT Syndrome according to the Types of Computer Use Among Elementary Students (초등학생의 컴퓨터 사용행태에 따른 VDT증후군)

  • Kim, So-Won
    • Journal of Korean Public Health Nursing
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    • v.19 no.2
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    • pp.359-370
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    • 2005
  • The purpose of this study is to provide basic data for prevention of VDT syndrome by confirming VDT syndrome according to the type of computer use. The subjects recruited for the research were 518 students who were in the 4, 5, 6 grades from 5 schools in Seoul. The data were collected during the period from October 8 through October 18, 2004. The results were as follows; 1. The mean value of the VDT syndrome was 1.55 (SD=.52) for the 5th graders. 2. The degrees of VDT syndrome according to the characteristics of the subjects shows higher scores for the 5th and 6th graders, boys, students with more than 4 online friends, students with a low degree of school life satisfaction, and for students with parents who had a negative attitude for their children. 3. The degree of VDT syndrome according to the type of computer use showed higher scores when the students used computers for game more than for study, more than 11 hours in a week, more than 2 hours at one time, not having any rest, in dark places, with the monitor less than 40 an distance from the eyes, sitting with their legs crossed and when the keyboard was in a higher position than their elbows. The internet absorbed group showed higher scores than the unabsorbed group. 4. There was positive correlation between the hours of computer use and VDT syndrome. Also, internet addiction and VDT syndrome had positive correlation. Therefore, each home and society needs to pay consistent attention to correct computer use by their students. Especially, schools will have to educate about computer utilization and VDT syndrome.

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COMPUTER GAME PLAYING PATTERNS AND PSYCHOPATHOLOGY IN SCHOOL-AGE CHILDREN (학령기 아동의 컴퓨터게임 이용 양상과 정신병리)

  • Lim Seoung-Hu;Jeong Seoung-Shim;Park Jeone-Hwan;Kim Ji-Hae;Hong Sung-Do
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.17 no.1
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    • pp.19-26
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    • 2006
  • Objectives : The object of this study was to examine computer game playing patterns and psychopathologies related to computer game addiction in school-age children. Methods : The subjects were 533 elementary school students (4th to 6th grade) in Kangdonggu, Seoul. We evaluated computer playing patterns of all subjects using computer game playing pattern questionnaire, and determined the risk group of computer game addiction by internet game addiction scale score. We evaluated subscale score of K-CBCL from parents of all subjects, and conducted correlation analysis and logistic regression analysis between computer game addiction and subscale score of K-CBCL. Results : In 488 responders, 10.2% of started playing computer game in preschool age, and 67.2% started at low grade of elementary school. The mean frequency of computer game play per week was 3.66 days. Mean time spent playing computer games per day was 1.89 hours. 'Simply for fun' was the most common reason far playing computer games (40.8%). Male subjects showed statistically significant differences in age of starting computer game, frequency of computer game play per week, reasons for playing computer game and computer game addiction scale scores. There were significant correlations between computer game addiction scale scores and academic performance, somatic complaints, attention problems, and internalizing problems in K-CBCL. But In logistic regression analysis, only attention problems among K-CBCL subscales showed significant predictability to computer game addiction. Conclusion : Upper grade elementary school students experienced computer game playing at the very early age, and spend much time in playing computer games. There were significant correlation and predictability between computer game addiction and attention problems.

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