한국의 고등학생에서 기분과 행동의 계절적 변동

이문수,정유숙,홍성도,고영훈,김승현,조숙행,정인과,김린,이헌정,Lee, Moon-Soo,Joung, Yoo-Sook,Hong, Sung-do-David,Ko, Young-Hoon,Kim, Seung-Hyun,Joe, Sook-Haeng,Jung, In-Kwa,Kim, Leen,Lee, Heon-Jeong 대한수면의학회 2005 수면·정신생리 Vol.12 No.2

목 적:기분과 행동에서의 계절적 변동에 대한 많은 연구들이 여러 국가에서 시행되었으며 한국에서도 의과대학생들을 대상으로 한 연구는 있었지만 아직 청소년들을 대상으로 한 결과는 보고되지 않았었다. 본 연구의 목표는 한국의 고등학생들에서 기분과 행동의 계절적 변동의 빈도를 평가하기 위하여 시행되었다. 방 법:서울의 남동쪽 지역에 거주하는 656명의 남녀공학 고등학교 학생들이 이 연구에 참여하였다. 연구대상자들은 계절성 양상 평가 설문지(SPAQ)의 한국어 번역판을 통하여 응답하였다. 이들에게서 계절성 정동장애(SAD)와 아임상성 계절성 정동장애(S-SAD)의 유무를 평가하기 위하여서는 Kasper가 제시한 기준에 따랐다. 결 과:결측치가 발생한 설문지를 제외하고 전체 565부의 설문지가 분석에 사용되었다. 연구에 참여한 이들의 평균 연령은 16.73(SD=0.65)세였다. 이들에서의 전반적 계절성 점수의 평균은 5.88(SD=4.72)이었다. 응답자의 73.1%는 자신들이 계절성의 변화가 생활에 영향을 미친다고 보고하였다. 전체 SAD의 유병률은 13.6%, S-SAD의 유병률은 10.8%로 나타났다. 이 중 여름철 SAD는 5.1%, 여름철 S-SAD는 3.2%였으며, 겨울철 SAD는 0.5%, 겨울철 S-SAD는 1.1%로 조사되었다. 결 론:여름철 SAD 및 S-SAD의 유병률이 겨울철보다 더 높게 나타났으며 이는 기존의 다른 아시아 국가인 중국이나 일본의 결과와 유사한 것이다. 여름 동안의 고온 다습한 날씨에서 오는 불쾌감이 결과에 영향을 미쳤을 가능성이 있다고 생각된다. 이는 SPAQ의 적용에 있어서 동아시아 국가의 기후 특성에 맞는 계절성 정동장애를 위한 새로운 기준이 필요함을 보여준다. Objectives: Although many reports have been written on seasonal variations in mood and behavior in foreign countries, few reports have dealt with Korean adolescents, except medical students. The goal of this study was to estimate the frequency of seasonal variations in mood and behavior among Korean high school students. Methods: A total of 656 high school students living in southeastern Seoul participated in this study. The subjects were investigated with the Korean translated version of the Seasonal Pattern Assessment Questionnaire (SPAQ), and their responses were evaluated for seasonal patterns in mood and behavior change according to Kasper's criteria to make SAD (seasonal affective disorder) or SSAD (subclinical seasonal affective disorder) diagnosis. Results: A total of 565 subjects completed the questionnaire and the responses (M:F=324:241) were collected and used for analysis. The mean age was 16.73 (SD=0.65) years, and mean global seasonality score 5.88 (SD=4.72). Of the respondents, 413 (73.1%) reported problems related with seasonal changes. Total prevalence rates were 13.6% for SAD, 10.8% for S-SAD. The estimated frequencies were 5.1% for summer SAD, 3.2% for summer S-SAD, 0.5% for winter SAD and 1.1% for winter S-SAD. The prevalence rate of summer SAD or S-SAD was higher than winter SAD or S-SAD. Conclusion: The subjects showed a higher prevalence rate of summer type than winter type in SAD or S-SAD. These results were similar to those of other studies carried out in East Asian countries. However, the unpleasant feelings resulting from high temperature and humidity in summer rather than depression may have influenced the results. Therefore, it is necessary to make new SAD criteria of the SPAQ suitable for East Asian countries.

인성교육 프로그램이 초등학생 인성 함양에 미치는 효과

이은지,정유숙,이세용,이선우,노지혜,심예린,홍진표,정영희,Lee, Eun Ji,Joung, Yoo-Sook,Lee, Se Yong,Lee, Sun Woo,Noh, Ji Hye,Shim, Ye Rin,Hong, Jin Pyo,Chung, Young Hee 대한불안의학회 2017 대한불안의학회지 Vol.13 No.1

이 연구는 학교 기반, 교사 주도의 초등 인성교육 프로그램이 초등학생들의 인성 함양에 영향을 미쳤는지 분석했다. 분석 결과 프로그램에 참여한 학생들의 인성 수준은 통계적으로 유의미하게 향상되었다. 이는 프로그램이 초등학생 인성함양에 효과가 있었음을 시사한다. 하지만 학년에 따라 인성교육의 효과가 달라질 수 있음을 보였다. Objective : The purpose of the present study was to examine the effectiveness of a school-based character education program on the character development of elementary school students. Methods : A total of 1,325 elementary school students participated in the study. Pre-post changes in eight character virtues (self-esteem, self-regulation, honesty, sincerity, communication & caring, citizenship, justice, responsibility/cooperation) and student satisfaction were assessed. A paired t-test was performed to determine the effects of the program. Results : Of the students who participated in the program, the 4th and 5th grade students showed significantly increased scores on all eight character virtues ; whereas, the 6th grade students showed significantly increased scores on five character virtues. Conclusion : Despite the differences in effect based on the grade levels, the study results supported the effectiveness of a school-based socio-emotional character education program. This study could provide a basis for future research on the development of effective character education programs.

청소년에서의 인터넷 중독 정도 조사 및 이에 따른 의사소통 유형과의 관계

이문수(Moon-Soo Lee),추정숙(Chung-Sook Choo),정유숙(Yoo-Sook Joung),홍성도(Sung-Do David Hong),이현수(Hyeon-Soo Lee),남민(Min Nam),송형석(Hyoung-Seok Song) 대한소아청소년정신의학회 2006 소아청소년정신의학 Vol.17 No.2

발달협응장애 동반 유무에 따른 주의력결핍 과잉행동장애 아동들의 임상적 특성

송윤재(Yoon-Jae Song),정유숙(Yoo Sook Joung) 대한소아청소년정신의학회 2011 소아청소년정신의학 Vol.22 No.4

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.

주의력결핍 과잉행동장애 환아들의 인지 행동적 특성과 정량 뇌파와의 관계 : 후향적 단면 연구

오수환(Soohwan Oh),정유숙(Yoo Sook Joung),윤희준(Hee Joon Yoon),이동익(Dong Ik Lee),김병욱(Byung Wook Kim),박정아(Jung Ah Park),이서지(Suzie Lee),이빛나(Bitna Lee) 대한신경정신의학회 2018 신경정신의학 Vol.57 No.3

Objective This study examined the association between the wave form in quantitative electroencephalography (QEEG) and the cognitive and behavioral characteristics measured by the Korean version of Wechsler Intelligence Scale for Children 4th edition (K-WISC-IV), Korean version of the attention deficit/hyperactivity disorder Rating Scale (K-ARS), and Korean version of Child Behavior Checklist (K-CBCL) in children diagnosed with ADHD. Method A retrospective cross-sectional study was performed on children aged 8 to 13 years, who were diagnosed with ADHD at Samsung Medical Center from November 2011 to March 2017. A total of 57 ADHD children were selected by a medical chart review. Their QEEG findings and psychological test results, including K-WISC-IV, K-CBCL, and K-ARS (n=42), were collected. The QEEG was analyzed by the ranges of Hz: delta (1 - 4 Hz), theta (4 - 8 Hz), alpha (8 - 12 Hz), and beta (12 - 25 Hz) and transformed to the z-scored relative power. The collected data were analyzed using Pearson and Partial correlation analysis. Results The Letter-Number Sequencing scores of K-WISC was positively correlated with fronto- central alpha. The hyperactivity/impulsivity scores of K-ARS were positively correlated with the theta/beta ratio. Among the items of K-CBCL, social immaturity was positively correlated with delta and theta, and negatively correlated with alpha. Social competence was negatively correlated delta and theta, and positively correlated with alpha. Conclusion These results suggest that the resting state QEEG results of children with ADHD may reflect their cognitive and behavioral characteristics, especially in working memory/executive function, hyperactivity/impulsivity, and sociality.

PANDAS가 의심되는 뚜렛장애 아동에서의 B 임파항원 D8/17에 관한 예비연구

이영식(Young-Sik Lee),정유숙(Yoo-Sook Joung) 대한소아청소년정신의학회 2006 소아청소년정신의학 Vol.17 No.1

섭식장애와 성장장애를 보이는 아동에 대한 다학제적 중재가 환모에게 미치는 영향

안경진(Kyung Jin An),정유숙(Yoo Sook Joung),장병수(Byong Su Jang),권정이(Jeongyi Kwon) 대한소아청소년정신의학회 2014 소아청소년정신의학 Vol.25 No.1

Objectives:The aim of this study was to determine whether intervention using a multidisciplinary approach affects maternal mental health, parenting stress, and sense of parenting competence in children with feeding disorder and failure to thrive (FTT). Methods:Children with feeding disorder and FTT were randomized to the intervention group (N=11) or control group (N=8). We administered the Korean standardization of Parent Temperament Questionnaire for Children (K-PTQ) in both groups before intervention, and the Korean version of the Parenting Stress Index-Short Form (K-PSI-SF), Korean version of the Parenting Sense of Competence (K-PSOC), Korean version of the Beck’s Depression Inventory (K-BDI), Korean version of the Beck Anxiety Inventory (K-BAI), and Korean version of the Mood Disorder Questionnaire (K-MDQ) in both groups before and after the intervention. Results:In the intervention group, the K-BDI (p=.068), K-BAI (p=.068), and K-MDQ (p=.066) scores tended to show a decline, the K-PSI-SF scores for stress related to child learning showed a significant decline, and the K-PSOC scores for sense of parenting competence showed significant improvement. However, no significant changes were observed in the control group. Conclusion:Use of a multidisciplinary approach improved maternal mental health, parenting stress, and sense of competence. Comparison of these results with those of normal control will be necessary in a future study.

국내 주의력결핍 과잉행동장애 아동 및 청소년에서 메타데이트CD의 임상증상 및 신경인지기능 개선 효과에 대한 개방 연구

유한익(Hanik K. Yoo),김봉석(Bongseog Kim),정유숙(Yoo Sook Joung),반건호(Geon Ho Bahn),송동호(Dong Ho Song),안동현(Dong Hyun Ahn),이영식(Young Sik Lee) 대한소아청소년정신의학회 2011 소아청소년정신의학 Vol.22 No.4

Objectives:This study aimed to investigate the efficacy and safety of Metadate CD (MCD) when given to Korean children and adolescents with attention-deficit hyperactivity disorder (ADHD). We also explored the effects of the drug on diverse neurocognitive functions. Methods:Ninety-one subjects with ADHD (mean age 8.6±2.2 years) were recruited at 6 outpatient clinics in Seoul, Korea. We used the ADHD Rating Scale (ARS), Clinical Global Impression (CGI), and comprehensive attention test (CAT) to measure the drug?s effects. Results: After 0.92±0.32mg/kg/day of MCD were administered for 57.4±7.6 days, there was a 48.5% reduction in the mean total ARS scores (p<.001). Fifty-seven subjects (64.8%) showed either much improved or very much improved outcomes on the CGI-Improvement scale. The CGI-Severity scale also decreased from an average of 4.7 to an average of 2.9 (p<.001). Errors and response time standard deviations of the CAT, sustained attention test-to-response tasks, the flanker test, and divided attention test scores decreased after treatment (p<.05). The forward memory span of the spatial working memory test scores increased (p<.05). Thirty-five patients (39.8%) experienced side effects, of which the most common were headache (14.8%), nausea (12.5%), and anorexia (9.1%). Conclusion:This open-label study suggests that MCD is effective and safe in improving the symptoms and neurocognitive functions of Korean children and adolescents with ADHD.

기분 장애 소아 청소년 환자에서 자살 행동, 공격 행동과 인지기능과의 관계

윤희준(Hee Joon Yoon),오윤혜(Yunhye Oh),정유숙(Yoo Sook Joung) 대한소아청소년정신의학회 2016 소아청소년정신의학 Vol.27 No.1

Objectives: The aim of this study was to examine the association between current suicidal or violent behavior and deficits of specific neurocognitive variables in child and adolescent inpatient samples diagnosed with mood disorder. Methods: A retrospective review of the charts of mood disorder patients hospitalized at Samsung Medical Center between April 2004 and April 2015 was conducted. Child and adolescent patients aged between 10 and 18 years old and those who finished neurocognitive function testing during their hospitalization were included. Among them patients whose full scale IQ was between 85 and 115 were selected (N=111). Participants were first divided into two age-groups–group Y (10≤age≤15, N=54) and group O (16≤age≤18, N=57)–because neurocognitive function test tools were different according to age [Wechsler Intelligence Scale for Children (WISC) for 10 to 15-year-old patients, Wechsler Adult Intelligence Scale (WAIS) for 16 to 18-year-old patients]. They were then divided according to their suicidal or violent behavior–non suicidal/violent group (NG), suicidal group (SG), violent group (VG), and both suicidal/violent group (BG). The Child Behavior Checklist (CBCL) was checked for measurement of participants’ behavior and the Gordon Diagnostic System was checked for measurement of their attention efficiency. Kruskal-Wallis Test and Tukey test was used to determine the differences in neurocognitive function between groups. Results: O-SG patients showed lower scores on the comprehension subscale of WAIS-III than O-NG patients (χ<SUP>2</SUP>=8.454, p=.015). O-VG patients showed lower scores on the block design subscales of WAIS than O-SG patients (χ<SUP>2</SUP>=7.496, p=.024). Y-VG patients showed higher scores in aggressive behavior, externalizing problems, and total problems scores of CBCL. Conclusion: This study showed relationship between specific neurocognitive deficits and suicidal or violent behavior. These relationships were significant in relatively older adolescents.

북한의 보육 정책 및 현황

이소희(So Hee Lee),곽영숙(Young Sook Kwack),정유숙(Yoo-Sook Joung),이소영(Soyoung Irene Lee),김봉석(Bongseog Kim),손석한(Seok Han Sohn),정운선(Un-Sun Chung),양재원(Jaewon Yang),방수영(Soo-Young Bhang),황준원(Jun-Won Hwang),홍민하(Min 대한소아청소년정신의학회 2014 소아청소년정신의학 Vol.25 No.1

In order to resolve the decline in population due to low birthrates, the South Korean government is expanding its free child care policies with an increased budget. In anticipating the effects and problems of our system, it will be worthy of attention to refer to the child care systems of other countries. In this paper, we reviewed the past and present policies and the current situation of the child care system in North Korea. North Korea started its free child care system earlier than that of South Korea, for the purpose of utilizing the women’s labor force and rearing children to be revolutionary men of Juche type (Kimilsungism), in order to construct a communistic society. ‘Child Care Education Law’, which is the legal foundation of the child care system, regulates institutions for nursery schools and kindergarten and informs people that the country is responsible for support of child care. Despite their interest and progress in both quantity and quality in the child care system until the 1980s, the free child care system was partially disrupted, and discrepancies between ideology and actual situation were revealed due to economic difficulties from the 1990s. Because people’s survival and physical health have been threatened, it is barely possible to find any study investigating the effect of institutional child care from early childhood and the instillation of unique ideology by group education from the preschool period on mental health.