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성학대를 경험한 소아, 청소년에서 성학대가 외상 후 정신 증상에 미치는 영향
신은영(Eun-Young Shin),천근아(Keun-Ah Cheon),정경운(Kyungun Jhung),송동호(Dong-Ho Song),김소향(So-Hyang Kim) 대한소아청소년정신의학회 2015 소아청소년정신의학 Vol.26 No.1
Objectives:The purpose of this study is to examine the effects of the characteristics of victim and sexual abuse on posttraumatic psychiatric symptoms in children and adolescents with a history of sexual abuse. Methods:A total of 137 children and adolescents were recruited from the Seoul Sunflower Children Center, a nation-funded sexual violence victim protection center, from January 2009 to December 2013. We collected the demographic data of the victims and the Trauma Symptom Checklist for Children (TSCC) from victims. We hypothesized victims’ age, sex, and intelligence quotient, and the characteristics of sexual abuse as the affecting factors of posttraumatic psychiatric symptoms. Descriptive analysis and hierarchical regression analysis were performed for analysis of demographic data, TSCC scores, and psychiatric symptoms. Results:The victims’ age and the characteristics of sexual abuse were significantly related to the traumatic distress of sexual abuse. R-square was 23% for anxiety, 39% for depression, 21% for posttraumatic stress, and 37% for dissociation on TSCC. Conclusion:This study suggests that victims’ age, type, frequency and duration of exposure, and disclosure of sexual abuse are significant affecting factors on posttraumatic psychiatric symptoms in children and adolescents. Exploration of psychiatric symptoms other than posttraumatic symptoms, and relations between pretraumatic and posttraumatic psychiatric symptoms is needed through collection of larger samples.
ADHD 아동과 뚜렛장애 아동의 인지적 특성, 실행기능 및 행동문제 비교
한유리 ( Han Yu Ri ),임유경 ( Lim You Kyung ),송동호 ( Song Dong Ho ),천근아 ( Cheon Keun Ah ) 한국정서행동장애학회(구 한국정서·행동장애아교육학회) 2019 정서ㆍ행동장애연구 Vol.35 No.1
본 연구는 주의력 결핍 과잉행동장애(이하 ADHD) 또는 뚜렛 장애(이하 TD)로 진단받은 만 6~14세의 아동을 대상으로 인지적 특성과 실행기능, 행동문제를 비교하였다. 집단은 ADHD Inattentive type(이하 ADHD-I)으로 진단된 아동 17명과 Combined type(이하 ADHD-C)으로 진단된 22명, TD로 진단된 19명까지 총 58명이 선정되었다. 이들을 대상으로 K-WISC-IV, CCTT, STROOP, K-CBCL 6-18을 실시하였으며, 세 집단 간 차이 비교를 위해 일원분산분석(ANOVA)을 통해 분석하였다. 그 결과 첫째, 지능검사에서 전체지능과 지표점수에서는 집단 간 유의한 차이를 보이지 않았다. 하지만 작업기억지표 내 숫자 소검사에서는 TD 집단이 ADHD-I 집단에 비해 유의하게 높았다. 둘째로 실행기능검사의 CCTT에서는 유의미한 차이가 나타나지 않았으나, STROOP 단어점수에서 TD 집단이 ADHD-I 집단에 비해 유의하게 높았다. 셋째, K-CBCL 6-18 상 외현화척도에서 ADHD-C 집단이 TD 집단에 비해 유의미하게 높았으며, 사고문제에서는 TD 집단이 ADHD-C 집단보다 유의미하게 상승된 값을 보였다. 그 밖에 주의집중 문제에서는 ADHD-I 집단이 TD 집단에 비해 높은 점수를 보였다. This study was conducted to compare of cognitive characteristics and executive function, behavioral problem in children aged 6-14 years diagnosed with ADHD and TD. Subjects consisted of 58 children in ADHD-I consisted of 17, ADHD-C consisted of 22 and TD children consisted of 19. K-WISC-IV, CCTT, STROOP was used to find out the intelligent characteristics and executive function. First, there was no statistical difference among each group of ADHD-I, ADHD-C and TD on the overall examination of IQ(FSIQ), Index score of K-WISC-IV. But Digit span was showed significantly higher score in TD than ADHD-C. Second, there was no statistical difference among each group of ADHD-I, ADHD-C and TD on the overall examination of CCTT. But word test in STROOP was showed significantly higher score in TD than ADHD-I. Third, the ADHD-C was significantly higher on the K-CBCL 6-18 Externalizing Problems than the TD, and the TD showed significantly higher on the Thought Problems than in the ADHD-C. In addition, ADHD-I showed higher scores in Attention Problems than TD.
주의력 결핍 과잉 행동 환자에서 OROS-Methylphenidate 투여 후 신경심리학적 변화에 대한 개방 연구
국소담(So-Dahm Kook),김주영(Joo-Young Kim),천근아(Keun-Ah Cheon),정경운(Kyungun Jhung),송동호(Dong-Ho Song) 대한소아청소년정신의학회 2013 소아청소년정신의학 Vol.24 No.3
Objectives:Previous studies reported that attention-deficit hyperactivity disorder (ADHD) resulted from a deficit of selective attention and sustained attention. In this study, we assessed the result of methylphenidate-induced changes of the cerebral frontal executive functions in patients with ADHD. Methods:The subjects in this study consisted of 16 ADHD patients whose age ranged from 7 to 12. We used ADHD Diagnostic System (ADS) for the attention improvement, and the Stroop Test for the executive function response to pharmacotherapy with MPH. Results:After pharmacotherapy with methylphenidate for 12 weeks, the study group showed improvement in the clinical aspects through Clinical Global Impression-Severity, ADHD-rating scale and Inattention/Overactivity With Aggression Conner’s Parents Rating Scale. In the ADS test, only in auditory task there was a decrease of both the response time and the standard deviation of the response time significantly. In the Stroop Test, there was a decrease in the word task, color task and color-word task significantly. Conclusion:Our results show that psychostimulant medication improves neuropsychological function, including the cerebral frontal executive function. This study implies that we have to consider the improvement of executive function, as well as attention when evaluating the efficacy of treatment.
주의력결핍 과잉행동장애에서 파탄적 행동장애의 공존과 약물치료
강제욱(Je Wook Kang),박은진(Eun Jin Park),김성찬(Seong Chan Kim),신의진(Yee-Jin Shin),신윤미(Yun-Mi Shin),정재석(Jaesuk Jung),천근아(Keun-Ah Cheon),육기환(Ki-Hwan Yook) 대한소아청소년정신의학회 2012 소아청소년정신의학 Vol.23 No.S
Disruptive behavioral disorders [oppositional defiant disorder (ODD) and conduct disorder (CD)] are common comorbid disorders in children and adolescents with attention-deficit/hyperactivity disorder (ADHD). ODD/CD may be comorbid up to 60% of children and adolescents with ADHD. Comorbid ODD and CD symptoms can have a significant impact on the course and prognosis o f patients with ADHD. Stimulant medications have shown effectiveness in treating both core ADHD symptoms and oppositional symptoms. Assessment and management of comorbid disruptive behavioral symptoms is an essential part in evaluation and treatment of ADHD patients. Further research is needed to investigate the efficacy and safety of various behavioral and medication regimens for ADHD, comorbid ODD and CD and to examine the relationships between ADHD, comorbid ODD and CD.