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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
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Journal of the Korean Academy of Child and Adolescent Psychiatry
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Journal DOI :
Korean Academy of Child and Adolescent Psychiatry
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Volume & Issues
Volume 17, Issue 2 - Sep 2006
Volume 17, Issue 1 - Mar 2006
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RELATIONSHIP BETWEEN QUALITY OF LIFE AND BODY MASS INDEX IN MIDDLE SCHOOL STUDENTS
Jang Won-Seok ; Yang Jae-Won ; Joung Yoo-Sook ; Hong Sung-Do ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 17, issue 1, 2006, Pages 3~9
Objectives: Obesity is one of risk factors for psychological and social adjustment problems (depression, low self esteem, low school function etc). Quality of life(QOL) is comprehensive and multidimensional construct including physical, emotional, social and school functioning. Some authors reported that child and adolescent obesity is associated with impaired QOL. This study was to examine the association between QOL and body mass index (BMI) in middle school students. Methods : Cross sectional analysis of 471 adolescents between the ages of 13 and 14 years (
), who attended one of middle schools in Seoul, Korea. Participants' QOL were scored by using Korean version of pediatric QOL inventory generic score scale (
4.0). Participants had a
. Self reports and parent proxy reports using
4.0 were administered to measure participant's QOL. Participants were divided into four groups by BMI (Male: obesity group >26.5, at risk group 23.2-26.5, normal weight group 15.8-23.1, underweight group <15.8, Female : obesity group >25.2, at risk group 22.9-25.2, normal weight group 16.0-22.8, underweight group <16.0). Results : Compared with other groups, obese adolescents reported significantly(p<0.01) love. QOL in all domains. Obese adolescents were more likely to have impaired QOL than normal weight adolescents (Odds Ratio, 8.3, 95% confidence interval, 4.0-16.7). Conclusion : Obese adolescents have lower QOL than normal weight adolescents. Psychiatrist, parents, and teachers need to be informed of the risk fur impaired QOL in obese adolescents to target interventions that could enhance health outcomes.
RELATIONSHIP BETWEEN ADOLESCENT INTERNET ADDICTION AND DEPRESSION, IMPULSIVITY, AND OBSESSIVE-COMPULSIVITY
Lee Dae-Hwan ; Choi Young-Min ; Cho Soo-Churl ; Lee Jung-Ho ; Shin Min-Sup ; Lee Dong-Woo ; Kim Bong-Seog ; Kim Boong-Nyun ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 17, issue 1, 2006, Pages 10~18
Objective : The aims of this study were to explore the relations of internet addiction to depression, impulsivity, and obsessive-compulsivity in adolescents. Methods : 1410 high school students (male=611, female=799 : mean age=
) were included in this study. The questionnaire consisted of items on demographic characteristics and internet use pattern. We assessed the level of internet addiction using Young's internet addiction scale (IAS) Barratt impulsiveness scale (BIS) and Maudsley obsessive compulsive inventory (MOCI) were also self-rated. In this study, We defined upper 25% of IAS as 'addiction group' and lower 25% as 'non-addiction group'. Results : The results were as follows ; 1) Male students had significantly higher mean scores on Internet addiction scale than females and there was significantly higher rate of male students in addiction group. 2) The addiction group spent more time for internet use, especially for games than non-addiction group. 3) The addiction group showed significantly higher total scores on BDI, BIS, and MOCI than non-addiction group. 4) Significant associations have been found between the level of internet addiction and depression, impulsivity, and obsessive-compulsivity, respectively. Conclusion : Depression, impulsivity, and obsessive-compulsivity could be significant factors predicting internet addiction. Especially, direct effect of impulsivity could be the most significant to explain internet addiction. Adolescents with high impulsivity may be vulnerable to internet addiction.
COMPUTER GAME PLAYING PATTERNS AND PSYCHOPATHOLOGY IN SCHOOL-AGE CHILDREN
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, volume 17, issue 1, 2006, Pages 19~26
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.
A PRELIMINARY STUDY OF B LYMPHOCYTE ANTIGEN D8/17 IN TOURETTE SYNDROME CHILDREN WHO SUGGESTED PANDAS
Joung Yoo-Sook ; Lee Young-Sik ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 17, issue 1, 2006, Pages 27~31
Objectives : We examined whether D8/17 expression in Tourette syndrome children who suggested PANDAS were higher than comparison group, and there was my clinical difference by D8/l7 expression. Methods : Nine Tourette's syndrome children suggested PANDAS and two ADHD children without tic disorder were evaluated far percentage of D8/17 expression-positive B cells by immunofluorescence flow cytometric assay and anti-streptolysin O titer. Results : The frequency of D8/17 positive B lymphocyte rate was significantly higher in Tourette's syndrome than ADHD, whose average rate were 77.9 and 24.8, respectively. Among 9 TD patients,4 patients showed above 90% D8/l7 expression. There was high concordance expression rate between mother (98.4%) and daughter (99.0%) The significant relation between percentage of D8/17 expression and tic severity were not detected. The significant relation between percentage of D8/17 expression and anti-streptolysin O titer were not detected, however in 66.7% TD patients showed above 100IU/ml. Conclusion : We concluded that subgroup of TD children are streptococcal infected tic disorder, so called PANDAS.
DEVELOPMENTAL AND CLINICAL CHARACTERISTICS IN CHILDREN WITH NOCTURNAL ENURESIS : RESULTS OF A MULTICENTER STUDY
Cho Soo-Churl ; Shin Min-Sup ; Hwang Jun-Won ; Han Sang-Won ; Park Kwan-Hyun ; Lee Sang-Don ; Kim Kyung-Do ; Kim Kun-Suk ; Suh Hong-Jin ; Lee Yoo-Sik ; Chung Jae-Yong ; Kim Young-Kyoon ; Kim Jae-Won ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 17, issue 1, 2006, Pages 32~39
Objectives : The aim of this study was to examine the developmental and clinical characteristics associated with nocturnal enuresis in Korean children. Methods : Three hundred eighteen children with nocturnal enuresis, together with their parents, completed a parent questionnaire consisting of a Child Behavior Checklist(CBCL). Data related to the prenatal, perinatal and developmental history, past and current medical history were collected. Ninety-three normal students were selected as the control group. Results : The nocturnal enuresis group attained diurnal and nocturnal urinary control significantly later than those in the normal control group.49.2% of the children with nocturnal enuresis had the family history of nocturnal enuresis. Daytime incontinence was present in 41.3% of the nocturnal enuresis group. The percentages of sleep-related disturbances were significantly higher in the nocturnal enuresis group when compared to the normal control group.42.6% of the children with nocturnal enuresis experienced pharmacotherapy, and 0.4% experienced enuresis alarms. Conclusion : The results of this study suggest that children with nocturnal enuresis in Korea have a high genetic load and a possibility of developmental delay, which supports the neurodevelopmental point of view with regard to the etiology of nocturnal enuresis. The physicians in Korea prefer pharmacological interventions to alarm interventions in treating Korean children with nocturnal enuresis.
SEXUAL BEHAVIORS IN SEXUALLY ABUSED CHILDREN
Lim Ja-Young ; Kim Tae-Kyoung ; Choi Ji-Young ; Shin Yee-Jin ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 17, issue 1, 2006, Pages 40~50
Objectives : This study aims to identify sexual behaviors in sexually abused children to assess the Child Sexual Behavior Inventory(CSBI) score of sexual behaviors reported in children by their parents to analyze the relation of these sexual behaviors to demographic variables, familial variables, and characteristics of sexual abuse variables. Method : A large sample of 2-13 year old children(N=121) were rated by their caregiver via parent report consisting of CSBI, the Child Behavior Checklist(CBCL), and a questionnaire assessing characteristics of family history and sexual abuse variables. Results : There were significantly related to the CSBI score; younger children(2-5 year old group) had significantly higher scores than older children. Maternal education also related to the CSBI score, in that mothers with higher levels of education report more CSBI scores than less educated mothers. There were significant differences according to characteristics of victim victim with penile penetration of vegina and genital exposure of offender had higher score in the CSBI than others. Also, when perpeturator was an acquaintance, the CSBI scores increased. Conclusion : Sexual behavior related to childs age, maternal education, penile penetration of vegina, and genital exposure, parental emotional state and personality traits. Findings were primarily similar to previously published studies. The suggestions and the limitations of this study, and directions of future study were discussed.
COMPARATIVE STUDY OF CHARACTERISTICS IN RORSCHACH RESPONSE AND SANDPLAY BETWEEN ADHD AND NORMAL CHILDREN
Cho Sun-Mi ; Choi Ji-Won ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 17, issue 1, 2006, Pages 51~59
Objectives : Present study compared the characteristics in Rorschach responses and Sandplay between ADHD and normal children group. Method : ADHD (excluded inattention type & emotional problem) group and normal group was composed of 10 children respectively. All of them were controlled by Intelligence Quotation. Rorschach responses were scored by Exner system and compared by t-test. For sandplay work, the time was measured and photo was taken. Results : 1) ADHD group showed that the reaction time in Rorschach was significantly fast and they easily failed to recall the responses. The statical significances are 3r+ (2)/R, X-%, Xu%, (2), AG, Afr, SCZI, Wsum 6, FD, Zd, Blends, a. 2) ADHD group showed that the reaction time in Sandplay was significantly fast, they used low materials (total numbers of toy, vehicles) and the work was less coordinated. Conclusion : This results suggest that ADHD children are apt to react, think and coordinate impulsively. Also, Sandplay could be used fur diagnostic method as Rorschach test.