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REFERENCE LINKING PLATFORM OF KOREA S&T JOURNALS
> Journal Vol & Issue
Journal of the Korean Academy of Child and Adolescent Psychiatry
Journal Basic Information
Journal DOI :
Korean Academy of Child and Adolescent Psychiatry
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Volume & Issues
Volume 18, Issue 2 - Oct 2007
Volume 18, Issue 1 - Apr 2007
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The Korean Practice Parameter for the Treatment of Attention-Deficit Hyperactivity Disorder(I) - Introduction, Clinical Features and Course -
Ahn, Dong-Hyun ; Kang, Hwa-Yeon ; Kim, Bung-Nyun ; Kim, Ji-Hoon ; Shin, Dong-Won ; Yang, Su-Jin ; Yoo, Han-Ik ; Yoo, Hee-Jeong ; Cheon, Keun-Ah ; Hong, Hyun-Ju ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 18, issue 1, 2007, Pages 3~9
Based on the broad and in-depth literature review, the dedicated members of the committee for the development of Korean attention-deficit hyperactivity disorder (ADHD) practice parameter develop the Korean practice parameter for ADHD. Members of the Korean Academy of child and Adolescent Psychiatry (KACAP) had reviewed the drafts through off-line and on-line access to the drafts. Feedbacks from the members of KACAP were carefully integrated into the current practice parameter. This article presents the state of the art knowledge regarding the assessment and the management of ADHD. Recommendations in the end of the practice parameter may help clinician to make decisions in clinical practice, but are not likely to override the clinician's decision in natural settings. Future directions to complement the limitation of the current practice parameter is suggested.
The Korean Practice Parameter for the Treatment of Attention - Deficit Hyperactivity Disorder(II) - Diagnosis and Assessment -
Cheon, Keun-Ah ; Kim, Ji-Hoon ; Kang, Hwa-Yeon ; Kim, Bung-Nyun ; Shin, Dong-Won ; Ahn, Dong-Hyun ; Yang, Su-Jin ; Yoo, Han-Ik ; Yoo, Hee-Jeong ; Hong, Hyun-Ju ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 18, issue 1, 2007, Pages 10~15
Probably the three most important components to a comprehensive evaluation of patients with attention-deficit hyperactivity disorder (ADHD) are the clinical interview, the medical examination, and the completion and scoring or behavior rating scales. Teachers and other school personnel are often the first to recognize that a child or adolescent might have ADHD, and often play an important role in the help-seeking/referral process. A diagnostic evaluation for ADHD should include questions about ADHD symptoms, other problems including alcohol and drug use, family history of ADHD, prior evaluation and treatment for ADHD. Screening interview or rating scales as well as interviews should be used. When it is feasible, clinicians may wish to supplement these components of the evaluation with objective assessments of the ADHD symptoms, such as psychological tests. These tests are not essential to reaching a diagnosis, however, or to treatment planning, but they may yield further information about the presence and severity of cognitive impairments that could be associated with some cases of ADHD. Screening for intellectual ability and academic achievement skills is also important in determining the presence of comorbid developmental delay or loaming disabilities. The number and type of symptoms required for a diagnosis of ADHD vary depending on the specific subtype. To receive a diagnosis of ADHD, the person must be experiencing significant distress or impairment in daily functioning, and must not meet criteria for other mental disorders which might better account for the observed symptoms such as mental retardation, autism or other pervasive developmental disorders, mood disorders, anxiety disorders. This report aims to suggest a practice guideline of assessment and diagnosis for children and adolescents with ADHD in Korea.
The Korean Practice Parameter for the Treatment of Attention-Deficit Hyperactivity Disorder(III) - Pharmacologic Treatment -
Yoo, Hee-Jeong ; Yang, Su-Jin ; Shin, Dong-Won ; Kang, Hwa-Yeon ; Kim, Bung-Nyun ; Kim, Ji-Hoon ; Ahn, Dong-Hyun ; Yoo, Han-Ik ; Cheon, Keun-Ah ; Hong, Hyun-Ju ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 18, issue 1, 2007, Pages 16~25
The objective of this review is to propose the Korean practice guideline for pharmacological treatment of attention-deficit hyperactivity disorder (ADHD). For making the guideline, the authors used the evidence-base approaches derived from a detailed review of literature including wide range of controlled clinical trials, studies of side effects of drugs, toxicological reports, and meta-analyses published in United States and Europe, as well as inside Korea. The review committee composed of experts in ADHD inkoreahasreviewedtheparameter. The practice parameter for pharmacological treatment describes the use of stimulants, atomoxetine, modafinil, bupropion, tricyclic antidepressants, and alpha-adrenergic agonists and their side effects. The recommendations of pharmacological treatment are proposed at the end of the article.
The Korean Practice Parameter for the Treatment of Attention-Deficit Hyperactivity Disorder(IV) - Non-Pharmacologic Treatment -
Kim, Bung-Nyun ; Yoo, Han-Ik ; Kang, Hwa-Yeon ; Kim, Ji-Hoon ; Shin, Dong-Won ; Ahn, Dong-Hyun ; Yang, Su-Jin ; Yoo, Hee-Jeong ; Cheon, Keun-Ah ; Hong, Hyun-Ju ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 18, issue 1, 2007, Pages 26~30
This practice parameter for non-pharmacological treatment for attention-deficit hyperactivity disorder (ADHD) review the domestic and international literature on the psychosocial treatment of children and adolescents with ADHD. This parameter include the parental training & education, cognitive behavior therapy(group or individual), social skill training, family therapy, play therapy (individual psychotherapy) and non-traditional therapy (art therapy, herbal therapy et al). Among them, there is some proven evidence only in parental training & education and cognitive behavior therapy. So, this parameter describes some details only in the field of parental training & education and cognitive behavior therapy. The efficacy or effectiveness, especially, cost-effectiveness of specific psychosocial treatment method for ADHD cannot be fairly assessed due to the scarcity of controlled clinical data. Based on the clinical expert consensus and limited evidence, we cautiously suggest the practice recommendations about the non-pharmacological psychosocial treatment fur children and adolescents with ADHD.
Regional Cerebral Perfusion Abnormalities Assessed with Brain SPECT in Early-onset Schizophrenia : Statistical Parametric Mapping Analysis
Cho, Soo-Churl ; Hwang, Jun-Won ; Kim, Boong-Nyun ; Kim, Jae-Won ; Shin, Min-Sup ; Lee, Dong-Soo ; Lee, Ho-Young ; Kim, Yang-Yeol ; Kim, Hyo-Won ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 18, issue 1, 2007, Pages 31~37
Objectives : A voxel based investigation of cerebral blood flow was conducted to identify functional differences during resting state between children with early-onset schizophrenia and normal controls. Methods : 19 children and adolescents with early-onset schizophrenia(8 boys and 11 girls, mean age
years old) and 17 comparison children(13 boys and 4 girls, mean age
years old) were examined by HMPAO-SPECT. The SPECT images were compared using statistical parametric mapping analyses, controlling for age and sex. Results : Increased cerebral blood flow in left medial and inferior frontal gyrus, right superior and middle frontal gyrus, both inferior temporal gyrus, and right cerebellar tonsil was found in children and adolescents with early-onset schizophrenia compared to control subjects. In addition, decreased cerebral blood flow in right thalamus, left posterior cingulate gyrus, right anterior cingulate gyrus and relatively wide areas from left medical frontal gyrus to superior parietal lobule were found in children and adolescents with early-onset schizophrenia compared to control subjects. Conclusion : The results of the current study provide additional evidences for brain areas involving the onset of schizophrenia in early age.
Normative Study of the K-ARS(Korean ADHD Rating Scale) for Parents
Jang, Su-Jin ; Suh, Dong-Su ; Byun, Hee-Jung ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 18, issue 1, 2007, Pages 38~48
Objectives : The K-ARS (Korean ADHD Rating Scale) is one of the most important assessment tool of attention-deficit hyperactivity disorder (ADHD) in Korea. in this study, we presented detailed normative data on the K-ARS for school-aged children in Seoul metropolitan area to put it to practical use. Methods : The subjects were 2,397 students(1,223 boys and 1,174 girls, aged 6-12) from 4 elementary schools in Seoul, and one caretaker of each child completed the K-ARS for parents. Children who showed high scores of the K-ARS for parents were screened, and 2 child psychiatrists interviewed them to make a clinical diagnosis. We compared the mean scores of the K-ARS for parents between ADHD and normal group, and examined the percentage of correct classification. Results : There were some differences in score of the K-ARS for parents according to sex and age, so we presented continuous normative data with T score and subdivided cut-off points for ADHD screening. Interviews with child psychiatrists using DSM-IV criteria were performed to test diagnostic validity, and the difference in every the K-ARS for parents index between ADHD and normal group was significant(p<.001). Using 3 different cut-of points(80th, 90th, 93rd percentage), the accuracies of ADHD correct classification were 67.9, 72.2, 71.1% and all 3 canonical discriminants were significant (p<.05) between ADHD and normal group. Conclusion : The normative data and cut-off points on the K-ARS for parents are useful in screening ADHD children in Seoul metropolitan area.
The Effectiveness of Traumatic Symptom Checklist for Children(TSCC) - Comparisons of Sexually Abused Children and Nonabused Normal Children -
Son, So-Young ; Kim, Tae-Kyoung ; Shin, Yee-Jin ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 18, issue 1, 2007, Pages 49~57
Objectives : The research is designed in order to know how much Traumatic Symptom Checklist fur Children(TSCC) is effective in the case of child abuses, especially in the estimation of the psychopathology of child sexual abuse. Methods : A sample includes a group of thirty children of 4th, 5th and 6th grade whose sexual abuse have confirmed and also a group of thirty four normal kids who have no abuse. Along with TSCC, Children's Depression Inventory (CDI) and Revised Children's Manifest Anxiety Scale (RCMAS) were used to children and child behavior checklist (K-CBCL), sexual behaviors (CSBI), and Kiddie-Schedule for Affective Disorder and Schizophrenia-Present and Lifetime version (K-SADS-PL) record sheets were used to kids' parents. Results : In case of the sexual abuse group, the most meaningful difference from the analyzed result is shown at sexual concerns scale which is one of the clinical scale in TSCC (p<.01). Also, the sexual abuse group has the meaningful higher score than the general group's one in the stress scale after the other anxiety, depression, anger and dissociation (p<.01). Conclusion : The scale of TSCC has relatively shown the characteristic symptom and severity which were gained from the children who have experienced trauma, especially sexual abuse.
The Learning Motivation Improvement Program in Children with Attention-Deficit Hyperactivity Disorder(ADHD)
NamKoong, Sun ; Ahn, Dong-Hyun ; Lee, Yang-Hee ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 18, issue 1, 2007, Pages 58~65
Objectives : Motivational factor is a unique contributor to the typically poor academic performance of children with ADHD. However, few study has directly intervened learning motivation in children with ADHD. We conducted this study to explore the direct effects of the learning motivation improvement program applied to children with ADHD. Method The program was designed in order to increase an interest-inducing educational intervention, an academic skills integration, a basic learning activity (reading, writing, and math), and children's self-esteem. We conducted the program twice a week (total 10 sessions) and assessed learning motivation, teaming attitude, self-esteem, academic performance, and problem behaviors of participating children. Results : After the program, teachers reported improvement in teaming motivation. In addition, parents notified sisnificant reduction of problem behaviors. Children reported improvement in a few domains of teaming motivation and learning attitude. Conclusion : While loaming motivation is regarded as an important factor in education, there have been few studies considering this issue in both educational and psychiatric fields. The teaming motivation improvement would be needed in both field in order to reduce the deficits in academic performance in children with ADHD.
The Pharmacotherapy of Pediatric Bipolar I Disorder : Case Report
Hong, Hyun-Ju ; Choi, Tae-Kyou ; Yook, Ki-Hwan ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 18, issue 1, 2007, Pages 66~71
There has been increasing recognition of pediatric bipolar disorder in the psychiatric field during the past 10 years. The clinical presentation of this disorder in preadolescent is greatly debated and few studies have been conducted in Korea. The authors report 3 cases of children with bipolar I disorder whose clinical symptoms were improved after pharmacotherapy. The authors also review current concepts, debates and treatment of pediatric bipolar disorder.