Go to the main menu
Skip to content
Go to bottom
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
Editor in Chief :
Volume & Issues
Volume 26, Issue 4 - Dec 2015
Volume 26, Issue 3 - Sep 2015
Volume 26, Issue 2 - Jun 2015
Volume 26, Issue 1 - Mar 2015
Selecting the target year
Clinical Characteristics of Pediatric Bipolar Disorder by Subtype in a Korean Inpatient Sample
Park, Subin ; Cho, Soo-Churl ; Kwon, Ohyang ; Bae, Jeong-Hoon ; Kim, Jae-Won ; Shin, Min-Sup ; Yoo, Hee-Jeong ; Kim, Bung-Nyun ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 26, issue 4, 2015, Pages 251~257
DOI : 10.5765/jkacap.2015.26.4.251
Objectives : We compared the clinical presentations of manic and depressive episodes and the treatment response among children and adolescents with bipolar disorder (BD) types I and II and BD not otherwise specified (NOS). Methods : The sample consisted of 66 patients, aged between 6 and 18 years, who were admitted for BD to a 20-bed child and adolescent psychiatric ward in a university hospital located in Seoul, Korea. Results : Patients with BD type I were more likely to have lower intelligence quotients and exhibit violent behaviors during manic episodes than patients with BD type II or BD NOS and to show better treatment responses during manic episodes than patients with BD NOS. Patients with BD NOS were more likely to have an irritable mood rather than a euphoric mood during the manic phase than patients with BD type I or II and to exhibit violent behaviors during the depressive phase and chronic course than patients with BD type II. Conclusion : Pediatric BD patients are heterogeneous with respect to their clinical characteristics. Implications for the usefulness of the current diagnostic subtype categories should be investigated in future studies.
Compared Effectiveness of 10-Session Social Skill Training for Korean Early Elementary School Children in Two Groups Diagnosed as Pure ADHD and ADHD with Comorbidity
Lee, So Hee ; Chung, Un Sun ; Hwang, Sun Yung ; Jeong, Jae Hoon ; Kim, Eun Ji ; Woo, Jeong Min ; Jo, Hyun Young ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 26, issue 4, 2015, Pages 258~265
DOI : 10.5765/jkacap.2015.26.4.258
Objectives : Children with attention-deficit hyperactivity disorder (ADHD) have problems in social interactions. We compared the effect of 10-session social skill training (SST) among two groups, children with pure ADHD, and those with ADHD with comorbidity. Methods : Consecutive 10-session SST was conducted for 34 children from 2006 to 2012. There were 22 children with pure ADHD (male 20, female 2), and 12 children suffering from ADHD with comorbidity (male 11, female 1). All children took medication as prescribed by their doctors before the start of SST. The Child Behavior Checklist (CBCL), the Korean Personality Inventory for Children (K-PIC), the Conner's Rating Scale, the ADHD Rating Scale, and the Home Situation Questionnaire were completed by mothers before and after the SST. All children completed the Child Depression Inventory, the Stat-Trait Anxiety Inventory for Children, the Self-Concept Scale and the ADHD Diagnostic System before and after the SST. Results : Only children with pure ADHD showed improvement in anxiety and self-concept in scales rated by children. In the CBCL rated by parents, the pure ADHD group and the ADHD with comorbidity showed improvement in both externalizing and internalizing subscales. In the K-PIC rated by parents, the pure ADHD group showed improvement in most outcomes and ADHD with comorbidity showed positive change in verbal development. Conclusion : These results suggest that SST has significant positive effects on both the pure ADHD and ADHD with comorbidity group. Further research is needed in order to target diverse comorbidity groups with ADHD to improve the effectiveness of the SST.
Impact of Peer's Suicide on Mental Health of Adolescents
Kang, Na Ri ; Chung, Un Sun ; Kwack, Young Sook ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 26, issue 4, 2015, Pages 266~272
DOI : 10.5765/jkacap.2015.26.4.266
Objectives : This study examined the impact of peer's suicide on mental health of middle-school students. The aim of this study was to describe the course of posttraumatic stress and grief reaction, suicide ideation, and depression score among adolescents after exposure to peer's suicide and to examine the relationship between posttraumatic stress and other mental health scores in these subjects. Methods : Thirty seven middle school students who were exposed to the suicidal death of a peer completed self-report measures to assess levels of depression, grief reaction, post-traumatic stress, and suicide ideation at 1 month and 8 months after the peer's suicide. Results : There was no significant change in mental health scores between 1 month and 8 months. Level of posttraumatic stress after 8 months was related to acute grief response. Subjects who experienced a clinically significant level of suicidal ideation and posttraumatic stress showed more mental health problems. Conclusion : The results suggested that peer's suicide strongly impacted mental health issues of adolescents at a critical time of adolescent development. Clinicians should perform a thorough evaluation of mental health problems for youth who experienced peer's suicide and help them in management of their grief reaction.
Risperidone Monotherapy in Children and Adolescents with Autism Spectrum Disorders : A Naturalistic Study
Won, Eun-Kyung ; Park, Jin-Park ; Lee, Young-Ryul ; Nam, Yoon-Young ; Min, He-Ji ; Kim, Yeni ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 26, issue 4, 2015, Pages 273~278
DOI : 10.5765/jkacap.2015.26.4.273
Objectives : We retrospectively investigated the efficacy and tolerability of risperidone monotherapy in subjects with autism spectrum disorder (ASD). In addition, we did mixed effect model analysis of the effects of risperidone in patients with ASDs naturalistically treated in a routine clinical setting to determine whether the clinical effects were maintained and the side effects were tolerable. Methods : This retrospective study assessed children and adolescents with ASD, who were on risperidone monotherapy from July 2010 to July 2011 at the Child and Adolescent ASD Clinic at Seoul National Hospital. Outcome measures included the Clinical Global Impression-Severity of Illness (CGI-S) and the CGI-Improvement (CGI-I) scales along with other clinical indices: dosage, target symptoms, and side effects. Results : The mean dose of risperidone in 47 children and adolescents with ASD (40 males, 7 females; age range 5-19 years) who were on risperidone monotherapy was
, and the mean duration of the treatment period was
. Aggressive behavior, stereotypic behavior, irritability, and self-injurious behavior were the most frequent target symptoms of risperidone. The most common side effects were weight gain followed by somnolence and extrapyramidal symptoms. In a mixed effects model analysis of CGI-I scores, the mean CGI-I score at the 1 month follow-up was significantly different from the mean CGI-I score of the 3-month follow-up (p=.046), and the CGI-I scores were equally maintained over 3 to 48 months [F(6, 28.9)=4.393, p=.003]. Of the 47 patients, 33 patients (70.2%) were identified as the response group, showing an end point CGI-I rating of 3 or under and having continued risperidone treatment for at least 6 months. The baseline CGI-S score showed significant association with clinical response to risperidone (p=.005), the mean baseline CGI-S was higher in the response group compared to the non-response group. Conclusion : In this study, clinical improvement of risperidone stabilized around 3 months and was equally maintained up to 48 months with tolerable side effects, supporting maintenance of risperidone treatment in children and adolescents with ASDs.
Comparative Study of Adolescents' Mental Health between Multicultural Family and Monocultural Family in Korea
Kim, Jung-Min ; Kong, Bo-Geum ; Kang, Je-Wook ; Moon, Jung-Joon ; Jeon, Dong-Wook ; Kang, Eun-Chan ; Ju, Hyun-Bin ; Lee, Yoon-Ho ; Jung, Do-Un ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 26, issue 4, 2015, Pages 279~287
DOI : 10.5765/jkacap.2015.26.4.279
Objectives : With the observation of factors influencing depression, self-reported happiness, self-reported stress and suicidal attempt, this study compared and evaluated the mental health of adolescents from multicultural families and monocultural families in Korea. Methods : This study compared the characteristics of adolescents from multicultural and monocultural families based on the analysis of data of The Tenth Korea Youth Risk Behavior Web-based Survey and analyzed the factors influencing adolescent depression, self-reported happiness, self-reported stress and suicidal attempt. Results : There was no significant difference in the levels of depression, self-reported happiness, and self-reported stress between adolescents from multicultural and monocultural families. However, suicidal ideation and suicidal attempt were significantly higher in adolescents from multicultural families. Conclusion : There was no significant difference between the mental health of adolescents from multicultural and monocultural families. Because depression is the greatest factor for suicidal attempt, and violence has stronger relationship with depression of adolescents from multicultural families, further study is needed to prevent this trend.
Anger Assessment Using State-Trait Anger Expression Inventory in Middle-School Students in Korea and Association with Depression
Kim, Hee-Yun ; Lee, Myung-Hoon ; Bae, Jae-Nam ; Kim, Chul-Eung ; Yoo, Hee Jeong ; Lee, Jeong-Seop ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 26, issue 4, 2015, Pages 288~294
DOI : 10.5765/jkacap.2015.26.4.288
Objectives : The purpose of this study was to assess anger of middle school adolescents in an urban community using State-Trait Anger Expression Inventory (STAXI)-Korean and Korean Child Behavior Checklist (K-CBCL), and to determine whether specific anger expression of adolescents is associated with certain psychopathology including depression. Methods : Data were collected from 395 middle school students and their parents in Incheon city. The students completed the STAXI, Children's Depression Inventory, Korean version of Mood disorder Questionnaire, and Conners-Wells' Adolescent Self-Report Scale (Short Form), and their parents completed the K-CBCL. Results : No significant correlation was observed between aggression subscale K-CBCL and each scale of the STAXI, except anger out (r=0.704). The scores for STAXI total and respective scales were significantly higher for female students than male students. A stepwise logistic regression model was used to explore the possible predictors for depression in adolescents and lower anger control and higher anger suppression were found to be predictors for depression in adolescence. Conclusion : There is a possibility of a large discrepancy between anger that the adolescents actually feel and parents' judgment of their children's anger. It must be considered in assessment of adolescent anger and use of further structured interviews is necessary. In addition, it may be useful to consider the anger expression style in adolescents who report depressive symptoms.
Development of Korean Adult ADHD Rating Scale
Kang, Taewoong ; Kim, Jae-Won ; Bahn, Geon Ho ; Song, Sook Hyung ; Kim, Junwon ; Kim, Ji-Hoon ; Kim, Yoon-Jung ; Kim, Eui-Jung ; Kim, Tae-Ho ; Yang, Su-Jin ; Yang, Jaewon ; Lee, Soyoung Irene ; Park, Joon-Ho ; Choi, Jeewook ; Han, Doug-Hyun ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 26, issue 4, 2015, Pages 295~310
DOI : 10.5765/jkacap.2015.26.4.295
Objectives : Symptoms of attention-deficit hyperactivity disorder (ADHD) during childhood may persist into adulthood. This study included the development and validation process of the Korean Adult ADHD Rating Scale (K-AARS), which was developed for screening and monitoring treatment of adults with ADHD. Methods : Preliminary questionnaires of the K-AARS were based on the reviews of previous adult ADHD scales and clinical experiences of the board certified child and adolescent psychiatrists in Korea. For this study, 136 adults (18-50 years old) with inattention, hyperactivity and/or impulsivity symptoms were enrolled as ADHD subjects, and compared with 406 control subjects (18-50 years old) without ADHD symptoms. Construct validity was examined using explorative factor analysis and Cronbach's alpha to obtain internal reliability coefficients. Concurrent validity was evaluated by comparison with the Conners' Adult ADHD Rating Scale (CAARS). Results : An explorative factor analysis showed that the K-AARS had 8 factors (inattention, hyperactivity, impulsivity, antisocial personality disorder/conduct disorder/oppositional defiant disorder, impairment, driving, emotional dysregulation, disorganization). K-AARS was highly reliable in terms of internal consistency (Cronbach's alpha 0.77-0.95) and correlation between factors (0.57-0.86). Concurrent validity with the CAARS and discriminant validity were statistically significant. Conclusion : The K-AARS is a valid and reliable measure for assessment of Korean adults with ADHD.