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Journal of the Korean Academy of Child and Adolescent Psychiatry
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Korean Academy of Child and Adolescent Psychiatry
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Volume 5, Issue 1 - Dec 1994
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DEPRESSION IN CHILDREN - AN OVERVIEW AND THE DEVELOPMENTAL PERSPECTIVES ON CHILDREN IN DEPRESSION -
Kang, Kyung-Mi ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 5, issue 1, 1994, Pages 3~11
Childhood depression was not officially accepted as a separate diagnosis until 20-25years ago. Although DSM-III R criteria gave us a starting point and are gaining acceptances as a useful tool for diagnosing childhood depression recently, many professionals feel that additional modifications are needed to better reflect the developmental aspects of children. And because children are relatively poor in expressing their moods or feelings due to weak reality sence and/or cognitive and linguistic limitations, the author too carefully suggest that developmental perspectives of children should be considered in diagnosing childhood depression. Little is known about the extent to which childhood depression precedes adult depression and persists into adult life and about the impact of it on the personality formation. Some evidences that childhood depressive symtoms can be quite enduring make it important to make an early diagnosis and treatment.
ASSESSMENT OF CHILDHOOD DEPRESSION
Shin, Min-Sup ; Kim, Min-Kyung ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 5, issue 1, 1994, Pages 12~27
Until recently there were arguments on the existence and the definition of childhood depression. In DSM-III(1980) childhood depression was accepted as the formal psychiatric disorder in childhood. As the diagnostic criteria for childhood depression is less clearly defined than those for other psychiatric disorders as well as prominent age-related variations in depression symptomatology, informations from various sources are very important in accurate diagnosis of childhood depression. Present study reviewed various assessment methods such as self-report questionnaires, interviews, behavior rating scales, structured tests and projective techniques with discussion on the merits and limitations of each method. Also several issues on the reliability and the validity of assessment techniques for childhood depression were discussed.
BIOLOGICAL STUDIES IN CHILD AND ADOLESCENT DEPRESSION
Cho, Soo-Churl ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 5, issue 1, 1994, Pages 28~35
Research on biological aspects on adult depression has been subjected to more than 25 years of systematic research, while biologic investigations regarding childhood and adolescent depression are only now being initiated. Although no unifying, explanatory theory of the biologic etiology of childhood depression emerges from the results of studies reviewed above, the findings do support that biological factors may be involved in the genesis of childhood depression. The research reviewed in this paper suggests that age and pubertal factors have major effects in most biological markers of depression. Some of these markers, like sleep EEG and neuroendocrine markers should be broken down by decades during adult life span. Thus, although adult data are very valuable points of departure for biological research on child and adolescent depression, it is very hard to transfer the adult data to prepubertal children and adolescents, ignoring the biological changes that take place in growth and development, pubety and aging. A great deal of work in basic developmental neuroscience remains to be done. It will be crucial for further advances in this field to determine the normal patterns of neurotransmitter interaction in this age group and to study children at high risk for depression. It will be also crucial to use primate models of depressive illness in order to be able to answer the many queations that cannot be investigated in humans for ethical issues. Conclusively, much closer collaboration between developmental and neurobiological and behavioral studies in primates and in humans will be essential for further development.
TREATMENT OF CHILD AND ADOLESCENT DEPRESSIVE DISORDERS
Kim, Ja-Sung ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 5, issue 1, 1994, Pages 36~40
Child and adolescent depressive disorders are complex clinical problems. Although our knowledge of the epidemiology, clinical manifestation and etiology of child and adolescent depressive disorder has grown enormously, less has been established concerning effective managements for this disorder Some articles suggest that children and adolescents may require significant modification of adult treatment. This article reviews the range of available therapies for the condition add provides a systematic approach for the clinician. And guidelines f3r management of depression have been described. In conclusion, approaches to the treatment of this disorder must be comprehensive and broad-based to be successful. And practitioners should be encouraged to become skilled iii as many treatment as possible, because the needs of individual children and adolescents with depressive disorder and their families can vary greatly.
ASPERGER'S SYNDROME - THE LINKAGE WITH AUTISM AND CHILDHOOD SCHIZOID PD -
Lee, Young-Sik ; Cho, In-Hee ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 5, issue 1, 1994, Pages 41~53
In 1944 Hans Asperger reported odd bizzare 400 children who showed autism like clinical symptoms but had higher intelligence and relatively intact speech function. He named these child 'autistic psychopathy'. Since them there were many controversial views about this syndrome. Some regards Asperger syndrome as the high functioning autism variant or preschizophrenic childhood condition or childhood form of schizoid personality disorder. Though there were still many controversy, recently ICD-10, DSM-IV accepted Asperger's syndrome as a distinct subtype of pervasive developmental disorder. The authors reviewed the history and conceptual changes of Asperger syndrome and summarized the interesting recent research findings. In addition, the authors argue that this syndrome has some linkage with autism and schizoid personality disorder and proposed that these is disorders do have common defect in social instinctual development.
STANDARDIZATION STUDY FOR THE KOREAN VERSION OF THE LURIA-NEBRASKA NEUROPSYCHOLOGICAL BATTERY FOR CHILDREN I : SCALE CONSTRUCTION, RELIABILITY & NORMS FOR THE KOREAN VERSION OF LNNB-C
Shin, Min-Sup ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 5, issue 1, 1994, Pages 54~69
The purpose of present study was to develop the Korean Version of Luria-Nebraska Neuropsychological Battery for Children(LNNB-C), to examine the reliability of it, and to establish the norms for determining the probability of brain damage. The normative group used to standardize the Korean version of LNNB-C was composed of 147 children between the age of 8 and 12(body 74, girl 73). The clinical group consisted of 19 brain damaged, 16 ADHD, and 16 psychiatric controls. The inter-scorer reliability was 96.3%, indicating that the stability of the scoring system for the Korean version of LNNB-C is good. The reliability coefficients(Cronbach's
) of LNNB-C scales were ranged .51 to .91, which are similar to those of original LNNB-C. To establish the norms for detecting brain damage, the means and standard deviations for normative group were used to calculate T-scores for each scale. To determine a critical level that could successfully predict a normal child's average score at a given age, first the average score of normative group was calculated, and this score was then entered a regression equation with age to predict the average(baseline) acore. Finally, some issues on constructing the Korean version of LNNB-C and the cultural differences between Korean and American children in performing LNNB-C were discussed.
STANDARDIZATION STUDY FOR THE KOREAN VERSION OF THE LURIA-NEBRASKA NEUROPSYCHOLOGICAL BATTERY FOR CHILDREN II : EVALUATION OF THE VALIDITY & CLINICAL UTILITY OF THE KOREAN VERSION OF LNNB-C
Shin, Min-Sup ; Hong, Kang-E ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 5, issue 1, 1994, Pages 70~82
Present study was to evaluate the validity and the clinical utility of the Korean version of Luria-Nebraska Neuropsychological Battery for Children(LNNB-C) in various groups including normal, brain damaged attention deficit hyperactivity disordered(ADHD), and psychiatrically disordered. The Korean version of LNNB-C and BGT were administered to clinical groups consisted of 51 patients(19 brain damaged, 16 ADHD. and 16 psychiatric controls), and to normal group composed of 147 children between the age of 8 and It Also KEDI-WISC was administered D clinical groups as a part of comprehensive psychological assessment There were significant differences between the brain damaged and the normals on all scales of LNNB-C, and between the normals and the ADHD on 11 clinical scales and 3 summary scales, which indicate the clinical validity for the scales of the Korean version of LNNB-C. The significant differences between the ADHD and the brain damaged on 3 summary scales were found, suggesting that the summary scales might play an important role id discriminating between two groups. Multiple discriminant analysis showed that the Korean version of LNNB-C significantly discriminates 3 groups - normals, ADHD, and brain damaged. Percentages of correct classification were ranged from 62.5% in the ADHD to 98.6Ta in the normals. For further evaluating the discriminant validity of the LNNB-C, the discriminant power of each items were calculated, and 131 of the 147 items discriminated significantly between the brain damaged and the normals. The scales of LNNB-C significantly correlated with the error scores of BGT and the most of scales of KEDI-WISC. These results put together : strongly support the concurrent and the discriminant validity of the Korean version of LNNB-C in diagnosing brain damage. The limitations of present study and several issues for the luther study were discussed.
A DOUBLE BLIND CROSS-OVER COMPARISON OF ANTIDEPRESSANT AND ANTIANXIETY EFFECTS OF PAROXETINE AND PLACEBO IN CHILD-ADOLESCENT AND ADULT DEPRESSIVE NEUROSIS
Kim, S. Peter ; Hong, Kyung-Sue ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 5, issue 1, 1994, Pages 83~92
Paroxetine is a potent and selective serotoin re-uptake inhibitor. It is well known as an effective and safe antidepressant and increasingly used for neurotic or non-psychotic depression with anxiety symptoms. The present study assessed antidepressant and antianxiety efficacy and tolerability of paroxetine against placebo in child-adolescent and adult depressive neurosis patients. 232 subjects aged 8-55 years and meeting DSM-III-R criteria for depressive neurosis or dysthymia were divided into 8 subgroups according to their sex and age(8-11 yeard old, 12-17 years old, 18-35 years old and 36-55 years old subgroup in each male and female group). In each subgroup, the randomly assigned half of the patients were treated with paroxetine(10-30mg/day) and the others with placebo for the first 2 weeks in double blind fashion. After 1 week of drug-washout period, paroxetine and placebo groups were crossed over. The depression and anxiety symptoms were assessed with Hamilton Depression Scale(HDS) and Hamilton Anxiety Scale(HAS) at baseline and every 1 week during the trial periods. The levels of reduction in HDS and HAS scores from baseline after 2-week trial were compared between paroxetine- and placebo- treated periods by paired t-test. In all the 8 subgroups, statistically significant differences between paroxetine and placebo were found on the antidepressant efficacy after 2-week treatment. The antidepressant efficacy of paroxetine compared to placebo was most prominent in child and adolescent female groups. On anxiety symptoms, paroxetine was also significantly more effective than placebo. The antianxiety efficacy of paroxetine compared to placebo was most prominent in male and female child groups and young adult female group aged 18-35 years. As for the adverse effects of paroxetine, 3 out of 232 subjects reported mild indigestion and abdominal pain. however, in all the 3 cases, the symptoms improved without reduction of dosage or discontinuation of the drug. In conclusion, paroxetine showed significantly higher antidepressant and antianxiety efficacy compared to placebo in child-adolescent and adult depressive neurosis patients after 2-week treatment. Further trials of paroxetine in depressive neurosis are warranted to elucidate the long-term antidepressant and antianxiety efficacy of paroxetine.
REPEATED AGGRESSIVE BEHAVIOR AND PLATELET
Choi, Jin-Sook ; Woo, Jong-In ; Hong, Kang-E ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 5, issue 1, 1994, Pages 93~101
This study was performed to assess the amount of altered serotonergic responsivity in individuals with repeated aggressive behaviors compared with normal controls. Sixteen aggressive(delinquent criminals with repeated aggressive behaviors) and seventeen controls(medical college students) were selected and assessed their severity of aggression by several psychological instruments. The platelet
-imipramine binding sites which is known to correlate the serotonergic function of the central nervous system were measured. The results are as follows. 1) Mean scores of physical aggression in the aggressive subjects were found to be significantly higher than normal controls(p<.01). And impulsivity, hostility, psychoticism in the aggressives were found higher than controls, also. 2) In the paltelet
-imipramine binding, the aggressives had a tendency of reduced maximal binding sites(Bmax) comparing with controls(p=.0841). 3) There was no statistically significant differences between two groups in the binding coefficients(Kd) of platelet
Imipramine binding. 4) The value of maximal binding sites(Bmax) showed significant inverse correlations with aggressive scale scores of PFAV(r=-.6311), and physical aggression scale scores of CTS(r=-.5377).
GENERALIZED THYROID HORMONE RESISTANCE SYNDROME AND ATTENTION-DEFICIT/HYPERACTIVITY DISORDER
Ahn, Dong-Hyun ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 5, issue 1, 1994, Pages 102~107
Recently several studies showed a strong and specific association of Attention-Deficit Hyperactivity Disorder(ADHD) and generalized resistance to thyroid hormone(GRTH). The recommandation that all children with ADHD be screened for GRTH is an newer controversial issue in child psychiatric field. Author examined thyroid indices(T3, T4, TSH) and clinical characteristics in the 51 clinical populations with ADHD, developmental delay, and language disorders. The results are that 11 cases were out of the normal range of both T2 and T4 inspite of normal TSH. This finding is suggestive of the finding of GRTH cases. Therefore I suggest that child psychiatrist should pay attention to ADHD symptoms secondary to GRTH and that all children with familial ADHD and developmental delay(including launguage disorder) be screened for thyroid abnormalities.
CYTOGENETIC ANALYSIS OF CHILDREN WITH AUTISM
Jung, Chul-Ho ; Lee, Je-Young ; Park, Young-Nam ; Park, Jong-Han ; Kim, Jung-Bum ; Kim, Jae-Ryong ; Chun, Hyo-Jin ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 5, issue 1, 1994, Pages 108~117
Twenty nine children with autism and thirty children with mental retardation were examined for association between autism and chromosomal disorders including fragile X. The peripheral blood was cultured in Medium 199 with methotrexate and without methorexate for 70 hours. Thirty metaphase cells in each case were karyotyped in all samples. Chromosomal abnormalities were found in 11 cases(37.9%) of autistic disorder and 10 cases (33.3%) of mental retardation, but in none of fragile(X)(q27.3) from all cases. Chromosomal abnormalities were present on group A, C, D and X in autistic disorder and on group A, B, C, D, E and X in mental retardation. No specific chromosomal region was found in both autistic disorder and mental retardation. Types of chromosomal disorders were only fragile and/or gap but no numerical abnormality was present in all cases. Number of cells which revealed fragile sites were 31 cells(3.6%) out of 870 cells in autistic disorder and 29 cells(3.2%) out of 900 cells in mental retardation Number of cells which revealed gaps were 43 cells(4.9%) out of 870 cells in autistic disorder and 35 cells(3.9%) out of 900 cells in mental retardation. Autistic disorder may not be directly correlated with fragile X but with nonspecific chromosomal breakages from these data.
COMPARISON OF COMMUNICATION AND MOTHER-CHILD INTERACTION PATTERNS BETWEEN REACTIVE ATTACHMENT DISORDERED CHILDREN AND NORMAL CHILDREN
Lee, He-Len ; Choi, Young-Rim ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 5, issue 1, 1994, Pages 118~132
The purpose of this study was to compare communication and mother-child interactions of reactive attachment disordered children with normal children. The subjects were 24 children and their mothers participated in this study'12 reactive attachment disordered children and mothers, 12 normal children and mothers. The mother and her child were brought into a p]lay room and the mother was instructed to play with her child as she normally would at home. The play situations were videotaped. Tapes were transcribed and transcribed data was analyzed with 13 mutually exclusive categories encompassing pragmatic functions represented in communication form the early stage of multiword speech in childhood. The tapes were analyzed with 10 behavioral mother-child interaction patterns. As the statistical method, t-test and correlation was calculated. The results of this study were as follows : 1) Reactive attachment disordered children used significantly fewer 'filler', 'information', 'requests', 'describes' and 'disscus self'. 2) Reactive attachment disordered children's mother used significantly fewer 'filler' and 'names'. 3) Reactive attachment disordered children used significantly more 'independent play', fewer 'intiates interaction', 'responsiveness' and 'answer' Reactive attachment disordered children's mother used more 'control play', 'observe' and fewer 'initiates interaction'. 4) Children's communication patterns were related lo mother·'s communication and mother-child interaction types. Children's 'filler', 'information requests', 'describes' and 'disscus self' were consistantly related to mother's 'filler' and 'names', (Children's 'filler', 'information requests', 'describes'. 'disscus self' and mother-child's intiates interaction 'responsivness' were significantly positively correlationed and 'independant play', 'control play', 'observation' were significantly negatively correlationed. The results of reveal that communication and mother-child interaction pattern of reactive attachment disordered group was different from normal group and children's communication pattern were influenced by mother's communication and interaction patterns.
A STUDY OF THE CONTENT VALIDITY IN HYPERKINETIC CONDUCT DISORDER
Jeon, Seong-Ill ; Cho, Soo-Churl ; Jin, Tae-Won ; Nam, Min ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 5, issue 1, 1994, Pages 133~140
Conduct disorder is a heterogenous disorder of various etiology affecting 4-10% of school-age children. There is suggestive evidence that the comorbid group of conduct disorder and attention deficit hyperactivity disorder is different from these two separated diseases groups. There findings suggest that this comorbid group may present a meaningful subgroup. This study is conducted to examine the content validity of hyperkinetic conduct disorder that accepted first in International Classification of Disease 10th edition. The results are summarized as follows : 1) Using Conners Parenting Rating Scale, Parent Rating Scale Form for DSM-III-R, the mean scores of attention deficit hyperactivity disorder in conduct disorder were significantly higher compared with those of normal controls. 2) 72.4% of conduct disorder and 41.5% of normal control groups showed simultaneous attention deficit hyperactivity disorder. The diffenence between conduct disorder and normal control groups was significant. There were many previous informations that children with attention deficit hyperactivity disorder had conduct disorder as comorbid disorder and these result show that children with conduct disorder also significantly had attention attention deficit hyperactivity disorder reversibly. Then these show that hyperkinetic conduct disorder-diagnosis used when both the overall criteria for hyperkinetic disorders and the overall criteria for conduct disorders are met-have satisfactory content validity. Biological, familial or long term studies are needed to further validate this diagnostic category.
PREVALENCE OF DISRUPTIVE BEHAVIOR DISORDERS
Cho, Soo-Churl ; Shin, Yun-O ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 5, issue 1, 1994, Pages 141~149
The prevalence rates of disruptive behavior disorders(attention deficit hyperactive disorder, conduct disorder and oppositional defiant disorder, ADHD, CD and ODD respectively) were studied in 780 elementary school children from 4th to 6th grades. The results are summarized as follows : 1) The prevalences rates of ADHD were in boys 10.3%(45/436), 4.1%(14/344) in girls and the overall prevalence rate was 7.6%(59/780). 2) The prevalence rates of CD were 5.0%(22/436) in boys, 2.3%(8/344) in girls and the overall prevalence rate was 3.8%(30/780). 3) The prevalence rates of ODD were 5.7%(25/436) in boys, 2.3%(8/344) in girls and the overall prevalence rate was 4.2%(33/780). 4) These three disorders were significantly more common in boys than in girls. 5) There were no significant differences in the prevalence rates of ADHD, CD and ODD by grades or urban-rural status. 6) The comorbidity of ADHD was also explored, 3.5% (2/59) of ADHD also had CD, 13.6% (8/59) had both CD and ODD. 7) The mild forms of these three disorders were about two times more common than typical forms.
COMORBID PSYCHOPATHOLOGY AND PARENTAL BEHAVIORS IN TIC DISORDER CHILDREN
Kim, Ja-Sung ; Lee, Jeong-Seop ; Hong, Kang-E ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 5, issue 1, 1994, Pages 150~161
Clinical Characteristics of 83 tic patients referred to child psychiatric clinics were studied including the patients' sexes, birth orders and onset ages. We compared the differences between patients and normal control regarding the co-morbidity, and mothering attitude using CBCL(Child Behavioral Check List) and MBRI(Mothering Behavior Rating Instrument). And we also evaluated the influence of types of tic disorder and the presence of behavioral characteristics of the tic patients. The following results were obtained. 1) The sex ration was 5.9:1, male dominant. 2) The eldest children were being twice as many as the youngest children(eldest : youngest : single=4.7 : 1.7 : 1). 3) The eldest children tended to have earlier onset than others. 4) The tic children as a whole had more accompanying behavioral problems than the normal children according to the CBCL scales' scores. 5) The mothers of tic children had more negative view of their children, more rejecting and more hostile attitude toward their children. 6) The types of tic disorder(the Tourette disorder vs chronic moter tic disorder) did not make a difference in the incidence of behavior problems. 7) Those who had attentional problems regardless the types of tic had more behavioral problems than those who had not. 8) Those who had familial loadings of tic disorder tended to have more likely Tourette disorders than chronic tic disorders.
DEVELOPMENT OF THE KOREAN FORM OF LEYTON OBSESSIONAL INVENTORY-CHILD VERSION(LOI-CV)
Lee, Jeong-Seop ; Shin, Min-Sup ; Hong, Kang-E ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 5, issue 1, 1994, Pages 162~171
Objects : This study was carried out to develop the Korean form of Leyton Obsessional Inventory-Child Version(LOI-CV) designed to assess the obsessive compulsive symptoms in children and adolescents. The LOI-CV was modified into a paper-and-pencil form in order to administer it to group. Methods : We applied the Korean form LOI-CV to 127 elementary, middle and high school children, and retest it to 82 children with 3 weeks interval. Together with LOI-CV, Korean form of SCL-90-R which had been proved its reliability and validity, were administered to the all subjects for examining of concurrent validity. And then we examined whether this scale discriminates between obsessive patients, psychiatric controls and normal controls in the level of obsessive symptoms. Results : Test-retest reliability, internal consistency were very satisfactory. Concurrent validity with SCL-90-R was moderate level. And obsessive patients was scored significantly higher than psychiatric and normal controls in the level of obsessive symptoms. In factor analysis, items are clustered to 5 factors. In the global obsessive symptom, obsessive scores of female elimentary school students were higher than that of male students. Conclusions : These results indicate that the Korean form of LOI-CV is reliable and valid self-rating scale to assess the obsessive-compulsive symptoms in Korean children and adolescents. Author suggests that future research is needed for Korean version standardization study in normal and clinic-refered population.
PSYCHOLOGICAL CHARACTERISTICS OF ADOLESCENT CHILDREN OF PROBLEM DRINKERS
Sohn, Young-Kyoon ; Oh, Kyung-Ja ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 5, issue 1, 1994, Pages 172~183
The present study investigated the relationship between parental problem drinking and risk for malajustment in adolescents. A group of adolescent children of problem drinkers(126 boys, 210 girls) and a group of children of non-problem drinkers(190 boys, 222 girls) were compared on demographic variables, perceived relationships with parents(parental care and parental over-protection), depression, anxiety, alcohol expectancies, alcohol involvement and self-reported delinquency. Adolescent children of problem drinkers reported lower level of perceived parental care and higher level of perceived parental overprotection compared to the children of nonproblem drinkers. They also reported higher depression, anxiety and alcohol expectancies, as well as more alcohol involvement and delinquent behaviors. Multiple regression analyses were performed seperately for male and female adolescents with depression, anxiety, alcohol expectancies, alcohol involvement and self-reported delinquency as outcome variables. Adolescents' emotional distress(depression and anxiety) was associated with perceived relationships with parents rather than parental problem drinking, but adolescents' alcohol problems and delinquency were associated with parental problem drinking and adolescents' emotional distress rather than their perceived relationships with parents.
A CLINICAL STUDY ON CHILD SEXUAL ABUSE
Lee, Soo-Kyung ; Kwack, Young-Sook ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 5, issue 1, 1994, Pages 184~193
This study was purposed to find out clinical characteristic of intra and extrafamilial sexual abuse, nature of offenders, difference of symptoms describe that sexually abused children and adolescents were experienced. Subjects were 10 sexually abused children and adolescents who visited Seoul National Mental Hospital, from Jan. 1992 to Dec. 1993. In intrafamilial sexual abuse, they had more chronic course than extrafamilial abuse and had more family psychopathology. In symptomatology, The preschool children mainly presented to somatic symptoms and anxiety, and The school children prominently exhibited depressive reaction and withdrawal. Most common reaction of parents was anger and guilt. They were treated with crisis intervention, play therapy, and hospitalization, if needed. The maintenance of treatment was difficult due to parent's avoidance and repression.
A CASE OF FALSE ALLEGATION OF CHILD SEXUAL ABUSE
Choi, Bo-Moon ;
Journal of the Korean Academy of Child and Adolescent Psychiatry, volume 5, issue 1, 1994, Pages 194~200
When children exhibit unusually intense or persistent sexual interests or behavior, this is an indication that they have been exposed to more than the expectable amount of sexual experience, Although sexualized behavior and/or statement is a symptom of sexual abuse, it is not necessarily an indication of sexual abuse. The possibility of false allegation needs to be considered, particularly if allegations are coming from the parent rather than a child, if parents are engaged in dispute over custody or visitation, and/or if the child is a preschooler. False allegations may arise in other situations as well, such as the misinterpretation of a child's statement or behavior by relative or caretakers. And children may make false statement in psychiatric evaluations. A case of false allegation of sexual abuse made by mentally retarded 10 year-old girl who has been located in an institute is presented. During her evaluation process, it was clinician's diagnostic impression that she had no been sexually abused but sexually stimulated in some way, and most of what she said was a fantasy lie. Its pathological mechanism is discussed in terms of pseudologia fantastica along with the review of literatures.