1.Usefulness of the Berlin Questionnaire for Screening Patients With Obstructive Sleep Apnea
Journal of Sleep Medicine 2022;19(3):146-152
Objectives:
This study aimed to evaluate the usefulness of the Berlin questionnaire (BQ) as a screening tool for obstructive sleep apnea (OSA) in a sleep clinic.
Methods:
We used a retrospective review of 77 subjects with suspected OSA to conduct a secondary analysis of a previously published sleep study. A total of 77 subjects attended and completed overnight, in-laboratory polysomnography. Subjects completed the standard BQ in the evening just before the sleep study.
Results:
The mean age of 77 subjects was 49.94±15.78 years, of which 37 (48.1%) were male and 42 (63.7%) were white. Forty-six subjects (59.7%) were diagnosed with OSA through polysomnography. In the analysis of each item of the standard BQ, the sensitivity ranged from 4.6% to 92.5%, and the specificity ranged from 13.3% to 85.7%. For item 8, the sensitivity, specificity, positive likelihood ratio, and negative likelihood ratio were 4.6%, 84.9%, 0.3, and 1.1, respectively. The area under the curve values of the standard BQ and after deleting item 8 were 0.634 and 0.751, respectively. When item 8 was deleted and each item on the standard BQ was calculated as one point, the cutoff values representing the highest Yuden index were 3.5 and 4.5.
Conclusions
A modified BQ that selects four different questions for each subject, regardless of the number of positive categories in the standard BQ, will provide improved accuracy in screening subjects with a high likelihood of having OSA.
2.Effectiveness of Reading Disorder Intervention Program-Open Trial
Hanik K. YOO ; Hannah HUH ; Minji JO ; Hyunju LEE ; In-Hwa HONG ; Jung Hun KIM ; Su-Jin YANG ; Jaesuk JUNG
Journal of Korean Neuropsychiatric Association 2021;60(2):126-134
Objectives:
This study investigated the effectiveness of the intervention program for elementary school students with reading disorders.
Methods:
The intervention program focused on phonological awareness, phonics, and decoding training applied individually to 25 children with a reading disorder by the teachers in charge for four months. To measure the efficacy, this study evaluated the word reading accuracy, fluency, and the related cognitive functions, including phonemic awareness, phonics, and rapid automatized naming using the Computerized Comprehensive Learning Test-Reading before and after the program.
Results:
After the intervention, improvements were observed in the following: the reading fluency score and fluency percentile in the word attack test; reading accuracy rate, fluency score, and fluency percentile in the nonword decoding test; fluency score and fluency percentile in the rapid automatized naming tests; accuracy rate in the letter-sound matching test; accuracy rate in the nonword repetition test. On the other hand, there was no significant difference in the paragraph reading fluency test. According to the subtypes of reading disabilities, children with dyslexic or mixed types improved after the intervention.
Conclusion
Reading accuracy and fluency of school-aged children with reading disorders improved through the intervention program by the schoolteachers.
3.Effectiveness of Reading Disorder Intervention Program-Open Trial
Hanik K. YOO ; Hannah HUH ; Minji JO ; Hyunju LEE ; In-Hwa HONG ; Jung Hun KIM ; Su-Jin YANG ; Jaesuk JUNG
Journal of Korean Neuropsychiatric Association 2021;60(2):126-134
Objectives:
This study investigated the effectiveness of the intervention program for elementary school students with reading disorders.
Methods:
The intervention program focused on phonological awareness, phonics, and decoding training applied individually to 25 children with a reading disorder by the teachers in charge for four months. To measure the efficacy, this study evaluated the word reading accuracy, fluency, and the related cognitive functions, including phonemic awareness, phonics, and rapid automatized naming using the Computerized Comprehensive Learning Test-Reading before and after the program.
Results:
After the intervention, improvements were observed in the following: the reading fluency score and fluency percentile in the word attack test; reading accuracy rate, fluency score, and fluency percentile in the nonword decoding test; fluency score and fluency percentile in the rapid automatized naming tests; accuracy rate in the letter-sound matching test; accuracy rate in the nonword repetition test. On the other hand, there was no significant difference in the paragraph reading fluency test. According to the subtypes of reading disabilities, children with dyslexic or mixed types improved after the intervention.
Conclusion
Reading accuracy and fluency of school-aged children with reading disorders improved through the intervention program by the schoolteachers.
4.Diagnostic Validity of the Comprehensive Attention Test in Patients With Attention-Deficit/Hyperactivity Disorder
Hyunju LEE ; Hannah HUH ; Woo Young KIM ; Eun Kyoung LEE ; Bum-Sung CHOI ; Bongseog KIM ; Hanik YOO
Journal of the Korean Academy of Child and Adolescent Psychiatry 2024;35(4):243-249
Objectives:
This study verified the diagnostic validity of the Comprehensive Attention Test (CAT) for attention-deficit/hyperactivity disorder (ADHD).
Methods:
A total of 336 participants were recruited in this study, including 168 patients with ADHD and 168 control group participants who were one-to-one matched for sex and age. We measured selective attention (visual and auditory), sustained attention, interferenceselective attention, divided attention, and working memory in the ADHD and control groups using the CAT. The sensitivity, specificity, positive predictive value, and negative predictive value of the CAT were calculated.
Results:
In this study, it was found that the sensitivity and specificity of the CAT were 0.879 and 0.846 in children, 0.855 and 0.838 in adolescents, and 0.800 and 0.733 in adults, respectively.
Conclusion
These results indicate that the CAT has a high diagnostic validity for ADHD from childhood to adulthood.
5.Efficacy of Learning Disorder Treatment for Reading or Mathematics Disorders: An Open Study
Hyunju LEE ; Inhye SONG ; Woo Young KIM ; Hannah HUH ; Eun Kyoung LEE ; Jaesuk JUNG ; Cheon Seok SUH ; Hanik YOO
Journal of the Korean Academy of Child and Adolescent Psychiatry 2024;35(2):143-149
Objectives:
This study aimed to identify the effectiveness of treatment programs for children with reading (RD) or mathematics disorders (MD). Structured treatment programs were developed to improve phonological awareness and number sense among children and adolescents with RD or MD, respectively, and the effectiveness of the learning disorder treatment programs were evaluated.
Methods:
We used standardized, objective diagnostic, and evaluation tools not only to recruit participants with RD, MD, or comorbid attention deficit and hyperactivity disorder, but also to assess the effectiveness of the treatments regarding both improved core neurocognitive deficits of RD or MD and academic achievement. Forty children with RD or MD received one-on-one treatments from therapists.
Results:
In the RD group, treatment effects were observed in all subtests. In the word and paragraph reading tests, the accuracy rates and fluency improved. The results of the phonological working memory test, word–sound correspondence test, and rapid automatic naming tests also improved. In the MD group, the accuracy rate and fluency on the arithmetic test improved. An increase in the accuracy rate in the size and distance comparison tests and a decrease in the error rate in the estimation test were also observed. However, there were no improvements in reaction time in these subtests.
Conclusion
Learning disorder treatment programs that focus on improving phonological awareness or number sense in children with RD or MD improved achievement, phonological awareness, and number sense.
7.Diagnostic Validity of the Comprehensive Attention Test in Patients With Attention-Deficit/Hyperactivity Disorder
Hyunju LEE ; Hannah HUH ; Woo Young KIM ; Eun Kyoung LEE ; Bum-Sung CHOI ; Bongseog KIM ; Hanik YOO
Journal of the Korean Academy of Child and Adolescent Psychiatry 2024;35(4):243-249
Objectives:
This study verified the diagnostic validity of the Comprehensive Attention Test (CAT) for attention-deficit/hyperactivity disorder (ADHD).
Methods:
A total of 336 participants were recruited in this study, including 168 patients with ADHD and 168 control group participants who were one-to-one matched for sex and age. We measured selective attention (visual and auditory), sustained attention, interferenceselective attention, divided attention, and working memory in the ADHD and control groups using the CAT. The sensitivity, specificity, positive predictive value, and negative predictive value of the CAT were calculated.
Results:
In this study, it was found that the sensitivity and specificity of the CAT were 0.879 and 0.846 in children, 0.855 and 0.838 in adolescents, and 0.800 and 0.733 in adults, respectively.
Conclusion
These results indicate that the CAT has a high diagnostic validity for ADHD from childhood to adulthood.
8.Diagnostic Validity of the Comprehensive Attention Test in Patients With Attention-Deficit/Hyperactivity Disorder
Hyunju LEE ; Hannah HUH ; Woo Young KIM ; Eun Kyoung LEE ; Bum-Sung CHOI ; Bongseog KIM ; Hanik YOO
Journal of the Korean Academy of Child and Adolescent Psychiatry 2024;35(4):243-249
Objectives:
This study verified the diagnostic validity of the Comprehensive Attention Test (CAT) for attention-deficit/hyperactivity disorder (ADHD).
Methods:
A total of 336 participants were recruited in this study, including 168 patients with ADHD and 168 control group participants who were one-to-one matched for sex and age. We measured selective attention (visual and auditory), sustained attention, interferenceselective attention, divided attention, and working memory in the ADHD and control groups using the CAT. The sensitivity, specificity, positive predictive value, and negative predictive value of the CAT were calculated.
Results:
In this study, it was found that the sensitivity and specificity of the CAT were 0.879 and 0.846 in children, 0.855 and 0.838 in adolescents, and 0.800 and 0.733 in adults, respectively.
Conclusion
These results indicate that the CAT has a high diagnostic validity for ADHD from childhood to adulthood.
9.Diagnostic Validity of the Comprehensive Attention Test in Patients With Attention-Deficit/Hyperactivity Disorder
Hyunju LEE ; Hannah HUH ; Woo Young KIM ; Eun Kyoung LEE ; Bum-Sung CHOI ; Bongseog KIM ; Hanik YOO
Journal of the Korean Academy of Child and Adolescent Psychiatry 2024;35(4):243-249
Objectives:
This study verified the diagnostic validity of the Comprehensive Attention Test (CAT) for attention-deficit/hyperactivity disorder (ADHD).
Methods:
A total of 336 participants were recruited in this study, including 168 patients with ADHD and 168 control group participants who were one-to-one matched for sex and age. We measured selective attention (visual and auditory), sustained attention, interferenceselective attention, divided attention, and working memory in the ADHD and control groups using the CAT. The sensitivity, specificity, positive predictive value, and negative predictive value of the CAT were calculated.
Results:
In this study, it was found that the sensitivity and specificity of the CAT were 0.879 and 0.846 in children, 0.855 and 0.838 in adolescents, and 0.800 and 0.733 in adults, respectively.
Conclusion
These results indicate that the CAT has a high diagnostic validity for ADHD from childhood to adulthood.
10.The Korean Practice Parameter for the Treatment of Attention-Deficit Hyperactivity Disorder(IV): Non-Pharmacologic Treatment.
Bung Nyun KIM ; Hanik K YOO ; Hwayeon KANG ; Ji Hoon KIM ; Dongwon SHIN ; Donghyun AHN ; Su Jin YANG ; Hee Jeong YOO ; Keun Ah CHEON ; Hyunju HONG
Journal of the Korean Academy of Child and Adolescent Psychiatry 2007;18(1):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 for children and adolescents with ADHD.
Adolescent
;
Child
;
Cognitive Therapy
;
Consensus
;
Education
;
Family Therapy
;
Humans
;
Parents
;
Phytotherapy