OBJECTIVES: The purpose of present study was to explore characteristics of emotion and cognition in adolescent delinquency. METHODS: Four-hundred-seventy-six adolescents participated to fill out the Revised Children's Manifest Anxiety Scale (RCMAS), the Children's Depression Inventory (CDI), Children's Fear Survey Schedule-Revised (FCSS-R), the Latent Delinquency Questionnaire (LDQ), the Children's Automatic Thoughts Scale (CATS), the Negative Affect Self Statement Questionnaire (NASSQ), the Automatic Thoughts Questionnaire-Negative & Positive (ATQ-N, P), and the Rosenberg's Self Esteem Scale. RESULTS: Adolescent delinquency was positively correlated with anxiety and depression, negatively correlated with fear. Multiple regression analysis showed that depression, fear and the automatic thought for physical threat were significant predicting variables for adolescent delinquency. CONCLUSION: From our results it was inferred that adolescent delinquency is correlated with emotional discomfort, especially in male adolescents. And fear could suppress delinquent behaviors. From the results of this study the direction of future study was discussed.
Adolescent* ; Anxiety ; Cognition* ; Depression ; Humans ; Manifest Anxiety Scale ; Surveys and Questionnaires ; Self Concept

OBJECTIVES: This study aimed to compare the quality of life reported by patients with attention-deficit/hyperactivity disorder (ADHD) to the patients' quality of life as reported by their caregivers. In addition, it aimed to examine how emotional problems, including depression and anxiety, and the severity of the symptoms affect the quality of life reported by the patients and their caregivers. METHODS: The patients' quality of life and their degree of depression and anxiety were measured using the Pediatric Quality of Life Inventory (PedsQL) 4.0 Child Self-Report, the Children's Depression Inventory (CDI), and the Revised Children's Manifest Anxiety Scale, respectively. The caregivers' perception of the patients' quality of life and severity of the ADHD symptoms were measured using the PedsQL 4.0 Parent Proxy Report and the Conners' Parent Rating Scale (CPRS), respectively. A total of 66 participants completed the survey. The independent-samples t-test, Pearson's correlation analysis, and multiple regression analysis were conducted. RESULTS: The mean score of the PedsQL 4.0 Child Self-Report was significantly higher than the mean score of the PedsQL 4.0 Parent Proxy Report. However, for school function, the PedsQL 4.0 Child Self-Report score was significantly lower than that of Parent Proxy Report. The correlation between the PedsQL 4.0 Child Self-Report and PedsQL 4.0 Parent Proxy Report scores was significant only for emotional function and social function. The multiple regression analysis showed that the PedsQL 4.0 Child Self-Report and PedsQL 4.0 Parent Proxy Report scores were significantly predicted by the CDI and CPRS scores, respectively. CONCLUSION: Our results demonstrate that there are clear differences between the quality of life reported by the patient themselves and that reported by their caregivers. In addition, the findings suggest that it is critical to treat the patients' accompanying depressive symptoms.
Adolescent ; Anxiety ; Cardiopulmonary Resuscitation ; Caregivers ; Child ; Depression ; Humans ; Manifest Anxiety Scale ; Parents ; Proxy ; Quality of Life

OBJECTIVES: This study was conducted to compare emotional problems in children with neurosurgical diseases prior to surgery as well as levels of parenting stress experienced by mothers of children treated with surgery and those without surgery. The goals was to provide a basis on which comprehensive treatment interventions could be established. METHODS: Subjects included 78 elementary school children who visited the Department of Pediatric Neurosurgery as well as their mothers. The Children's Depression Inventory (CDI) and the Revised Children Manifest Anxiety Scale (RCMAS) were administered to children. The Parenting Stress Indexs (PSI) and Beck Depression Inventory (BDI) were administered to their mothers. RESULTS: The children with neurosurgical diseases showed higher levels of depression prior to surgery. In their mothers, parenting stress was relatively higher and parenting competence was lower. In particular, for those children who underwent surgery, depression was significantly higher. Specifically, they exhibited more negative expectations, and negative self-image. In mothers of children who underwent surgery, depression was significantly higher. CONCLUSION: Our results suggest higher levels of emotional distress and parental stress in children who undergo neurosurgical operations and their mothers, respectively. Based on this, the necessity for surgical and comprehensive psychological intervention is suggested.
Child ; Depression ; Humans ; Manifest Anxiety Scale ; Mental Competency ; Mothers ; Neurosurgery ; Parenting ; Parents ; Stress, Psychological

OBJECTIVES: This study was conducted in order to investigate the influences of school violence on the mental health of student victims and their parents. METHODS: A total of 56 (aged 7-18) student victims and their parents were selected to participate in a survey. The students had experienced school violence from June 2012 to October 2013. They completed a set of self-report questionnaires, including socio-demographic characteristics, family relationship, Impact of Event Scale-Revised, Child Depression Inventory (CDI), Beck Depression Inventory, Revised Children's Manifest Anxiety Scale, and Parental Bonding Instrument to evaluate psychiatric complications and to understand the emotional bonding between them. RESULTS: The student's level of impact of event was significantly related to the parent's level of impact of event (p<.001). The student's high CDI score showed positive correlation with high level of impact of event (p<.001). In addition, higher level of the student's perceived emotional support and understandability of family showed association with lower level of impact of event (p<.01, p<.05). CONCLUSION: The results of this study suggest that the psychiatric sequelae of school violence is seriously affected by family support and parent's level of impact of event. Therefore, more active intervention is needed for both students and their parents.
Child ; Depression ; Family Characteristics ; Humans ; Manifest Anxiety Scale ; Mental Health ; Object Attachment ; Parents* ; Violence*

OBJECTIVES: In recent years, school violence has been increasing and this situation is complicated by various factors. The objective of this study is to explore the distribution of the participants' roles and to examine the psychopathology associated with these roles among middle school students. METHODS: In a cross-sectional study, 490 middle school students completed the Participant Role Questionnaire (PRQ) for classifying the participants' roles in a bullying situation. The Korean-Youth Self Report (K-YSR), Revised Children's Manifest Anxiety Scale (RCMAS), Rosenberg Self-Esteem Scale (RSE) and Parent Adolescent Communication Inventory (PACI) were also included to evaluate the psychopathology of the students. RESULTS: The distribution rates of the bully, assistant, reinforcer, defender and outsider groups were 4.1%, 3.1%, 5.3%, 53.7%, and 32.0%, respectively. Among the syndrome scales of K-YSR, almost each items' and the total scores (p=0.049), RCMAS (p=0.000), PACI (p=0.000), and RSE (p=0.000) were significantly different among all group. The average scores on the K-YSR and RCMAS were the highest in the assistant and reinforcer groups. CONCLUSION: The assistant and reinforcer groups showed more severe psychopathologies. This means that they suffered from more difficulties than the other groups. Therefore, they need more intensive therapeutic interventions. Except for the defender group, who prevented bullying, the outsider group was the largest group. Therefore, a comprehensive approach that can change outsiders to defenders should be employed for the prevention of bullying in adolescents.
Adolescent ; Bullying* ; Cross-Sectional Studies ; Humans ; Manifest Anxiety Scale ; Parents ; Psychopathology* ; Self Report ; Violence ; Weights and Measures

OBJECTIVES: Experiencing early childhood trauma is related to multiple psychiatric problems in adolescents and adulthood. This study aimed to examine the reliability and validity of the Korean version of the Early Trauma Inventory Self Report-Short Form (ETISR-SF) among Korean adolescents. METHODS: A total of 86 adolescents aged 12–17 years (mean age 14.50±1.35 years, range 12–17) were assessed using the ETISR-SF. Other instruments, including the Children's Depression Inventory (CDI), the revised Children's Manifest Anxiety Scale (RCMAS), and the List of Threatening Experiences Questionnaire (LTE-Q), were used to assess clinical symptoms. After 2 months, 51 of the 86 participants were evaluated using the ETISR-SF to assess test-retest reliability. RESULTS: The Cronbach's coefficient alpha for the ETISR-SF was high (0.803). Adolescents with depressive disorder showed higher ETISR-SF scores compared to healthy controls. The ETISR-SF scores were correlated higher with the scores on the LTE-Q (r=0.485) than with the scores on the CDI or RCMAS (r=0.165 and 0.347, respectively). CONCLUSION: The ETISR-SF was temporally stable, showing acceptable reliability (r=0.776). These findings suggest that the Korean version of the ETISR-SF appears to be a reliable and valid instrument for the measurement of reported childhood trauma.
Adolescent ; Depression ; Depressive Disorder ; Humans ; Korea ; Manifest Anxiety Scale ; Reproducibility of Results

OBJECTIVES: This study aimed to investigate predictive emotional and behavioral factors of adolescent delinquents among students. METHODS: We assessed and analyzed 1377 students aged 13-18 using the following instruments: Center for Epidemiologic Study for Depression (CES-D), Revised Children's Manifest Anxiety Scale (RCMAS), Youth Self Report (YSR), Psychological self-1 of Offer's Self Image Questionnaire (PS-1 of OSIQ) and Suicide Ideation Questionnaire (SIQ). With collected data we compared the delinquent group with the control group. RESULTS: The prevalence of delinquent adolescents was 4.7%. The prevalence among of high school students was higher (8.7%) than that of middle school students (3.4%). Comparing with the control group, delinquent group showed significantly higher scores of CES-D (Delinquent 25.55 vs Control 13.07), RCMAS (Delinquent 15.60 vs Control 9.17), PS-1 of OSIQ (Delinquent 33.70 vs Control 28.87), SIQ (Delinquent 88.89 vs Control 46.89) and all subscales of YSR. Adolescent delinquency can be predicted in the order of RCMAS, Somatic complaints, CES-D and Withdrawn. CONCLUSION: We found that both emotional and behavioral factors could predict adolescent delinquency in school community. Most potent predictor was anxiety. Additional predictors were neurotic characteristics such as somatic complaints, depressive symptoms and social withdrawal. It is hypothesized that early intervention of adolescent neuroticism may be able to prevent adolescent delinquency.
Adolescent* ; Anxiety ; Depression ; Early Intervention (Education) ; Epidemiologic Studies ; Humans ; Manifest Anxiety Scale ; Prevalence ; Surveys and Questionnaires ; Self Report ; Suicide

OBJECTIVES: As internet users increase rapidly, internet addiction is a rising addictive behavior associated with psychiatric problems of adolescence in Korea. The objectives of this study were to investigate the prevalences of internet use and the relations of internet addiction to emotional and behavioral problems of adolecence in Korea. METHODS: We assessed 1.555 middle and high school students in Koyang city, Korea using Young Internet Addiction Scale (YIAS), Center for Epidemiological Study for Depression (CES-D), Revised Children's Manifest Anxiety Scale (RCMAS), Youth Self Report (YSR), and Psychological Self (PS)-1 of Offer's Self Image Questionnaire (OSIQ). RESULTS: Ninty eight subjects (6.3%) were Internet Addicted Group ('Addicted Group'):51 (6.2%) were middle school students, and 47 (6.5%) were high school students. Compared to girls, boys showed higher prevalences of internet addiction and higher mean score of YIAS. But there were no significant differences of prevalences and YIAS scores between middle and high school students. Addicted Group had significantly higher mean scores of all scales (subscales) than Non-Addicted Group. CONCLUSION: Adolescents with internet addiction showed more psychiatric problems compared to adolescents without internet addiction, thus require therapeutic approaches to multiple psychopathologies in addition to the addictive behaviors.
Adolescent* ; Behavior, Addictive ; Depression ; Epidemiologic Studies ; Female ; Humans ; Internet* ; Korea ; Manifest Anxiety Scale ; Prevalence ; Surveys and Questionnaires ; Self Report ; Weights and Measures

PURPOSE: The purpose of this study was to investigate the importance of initial screening tests for depression and anxiety disorders in children with headache. In addition, this study evaluated whether the Children's Depression Inventory (CDI) and Revised Children's Manifest Anxiety Scale (RCMAS) are suitable for screening symptoms of depression and anxiety. METHODS: A retrospective chart review was conducted of 720 children aged 7-17 years who had visited a pediatric neurology clinic for headaches and were referred to a pediatric psychiatric clinic for psychiatric symptoms from January 2010 to December 2011. All patients completed the CDI and RCMAS. Among them, charts of patients with clinically significant total scores (cutoff>15) for psychiatric symptoms, as defined by the CDI and RCMAS scoring scales, were reviewed. RESULTS: Nineteen patients had headaches and clinically significant total scores for psychiatric symptoms. The mean age at headache diagnosis was 11.7 years, and 57% were male. Mean duration of headache was 11.5 months. Two point eight percent of the patients were diagnosed with psychiatric disorders including major depression (1.7%), generalized anxiety disorder (1.1%), and bipolar disorder (0.1%). Four patients (0.6%) were diagnosed with attention deficit/hyperactivity disorder (ADHD). Total mean CDI and RCMAS scores of patients referred to the psychiatric clinic were 18.8 and 22.2, respectively. There was no correlation between CDI or RCMAS total scores and headache frequency, duration, or severity. CONCLUSION: We recommend that all patients with headache should be screened for depression and anxiety by CDI and RCMAS scores.
Anxiety ; Anxiety Disorders* ; Bipolar Disorder ; Child* ; Depression* ; Diagnosis ; Headache* ; Humans ; Male ; Manifest Anxiety Scale ; Mass Screening* ; Neurology ; Retrospective Studies ; Weights and Measures

OBJECTIVES: This study investigated the differences between the psychiatric characteristics of minor juvenile offenders and normal adolescents as well as differences in psychiatric symptoms after a six month protective disposition. Further, the current study aimed at determining psychiatric screening methods for evaluating delinquent adolescents. METHODS: The Latent Delinquency Questionnaire (LDQ), the Revised Children's Manifest Anxiety Scale (RCMAS), the Children's Depression Inventory (CDI), the Reynolds Suicidal Ideation Questionnaire (SIQ), the Piers-Harris Children's Self Concept Inventory (SCI), and the Korean Youth Self Report (K-YSR) were administered to 134 normal adolescents (114 males) and 109 minor offenders (97 males) aged 12 to 16 years. After six months, 46 offenders (all males) completed the RCMAS, CDI, SIQ, and SCI again. RESULTS: Adolescents with minor offenses had more delinquent, aggressive behavior and externalizing behavior problems, but were significantly less depressive, anxious, or suicidal than normal controls. Further, recidivists had more anxiety, depression, and delinquent behavior than non-recidivists. Minor offenders reported that their anxiety and depressive mood decreased after six months of protective disposition. CONCLUSION: Adolescents with minor offenses had more delinquent, aggressive behavior and externalizing behavior problems suggesting that psychiatric screening tools for minor offenders should measure disruptive behavior disorder.
Adolescent ; Aged ; Anxiety ; Attention Deficit and Disruptive Behavior Disorders ; Criminals ; Depression ; Follow-Up Studies ; Humans ; Manifest Anxiety Scale ; Mass Screening ; Self Concept ; Self Report ; Suicidal Ideation ; Surveys and Questionnaires