Journal Detail Information

1

Cite

Share

The Code of Medical Ethics for the Korean Academy of Child and Adolescent Psychiatry: Why Is It Important?.

Young Jin KOO ; Jun Won HWANG ; Moon Soo LEE ; Young Hui YANG ; Soo Young BANG ; Je Wook KANG ; Dae Hwan LEE ; Ju Hyun LEE ; Young Sook KWACK ; Seungtai Peter KIM ; Kyung Sun NOH ; Sung Sook PARK ; Geon Ho BAHN ; Dong Ho SONG ; Dong Hyun AHN ; Young Sik LEE ; Jeong Seop LEE ; Soo Churl CHO ; Kang E Michael HONG

Journal of the Korean Academy of Child and Adolescent Psychiatry.2016;27(1):2-30. doi:10.5765/jkacap.2016.27.1.2

This article provides an overview of the developmental history and rationale of medical ethics to establish the code of ethics and professional conduct of the Korean Academy of Child and Adolescent Psychiatry (KACAP). Most medical professional organizations have their own codes of ethics and conduct because they have continuous responsibility to regulate professional activities and conducts for their members. The Ethics and Award Committee of the KACAP appointed a Task-Force to establish the code of ethics and conduct in 2012. Because bioethics has become global, the Ethics Task Force examined global standards. Global standards in medical ethics and professional conduct adopted by the World Medical Association and the World Psychiatric Association have provided the basic framework for our KACAP's code of ethics and professional conduct. The Code of Ethics of the Americal Academy of Child and Adolescent Psychiatry has provided us additional specific clarifications required for child and adolescent patients. The code of ethics and professional conduct of the KACAP will be helpful to us in ethical clinical practice and will ensure our competence in recognizing ethical violations.
Adolescent ; Adolescent Psychiatry* ; Adolescent* ; Advisory Committees ; Awards and Prizes ; Bioethics ; Child* ; Codes of Ethics ; Ethics ; Ethics, Medical* ; Humans ; Mental Competency ; Societies

2

Cite

Share

Leap on the Basis of 27 Years of Experience and Mettle.

Geon Ho BAHN

Journal of the Korean Academy of Child and Adolescent Psychiatry.2016;27(1):1-1. doi:10.5765/jkacap.2016.27.1.1

No abstract available.

3

Cite

Share

Cognitive Behavioral Therapy in Childhood Tic Disorder: A Case of Report.

Jung Rim SONG ; Jong Woo HONG ; Jin Ah DOH ; Hyun Woo KIM ; Myung Ho LIM

Journal of the Korean Academy of Child and Adolescent Psychiatry.2011;22(1):38-43.

Chronic tic disorder or Tourette syndrome is known to be a chronic neuro-behavioral disease for which cognitive behavioral therapy (CBT) strategies have recently been introduced. Here, we report the effectiveness of CBT in a case of childhood chronic tic disorder, which is very common in clinical settings. The DSM-IV clinical diagnosis was applied by a child psychiatrist. The Yale Global Tic Severity Scale, Kovac's children's depression inventory, Spielberger State-Trait Anxiety Inventory, Abbreviated Conners' Rating Scales, and the Dupaul ADHD Rating Scales were used. This case involved a pharmacological treatment-refractory patient over the previous year. Thus, psychiatric consultation was undertaken. Subsequently, we administered five sessions of CBT for four weeks, consisting of symptom evaluation and planning, habit reversal training, and ventilation training. Following four weeks of CBT administration, there were improvements in the scores of the Yale Global Tic Severity Scale and the Clinical Global Improvement scale. Our observations indicate that CBT may be effective in the treatment of childhood tic disorder.
Anxiety ; Child ; Cognitive Therapy ; Depression ; Diagnostic and Statistical Manual of Mental Disorders ; Humans ; Psychiatry ; Symptom Assessment ; Tic Disorders ; Tics ; Tourette Syndrome ; Ventilation ; Weights and Measures

4

Cite

Share

A Preliminary Study on the Development of Korean Medication Algorithm for Attention-Deficit Hyperactivity Disorder.

Jae Hong PARK ; Bung Nyun KIM ; Jae Won KIM ; Ji Hoon KIM ; Jung Woo SON ; Dongwon SHIN ; Yun Mi SHIN ; Su Jin YANG ; Hanik K YOO ; Hee Jeong YOO ; Soyoung Irene LEE ; Keun Ah CHEON ; Hyun Ju HONG ; Jun Won HWANG

Journal of the Korean Academy of Child and Adolescent Psychiatry.2011;22(1):25-37.

OBJECTIVES: This study was conducted to develop a Korean algorithm of pharmacological and non-pharmacological treatment strategies in attention-deficit hyperactivity disorder (ADHD) and its specific comorbid disorders (e.g. tic disorder, depressive disorder, anxiety disorder, bipolar disorder, and oppositional defiant disorder/conduct disorder). METHODS: Based on a literature review and expert consensus, both paper- and web-based survey tools were developed with respect to a comprehensive range of questions. Most options were scored using a 9-point scale for rating the appropriateness of medical decisions. For the other options, the surveyed experts were asked to provide answers (e.g., duration of treatment, average dosage) or check boxes to indicate their preferred answers. The survey was performed on-line in a self-administered manner. Ultimately, 49 Korean child & adolescent psychiatrists, who had been considered experts in the treatment of ADHD, voluntarily completed the questionnaire. In analyzing the responses to items rated using the 9-point scale, consensus on each option was defined as a non-random distribution of scores as determined by a chi-square test. We assigned a categorical rank (first line/preferred choice, second line/alternate choice, third line/usually inappropriate) to each option based on the 95% confidence interval around the mean rating score. RESULTS: Specific medication strategies for key clinical situations in ADHD and its comorbid disorders were indicated and described. We organized the suggested algorithms of ADHD treatment mainly on the basis of the opinions of the Korean experts. The suggested algorithm was constructed according to the templates of the Texas Child & Adolescent medication algorithm Project (CMAP). CONCLUSION: We have proposed a Korean treatment algorithm for ADHD, both with and without comorbid disorders through expert consensus and a broad literature review. As the tools available for ADHD treatment evolve, this algorithm could be reorganized and modified as required to suit updated scientific and clinical research findings.
Adolescent ; Anxiety Disorders ; Bipolar Disorder ; Child ; Comorbidity ; Consensus ; Depressive Disorder ; Humans ; Psychiatry ; Texas ; Tic Disorders ; Surveys and Questionnaires

5

Cite

Share

Clinical Diagnoses, Psychopathology, and Neurocognitive Tests in Children Referred for Scholastic Difficulties and Their Parents.

Soo Young BHANG ; Jung Whan PARK ; Jae In LIM

Journal of the Korean Academy of Child and Adolescent Psychiatry.2011;22(1):16-24.

OBJECTIVES: This study examined the prevalence of psychiatric problems in children with scholastic difficulties who had been referred for mental health services from the Office of Education in Ulsan Metropolitan City. METHODS: Child psychiatrists evaluated the referred children using the DSM-IV. Evaluation tools included the Wechsler Intelligence Scale for Children-III, the Children's Depression Inventory, the Korean form of the State-trait anxiety Inventory for children, the ADHD rating. RESULTS: Seventy-six children consisting of 64 boys (84.2%) and 12 girls (15.8%) participated in the study. The average age was 10.3 (SD=0.93) years old. Approximately 74% of the children referred for scholastic difficulties were diagnosed with mental retardation. The Axis I diagnosis among these children were ADHD (86.8%), depression (21.1%), learning disorder (9.2%), communication disorder (4.8%), pervasive developmental disorder (3.6%), internet addiction (1.3%), and mood disorder (1.3%). Their overall measure according to the Child Depression Inventory was 22.7 (SD=16.8), that for the State-Trait Anxiety Inventory for Children was 33.3 (SD=7.9)/32.4 (SD=9.5), and that for the ADHD rating scale was 18.9 (SD=10.9). CONCLUSION: These results suggest that many children with scholastic difficulties have both complex psychiatric and educational problems.
Anxiety ; Axis, Cervical Vertebra ; Child ; Communication Disorders ; Depression ; Diagnostic and Statistical Manual of Mental Disorders ; Humans ; Intellectual Disability ; Intelligence ; Internet ; Learning Disorders ; Mental Health Services ; Mood Disorders ; Parents ; Prevalence ; Psychiatry ; Psychopathology

6

Cite

Share

Environmental Risk Factors for Attention Deficit Hyperactivity Disorder and Implications for Clinical Practice.

Jae Won KIM

Journal of the Korean Academy of Child and Adolescent Psychiatry.2011;22(1):10-15.

In this review, we have provided an overview of the environmental risk factors for attention deficit hyperactivity disorder (ADHD), focusing on the major environmental toxicants related to the disorder. Researchers have indicated that since the characteristics of ADHD are complex, the disorder's etiology involves multiple genes of moderate effect interacting with environmental factors. The possible roles of prenatal and perinatal exposure have been the main focus of research on environmental risk factors for ADHD. Among environmental toxicants, we reviewed the potential effects on the development of ADHD of exposure to lead, nicotine, alcohol, polychlorinated biphenyls (PCBs), and dioxin. Further, for the each neurotoxicant, clinical prevention or intervention strategies aimed at reducing a child's risk from environmental toxic insults have been presented.
Attention Deficit Disorder with Hyperactivity ; Nicotine ; Polychlorinated Biphenyls ; Risk Factors

7

Cite

Share

Environmental Factors in Autism and Autistic Spectrum Disorder.

Myung Ho LIM ; Ho Jang KWON

Journal of the Korean Academy of Child and Adolescent Psychiatry.2011;22(1):3-9.

Autism and autistic spectrum disorder are chronic neuro-developmental disorders characterized by social and language impairments and stereotyped, repetitive patterns of behavior. The etiology of autism remains unknown; however, a strong genetic component has been detected and environmental factors may also be involved in their etiologies. In the current study, we reviewed evidence for the presence of prenatal and perinatal factors, gastrointestinal factors, food allergies, metabolic and heavy metal factors, and other nutritional factors that may represent risk factors for the development of autism and autistic spectrum disorder.
Autistic Disorder ; Food Hypersensitivity ; Risk Factors

8

Cite

Share

No Association of DRD4 Exon III Polymorphism with Attention-Deficit Hyperactivity Disorder in Korean Children Population.

Soo Churl CHO ; Tae Won PARK ; Jae Won KIM ; Hee Jeong YOO ; Boong Nyun KIM ; Min Sup SHIN ; Jun Won HWANG

Journal of the Korean Academy of Child and Adolescent Psychiatry.2007;18(2):154-161.

OBJECTIVES: The aim of the current study is to test for the association of DRD4 exon III VNTR polymorphism with attention-deficit hyperactivity disorder(ADHD) in Korean children population. METHODS: 113 Korean children with ADHD, 102 parents, and 133 control subjects participated with the current study. The distribution of genotypes and alleles of DRD4 exon III VNTR in children with ADHD was compared with that in control subjects. In addition, 69 children with ADHD and their parents were analyzed using the transmission disequilibrium test(TDT). RESULTS: We could not find any significant differences in the distribution of genotypes and alleles at DRD4 exon III VNTR polymorphism between children with ADHD and control subjects. In addition, there was no preferential transmission of long allele of DRD4 exon III VNTR polymorphism. CONCLUSION: These results suggest that DRD4 is not associated with ADHD in Korean children population.
Alleles ; Child* ; Exons* ; Genetic Association Studies ; Genotype ; Humans ; Parents

9

Cite

Share

Chronic Aircraft Noise Exposure and Sustained Attention, Continuous Performance and Cognition in Children.

Myung Ho LIM ; Young Hyun PARK ; Woo Chul LEE ; Ki Chung PAIK ; Hyun Woo KIM ; Hyun Joo KIM ; Sang Chul RHO ; Hae Young KIM ; Ho Jang KWON

Journal of the Korean Academy of Child and Adolescent Psychiatry.2007;18(2):145-153.

OBJECTIVES: This study was focused on the influence of chronic aircraft noise exposure on children's continuous performance, intelligence and reading skill. METHODS: We enrolled 586 children in 4-6th grade of 7 primary schools near air base in Korea. Continuous performance was measured using the computerized ADS program. We analyzed 477-512 children on the visual continuous performance test, auditory continuous performance test, intelligence test, and reading and the vocabulary test. Intelligence was measured using vocabulary, digit span, block design, and digit symbol tests of K-WISC-III. RESULTS: The commission error and variability deviation of auditory continuous performance test and reading test were significantly higher among children in schools with the helicopter noise and the fighting plane noise compared to children in the low noised schools. CONCLUSION: There was a possibility that chronic aircraft noise exposure was associated with impairment of the school performance. The result of our study also shows chronic aircraft noise was associated with reading ability.
Aircraft* ; Child* ; Cognition* ; Humans ; Intelligence ; Intelligence Tests ; Korea ; Language Tests ; Noise* ; Reading ; Vocabulary

10

Cite

Share

The Reliability and Validity of Diagnostic Interview Schedule for Children Version IV-Korean Version (DISC-IV).

Soo Churl CHO ; Boong Nyun KIM ; Jae Won KIM ; Hyo Won KIM ; Hyun Jeong CHOI ; Sun Woo JUNG ; Young Hui YANG ; Dong Seon CHUNGH ; Bock Ja GO ; Bong Seog KIM ; Min Sup SHIN ; Han Ik YOO ; Hee Jeong YOO ; Dong Woo LEE ; Sang Eun LEE ; Jun Young LEE ; Jae Won LEE ; Seong Ill JEON ; Hee Yeun JUNG ; Jin Pyo HONG ; Jun Won HWANG ; Sung Hee HAN

Journal of the Korean Academy of Child and Adolescent Psychiatry.2007;18(2):138-144.

OBJECTIVES: The aim of this study was to evaluate the reliability and validity of the Korean Version of the Diagnostic Interview Schedule for Children Version IV(DISC-IV), a highly structured diagnostic interview used to assess more than 30 psychiatric disorders in children and adolescents. METHODS: A total of 91 study subjects, including 67 subjects who visited the child and adolescent psychiatry outpatient clinic at our institution and 24 community-based subjects, were assessed using the Korean Version of the DISCIV. Clinical diagnosis was used as a gold standard for the examination of the validity of the DISC-IV. Forty-four of the study subjects were randomly selected for test-retest reliability measurement. RESULTS: The validity of the Korean Version of the DISC-IV showed kappa values ranging from 0.25 to 0.40 in the clinical sample and 0.65 to 1.00 in the community sample. The sensitivities varied according to the diagnostic categories, but the specificities were excellent for all diagnostic entities. CONCLUSION: The Korean Version of the DISC-IV showed good reliability and validity in Korean children and adolescents. The Korean Version of the DISC-IV might be a useful tool for assessing psychiatric disorders in children and adolescents.
Adolescent ; Adolescent Psychiatry ; Ambulatory Care Facilities ; Appointments and Schedules* ; Child* ; Diagnosis ; Humans ; Reproducibility of Results*

DISPLAY OPTIONS

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share