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Implication of Social Rejection in Cognitive Bias Modification Interpretation Training in Adolescents With Eating Disorders 社会排斥对进食障碍青少年认知偏差修正解释训练的影响
IF 2 Q2 Medicine Pub Date : 2024-04-01 DOI: 10.5765/jkacap.230066
Y. Kim, Sohee Lee, Yeon-Sun Cho
Objectives Difficulties in interpersonal relationships intensify negative emotions and act as risk and maintenance factors for eating pathology in eating disorders. Rejection sensitivity refers to the tendency to react sensitively to a rejection. Patients with eating disorders experience difficulties in interpersonal relationships because of their high sensitivity to rejection. Cognitive bias modification interpretation (CBM-I) is a treatment developed to correct interpretation bias for social and emotional stimuli. In this review, we searched for research characteristics and trends through a systematic literature analysis of CBM-I for eating disorders. Methods Five papers that met the selection and exclusion criteria were included in the final literature review and analyzed according to detailed topics (participant characteristics, design, and results). Results The literature supports the efficacy of the CBM-I in reducing negative interpretation bias and eating disorder psychopathology in patients with eating disorders. CBM-I targets emotional dysregulation in adolescent patients with eating disorders and serves as an additional strengthening psychotherapy to alleviate eating disorder symptoms. Conclusion The current findings highlight the potential of CBM-I as an individualized adjunctive treatment for adolescents with eating disorders and social functioning problems.
目标 人际关系方面的困难会加剧负面情绪,并成为饮食失调症患者饮食病态的风险和维持因素。对拒绝的敏感性是指对拒绝做出敏感反应的倾向。饮食失调症患者由于对拒绝高度敏感,因此在人际关系方面会遇到困难。认知偏差修正解释(CBM-I)是一种治疗方法,旨在纠正对社交和情感刺激的解释偏差。在这篇综述中,我们通过对 CBM-I 治疗饮食失调症的系统文献分析,寻找研究特点和趋势。方法 符合选择和排除标准的五篇论文被纳入最终文献综述,并根据详细主题(参与者特征、设计和结果)进行分析。结果 文献支持 CBM-I 在减少饮食失调患者的负面解释偏差和饮食失调精神病理学方面的疗效。CBM-I针对青少年进食障碍患者的情绪失调,是缓解进食障碍症状的额外强化心理疗法。结论 目前的研究结果凸显了 CBM-I 作为一种针对有饮食失调和社会功能问题的青少年的个性化辅助治疗方法的潜力。
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引用次数: 0
Examining the Use of Oral Aripiprazole in Patients With Autism Spectrum Disorder: A Study of Retrospective Chart Review at a University Medical Center 研究自闭症谱系障碍患者口服阿立哌唑的使用情况:大学医疗中心的病历回顾研究
IF 2 Q2 Medicine Pub Date : 2024-04-01 DOI: 10.5765/jkacap.230057
Jae Hyun Han, Jong Myeong Kim, H. Yoo
Objectives The purpose of this study was to examine the patterns of use of oral aripiprazole treatment in children and adolescents diagnosed with autism spectrum disorder (ASD) at a university medical center in Korea. Methods We retrospectively reviewed the medical records of 164 outpatient children and adolescents diagnosed with ASD by child and adolescent psychiatrists. Patient demographic characteristics, clinical features, age and dose of aripiprazole treatment, associated adverse events, and concomitant medications, etc. were evaluated. Results Aripiprazole treatment was initiated at a mean age of 7.64 years, at a mean initial dose of 1.15 mg. Methylphenidate was often co-administered with aripiprazole. The most commonly reported adverse effects were increased appetite and weight gain, which in some cases led to discontinuation of medication. Conclusion A follow-up study is warranted to evaluate the efficacy and safety of aripiprazole treatment in Korean children and adolescents diagnosed with ASD, and it is crucial to consider their clinical characteristics and response to treatment in the evaluation.
目的 本研究旨在探讨韩国一所大学医疗中心对诊断为自闭症谱系障碍(ASD)的儿童和青少年使用口服阿立哌唑治疗的模式。方法 我们回顾性地查阅了儿童和青少年精神科医生诊断为自闭症谱系障碍的 164 名门诊儿童和青少年的病历。评估了患者的人口统计学特征、临床特征、阿立哌唑治疗的年龄和剂量、相关不良事件和伴随药物等。结果 阿立哌唑的平均治疗年龄为 7.64 岁,平均初始剂量为 1.15 毫克。哌醋甲酯通常与阿立哌唑同时服用。最常报告的不良反应是食欲增加和体重增加,在某些情况下导致停药。结论 有必要开展一项后续研究,以评估阿立哌唑治疗被诊断患有自闭症的韩国儿童和青少年的疗效和安全性,在评估中考虑他们的临床特征和对治疗的反应至关重要。
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引用次数: 0
Comparing Ruminative and Distracting Responses and Emotion Regulation Difficulties in Early Community Adolescents With and Without Self-Harm 比较有自残倾向和无自残倾向的社区青少年的反刍和分心反应以及情绪调节障碍
IF 2 Q2 Medicine Pub Date : 2024-04-01 DOI: 10.5765/jkacap.230068
Yeontaek Oh, Cheolgyu Shin, Jonggook Lee, Keun Oh, Heeyoung Seo, Seungwon Chung, Je Jung Lee
Objectives This study aimed to compare the demographic characteristics, responses to negative emotions, and difficulties in emotion regulation between self-harming adolescents and control individuals aged 12–14 years from the community. Methods Data were collected from adolescents in Chungcheong Province, South Korea, between September 2021 and November 2022. Demographic characteristics and responses to the Depressed Mood Questionnaire and Difficulties in Emotion Regulation Scale-16 (DERS-16) were compared between the self-harm and control groups. Results The self-harm group exhibited a higher prevalence of child abuse (odds ratio [OR]=4.787, 95% confidence interval [CI]=1.591–14.409, p=0.005) and school bullying victimization (OR=4.495, 95% CI=2.353–8.588, p<0.001) than those in the control group. The selfharm group displayed higher levels of rumination (t=7.88, p<0.001) and reduced distraction responses (reverse score t=2.25, p=0.025) than those of the control group. Additionally, the self-harm group scored higher on all subscales and the total DERS-16 score (t=7.61, p<0.001). Conclusion Interventions for self-harming adolescents should address child abuse and bullying victimization. Prevention programs for self-harming adolescents should focus on reducing rumination responses, increasing distractive responses, and addressing difficulties in emotion regulation using dialectical behavior therapy-skill training.
目的 本研究旨在比较自残青少年和对照组(12-14 岁)青少年的人口统计学特征、对负面情绪的反应以及情绪调节方面的困难。方法 收集2021年9月至2022年11月期间韩国忠清道青少年的数据。比较了自残组和对照组的人口统计学特征以及对抑郁情绪问卷和情绪调节困难量表-16(DERS-16)的反应。结果 与对照组相比,自残组的儿童受虐率(几率比[OR]=4.787,95% 置信区间[CI]=1.591-14.409,P=0.005)和校园欺凌受害率(OR=4.495,95% 置信区间[CI]=2.353-8.588,P<0.001)更高。与对照组相比,自我伤害组的反刍程度更高(t=7.88,p<0.001),转移注意力反应更少(反向得分 t=2.25,p=0.025)。此外,自我伤害组在所有分量表和 DERS-16 总分上得分更高(t=7.61,p<0.001)。结论 对自我伤害青少年的干预措施应针对虐待儿童和欺凌受害者。针对自残青少年的预防计划应侧重于减少反刍反应、增加分散注意力的反应,并通过辩证行为疗法技能培训来解决情绪调节方面的困难。
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引用次数: 0
A Systematic Review on the Mental Health Status of Patients Infected With Monkeypox Virus 关于猴痘病毒感染者心理健康状况的系统综述
IF 2 Q2 Medicine Pub Date : 2024-04-01 DOI: 10.5765/jkacap.230064
Anila Jaleel, Ghulam Farid, Haleema Irfan, Khalid Mahmood, Saeeda Baig
Objectives This study aims to extract and summarize the literature on the mental health status of patients with monkeypox. Methods This review was carried out according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines using different databases and publishers such as Scopus, Sage, ScienceDirect, PubMed, BMJ, Wiley Online Library, Wolters Kluwer OVID-SP, and Google Scholar. The literature review was based on monkeypox and mental health. The year of publication was 2021–2023, during the monkeypox disease period. Data were extracted from opinions, editorials, empirical studies, and surveys. Results Based on the literature related to the mental status of patients with monkeypox, the following themes and subthemes were identified: anxiety and depression, self-harm and suicidal tendencies, neuropsychiatric symptoms, mental health, social stigma, sex workers, vaccination, and stress-related diseases. Conclusion A review of monkeypox virus infection studies reveals that 25%–50% of patients experience anxiety and depression due to isolation, boredom, and loneliness. Factors such as infected people, a lack of competence among healthcare professionals, and shame over physical symptoms exacerbate mental insults. The implications of society include increased self-harm, suicide, low productivity, fear of stigmatization, and transmission of infection.
目的 本研究旨在提取和总结有关猴痘患者心理健康状况的文献。方法 本综述根据系统综述和元分析首选报告项目(PRISMA)指南进行,使用了不同的数据库和出版商,如 Scopus、Sage、ScienceDirect、PubMed、BMJ、Wiley Online Library、Wolters Kluwer OVID-SP 和 Google Scholar。文献综述以猴痘和心理健康为主题。发表年份为 2021-2023 年,猴痘流行期间。数据摘自观点、社论、实证研究和调查。结果 根据与猴痘患者精神状况相关的文献,确定了以下主题和次主题:焦虑和抑郁、自残和自杀倾向、神经精神症状、心理健康、社会耻辱、性工作者、疫苗接种和压力相关疾病。结论 对猴痘病毒感染研究的回顾表明,25%-50%的患者会因孤独、无聊和寂寞而感到焦虑和抑郁。感染者、医护人员能力不足以及对身体症状的羞耻感等因素加剧了精神上的侮辱。对社会的影响包括:自残、自杀、工作效率低下、害怕蒙受耻辱以及传染。
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引用次数: 0
Efficacy of Learning Disorder Treatment for Reading or Mathematics Disorders: An Open Study 学习障碍治疗对阅读或数学障碍的疗效:一项公开研究
IF 2 Q2 Medicine Pub Date : 2024-04-01 DOI: 10.5765/jkacap.230071
Hyunju Lee, Inhye Song, Woo Young Kim, Hannah Huh, Eun Kyoung Lee, J. Jung, Cheon Seok Suh, Hanik Yoo
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.
目的 本研究旨在确定针对阅读障碍(RD)或数学障碍(MD)儿童的治疗方案的有效性。研究人员制定了结构化治疗方案,以分别改善患有阅读障碍或数学障碍的儿童和青少年的语音意识和数感,并对学习障碍治疗方案的有效性进行了评估。方法 我们使用标准化的客观诊断和评估工具,不仅招募了患有 RD、MD 或合并注意力缺陷和多动障碍的参与者,还评估了治疗方案在改善 RD 或 MD 核心神经认知缺陷和学业成绩方面的有效性。40 名患有 RD 或 MD 的儿童接受了治疗师一对一的治疗。结果 在 RD 组中,所有子测试都观察到了治疗效果。在单词和段落阅读测试中,准确率和流畅度都有所提高。语音工作记忆测试、词-音对应测试和快速自动命名测试的结果也有所改善。在 MD 组中,算术测试的正确率和流利程度都有所提高。大小和距离比较测试的准确率也有所提高,估算测试的错误率有所下降。然而,在这些小测试中,反应时间没有得到改善。结论 侧重于提高 RD 或 MD 儿童语音意识或数感的学习障碍治疗计划可提高他们的成绩、语音意识和数感。
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引用次数: 0
Analyzing Co-Occurrence of Non-Suicidal Self-Injury With Suicidal Ideation and Related Factors Among Adolescents in Jeju Island 分析济州岛青少年非自杀性自伤与自杀意念的共存情况及相关因素
IF 2 Q2 Medicine Pub Date : 2024-04-01 DOI: 10.5765/jkacap.230054
D. Moon, U. Chung, Y. Kwack, B. Kim, N. Kang
Objectives Non-suicidal self-injury (NSSI) and suicidal behavior, including suicidal ideation (SI) and suicide attempts, are important predictors of suicide in adolescents. This study aimed to investigate the associations between NSSI, SI, NSSI+SI, mental health problems, and family factors in Korean adolescents in Jeju Island, with an emphasis on key findings. Methods A total of 561 adolescents completed self-report questionnaires regarding demographics, NSSI, SI, suicidal behavior, perceived family functioning, and mental health problems, which were assessed using Center for Epidemiological Studies Depression Scale for Children, Screen for Children Anxiety-Related Disorders (SCARED), and Youth Self-Report (YSR). Data were analyzed using descriptive statistics, one-way analysis of variance, chi-square test, post-hoc analyses, and multivariate logistic regression. Results In this study, 22.3% of adolescents reported either NSSI or SI, with 5.5% reporting NSSI and 20.7% reporting SI. Combined (NSSI+SI) group showed a significantly higher SCARED score, anxiety/depression, thought problems, attention problem, and rule breaking on YSR than did the SI only group. Higher level of depression and anxiety were significantly associated with NSSI and SI. Female sex and perceived family dissatisfaction were significantly associated factors for SI, but not for NSSI in multivariate logistic regression. Conclusion This study provides insights into the clinical characteristics and associated factors among adolescents with NSSI, SI, and NSSI+SI in Jeju Island. Identifying these results can inform the development of targeted prevention and intervention strategies to mitigate the negative consequences of these behaviors and contribute to a better understanding of the role of family in this context.
目的 非自杀性自伤(NSSI)和自杀行为(包括自杀意念(SI)和自杀未遂)是预测青少年自杀的重要因素。本研究旨在调查济州岛韩国青少年的 NSSI、SI、NSSI+SI、心理健康问题和家庭因素之间的关联,并重点关注主要调查结果。方法 共有 561 名青少年填写了有关人口统计学、NSSI、SI、自杀行为、家庭功能感知和心理健康问题的自我报告问卷,并使用流行病学研究中心的儿童抑郁量表、儿童焦虑相关障碍筛查(SCARED)和青少年自我报告(YSR)进行了评估。数据分析采用了描述性统计、单因素方差分析、卡方检验、事后分析和多变量逻辑回归等方法。结果 在这项研究中,22.3%的青少年报告了 NSSI 或 SI,其中 5.5% 报告了 NSSI,20.7% 报告了 SI。综合组(NSSI+SI)在 YSR 中的 SCARED 评分、焦虑/抑郁、思维问题、注意力问题和违反规则的程度明显高于仅有 SI 的组别。抑郁和焦虑程度较高与 NSSI 和 SI 显著相关。在多变量逻辑回归中,女性性别和感知到的家庭不满与 SI 显著相关,但与 NSSI 无关。结论 本研究有助于深入了解济州岛 NSSI、SI 和 NSSI+SI 青少年的临床特征和相关因素。确定这些结果可为制定有针对性的预防和干预策略提供信息,以减轻这些行为的负面影响,并有助于更好地理解家庭在这方面的作用。
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引用次数: 0
Common Comorbid Condition of Patients With Autism Spectrum Disorder and Pharmacotherapy for Patients With Autism Spectrum Disorder 自闭症谱系障碍患者的常见并发症和自闭症谱系障碍患者的药物疗法
IF 2 Q2 Medicine Pub Date : 2024-01-01 DOI: 10.5765/jkacap.230006
U. Chung, Ji-Hoon Kim
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引用次数: 0
Standardized Treatment and Shortened Depression Course can Reduce Cognitive Impairment in Adolescents With Depression 标准化治疗和缩短抑郁病程可减少青少年抑郁症患者的认知障碍
IF 2 Q2 Medicine Pub Date : 2024-01-01 DOI: 10.5765/jkacap.230052
Penghui Cao, Junjie Tan, Xuezhen Liao, Jinwei Wang, Lihuan Chen, Ziyan Fang, Nannan Pan
{"title":"Standardized Treatment and Shortened Depression Course can Reduce Cognitive Impairment in Adolescents With Depression","authors":"Penghui Cao, Junjie Tan, Xuezhen Liao, Jinwei Wang, Lihuan Chen, Ziyan Fang, Nannan Pan","doi":"10.5765/jkacap.230052","DOIUrl":"https://doi.org/10.5765/jkacap.230052","url":null,"abstract":"","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139393229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Korean Clinical Guideline for Autism Spectrum Disorder - Clinical Features, Course, Epidemiology, and Cause 韩国自闭症谱系障碍临床指南--临床特征、病程、流行病学和病因
IF 2 Q2 Medicine Pub Date : 2024-01-01 DOI: 10.5765/jkacap.230040
Jun-Won Hwang, Jeong-Seop Lee
{"title":"Korean Clinical Guideline for Autism Spectrum Disorder - Clinical Features, Course, Epidemiology, and Cause","authors":"Jun-Won Hwang, Jeong-Seop Lee","doi":"10.5765/jkacap.230040","DOIUrl":"https://doi.org/10.5765/jkacap.230040","url":null,"abstract":"","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139393838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment Methods for Problematic Eating Behaviors in Children and Adolescents With Autism Spectrum Disorder 自闭症谱系障碍儿童和青少年问题性进食行为的评估方法
IF 2 Q2 Medicine Pub Date : 2024-01-01 DOI: 10.5765/jkacap.230065
Miji Lee, Seolha Lee, Jong-Woo Sohn, Ki Woo Kim, Hyung Jin Choi
{"title":"Assessment Methods for Problematic Eating Behaviors in Children and Adolescents With Autism Spectrum Disorder","authors":"Miji Lee, Seolha Lee, Jong-Woo Sohn, Ki Woo Kim, Hyung Jin Choi","doi":"10.5765/jkacap.230065","DOIUrl":"https://doi.org/10.5765/jkacap.230065","url":null,"abstract":"","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139392542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of the Korean Academy of Child and Adolescent Psychiatry
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