Journal of the Korean Academy of Child and Adolescent Psychiatry最新文献

Effects of Maternal Depression on Adolescent Offspring Depression and Anxiety: Mediating Role of Emotional Trauma in a Community-Based Study. 母亲抑郁对青少年子代抑郁和焦虑的影响：一项社区研究：情绪创伤的中介作用

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Journal of the Korean Academy of Child and Adolescent Psychiatry Pub Date : 2025-04-01 DOI: 10.5765/jkacap.240043

Jihwan Kim, Min Ah Joo, Duk-Soo Moon, Young Sook Kwack, Bung-Nyun Kim, Na Ri Kang

{"title":"Effects of Maternal Depression on Adolescent Offspring Depression and Anxiety: Mediating Role of Emotional Trauma in a Community-Based Study.","authors":"Jihwan Kim, Min Ah Joo, Duk-Soo Moon, Young Sook Kwack, Bung-Nyun Kim, Na Ri Kang","doi":"10.5765/jkacap.240043","DOIUrl":"https://doi.org/10.5765/jkacap.240043","url":null,"abstract":"Objectives: Maternal depression negatively affects depression and anxiety symptoms in the offspring. This study examined the association between maternal depression and their adolescent offspring depression and anxiety, as well as the mediating role of emotional trauma in determining the association.Methods: Participants were 237 mothers (46.08±5.00 years) and their adolescent offspring (16.54±1.51 years). The participants completed the Beck Depression Inventory-II, Early Trauma Inventory Self Report-Short Form, Center for Epidemiological Studies Depression Scale for Children, and the Screen for Children's Anxiety Related Disorders. The mediating effect of emotional trauma on offspring was explored using mediation analysis.Results: Maternal depressive symptoms were significantly correlated with adolescent offspring traumatic experiences, as well as with their depressive and anxiety symptoms. Mediation analysis results showed that emotional trauma of offspring significantly mediated the effect of maternal depression on their depressive and anxiety symptoms.Conclusion: Findings indicate that maternal depression was significantly associated with depressive and anxiety symptoms in adolescent offspring, mediated by their emotional trauma. Future research is needed to investigate pathways and intervention strategies to prevent the intergenerational transmission of emotional problems.","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":"36 2","pages":"62-68"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11969052/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Differences Between Stressed Parents and Their Children: A Brief Analysis on Parent-Child Depression, Stress, Aggression and Possible Roles of Digitalized Parenting Education. 压力父母与子女的差异：浅析亲子抑郁、压力、攻击性及数字化育儿教育的可能作用

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Journal of the Korean Academy of Child and Adolescent Psychiatry Pub Date : 2025-04-01 DOI: 10.5765/jkacap.240042

Hyunchan Hwang, Kyung Joon Min, Doug Hyun Han

{"title":"Differences Between Stressed Parents and Their Children: A Brief Analysis on Parent-Child Depression, Stress, Aggression and Possible Roles of Digitalized Parenting Education.","authors":"Hyunchan Hwang, Kyung Joon Min, Doug Hyun Han","doi":"10.5765/jkacap.240042","DOIUrl":"https://doi.org/10.5765/jkacap.240042","url":null,"abstract":"Objectives: Digital therapeutics are becoming increasingly important in mental health due to their numerous advantages. One area that could benefit significantly is parenting education. To address this, we developed a short-term, smartphone-based parenting education program designed to support parents who lack access to relevant resources. This study analyzed baseline data from participants to identify factors influencing depressive symptoms in both parents and children.Methods: Participants were recruited from a rural region of the Republic of Korea. The study included parents experiencing stress related to raising children aged 11 to 16 years. Data on psychological well-being and family relationships were collected and analyzed from 47 parent-child dyads. Participants engaged with a six-week parenting education application aimed at reducing parenting stress. This article does not include an analysis of the intervention's efficacy.Results: The child perceived their families as more chaotic compared their parents (t=-2.55, p=0.01). Parental depression was significantly associated with their stress levels (B=0.70, p=0.004), anxiety (B=0.32, p=0.03), relational frustration (B=0.16, p=0.04), family enmeshment (B=-0.13, p=0.04) and the child's perception of family flexibility (B=0.10, p=0.04). In contrast, children's depression was associated with lower self-esteem (B=-0.55, p=0.02) and aggression (B=0.23, p=0.01).Conclusion: These findings highlight the importance of individualized parenting education programs, particularly those that address the specific needs of both parents and children. Digital therapeutics hold significant potential for providing accessible, evidence-based parenting support aimed at improving mental health outcomes in families.","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":"36 2","pages":"54-61"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11969051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Current Phenomenon of Self-Harm in Children and Adolescents. 儿童青少年自我伤害的现状。

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Journal of the Korean Academy of Child and Adolescent Psychiatry Pub Date : 2025-04-01 DOI: 10.5765/jkacap.250003

Nindy Adhilah, Yunias Setiawati

引用次数: 0

Guanfacine as an Adjunct Treatment for Complex Post-Traumatic Stress Disorder: A Case Report. 胍法辛辅助治疗复杂创伤后应激障碍1例。

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Journal of the Korean Academy of Child and Adolescent Psychiatry Pub Date : 2025-04-01 DOI: 10.5765/jkacap.240037

Lap Kei Cheung

{"title":"Guanfacine as an Adjunct Treatment for Complex Post-Traumatic Stress Disorder: A Case Report.","authors":"Lap Kei Cheung","doi":"10.5765/jkacap.240037","DOIUrl":"https://doi.org/10.5765/jkacap.240037","url":null,"abstract":"Complex post-traumatic stress disorder (Complex PTSD) in pediatric patients is challenging to manage, particularly when conventional therapeutic approaches are insufficient. We report the case of Miss A, a 15-year-old girl with a history of severe neglect and abuse, adopted at age 5, who presented with frequent reliving of trauma memories, significant emotional dysregulation, dissociative episodes, recurrent self-harm, and aggression. Her treatment was complicated by comorbid mild-grade learning disability and suspected autism spectrum disorder. Initial management with promethazine, melatonin, and lorazepam, and later aripiprazole and fluoxetine provided limited relief. Following hospital readmission, guanfacine, an alpha-2 adrenergic agonist, was initiated. Miss A demonstrated a marked reduction in emotional dysregulation, self-harm, aggression, and suicidal thoughts, suggesting that guanfacine may offer significant benefits for managing Complex PTSD in such cases. This case underscores the difficulties in treating Complex PTSD with comorbid conditions, and highlights guanfacine as a potential adjunct therapy. However, further research is required to validate its efficacy and safety.","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":"36 2","pages":"78-82"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11969047/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144049424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Low Levels of Serum Ghrelin and Nesfatin-1 Are Associated With Anxiety Disorders in Children. 低水平的血清Ghrelin和Nesfatin-1与儿童焦虑症有关

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Journal of the Korean Academy of Child and Adolescent Psychiatry Pub Date : 2025-04-01 DOI: 10.5765/jkacap.250001

Ayhan Bilgiç, Merve Cura, İbrahim Kılınç, Ömer Faruk Akça

{"title":"Low Levels of Serum Ghrelin and Nesfatin-1 Are Associated With Anxiety Disorders in Children.","authors":"Ayhan Bilgiç, Merve Cura, İbrahim Kılınç, Ömer Faruk Akça","doi":"10.5765/jkacap.250001","DOIUrl":"https://doi.org/10.5765/jkacap.250001","url":null,"abstract":"Objectives: Because appetite-regulating hormones are implicated in neuronal survival, growth, and differentiation, they have been suggested to play a role in anxiety disorders. To date, few studies have focused on the association between these hormones and anxiety disorders in children. This study investigated the potential differences in leptin, ghrelin, and nesfatin-1 serum levels in drug-naïve children with anxiety disorders, including social anxiety disorder, separation anxiety disorder, and generalized anxiety disorder, and in healthy controls.Methods: This study included 45 children (14 boys and 31 girls) with anxiety disorders and 35 healthy controls (13 boys and 22 girls) aged 8-18 years. The severity of anxiety disorders and additional symptoms were evaluated using the Revised Child Anxiety and Depression Scales-Child Version. Enzyme-linked immunosorbent assay (ELISA) was used to evaluate leptin, ghrelin, and nesfatin-1 serum levels.Results: Leptin levels were significantly higher in children with anxiety disorders than in the control group, and ghrelin and nesfatin-1 levels were significantly lower in children with anxiety disorders than in the control group for girls and for the entire sample. However, only low nesfatin-1 levels were significantly associated with anxiety disorders in boys. In the entire sample, potential confounders such as age, sex, body mass index, and the severity of depressive symptoms were controlled for, and the results were the same for ghrelin and nesfatin-1 levels. However, the difference in leptin levels between groups was not significant.Conclusion: These findings suggest that dysregulation of ghrelin and nesfatin-1 concentrations may be related to the etiopathogenesis of childhood anxiety disorders.","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":"36 2","pages":"69-77"},"PeriodicalIF":0.8,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11969048/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Review and an Update on Pharmacological Treatment of Children With Attention-Deficit/Hyperactivity Disorder. 儿童注意缺陷/多动障碍的药物治疗综述与进展。

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Journal of the Korean Academy of Child and Adolescent Psychiatry Pub Date : 2025-01-01 DOI: 10.5765/jkacap.240040

Taeyeop Lee, Hyo-Won Kim

引用次数: 0

Emotional Abuse to Delinquent Tendencies: Comparative Study on Juveniles and Students in Punjab, Pakistan. 情绪虐待对犯罪倾向的影响：巴基斯坦旁遮普省青少年与学生的比较研究。

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Journal of the Korean Academy of Child and Adolescent Psychiatry Pub Date : 2025-01-01 DOI: 10.5765/jkacap.240029

Nimrah Ishfaq, Anila Kamal

{"title":"Emotional Abuse to Delinquent Tendencies: Comparative Study on Juveniles and Students in Punjab, Pakistan.","authors":"Nimrah Ishfaq, Anila Kamal","doi":"10.5765/jkacap.240029","DOIUrl":"10.5765/jkacap.240029","url":null,"abstract":"Objectives: This study aimed to explain the roles of physical and verbal aggression, emotional immaturity, and lying behavior in the predictive relationship between emotional abuse and delinquent tendencies among juveniles and students in Punjab, Pakistan.Methods: Data were collected from 232 juveniles incarcerated in the Borstal Jails of Faisalabad and Bahawalpur. A comparative sample of 276 students from government schools was collected through purposive sampling. The comparative sample was matched for socioeconomic status, gender, location, and age. Translated (Urdu) versions of the standardized scales were used to measure the respective constructs. Path analysis was conducted to determine the mediating effects of lying (as a personality trait), emotional immaturity, and physical-verbal aggression on the relationship between emotional abuse and delinquent tendencies. Multigroup analysis was performed to determine the strength and significance of each path for juveniles and students.Results: Emotional abuse positively predicted delinquent tendencies and emotional maturity, lying as a personality trait, and physical-verbal aggression mediated this relationship among juveniles and students. A decline in emotional maturity was a stronger predictor of delinquent tendencies among juveniles, whereas physical-verbal aggression played a stronger role for students.Conclusion: This study demonstrates the indirect effects of emotional abuse on delinquent tendencies. This study also highlights the intense effect of emotional abuse on juvenile delinquents' emotional maturity and supports the importance of utilizing positive methods when dealing with adolescents, especially school personnel and clinical psychologists who interact with adolescents with problematic behaviors.","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":"36 1","pages":"36-46"},"PeriodicalIF":0.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association Between Endocrine-Disrupting Chemicals Exposure and Attention-Deficit/Hyperactivity Disorder Symptoms in Children With Attention-Deficit/Hyperactivity Disorder. 内分泌干扰物暴露与儿童注意缺陷/多动障碍症状的关系

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Journal of the Korean Academy of Child and Adolescent Psychiatry Pub Date : 2025-01-01 DOI: 10.5765/jkacap.240035

Kang-Eun Yeo, Seungbee Lim, Aelin Kim, You Bin Lim, Chae Rim Lee, Johanna Inhyang Kim, Bung-Nyun Kim

{"title":"Association Between Endocrine-Disrupting Chemicals Exposure and Attention-Deficit/Hyperactivity Disorder Symptoms in Children With Attention-Deficit/Hyperactivity Disorder.","authors":"Kang-Eun Yeo, Seungbee Lim, Aelin Kim, You Bin Lim, Chae Rim Lee, Johanna Inhyang Kim, Bung-Nyun Kim","doi":"10.5765/jkacap.240035","DOIUrl":"10.5765/jkacap.240035","url":null,"abstract":"Objectives: This study investigated the relationship between exposure to endocrine-disrupting chemicals (EDCs), specifically phthalates, bisphenol A, bisphenol F, and bisphenol S, and the severity of attention-deficit/hyperactivity disorder (ADHD) symptoms using neuropsychological tests in children diagnosed with ADHD.Methods: This study included 67 medication-naïve children with ADHD aged 6-16 years. The urinary concentrations of EDCs were measured, and ADHD symptom severity was evaluated using neuropsychological tests and clinical symptom scale measurements. The Jonckheere-Terpstra test, Pearson and Spearman correlation analyses, linear regression models, and multiple regression models were used to examine the relationship between EDC exposure and ADHD symptoms.Results: A significant correlation was observed between urinary phthalate metabolite concentrations and commission error T-scores in the visual Advanced Test of Attention test. No significant associations were found with other neuropsychological indicators or bisphenol levels.Conclusion: Phthalate exposure affects impulsivity in children with ADHD, which is consistent with the results of previous studies that used parental surveys. However, bisphenols are not clearly associated with ADHD symptoms, which is consistent with the results of previous studies.","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":"36 1","pages":"18-25"},"PeriodicalIF":0.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Neuromodulation as a Potential Intervention for Children With Attention-Deficit/Hyperactivity Disorder. 神经调节作为儿童注意缺陷/多动障碍的潜在干预措施。

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Journal of the Korean Academy of Child and Adolescent Psychiatry Pub Date : 2025-01-01 DOI: 10.5765/jkacap.240039

Chan-Mo Yang, Jun Won Kim

{"title":"Neuromodulation as a Potential Intervention for Children With Attention-Deficit/Hyperactivity Disorder.","authors":"Chan-Mo Yang, Jun Won Kim","doi":"10.5765/jkacap.240039","DOIUrl":"10.5765/jkacap.240039","url":null,"abstract":"This review examines the therapeutic potential of neuromodulation methods, including neurofeedback, transcranial direct current stimulation (tDCS), and transcranial magnetic stimulation (TMS), as non-pharmacological interventions for children with attention-deficit/hyperactivity disorder (ADHD). A comprehensive review of current studies was conducted, focusing on each technique's mechanism, application, and efficacy in managing ADHD symptoms and cognitive deficits. Studies included human participants with ADHD, evaluating changes in symptom severity and cognitive outcomes. Neurofeedback demonstrated efficacy in symptom reduction, particularly when combined with pharmacotherapy, yielding sustained improvements. tDCS showed moderate efficacy, especially in attention and impulsivity control; however, variability in protocols and pediatric response highlights the need for standardization. TMS exhibited mixed outcomes, with high-frequency TMS targeting the dorsolateral prefrontal cortex indicating potential cognitive benefits, though results were inconsistent across studies. Neuromodulation presents a promising complementary approach for ADHD treatment in children, potentially addressing limitations of pharmacotherapy. Future research should focus on optimizing stimulation parameters, increasing sample sizes, and refining methodologies to establish neuromodulation as part of standard ADHD treatment protocols.","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":"36 1","pages":"2-10"},"PeriodicalIF":0.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Neurocognitive Profiles of Early Adulthood Attention-Deficit/Hyperactivity Disorder. 成年早期注意力缺陷/多动障碍的神经认知特征。

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Journal of the Korean Academy of Child and Adolescent Psychiatry Pub Date : 2025-01-01 DOI: 10.5765/jkacap.240025

Heesung So, Soon-Beom Hong

{"title":"Neurocognitive Profiles of Early Adulthood Attention-Deficit/Hyperactivity Disorder.","authors":"Heesung So, Soon-Beom Hong","doi":"10.5765/jkacap.240025","DOIUrl":"10.5765/jkacap.240025","url":null,"abstract":"Objectives: This study examined the neurocognitive profiles of early adulthood attention-deficit/hyperactivity disorder (ADHD) patients using the Korean version of the Wechsler Adult Intelligence Scale, 4th Edition (K-WAIS-IV) and Continuous Performance Test 3rd Edition (CPT-3) assessment results.Methods: A total of 105 individuals underwent the K-WAIS-IV assessment, and 68 participants completed the CPT-3. We examined the differences between intelligence subindex scores using paired t-tests and applied Pearson's correlation analysis to determine the correlation between the K-WAIS-IV and CPT-3 scores.Results: Working Memory Index scores were significantly lower than Verbal Comprehension Index scores, whereas Processing Speed Index (PSI) scores were significantly lower than all three other subindex scores. Significant negative correlations were found between all four K-WAIS-IV subindex scores and the CPT-3 scores for Detectability, Omissions, Commissions, Perseverations, Hit Reaction Time, Hit Reaction Time Standard Deviation, and Variability.Conclusion: The PSI of the K-WAIS-IV can be considered a useful predictor in early adulthood ADHD patients combined with the CPT-3 examination.","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":"36 1","pages":"26-35"},"PeriodicalIF":0.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11725659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0