{"title":"Agony of the Society, Non-Suicidal Self-Injury.","authors":"Hee Jeong Yoo","doi":"10.5765/jkacap.230042","DOIUrl":"10.5765/jkacap.230042","url":null,"abstract":"","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/67/7c/jkacap-34-3-151.PMC10326350.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9808377","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}
{"title":"COVID-19 and Parent-Child Interactions: Children's Educational Opportunities and Parental Challenges During the COVID-19 Pandemic.","authors":"Arefeh Shahali, Mansoureh HajHosseini, Reza Ghorban Jahromi","doi":"10.5765/jkacap.220033","DOIUrl":"https://doi.org/10.5765/jkacap.220033","url":null,"abstract":"<p><strong>Objectives: </strong>The coronavirus disease pandemic affected people's lives in different ways, including child education and parent-child interactions. The present study aimed to identify the educational opportunities of children and challenges of parents during this pandemic.</p><p><strong>Methods: </strong>This study was conducted using a qualitative and phenomenological method. The participants were 23 parents of children aged 7-12 years, selected by purposive sampling method. Data were collected by semi-structured interviews, which continued until data saturation was reached, and then classified and processed following Strauss and Glasser's approach.</p><p><strong>Results: </strong>The findings were classified as parenting transformation, attachment challenges, and parenting challenges due to macro-systemic changes. Online education and changes caused by social distancing were the most significant parenting challenges. Moreover, children did not have the necessary space to be independent and self-sufficient.</p><p><strong>Conclusion: </strong>For many children, adapting to virtual education has been challenging; therefore, parents should change their parenting control and support. The emergence of such challenges has led to the creation of more opportunities in the field of child education.</p>","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5d/79/jkacap-34-2-133.PMC10080260.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9282807","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}
{"title":"Phenomena Underexplored.","authors":"Hee Jeong Yoo","doi":"10.5765/jkacap.230020","DOIUrl":"https://doi.org/10.5765/jkacap.230020","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":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f0/f4/jkacap-34-2-61.PMC10080258.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9282812","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}
Esperanza Navarro-Pardo, Yurena Alonso-Esteban, Francisco Alcantud-Marin, Mike Murphy
{"title":"Do Savant Syndrome and Autism Spectrum Disorders Share Sex Differences? A Comprehensive Review.","authors":"Esperanza Navarro-Pardo, Yurena Alonso-Esteban, Francisco Alcantud-Marin, Mike Murphy","doi":"10.5765/jkacap.230008","DOIUrl":"10.5765/jkacap.230008","url":null,"abstract":"<p><p>Savant syndrome was described before autism. However, they soon became closely associated, as many of their symptoms (intellectual disability, repetitive behaviors, alterations in social communication, and islets of abilities) overlap. Only a few women with autism have been diagnosed with savant syndrome. The theories or hypotheses that attempt to explain savant syndrome, which are common in autism, present differential treatment according to sex. We postulate that savant syndrome associated with autism as well as autism in general is underdiagnosed in women.</p>","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/db/d6/jkacap-34-2-117.PMC10080262.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9282813","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}
{"title":"Systematic Review of Suicidal Behaviors Related to Methylphenidate and Atomoxetine in Patients With Attention Deficit Hyperactivity Disorder.","authors":"Jae Heon Kim, Suyeon Park, Yeon Jung Lee","doi":"10.5765/jkacap.220040","DOIUrl":"https://doi.org/10.5765/jkacap.220040","url":null,"abstract":"<p><strong>Objectives: </strong>This study investigated the relationship between suicidal behavior and the use of methylphenidate (MPH) or atomoxetine (ATX) in patients with attention deficit hyperactivity disorder (ADHD).</p><p><strong>Methods: </strong>The Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines were used to conduct a meta-analysis. The Physiotherapy Evidence Database scale was used to score the quality of the studies.</p><p><strong>Results: </strong>Nine studies were included in this quantitative analysis. The analysis included 602864 patients with ADHD (521125 and 81739 patients were taking methylphenidate [MPH group] and atomoxetine [ATX group], respectively) and 19230 healthy controls. The overall estimates were in the order of the control, MPH, and ATX groups; however, no statistically significant between-group difference was observed in the incidence of events (p=0.553 for control vs. MPH; p=1.000 for control vs. ATX; p=1.000 for MPH vs. ATX).</p><p><strong>Conclusion: </strong>The rate of suicidal behavior was higher in the ADHD groups treated with MPH and ATX than in the control group. However, no statistically significant difference was observed between the ADHD groups treated with MPH and ATX, and the control group. Therefore, MPH and ATX did not increase suicidal behavior.</p>","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/60/0e/jkacap-34-2-125.PMC10080256.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9282810","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}
{"title":"How Are Autism Spectrum Disorder and Savant Skills Treated in Cinematographic Works? A Study Focusing on Korean Movies and TV Series.","authors":"Jun-Won Hwang","doi":"10.5765/jkacap.230007","DOIUrl":"https://doi.org/10.5765/jkacap.230007","url":null,"abstract":"<p><p>Numerous films and TV series worldwide have depicted characters with autism spectrum disorder (ASD) and savant skills. This study describes the portrayal of ASD and savant skills in Korean films and dramas. Starting with the 2005 film <i>Marathon</i>, characters with ASD have been featured in five films and four dramas. Most portrayals were based on the diagnostic criteria and pathogenesis of ASD, as outlined in the DSM-5. Of the 10 characters with ASD in these films and dramas, seven were male and three were female, with seven of them possessing savant skills. In the future, caution and guidance on the general characteristics of ASD from experts should be provided with the release of ASD-based films and TV dramas in Korea; in addition, critiques and social discourse pertinent to the reality of ASD should be provided by people with ASD, their families, and relevant experts.</p>","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f0/d1/jkacap-34-2-112.PMC10080254.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9276566","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}
{"title":"Autism Spectrum Disorder and Savant Syndrome: A Systematic Literature Review.","authors":"Hyun Ok Park","doi":"10.5765/jkacap.230003","DOIUrl":"https://doi.org/10.5765/jkacap.230003","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to analyze research trends in autism spectrum disorder (ASD) and savant syndrome and their cognitive characteristics through a systematic literature review. The objectives of this study were to establish an overview of research trends in ASD and savant syndrome, analyze the overall characteristics of individuals with ASD and savant syndrome, and examine their cognitive characteristics.</p><p><strong>Methods: </strong>For the systematic literature review, three criteria were used to select review articles: 1) literature from peer-reviewed journals, published in the past 15 years, from 2008 to 2022; 2) subjects with ASD and savant syndrome; 3) study objectives focused on the basic phenomenon and cognitive characteristics of ASD and savant syndrome. Finally, based on the selection criteria, a total of 40 articles were included.</p><p><strong>Results: </strong>Five themes and nine subthemes were derived from the analysis of 40 studies. The five main themes were as follows: 1) What is savant syndrome? 2) Demographic characteristics of savant syndrome; 3) Spectra of savant syndrome; 4) Savant syndrome and ASD; and 5) Cognitive characteristics of ASD with savant syndrome. The subthemes of the cognitive characteristics were weak central coherence, detail-focused cognitive processing, enhanced perceptual functioning, and hyper-systemizing.</p><p><strong>Conclusion: </strong>Several studies have been conducted to understand ASD and savant syndrome; however, no single theory can specify the cognitive characteristics of people with ASD and savant syndrome. Therefore, further systematic and multi-layered research on ASD and savant syndrome are required for more comprehensive results.</p>","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ac/e2/jkacap-34-2-76.PMC10080257.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9327597","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}
{"title":"How Well Do We Understand Autistic Savant Artists: A Review of Various Hypotheses and Research Findings to Date.","authors":"Seungwon Chung, Jung-Woo Son","doi":"10.5765/jkacap.230004","DOIUrl":"https://doi.org/10.5765/jkacap.230004","url":null,"abstract":"<p><p>The authors investigated the artistic characteristics of autistic savant artists, hypotheses on the proximate and ultimate causes of their emergence, recent psychological and other studies about them, and psychological and neuroaesthetic studies about non-savant autistic individuals. The artistic features of autistic savant artists were significantly similar to those of outsider artists. Furthermore, the authors investigated the explanatory power of the paradoxical functional facilitation theory, the superior visual perception hypothesis, the \"Hmmmmm\" hypothesis, and the Neanderthal theory of autism regarding the emergence of autistic savant artists. In addition, we investigated whether an increase in savant characteristics was related to a decrease in the ability for social communication. The authors suggested that in studies on the aesthetic experience of non-savant autistic individuals, their aesthetic experience ability is never lower than that of neurotypical individuals and that some non-savant autistic individuals may potentially have artistic talent. Finally, the authors reviewed the effectiveness of the \"autism savant spectrum syndromic disorder\" proposed by some researchers. More scientific and systematic studies on autistic savant artists from a multidisciplinary perspective are warranted.</p>","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b4/2f/jkacap-34-2-93.PMC10080252.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9327598","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}
{"title":"Advancing Research on Autistic Savants: A Call for Increased Focus and Attention.","authors":"Jung-Woo Son","doi":"10.5765/jkacap.230021","DOIUrl":"https://doi.org/10.5765/jkacap.230021","url":null,"abstract":"The scope of research on topics related to autism spectrum disorder (ASD) is increasing. Similarly interest in savant syndrome is also on the increase. There are several possible reasons for this increase; however, one of the most important reasons is the increase in the amount of related contents delivered through books, mass media, and movies. Another important reason is that many famous savants have conveyed their experiences in various ways. This has significantly contributed in raising public interest in ASD and savant syndrome. However, the rate of research on savants in the academic field has experienced only a mild increase in recent years. Although autistic savants are one of the entities that clearly exists in the field of ASD, there has been limited practical research on this population. The increase in research interest does not necessarily have to precede public attention; however, if public interest in autistic savants is excessive, only over-packaged content would increase rather than the actual characteristics of ASD and autistic savants. Why have autistic savants not received much attention in the wide research topic of ASD? In fact, great difficulties arise from how to define savants as a research subject. This is a vital issue that needs to be addressed in future studies on savant syndrome. Due to the unique characteristics of autistic savants, it can be challenging to conduct a comparative study with neurotypical individuals. Several savants do not exhibit high-functioning autism traits. Savants are often found to have a considerable level of ability in certain areas of interest; however, the development of other cognitive areas may be slow. Another concern for researchers may be that it is difficult to gauge how important the study of autistic savants is in the entire study of ASD. If a greater emphasis is placed on the medical perspective, the primary goal of the study may be to focus on the treatment of patients with certain disorders. This is because such studies are believed to contribute to the patient’s healthy life. However, studying savants make it difficult to view research objectives from a medical perspective. Some researchers may also have this concern. “Does studying autistic savants cause people to overestimate the prevalence of hidden talents in ASD? While a more focused therapeutic study could alleviate the burdens experienced by individuals with ASD and their families, my research on autistic savants may be perceived as a study that overlooks a crucial area of research that warrants further investigation.” However, I think this concern highlights the importance of research that paradoxically focuses on an accurate understanding of autistic savants. Not all patients with ASD have special talents. Nevertheless, some studies have shown that savant characteristics are significantly higher in autistic people. In other words, savant characteristics are important features of autistic people, and researchers should n","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9c/b8/jkacap-34-2-62.PMC10080261.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9633841","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}
{"title":"Development of Parent Guidelines for Parent-Performed Developmental Screening Tests.","authors":"Sung Sil Rah, Soon-Beom Hong, Ju Young Yoon","doi":"10.5765/jkacap.230002","DOIUrl":"https://doi.org/10.5765/jkacap.230002","url":null,"abstract":"<p><strong>Objectives: </strong>Most developmental screening tests have been built as parent-performed questionnaires. However, they often do not guide parents on how to answer the questionnaire. This study aimed to develop easily applicable parent guidelines.</p><p><strong>Methods: </strong>We implemented the Delphi procedure with 20 panelists. The development of the initial questionnaire was based on the results of two surveys of parents and experts provided by a policy research report that investigated the item adequacy of the Korean Developmental Screening Test. Round one included 33 items comprising all possible measurements in six categories that were identified as difficult to understand or confusing. Round two merged and modified some items and included 32 items. We defined consensus as a median agreement value of one or less and convergence and stability values of 0.5 or less. The subjective usefulness of the parent guidelines was examined based on their previous test experiences.</p><p><strong>Results: </strong>Consensus was reached after the second round, reflecting the items with the highest level of accuracy in each category. Of the 167 parents who participated in the survey, 113 (67.7%) affirmed the usefulness of the guidelines, while 10 (6.0%) answered that they were not useful. Items that recommended a different scoring strategy in answering the questionnaire from their previous measurements were found to be more useful by the parents.</p><p><strong>Conclusion: </strong>The parent guidelines, composed of five bullet points, drew on the consensus of the experts. Further studies are required to assess whether these guidelines improve the accuracy of screening tests in clinical settings.</p>","PeriodicalId":42806,"journal":{"name":"Journal of the Korean Academy of Child and Adolescent Psychiatry","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/23/6d/jkacap-34-2-141.PMC10080253.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9327595","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}