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한번의 심각한 외상 경험을 한 학령 전기 아동의 발달정신병리

Other Titles
 Developmental Psychopathologies of Nine Preschool Children, Experiencing Single, Severe Trauma 
 신의진  ;  엄소용  ;  오경자  ;  송원영  ;  최의겸 
 Journal of the Korean Neuropsychiatric Association (신경정신의학), Vol.43(2) : 172-181, 2004 
Journal Title
Journal of the Korean Neuropsychiatric Association(신경정신의학)
Issue Date
Objectives : It has been known that children reved symptoms of Posttraumatic Stress Disorder (PTSD) after experiencing traumas similar to adults. But there are a few studies regarding the psychopathologies of PTSD in preschool children. Considering more active brain and psychological development in preschool children, it is expected that trauma of preschool children causes more serious psychopathologies than those of children with older ages or adults. This study aims to investigate psycho-pathologies of 9 preschool children experiencing a single, severe trauma, specifically in the respect of PTSD diagnosis.
Methods : Nine preschool children, 35 years old, experiencing physical injuries caused by attack from a psychotic patient during lunch time at kindergarten, were evaluated for clinical diagnoses through semi-structured interviews using Kiddie-Schedule for Affective Disorders and Schizophrenia (K-SADS) and Research Diagnostic Criteria (RDC for Kiddies) of PTSD for preschool children.
Results : Five (56% by DSM-IV) and Six (67%, by RDC) out of 9 children were diagnosed as to have PTSD. Among those children with PTSD, four (44%) showed Separation Anxiety Disorder (SAD) and one (17%) showed Major Depressive disorder (MDD) as comorbid diagnoses. On subchnical level, two of 9 children (22%) suffered from separation anxiety, seven (78%) from aggressive behaviors, and two (22%) from depressive mood. Sleep disturbances (89%) and reexperiencing of trauma (89%) were the most prominent symptoms of PTSD in preschool children.
Conclusion : While preschool children showed profiles of PTSD symptoms similar to those of adults, it was critical to use more developmentally sensitive diagnostic tools for a better detection of psychopathologies. Young children experiencing severe trauma showed other comorbid psychopathologies along with PTSD. For proper diagnosis and intervention, it is important to make an accurate clinical diagnosis based on developmentally appropriate diagnostic process and tools
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Appears in Collections:
1. College of Medicine (의과대학) > Research Institute (부설연구소) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Psychiatry (정신과학교실) > 1. Journal Papers
Yonsei Authors
Song, Won Young(송원영)
Shin, Yee Jin(신의진) ORCID logo https://orcid.org/0000-0001-8573-4342
Eom, So Yong(엄소용)
Choi, Eui Gyum(최의겸)
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