Journal of Korean Academy of Nursing

Original Articles

Development of an Interaction Behaviors Checklist for Early Detection of Autistic Children: Sook Bin Im; Journal of Korean Academy of Nursing 2005;35(1):5-15. Published online March 28, 2017; DOI: https://doi.org/10.4040/jkan.2005.35.1.5

Purpose

This study was conducted to develop a behavioral checklist to predict an autistic disorder and to identify the earliest detecting time.

Method

One hundred and fifty eight children including normal, autistic, institutionalized normal, and retarded were assessed using critical interaction behavioral markers from literature review. Data was collected by semi-structured mother-child interaction by videotape recording and analyzed by factor analysis, Cronbach α, Kappa, χ², and Duncan.

Result

Ten behavioral markers were sorted into 2 factors; joint-attention and synchronized behavior. Autistic children were impaired in pretend play, prodeclarative pointing, proimperative pointing, gaze-monitoring, referential looking, showing, joint-attention, rhythmical vocal exchange, and synchronized laughing. The sychronized behavior was also a critical marker to predict the autistic disorder. However, it was difficult to differentiate autistic disorder from mental retardation. In addition, the appropriate detecting time was around 18 months after birth.

Conclusion

This checklist should be behavior markers to predict autistic disorder and could be useful as educational material at children's clinics, parents class, and for caregivers in the health center. In addition, early detection should lead to treatment being started as soon after 18 months of age as possible.

Citations

Citations to this article as recorded by

Development & Validation of a Checklist for Infant and Child Developmental Screening
Hyeon-Ok Ju, Nae-Young Lee, In-Sook Park, Sun-Ok Lee, So-Hee Kim
Journal of Korean Academy of Child Health Nursing.2009; 15(1): 34. CrossRef

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Analysis of Relationships between Parenting Stress, Maternal Depression, and Behavioral Problems in Children at Risk for Attention Deficit Hyperactive Disorder: Hee Sun Shin, Jeong Mee Kim; J Korean Acad Nurs 2010;40(3):453-461. Published online June 30, 2010; DOI: https://doi.org/10.4040/jkan.2010.40.3.453

Abstract PDF

Purpose

In this study differences in behavioral problems between children at risk for Attention Deficit Hyperactive Disorder (ADHD) and normally developing children were identified. Further, relationships between parental stress, depression, and child behavioral problems according to ADHD symptoms were explored.

Methods

Participants were 222 elementary school children and their parents. The ADHD risk group was determined by the Korean-ADHD Rating Scale. Data were collected using the Korean-ADHD Rating Scale, Korean version of Child Behavior CheckList (K-CBCL), Parenting Stress Index, and Beck Depression Inventory. Data were analyzed using t-test, Pearson correlation coefficients, and regression analysis.

Results

1) The ADHD risk group showed higher levels of behavioral problems, parenting stress, and maternal depression than the normal group. 2) There were significant relationships between ADHD scores and parenting stress (r=.66), maternal depression (r=.35), internal behavioral problems (r=.47), and external problems (r=.55), but, ADHD risk scores were negatively correlated with social competence (r=-.40). 3) The regression analysis revealed that ADHD levels affected the child's internal behavioral problems, mediated by maternal depression (β=.29, p<.001).

Conclusion

The study results show that higher risk scores for ADHD indicate a significant effect for behavioral problems. Also, parenting stress and depression influence child's behavioral problems. These results suggest that identification of children at risk for ADHD and development of parental education programs would contribute to the prevention of behavioral problems and aggravation of the ADHD symptoms.

Citations

Citations to this article as recorded by

The Effect of Happiness Training Based on Fordyce Model on Perceived Stress in the Mothers of Children with Cleft Lip and Palate
Zeinab Hemati, Samira Abbasi, Somayeh Paki, Davood Kiani
Journal of Caring Sciences.2017; 6(2): 173. CrossRef
Related Factors for Behavioral Problems in Toddlers Born Prematurely
Youngmee Ahn, Sangmi Lee
Child Health Nursing Research.2016; 22(1): 45. CrossRef
Relationships between behavioral symptoms of non‐medicated Chinese children with attention deficit hyperactivity disorder and parenting stress: Comparison of different subtypes and comorbidities
Yan Li, Wen‐Qing Jiang, Ya‐Song Du, David Coghill
Asia-Pacific Psychiatry.2016; 8(2): 127. CrossRef
A Short-Term Longitudinal Study on the Reciprocal Relations between Mothers’ Depression and Their Preschoolers’ Emotional Problems
Young Eun Chang, Hyo Jeong Han
Family and Environment Research.2016; 54(5): 551. CrossRef
Stress levels experienced by parents of children with and without attention-deficit/hyperactivity disorder during the back-to-school period: results of a European and Canadian survey
Isabel Hernández-Otero, Lakshman Doddamani, Benoit Dutray, Antonella Gagliano, Fabian Haertling, Ralph Bloomfield, Gracita Ramnath
International Journal of Psychiatry in Clinical Practice.2015; 19(1): 8. CrossRef
Methylphenidate‐osmotic‐controlled release oral delivery system treatment reduces parenting stress in parents of children and adolescents with attention‐deficit/hyperactivity disorder
Jun‐Won Hwang, Bongseog Kim, Yeni Kim, Tae‐Ho Kim, Wan‐Seok Seo, Dong‐Won Shin, Young‐Jae Woo, Heejeong Yoo, Jeong‐Seop Lee, Jong‐Hun Lee, Myung‐Ho Lim, Young‐Chul Chung, Chul‐Ho Jung, Hanik K. Yoo
Human Psychopharmacology: Clinical and Experimental.2013; 28(6): 600. CrossRef
Effects of a Responsive Parenting Education Program on Child's Behavioral Problems and Pivotal Developmental Behaviors in Children at Risk for Attention Deficit Hyperactivity Disorder
Hee-Sun Shin, Jeong-Mee Kim
Journal of Korean Academy of Child Health Nursing.2011; 17(1): 39. CrossRef
Teaching Status and Knowledge of Elementary School Teachers of Children with Attention Deficit Hyperactivity Disorder
Kyoung-Rim Kang, Young-Hae Kim, Young-Ok Yang
Journal of Korean Academy of Child Health Nursing.2011; 17(2): 136. CrossRef
Relationship of Mothers' Recognition of Attention Deficit Hyperactivity Disorder (ADHD), Parenting Stress and Family Support in Children Diagnosed with ADHD
Mi-Ye Kim, Ji-Yeong Seo, Wan-Ju Park
Journal of Korean Academy of Child Health Nursing.2011; 17(2): 127. CrossRef
Effects of Postpartum Depression and Temperament of Infant on Child-care Stress among Mothers of Newborn Infants
Hye-Jin Kwon, Kyung-Hee Kim, Mi-Hye Choi, Ju-Yeon Cho, Young-Mi Ahn, Ki-Sook Kim
Journal of Korean Academy of Child Health Nursing.2011; 17(2): 69. CrossRef

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