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Biomedical subjects

Min Sup Shin

Publications and source records attributed to Min Sup Shin.

5 recordsLinked to original sources

Parental attachment and its impact on the development of psychiatric manifestations in school-aged children.

BACKGROUND: Few studies have examined the relationship between the attachment styles of the primary caregivers and the behavioral problems of their school-aged children. This study was performed to identify the impact of insecure attachment patterns of parents on the development of their children's psychiatric manifestations and disorders. SAMPLINGS AND METHODS: We included 494 2nd to 3rd graders and their primary caretakers. A relationship questionnaire was applied to identify the parental attachment patterns. We investigated the children's mental and behavioral problems by using the Korean Child Behavior Checklist. For objective psychiatric diagnoses, we interviewed 130 high-risk subjects using the Korean Kiddie-Schedule for Affective Disorders and Schizophrenia - Present and Lifetime version. RESULTS: Those parents judged to be preoccupied had children with more internalized symptoms than those who were judged to be secure (p< 0.01); dismissing/avoidant parents had children with higher scores on Attention problems (p = 0002), and fearful/avoidant parents had children with more externalized symptoms (p < 0.01). Moreover, children with insecure attachment type parents revealed more psychiatric morbidity than children with secure parents (p = 0.042). CONCLUSION: Parental insecure attachment was associated with the development of the psychopathologies and psychiatric illness of their children.

Child↗

The relationship between temperament and character and psychopathology in community children with overweight.

This study investigated the relationship between temperament and character and psychopathology in at risk of overweight and overweight children. The Child Behavior Checklist (CBCL) and the Junior Temperament and Character Inventory (JTCI) questionnaires were administered to 453 children (10-12 years of age, 203 boys and 250 girls) in Kimpo, South Korea. Subjects were divided into three groups; (1) nonoverweight children (n = 345), (2) children at risk of overweight (n = 72), and (3) overweight children (n = 36). CBCL and the JTCI scores were compared among three groups. In addition, the relationships between subscales of the CBCL and the JTCI were evaluated. On the CBCL, overweight children had higher scores in social problems, delinquent problems, and total problems compared to nonoverweight children. Children at risk of overweight showed higher scores only in social problems compared to nonoverweight children. On the JTCI, lower persistence and tendency of higher novelty seeking was observed in overweight children compared to nonoverweight children. Persistence scores were negatively correlated with scores of delinquent problems, externalizing problems, and total problems in overweight children. Compared to nonoverweight and children at risk of overweight, overweight children had distinct patterns of temperament and character that were related to the specific psychopathology.

Body Mass Index↗

Effect of cognitive training focusing on organizational strategies in patients with obsessive-compulsive disorder.

The purpose of the present paper was to develop a cognitive training program for patients with obsessive-compulsive disorder (OCD) and evaluate its effectiveness. Nine 60-min sessions focusing on the improvement of organizational strategies were given to 15 patients with OCD over a period of 5 weeks. The control group consisted of 15 age- and sex-matched patients also with OCD. The Rey-Osterrieth Complex Figure Test and Korean-California Verbal Learning Test were administered before and after cognitive training. Clinical symptoms were assessed with the Yale-Brown Obsessive-Compulsive Scale. The memory function in the treatment group improved and their clinical symptoms were alleviated after training, compared to those of the control group. Cognitive training of OCD patients not only improved their memory function, but also alleviated their clinical symptoms. Therefore, cognitive training, focusing on the improvement of organizational strategies, could be an effective treatment modality for patients with OCD.

Activities of Daily Living↗

Persistent cognitive dysfunction in patients with obsessive-compulsive disorder: a naturalistic study.

The purpose of the present study was to investigate the changes in the cognitive dysfunctions of patients with obsessive-compulsive disorder (OCD) over a 1-year period of pharmacological treatment. Twenty-one OCD patients and 20 normal subjects underwent neuropsychological tests and clinical evaluations on three separate occasions (baseline, 4 months, and 1 year after the start of medications). OCD patients continued to show significant impairments in the following cognitive measures compared with the normal controls: accuracy of immediate and delayed recall on the Rey-Osterrieth complex figure tests, the numbers of responses on the category fluency test, the response time on the trail making test--part A, and the number of perseverative response and perseverative errors on the Wisconsin card sorting test. The findings in this study suggested that impaired performance on cognitive domains, such as visuospatial memory and verbal fluency may underline the pathology of OCD.

Adult↗

Neuropsychological profile in patients with obsessive-compulsive disorder over a period of 4-month treatment.

This study investigated the changes of the neuropsychological functions over a 4-month period of treatment in patients with obsessive-compulsive disorder (OCD). Thirty-nine OCD patients and 31 healthy controls were evaluated with neuropsychological and clinical tests. The same tests were readministered 4-months after pharmacological treatment for the OCD patients. At the first series of tests, compared to the controls, the OCD patients were significantly impaired on the immediate and delayed recall of Rey-Osterrieth Complex Figure Test (RCFT), and on the letter and category of Controlled Oral Word Association Test (COWA). They also showed a prolonged response time on Trail Making Test (TMT), part A. The severity of OCD measured by Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) correlated well with the performance on the immediate and delayed recall of RCFT and the response time on TMT, part A. After 4-months' follow-up, the OCD patients still showed impairment on the immediate and delayed recall of RCFT and COWA category. This is despite the fact that they had improved significantly on these functions in comparison with the controls over the period of treatment. In addition, an association between OCD symptoms and the performance on the neuropsychological tests was not observed. The neuropsychological profile of the OCD patients found in the present study is consistent with current theories proposing that the frontal-striatal system is the possible pathophysiological mechanism underlying the development of OCD.

Adult↗