부모설문에 의한 아동의 행동문제분석 : 예비적 연구

Child Behavior Symptom Questionaire and Child Psychiatric Diagnoses： A Prelimary Study

This is a preliminary work for the extensive epidemiologic survey of behavior problems in Korean children. A questionaire of 60 behavior items was constructed from several questionarires reported in the literature and the author’s clinical experiences. Parents of 105 child psychiatric outpatient and 95 pediatric outpatients at the Seoul National University Hospital were asked to check one of the 4 boxes (“Never”, “Sometimes”, “Often”，“Very often”) for each behavior item, and the parental ratings were scored as 0,1, 2, 3 accordingly. The two groups were compared in terms of mean score for each item and total mean score of 8 symptom categories (1) Anxious-obssessive (2) Somatic complaints (3) Schizoid (4) Depressed, withdrawal (5) Immature, hyperactive (6) Delinquent (7) Aggressive (8) Cruel. The former 4 categories were grouped as Internalizing categories and the latter 4 as Externalizing categories Internalizing/externalizing scores of psychiatric subjects with different diagnoses and behavior symptom profiles of 5 different diagnoses were looked at. The results were as follows: 1. Child psychiatric group showed higher mean score in 47 items than pediatric group. Meanwhile, pediatric group rated higher in 13 items which tended to be less serious behavior symptoms. The differences in all items were statistically significant. The sum of mean scores of 60 items were 47. 53 in child psychiatriatrie group and 33. 18 in pediatric group. (p<0. 001). 2. Psychiatric group was also higher in the total scores in 7 of 8 symptom categories except Somatic complaints” which were not different between two groups. 3. Psychiatric group was higher in the sum of mean scores of Internalizing categories and Exter- nalizing categories (p<0. 001). 4. In comparing different child psychiatric diagnoses, it was noted that externalizing categories were more discriminant than internalizing categories. 5. Behavior profiles in 5 diagnoses (Emotionalneurotic disorder, Autism, Attention deficit disorder, Brain damage and Mental retardation) were derived by plotting mean percentage scores of 8 symptom categories. Emotional-neurotic disorder showed higher scores in internalizing categories, and lower scores in externalizing categories while the rest 4 diagnoses showed low internalizing scores and high externalizing scores. Therefore it appears that behavior profile can be utilized as a diagnostic tool. In conculsion, parental behavior symptom questionaire can be used not only as a simple tool for epidemiologic survey but also as an aid in child psychiatric diagnoses,