DOI QR코드

DOI QR Code

주의력결핍 과잉행동장애 부모에서 MMPI 특성

MMPI Characteristics of Parents of Children with ADHD

  • 김민권 (단국대학교 의과대학 정신과학교실) ;
  • 홍종우 (단국대학교 의과대학 정신과학교실) ;
  • 임명호 (단국대학교 의과대학 정신과학교실) ;
  • 도진아 (단국대학교 의료원 임상심리실) ;
  • 오은영 (오은영 소아청소년클리닉) ;
  • 이경규 (단국대학교 의과대학 정신과학교실) ;
  • 백기청 (단국대학교 의과대학 정신과학교실)
  • Kim, Min-Kwon (Department of Psychiatry, College of Medicine, Dankook University) ;
  • Hong, Jong-Woo (Department of Psychiatry, College of Medicine, Dankook University) ;
  • Lim, Myung-Ho (Department of Psychiatry, College of Medicine, Dankook University) ;
  • Do, Jin-A (Clinical Psychology Laboratory, Dankook Medical Center) ;
  • Oh, Eun-Yong (Oh Eun Yong Child Adolescent Clinics) ;
  • Lee, Kyung-Kyu (Department of Psychiatry, College of Medicine, Dankook University) ;
  • Paik, Ki-Chung (Department of Psychiatry, College of Medicine, Dankook University)
  • 투고 : 2011.03.07
  • 심사 : 2011.05.02
  • 발행 : 2011.09.30

초록

Objectives: The current study investigated the personality characteristics of parents of children with attention-deficit hyperactivity disorder (ADHD) using the Minnesota Multiphasic Personality Inventory (MMPI), which is commonly used in clinical medicine. Methods: Participants were 117 parents of children with ADHD (96 boys and 21 girls) and 77 parents of comparison children (50 boys and 27 girls), who completed the Korean version of the MMPI. Results: The MMPI scores of the fathers of ADHD children were significantly higher on the Psychopathic Deviate (Pd), Masculinity-Femininity (Mf), Paranoia (Pa), and Psychasthenia (Pt) scales than the comparison group's were. In addition, the mothers of ADHD children had higher MMPI scores on the traits of Hypochondriasis (Hs), Psychopathic Deviate (Pd), and Schizophrenia (Sc) than the comparisong roup had, but were not significantly higher. Conclusion: The fathers of ADHD children might be antisocial, irresolute, passive, paranoid, and anxious. In addition, mothers of ADHD children might have hypochondriacal, antisocial, and/or psychological confusional traits, but these were not be significantly high. These results suggest that the psychopathology of parents of ADHD children might correlate with their children's ADHD.

키워드

참고문헌

  1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Text Revision 4th ed. Washington DC: American Psychiatric Association;2000.
  2. Cho SC, Shin YO. Prevalence of disruptive behavior disorders. J Korean Acad Child Adolesc Psychiatry 1994;5:141-149.
  3. Pyo KS, Park SH, Kim SH, Cho YR, Kim HR, Moon KR. The Prevalence of Attention Deficit Hyperactivity Disorder in Urban Elementary School Children. Gwangju: Department of Psychiatry, Chosun University;2001.
  4. Kim JY, Ahn DH, Shin YJ. An epidemiological study of attentiondeficits hyperactivity disorder and learning disabilities in a rural area. J Korean Neuropsychiatr Assoc 1999;38:784-793.
  5. Chronis AM, Lahey BB, Pelham WE Jr, Kipp HL, Baumann BL, Lee SS. Psychopathology and substance abuse in parents of young children with attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry 2003;42:1424-1432. https://doi.org/10.1097/00004583-200312000-00009
  6. Pfiffner LJ, McBurnett K, Rathouz PJ, Judice S. Family correlates of oppositional and conduct disorders in children with attention deficit/ hyperactivity disorder. J Abnorm Child Psychol 2005;33:551-563. https://doi.org/10.1007/s10802-005-6737-4
  7. Johnston C, Mash EJ. Families of children with attention-deficit/ hyperactivity disorder: review and recommendations for future research. Clin Child Fam Psychol Rev 2001;4:183-207. https://doi.org/10.1023/A:1017592030434
  8. Barkley RA, Anastopoulos AD, Guevremont DC, Fletcher KE. Adolescents with attention deficit hyperactivity disorder: mother-adolescent interactions, family beliefs and conflicts, and maternal psychopathology. J Abnorm Child Psychol 1992;20:263-288. https://doi.org/10.1007/BF00916692
  9. Mash EJ, Johnston C. A comparison of the mother-child interactions of younger and older hyperactive and normal children. Child Dev 1982;53:1371-1381. https://doi.org/10.2307/1129028
  10. Biederman J, Faraone S, Milberger S, Guite J, Mick E, Chen L, et al. A prospective 4-year follow-up study of attention-deficit hyperactivity and related disorders. Arch Gen Psychiatry 1996;53:437-446. https://doi.org/10.1001/archpsyc.1996.01830050073012
  11. Conners CK, Epstein JN, March JS, Angold A, Wells KC, Klaric J, et al. Multimodal treatment of ADHD in the MTA: an alternative outcome analysis. J Am Acad Child Adolesc Psychiatry 2001;40:159-167. https://doi.org/10.1097/00004583-200102000-00010
  12. Firestone P, Witt JE. Characteristics of families completing and prematurely discontinuing a behavioral parent-training program. J Pediatr Psychol 1982;7:209-222. https://doi.org/10.1093/jpepsy/7.2.209
  13. Subotnik KL, Asarnow RF, Nuechterlein KH, Fogelson DL, Thorpe TI, Payne DL, et al. MMPI vulnerability indicators for schizophrenia and attention deficit disorder: UCLA family study of biological parents of offspring with childhood-onset schizophrenia or ADHD. Behav Genet 2005;35:159-175. https://doi.org/10.1007/s10519-004-1016-7
  14. Lahey BB, Russo MF, Walker JL, Piacentini JC. Personality characteristics of the mothers of children with disruptive behavior disorders. J Consult Clin Psychol 1989;57:512-515. https://doi.org/10.1037/0022-006X.57.4.512
  15. Lee SJ, Kwon JH, Lee YJ. Personality characteristics of mothers of children with attention deficit hyperactivity disorder as assessed by the Minnesota multiphasic personality inventory. Psychiatry Investig 2008;5:228-231. https://doi.org/10.4306/pi.2008.5.4.228
  16. Kim JS. Clinical interpretation of Minnesota Multiphasic Personality Inventory. Seoul: Seoul National University Press;1998.
  17. Kim YH, Kim JS, No MR, Shin DK, Yeom TH, Oh SW. Practice outline of Minnesota Multiphasic Personality Inventory. Seoul: Korean Guidance;1994.
  18. Park YS. Practice of New Psychological Evaluation for Clinical Expert. Seoul: Hana Medical Press;1994. p.216-254.
  19. Connell AM, Goodman SH. The association between psychopathology in fathers versus mothers and children's internalizing and externalizing behavior problems: a meta-analysis. Psychol Bull 2002;128:746-773. https://doi.org/10.1037/0033-2909.128.5.746
  20. Elia J, Devoto M. ADHD genetics: 2007 update. Curr Psychiatry Rep 2007;9:434-439. https://doi.org/10.1007/s11920-007-0057-z
  21. DiLalla DL, Carey G, Gottesman II, Bouchard TJ Jr. Heritability of MMPI personality indicators of psychopathology in twins reared apart. J Abnorm Psychol 1996;105:491-499. https://doi.org/10.1037/0021-843X.105.4.491
  22. Biederman J, Milberger S, Faraone SV, Kiely K, Guite J, Mick E, et al. Impact of adversity on functioning and comorbidity in children with attention-deficit hyperactivity disorder. J Am Acad Child Adolesc Psychiatry 1995;34:1495-1503. https://doi.org/10.1097/00004583-199511000-00017
  23. Pliszka SR. Psychiatric comorbidities in children with attention deficit hyperactivity disorder: implications for management. Paediatr Drugs 2003;5:741-750. https://doi.org/10.2165/00148581-200305110-00003
  24. Biederman J, Faraone SV, Monuteaux MC. Differential effect of environmental adversity by gender: Rutter's index of adversity in a group of boys and girls with and without ADHD. Am J Psychiatry 2002;159:1556-1562. https://doi.org/10.1176/appi.ajp.159.9.1556
  25. Hong KE, Kin JH, Shin MS, Ahn DH. Diagnostic classification and assessment of psychiatrically referred children with inattention or hyperactivity. J Korean Acad Child Adolesc Psychiatry 1996;7: 190-202.