DOI QR코드

DOI QR Code

초등학교 저학년 대상 ADHD 단독군, 동반 질환을 가진 ADHD군에서의 10회기 사회기술 훈련의 효과 비교

Compared Effectiveness of 10-Session Social Skill Training for Korean Early Elementary School Children in Two Groups Diagnosed as Pure ADHD and ADHD with Comorbidity

  • 이소희 (경북대학교 의과대학 정신건강의학교실) ;
  • 정운선 (경북대학교 의과대학 정신건강의학교실) ;
  • 황선영 (경북대학교 의과대학 정신건강의학교실) ;
  • 정재훈 (경북대학교 의과대학 정신건강의학교실) ;
  • 김은지 (경북대학교 의과대학 정신건강의학교실) ;
  • 우정민 (대구가톨릭대학교 의과대학 정신건강의학교실) ;
  • 조현영 (경산세명병원 정신건강의학과)
  • Lee, So Hee (Department of Psychiatry, Kyungpook National University School of Medicine) ;
  • Chung, Un Sun (Department of Psychiatry, Kyungpook National University School of Medicine) ;
  • Hwang, Sun Yung (Department of Psychiatry, Kyungpook National University School of Medicine) ;
  • Jeong, Jae Hoon (Department of Psychiatry, Kyungpook National University School of Medicine) ;
  • Kim, Eun Ji (Department of Psychiatry, Kyungpook National University School of Medicine) ;
  • Woo, Jeong Min (Department of Psychiatry, Catholic University of Daegu School of Medicine) ;
  • Jo, Hyun Young (Department of Psychiatry, Kyungsan Saemyoung Hospital)
  • 투고 : 2015.05.12
  • 심사 : 2015.06.27
  • 발행 : 2015.12.31

초록

Objectives : Children with attention-deficit hyperactivity disorder (ADHD) have problems in social interactions. We compared the effect of 10-session social skill training (SST) among two groups, children with pure ADHD, and those with ADHD with comorbidity. Methods : Consecutive 10-session SST was conducted for 34 children from 2006 to 2012. There were 22 children with pure ADHD (male 20, female 2), and 12 children suffering from ADHD with comorbidity (male 11, female 1). All children took medication as prescribed by their doctors before the start of SST. The Child Behavior Checklist (CBCL), the Korean Personality Inventory for Children (K-PIC), the Conner's Rating Scale, the ADHD Rating Scale, and the Home Situation Questionnaire were completed by mothers before and after the SST. All children completed the Child Depression Inventory, the Stat-Trait Anxiety Inventory for Children, the Self-Concept Scale and the ADHD Diagnostic System before and after the SST. Results : Only children with pure ADHD showed improvement in anxiety and self-concept in scales rated by children. In the CBCL rated by parents, the pure ADHD group and the ADHD with comorbidity showed improvement in both externalizing and internalizing subscales. In the K-PIC rated by parents, the pure ADHD group showed improvement in most outcomes and ADHD with comorbidity showed positive change in verbal development. Conclusion : These results suggest that SST has significant positive effects on both the pure ADHD and ADHD with comorbidity group. Further research is needed in order to target diverse comorbidity groups with ADHD to improve the effectiveness of the SST.

키워드

참고문헌

  1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-4. 4th ed. Washington, DC: American Psychiatric Association;1994.
  2. Barkley RA. Attention-deficit hyperactivity disorder: a handbook for diagnosis and treatment. New York, NY: Guilford Publications; 2014.
  3. Pisterman S, McGrath P, Firestone P, Goodman JT, Webster I, Mallory R. Outcome of parent-mediated treatment of preschoolers with attention deficit disorder with hyperactivity. J Consult Clin Psychol 1989;57:628-635. https://doi.org/10.1037/0022-006X.57.5.628
  4. Hong KE, Oh KJ, Shin MS. Comparison of the treatment effects between medication only and medication-plus-parent training in ADHD children. J Korean Acad Child Adolesc Psychiatry 1995;6: 65-73.
  5. Kim SS, Ahn DH, Lee YH. The effects of the combined treatment of medication and parent training in children with attention-deficit/hy-peractivity disorder (ADHD). J Korean Neuropsychiatr Assoc 1998;37:683-699.
  6. Ahn DH, Kim SS, Han ES. Social skills training in children with Attention Deficit-Hyperactivity Disorder. 1st ed. Seoul: Hakjisa;2004. p.110-189.
  7. The MTA Cooperative Group. A 14-month randomized clinical trial of treatment strategies for attention-deficit/hyperactivity disorder. The MTA Cooperative Group. Multimodal Treatment Study of Children with ADHD. Arch Gen Psychiatry 1999;56:1073-1086. https://doi.org/10.1001/archpsyc.56.12.1073
  8. Shin YO, Hong KE, Cho SC, Kim JS. Comorbidity of child and adolescent inpatients. J Korean Acad Child Adolesc Psychiatry 1993;4:91-97.
  9. Hong KE, Kim 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.
  10. Kolko DJ, Loar LL, Sturnick D. Inpatient social-cognitive skills training groups with conduct disordered and attention deficit disordered children. J Child Psychol Psychiatry 1990;31:737-748. https://doi.org/10.1111/j.1469-7610.1990.tb00814.x
  11. Park SY, Kwack KY, Kim MK. Effect of the Social Skill Tmining in ADHD Children. J Korean Acad Child Adolesc Psychiatry 1998;9:154-164.
  12. Kovacs M. The Children's Depression, Inventory (CDI). Psychopharmacol Bull 1985;21:995-998.
  13. Cho SC, Lee YS. Development of the Korean form of the Kovacs' children's depression inventory. J Korean Neuropsychiatr Assoc 1990;29:943-956.
  14. Spielberger CD. Test Anxiety Inventory: Preliminary Professional Manual. Palo Alto, CA: Consulting Psychologists Press;1980.
  15. Cho SC, Choi JS. Development of the Korean form of the statetrait anxiety inventory for children. Seoul J Psychiatry 1989;14:150-157.
  16. Kim BR, Cho SC, Shin YO. Development of Korean form of Piers-Harris Children's Self-Concept Scale. J Korean Neuropsychiatr Assoc 1994;33:1351-1369.
  17. Shin MS, Cho SC, Chun SY, Hong KE. A study of the development and standardization of ADHD diagnostic system. J Korean Acad Child Adolesc Psychiatry 2000;11:91-99.
  18. Achenbach TM, Edelbrock CS. Manual for the child behavior checklist and revised child behavior profile. Burlington, VT: University of Vermont Department of Psychiatry;1983.
  19. Oh KJ, Lee H, Hong KE, Ha EH. K-CBCL. Seoul: Chung Ang Aptitude Publishing Co;1997.
  20. Ahn DH, Kim SS, Han ES. Social skill training for children with attention-deficit hyperactivity disorder. Seoul: Hakjisa;2004. p.99-100.
  21. Biederman J, Faraone SV, Hirshfeld-Becker DR, Friedman D, Robin JA, Rosenbaum JF. Patterns of psychopathology and dysfunction in high-risk children of parents with panic disorder and major depression. Am J Psychiatry 2001;158:49-57. https://doi.org/10.1176/appi.ajp.158.1.49
  22. Pfiffner LJ, McBurnett K. Social skills training with parent generalization: treatment effects for children with attention deficit disorder. J Consult Clin Psychol 1997;65:749-757. https://doi.org/10.1037/0022-006X.65.5.749