DOI QR코드

DOI QR Code

Relationship between prevalenc of attention deficit hyperactivity disorder symptoms and depression of college students -Focused o health related majors-

대학생의 주의력결핍과잉행동장애 증상 출현율과 우울과의 관계 -보건계열 학생을 중심으로-

  • Roh, Hyo-Lyun (Department of Physical therapy, Kangwon National University) ;
  • Shin, Eun-Ji (Department of Emergency Medical Rehabilitation, Graduate School of Kangwon National University)
  • 노효련 (강원대학교 물리치료학과) ;
  • 신은지 (강원대학교 대학원 응급의료재활학과)
  • Received : 2014.10.31
  • Accepted : 2015.03.12
  • Published : 2015.03.31

Abstract

This study was conducted to investigate the relationship between depression and adult attention deficit hyperactivity disorder(ADHD) of college students. Collage students up to 350 people self-report survey was conducted using the Conners ADHD Rating Scale Korean version and Beck Depression Inventory. Adult ADHD symptoms prevalence was 5.1 % and the highest form of carelessness. Depression grade was $8.38{\pm}6.86$ points of college students and female students was higher than male students is depression grade, severe depression and modurate depressive symptoms were 2.1 %. Model of explanatory were slightly higher in 33.5%, adult ADHD affects depression and coexistence rate of adult ADHD symptoms and depressive symptoms was found to be 3.1%. Therefore, adult ADHD symptoms prevalence and depression of collage students seems to be relationship. Given the wide range of social and emotional problems due to adult ADHD seems necessary measures to establish a social dimension to adult ADHD.

본 논문은 대학생들의 과잉행동성충동장애 증상 출현율과 우울과의 관계를 알아보고자 하였다. 대학생 350명을 대상으로 Conners 과잉행동성충동장애 평정척도와 Beck 우울척도를 이용한 조사를 실시하였다. 대학생들의 과잉행동성충동장애 증상 출현율은 5.1%이였고 그 중 부주의형이 가장 높았다. 우울 정도는 $8.38{\pm}6.86$점이었고 여학생이 남학생보다 우울정도가 높았으며, 보통 우울증상과 심한 우울증상자는 2.1%이었다. 과잉행동성충동장애가 우울에 영향을 주는 모형 설명력은 33.5%로 다소 높았으며, 과잉행동성충동장애 증상과 우울 증상의 공존율은 전체 학생 중 3.1%로 나타나서, 대학생들의 성인 과잉행동성충동장애 증상 출현율과 우울은 관계가 있는 것으로 보인다. 성인 과잉행동성충동장애로 인한 다양한 문제를 고려하면 이에 대한 사회적 차원의 대책 수립이 필요한 것으로 보인다.

Keywords

References

  1. J. Biederman, E. Mick, S. V. Faraone, "Age dependent decline of symptoms of Attention Deficit Hyperactivity Disorder: Impact of remission definition and symptom subtype", American Journal of Psychiatry, 157, pp.816-818, 2000. DOI: http://dx.doi.org/10.1176/appi.ajp.157.5.816
  2. R. A. Barkley, M. Fischer, L. Smallich, K. Fletcher, "The persistence of attention-deficit/hyperactivity disorder into young adulthood as a function of reporting source and definition of disorder", Journal of Abnormal Psychology, 11(2), pp.279-289, 2002. DOI: http://dx.doi.org/10.1037/0021-843X.111.2.279
  3. S. V. Faraone, J. Biederman, T. Spencer, T. Wilens, L. J. Seidman, E. Mick, A. E. Doyle, "Attention-deficit/hyperactivity disorder in adults: An overview", Biological Psychiatric, 48, pp.9-20, 2000. DOI: http://dx.doi.org/10.1016/S0006-3223(00)00889-1
  4. J. C. Hill, E. P. Schoener, "Age-dependent decline of attention deficit hyperactivity disorder", American Journal Psychiatry, 153, pp.1143-1146, 1996. DOI: http://dx.doi.org/10.1176/ajp.153.9.1143
  5. J. Biederman, S. V. Faraone, S. Milberger, S. Curtis, L. Chen, A. Marrs, C. Ouellette, P. Morre, T. Spencer, "Predictors of Persistence and Remission of ADHD into Adolescence: Results from a Four-Year Prospective Follow-up Study", Journal of the American Academy of Child & Adolescent Psychiatry, 35(3), pp.343-351, 1996. DOI: http://dx.doi.org/10.1097/00004583-199603000-00016
  6. J. Biederman, C. R. Petty, A. Clarke, A. Lomedico, S. V. Faraone, "Predictors of persistent ADHD: An 11-year follow-up study", Journal of Psychiatric Research, 45(2), pp.150-155, 2011. DOI: http://dx.doi.org/10.1016/j.jpsychires.2010.06.009
  7. M. Fisher, R. A. Barkley, "The persistencd of ADHD adulthood: (once again) It depends on whom you ask", The ADHD report, 15(4), pp.7-16, 2007. DOI: http://dx.doi.org/10.1521/adhd.2007.15.4.7
  8. American Psychiatric Association. Diagnostic and Statistical manual of Mental disorders(5th ed.). Washington, DC: Author, 2013.
  9. American Psychiatric Association. Diagnostic and statistical manual of mental disorders(4th ed.-TR). Washington, DC: Author, 2000.
  10. J. Y. Kim, "Relationships among depression, anxiety, and quality of sleep and neuropsychological feature in adults with ADHD tendency", Kangbuk national university Master's thesis, 2008.
  11. Y. H. Kim, "Comparative analysis of the emotional characteristics of adolescents with attention deficit", Ajoo university Master's thesis, 2005.
  12. P. J. Marsh, L. M. Williams, "An investigation of individual typologies of attention-deficit hyperactivity disorder using cluster analysis of DSM-4 criteria", Personality and individual differences, 36(5), pp.1187-1195, 2004. DOI: http://dx.doi.org/10.1016/S0191-8869(03)00210-1
  13. P. H. Wender. Attention deficit hyperactivity disorder in adults. New York Oxford: Oxford University Press, 1995.
  14. K. Murphy, R. A. Barkley, "Attention deficit hyperactivity disorder adults: Comorbidities and adaptive impairments", Comprehensive Psychiatry, 37(6), pp.393-401, 1996. DOI: http://dx.doi.org/10.1016/S0010-440X(96)90022-X
  15. N. Bolber, A. Delongis, R. C. Kessler, E. A. Schiling, "Effects of daily stress on negative mood", Journal of Personality and Social Psychology, 57, pp.808-818, 1989. DOI: http://dx.doi.org/10.1037/0022-3514.57.5.808
  16. R. W. Baker, B. Siryk, "Measuring adjustment to college", Journal of Counseling Psychology, 31, pp.179-189, 1984. DOI: http://dx.doi.org/10.1037/0022-0167.31.2.179
  17. M. C. Coleman, J. Webber. Emotional and Behavioral disorders. 2002. Y. A. Park, H. S. Lee. Seoul: Sigmapress, 2004.
  18. K. Houston, K. Hawton, R. Shepperd, "Suicide in young people aged 15-24: A psychological autopsy study", Journal of Affective Disorder, 63, pp.159-170, 2001. DOI: http://dx.doi.org/10.1016/S0165-0327(00)00175-0
  19. C. K. Conners, D. Erhart, E. P. Sparrow. Conners'adult ADHD rating scales, technicalmanual. New York: Multi-Health Systems, 1999.
  20. H. Y. Kim, J. Y. Lee, S. S. Cho, I. S. Lee, J. H. Kim, "A preliminary study on reliability and validity of the Conners adult ADHD rating scales-Korean version in college students", The Korean Journal of Clinical Psychology, 24(1), pp.171-185, 2005.
  21. C. K. Conners, D. Erhardt, J. N. Epstein, J. D. A. Parker, G. Sitarenios, E. Sparrow, "Self-ratings of ADHD symptoms in Adults I: Factor structure and normative data", Journal of Attention Disorder, 3, pp.141-151, 1999. DOI: http://dx.doi.org/10.1177/108705479900300303
  22. A. T. Beck, C. H. Ward, M. Mendelson, J. Mock, L. Erbaugh, "An inventory for measuring depression", Archives of General Phychiatry, 4, pp.561-571, 1961. DOI: http://dx.doi.org/10.1001/archpsyc.1961.01710120031004
  23. Y. H. Lee, J. Y. Song, "A study of the reliability and the validity of the BDI, SDS, and MMPI-D scales", Korean Journal of Clinical Psychology, 10(1), pp.98-113, 1991.
  24. R. A. Barkley, G. J. Dupaul, M. B. McMurray, "A comprehensive evaluation of attention deficit disorder with and without hyperactivity", Journal of Consulting and clinical psychology, 58, pp.775-789, 1990. DOI: http://dx.doi.org/10.1037/0022-006X.58.6.775
  25. B. L. Borland, H. K. Heckman, "Hyperactive boys and their brothers: A 25-year follow-up study", Archives of General Psychiatry, 33, pp.669-675, 1996. DOI: http://dx.doi.org/10.1001/archpsyc.1976.01770060013002
  26. T. R. Wodushek, C. S. Neumann, "Inhibitory capacity in adults with symptoms of Attention Deficit/Hyperactivity Disorder(ADHD)", Archives of Clinical Neuropsychology, 18, pp.317-330, 2003. DOI: http://dx.doi.org/10.1093/arclin/18.3.317
  27. J. Biederman, S. V. Faraone, E. Mike, T. Spencer, T. Wilens, K. Kiely, J. Guite, J. S. Ablon, E. Reed, R. Warburton, "High risk for attention deficit hyperactivity disorder among children of parents with childhood onset of the disorder: A pilot study", American Journal of Psychiatry, 152, pp.431-435, 1995. DOI: http://dx.doi.org/10.1176/ajp.152.3.431
  28. E. Heiligenstein, L. M. Conyers, A. R. Berns, M. A. Smith, "Preliminary normative data on DSM-IV attention deficit hyperactivity disorder in college students", Journal of American College Health, 46(4), pp.185-188, 1998. DOI: http://dx.doi.org/10.1080/07448489809595609
  29. R. C. Kessler, L. Adler, R. Barkley, J. Biederman, C. K. Conners, O. Demler, S. V. Faraone, L. L. Greenhill, M. J. Howes, K. Secnik, T. Spencer, B. Ustun, E. E. Walters, A. M. Zaslavsky, "The prevalence and correlates of adult ADHD in the United States: Results from the national comorbidity survey replication", American Journal of Psychiatry, 163(4), pp.716-723, 2006. DOI: http://dx.doi.org/10.1176/appi.ajp.163.4.716
  30. P. H. Wender, F. W. Reimherr, D. R. Wood, M. Ward, "A controlled study of methylphenidate in the treatment of attention deficit disorder, residual type, in adults", American Journal of Psychiatry, 142, pp.547-552, 1985. DOI: http://dx.doi.org/10.1176/ajp.142.5.547
  31. America Psychiatric Association. Diagnostic and Statistical manual of Mental disorders(4th ed.). Washington, DC: Author. 1994.
  32. H. Jin, "Assessment of Executive Function in Adults with ADHD: The Anderson's Integrated Executive Function Model", Kangwon national university Master's thesis, 2008.
  33. J. March, K. Wells, C. Conners, "Attention-Deficit/Hyperactiveity Disorder: Part I. Assessment and diagnosis", Journal of Practical Psychiatry and Behavioral Health, 2, pp.23-32, 1995.
  34. B. K. Toone, J. H. Van der Linder, "Attention deficit hyperactivity disorder or hyperkinetic disorder in adults", British Journal of Psychiatry, 170, pp.489-491, 1997. DOI: http://dx.doi.org/10.1192/bjp.170.6.489
  35. D. Shaffer, "Attention deficit hyperactivity disorder in adults", American Journal of Psychiatry, 151, pp.633-638, 1994. DOI: http://dx.doi.org/10.1176/ajp.151.5.633
  36. S. Mannuwwa, R. G. Klein, A. Bessler, P. Malloy, M. LaPadula, "Adults outcome of hyperactive boys: Educational achievement, occupational rank, and Psychiatric status", Archives of General Psychiatry, 50, pp.565-576, 1993. DOI: http://dx.doi.org/10.1001/archpsyc.1993.01820190067007
  37. N. LeBlanc, D. Morin, "Depressive Symptoms and Associated Factors in Children With Attention Deficit Hyperactivity Disorder", Journal of Child and Adolescent Psychiatric Nursing, 17(2), pp.49-55, 2004. DOI: http://dx.doi.org/10.1111/j.1744-6171.2004.00049.x
  38. J. Y. Kim, H. W. Kwak, M. S. Chang, "Relationships among depression, anxiety and quality of sleep in adults with ADHD tendency", The Korea Journal of Counseling, 11(1), pp.75-89, 2010. DOI: http://dx.doi.org/10.15703/kjc.11.1.201003.75
  39. B. K. Seo, "Executive function in adult attention deficit/hperactivity(ADHD) disorder", Korean Journal of Psychology: General, 31(2), pp.301-321, 2012.
  40. Y. Y. Kim, E. J. Lee, B. J Kim, "The relation among narcissistic personality, depression, and psychopathy: Focus on gender difference", The Korean Journal of Woman Psychology, 16(1), pp.97-113, 2011. https://doi.org/10.18205/kpa.2011.16.1.005
  41. G. R. Shin, C. H. Hong, "The mediating effects of depression on the relationship between perceived problem solving ability and suicidal ideation in college students", Korean Journal of Culture and Social Issues, 19(3), pp.389-407, 2013.
  42. H. M. Hahn, T. H. Yum, Y. W. Shin, K. H. Kim, D. J. Yoon, K. J. Chung, "A standardization study of Beck depression inventory in Korea", Korean NeuroPsychiatric Association, 25(3), pp.487-500, 1986.
  43. J. P. O'Donnell, K. K. McCann, S. Pluth, "Assessing adult ADHD and using a self-report symptom checklist", Psychological Reports, 88, pp.871-881, 2001. DOI: http://dx.doi.org/10.2466/pr0.2001.88.3.871
  44. H. L. Roh, J. S. Kang, "Affects of social capital in medical institutions on physical therapists' burnout", Journal of the Korean data analysis society, 16(1), pp. 417-429.