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A Study on Recognition of Autism Spectrum Disorder Among Infants and Toddlers by Childcare Teachers : With a Focus on Focus Group Interviews

보육교사의 영유아 자폐스펙트럼장애 인식에 관한 연구: 포커스 그룹 인터뷰(FGI)를 중심으로

  • Received : 2016.04.15
  • Accepted : 2016.06.13
  • Published : 2016.06.30

Abstract

This study examines indicators and factors for identification of ASD(Autism Spectrum Disorder) characteristics of infants and toddlers and early screening of children with ASD by day care teachers. Focus group interviews were conducted with 11 teachers by a semi-structured questionnaire developed by the authors. The findings are: 1) key problems and indicators of behavioral characteristics of children with ASD included problems with social communication and interactions, restricted and unusual interests, outstanding ability in specific areas, insistence on sameness and ritualized patterns, problems with language development and communication, sensory abnormalities; 2) counseling with parents of children with ASD revealed a lack of recognition of parents, negative expressions of emotions and resistance, and difficulties in referral to and association with experts; 3) needs for ASD in the child care field included visiting by experts, provision of test scales, training of child care teachers and parents, and building cooperative systems; and 4) demands of development and execution of a Korean-style scale for early screening of children with ASD.

Keywords

References

  1. 국립특수교육원 (2015). 2014 특수교육실태조사. 아산: 국립특수교육원
  2. 국민건강보험공단 (2015). 2014년 건강검진통계연보. 서울: 국민건강보험공단.
  3. 김영혜, 강순화 (2014). 상담전문가의 개업 경험과 소진에 관한 탐색적 연구: 포커스 그룹 인터뷰를 중심으로. 한국심리학회지: 상담 및 심리치료, 26(1), 1-26.
  4. 김효진 (2010). 자폐 스펙트럼장애 아동의 부모들이 발견하는 발달학적 이상. 서울대학교 석사학위논문.
  5. 보건복지부 (2013). 영유아 지역정신건강증진 사업 모델 개발. 세종: 보건복지부.
  6. 엄진명, 윤현숙 (2015). 융복합 연구를 위한 장애 영유아 조기 발견 및 중재의 국내 연구동향 분석: 2004-2013. 자폐성장애연구, 15(3), 25-49.
  7. 윤현숙 (2006). 자폐아 조기판별을 위한 한국부모의 인식시기, 자폐성 장애 연구, 6(1), 1-15.
  8. 이경숙, 정석진, 박진아, 신의진, 유희정(2015). 자폐스펙트럼장애 영유아의 조기 선별 요인. 자폐성장애연구, 15(3), 1-24.
  9. 이소현, 이수정 (2012). 자폐범주성 장애 영유아 관련 연구 활성화를 위한 국내 연구 동향 및 발전 과제. 유아특수교육연구, 12(2), 23-53.
  10. 이익섭, 신은경 (2005). 장애 정체성 개념화 연구: 포커스 그룹 면접과 심층면접을 중심으로. 한국심리학회지: 건강, 10(4), 509-530.
  11. 주영아, 김영혜, 원수경 (2012). 학사경고 여대생의 학업성취 실패 및 지속요인에 대한 탐색적 연구-포커스 그룹 인터뷰를 중심으로. 청소년복지연구, 14(4), 47-69.
  12. American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Pub.
  13. Babhdadli, A., Picot, M. C., Pascal, C., Pry, R., & Aussilloux, C. (2003). Relationship between age of recognition of first disturbances and severity in young children with autism. European Child & Adolescent Psychiatry, 12(3), 122-127. https://doi.org/10.1007/s00787-003-0314-6
  14. Barbaro, J. & Dissanayake, D. (2013). Early makers of Autism Spectrum Disorders in infants and toddlers prospectively identified in the Social Attention and Communication Study(SACS). Autism: International Journal of Research Practice, 17(1), 64-86. https://doi.org/10.1177/1362361312442597
  15. Children's Specialized Hospital (2016). General format. Retrieved May 1, 2016 from http://www.childrens-specialized.org/.
  16. Crane, J. L., & Winsler, A. (2008). Early Autism detection: Implications for Pediatric Practice and Public Policy. Journal of Disability Policy Studies, 18(4), 245-253. https://doi.org/10.1177/1044207307311527
  17. Dawson, G., Rogers, S., Munson, J., Smith, M., Winter, J., & Greenson, J., et al. (2010). Randomized, controlled trial of an intervention for toddlers with autism: The Early Start Denver Model. Pediatrics, 125(1), 17-23. https://doi.org/10.1542/peds.2009-0958
  18. De Giacomo, A., & Fombonne, D. (1998). Parental recognition of developmental abnormalities in autism. European Child & Adolescent Psychiatry, 7(3), 131-136. https://doi.org/10.1007/s007870050058
  19. Johnson, C. P., & Myers, S. M. (2007). Identification and evaluation of children with autism spectrum disorders. Pediatrics, 120(5), 1183-1215. https://doi.org/10.1542/peds.2007-2361
  20. Kim, Y. S., Leventhal, B. L., Koh, Y. J., Fombonne, E., Laska, E., & Lim, E. C., et al. (2011). Prevalence of autism spectrum disorders in a total population sample. American Journal of Psychiatry, 168(9), 904-912. https://doi.org/10.1176/appi.ajp.2011.10101532
  21. Krueger, R. A. (1998). Analyzing & Reporting Focus Group Results: Focus Group Kit 6. Thousand Oaks, CA: Sage Publication.
  22. Krueger, R. A., & Casey, M. A. (2000). Focus Groups (3rd Ed.). Thousand Oaks, CA: Sage Publication.
  23. Krueger, R. A., & Casey, M. A. (2009). Focus groups: A Practical Guide for Applied Research (4th Ed). Thousand Oaks, CA: Sage Publication.
  24. McEachin, J. J., Smith, T., & Lovaas, O. I. (1993). Long-term outcome for children with autism who received early intensive behavioral treatment. American Journal of Mental Retardation, 97, 359-372.
  25. Morgan, D. I. (1998). The Focus Group Guidebook: Focus Group Kit 1. Thousand Oaks, CA: Sage Publication.
  26. Morse, J. & Field, P. A. (1995). Qualitative research methods for health professionals. Thousand Oaks, CA: Sage Publication.
  27. National Research Council (2001). Educating children with autism. Washington, DC: National Academy Press.
  28. Ozonoff, S., & Rogers, S. J. (2003). From Kanner to the millenium: Scientific advances that have shaped clinical practice. In S. Ozonoff, S. J. Rogers, & R. L., Hendtren (Eds.), Autism spectrum disorders: A research review for practitioners (pp. 3-33). Washington, DC: American Psychiatric Publishing Inc.
  29. Ozonoff, S., & Cathcart, K. (1998). Effectiveness of a home program intervention for young children with autism. Journal of Autism and Development Disorder, 28(1), 25-32. https://doi.org/10.1023/A:1026006818310
  30. Rogers, S. J., & Vismara, L. A. (2008). Evidence-based comprehensive treatment for early autism. Journal of Clinical Child & Adolescent Psychology, 37(1), 8-38. https://doi.org/10.1080/15374410701817808
  31. The National Autistic Society (2016). General format. Retrieved May 1, 2016 from http://www.autism.org.uk/ professionals/teachers/teaching-young-children.aspx.
  32. Volkmar, F. R., Chawarska, K., & Klin, A. (2005). Autism in infancy and early childhood. Annual Review of Psychology, 56, 315-336. https://doi.org/10.1146/annurev.psych.56.091103.070159
  33. Zwaigenabaum, L., Bryson, S., Lord, C., Rogers, S., Carter, A., Carver, L. et al. (2009). Clinical asses sment and management of toddlers with suspected autism spectrum disorder: insights from stud ies of high-risk infants. Pediatrics, 123(5), 1381-1391.