DOI QR코드

DOI QR Code

A Comparative Study of Sensory Processing Abilities and Visual Perception Skills in Children With Attention Deficit Hyperactivity Disorder and Typical Children

ADHD 아동과 일반 아동의 감각처리능력과 시지각 기술의 비교 연구

  • Ju, Jin-Ok (Dept. of Occupational Therapy, Gumi University) ;
  • Kim, Kyeong-Mi (Dept. of Occupational Therapy, College of Health and Medical Affairs, Inje University)
  • 주진옥 (구미대학교 작업치료과) ;
  • 김경미 (인제대학교 보건의료융합대학 작업치료학과)
  • Received : 2020.11.15
  • Accepted : 2020.12.24
  • Published : 2020.12.31

Abstract

Objective : The purpose of this study was to evaluate the differences in sensory processing and visual perception between school-age children with Attention Deficit Hyperactivity Disorder (ADHD) and typical children. Methods : The participants in this research were children in the first and second grade in elementary school in Kyoung-Nam Region; 25 children diagnosed with ADHD comprised the experimental group, and 51 typical children comprised the control group. To evaluate the sensory processing of the children, the Sensory Profile (SP) was used, and the Korean Developmental Test of Visual Perception-2 (K-DTVP-2) was used to assess visual perception skills. The data were analyzed using SPSS 20.0, and the Independent t-test was used to compare the sensory processing and visual perception skills of the two groups. Results : The study found differences in the Sensory Profile summary scores and factor summary scores between the two groups (p<.05). We also found differences in the visual perception index and subtest standard scores between the two groups (p<.05). Conclusion : The results of this study show that the experimental and the control groups had significant differences in sensory processing and visual perception skills. The result will contribute to the assessment and education of children with ADHD.

목적 : 본 연구는 주의력결핍 과잉행동장애(Attention Deficit Hyperactivity Disorder; ADHD) 아동과 일반 아동을 대상으로 감각처리능력과 시지각 기술을 비교하고자 하였다. 연구방법 : 연구대상은 지역적 환경이 동일한 아동으로 선정하였다. 소아정신과에서 ADHD로 진단받은 아동 25명과 초등학교 1, 2학년의 일반 아동 51명을 대상으로 감각처리능력과 시지각 기술을 평가하였다. 아동의 감각처리능력을 측정하기 위해 감각프로파일(Sensory Profile; SP)을 사용하였고 시지각 기술을 측정하기 위해 한국판 시지각 발달검사(Korean Developmental Test of Visual Perception-2; K-DTVP-2)를 사용하였다. 두 군 간의 감각처리능력과 시지각 기술의 차이는 독립표본 t 검정을 사용하여 분석하였다. 결과 : ADHD 아동과 일반 아동의 감각프로파일(SP)의 모든 하위 영역에서 통계적으로 유의한 차이를 보였다. 감각요인을 비교한 결과 감각예민을 제외한 8가지 요인에서 통계적으로 유의한 차이를 보였다. K-DTVP-2의 모든 시지각 지수에서 유의한 차이를 보였다. K-DTVP-2의 하위 항목 표준점수를 비교한 결과 공간위치(p=.031), 도형-배경(p=.001), 시각 통합(p=.005), 눈-손 협응(p=.000), 따라 그리기(p=.044), 공간관계(p=.006)에서 통계적으로 유의한 차이를 보였다. 결론 : 본 연구는 임상에서 ADHD 아동의 행동의 특성을 이해하는데 감각처리능력과 시지각 기술이 중요하다는 근거가 되며 ADHD 아동의 평가, 교육 및 연구에 도움을 제공할 수 있다는 점에서 의미가 있다.

Keywords

References

  1. Ahn, M. Y. (2008). The effect of behavior characteristic on ADHD children's sensory processing ability. Master's thesis, Myongji University, Seoul.
  2. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed). Washington, DC: Author.
  3. Anastopoulos, A. D. (2000). The MTA study and parent training in managing ADHD. ADHD Report, 8, 7-9.
  4. Arnwine, B. (2006). Starting sensory integration theory. Las Vegas: Sensory Resources.
  5. Barkley, R. A. (1989). Attention-deficit hyperactivity disorder. In E. J. Mash, & R. A. Barkley (Eds.), Treatment of childhood disorders (pp. 39-72). New York: Guilford Press.
  6. Beery, K. E., & Berry, N. A. (2010). The Beery-Buktenica developmental test of visual-motor integration (6th ed). Pearson Education: Bloomington, MN.
  7. Beery, K., & Buktenica, N. (1997). The Beery-Buktenica developmental test of visual-motor integration (test manual). Cleveland, OH: Modern Curriculum Press.
  8. Brocki, K. C., Eninger, L., Thorell, L., & Bohlin, G. (2010). Interrelations between executive function and symptoms of hyperactivity/impulsivity and inattention in preschoolers: A two year longitudinal study. Journal of Abnormal Child Psychology, 38, 163-171. https://doi.org/10.1007/s10802-009-9354-9
  9. Bundy, A. C., Lane, S. J., Murray, E. E., & Fisher, A. G. (2002). Sensory integration: Theory and practice. Philadelphia: F.A. Davis Company.
  10. Case-Smith, J., & O'Brien, J. C. (2011). Occupational therapy for children (6th ed). Philadelphia: Mosby.
  11. Cermak, S. A. (1991). Sensory integration: Theory and practice (1st ed). Philadelphia, PA: F. A. Davis.
  12. Cho, M. L. (2012). The effects of visual perceptual training program on improving the visual-motor integration and activities of daily living in children with cerebral palsy. Master's thesis, InJe University, KyungNam.
  13. Choi, J. H. (2009). Study on validity of the Korean bruininks-oseretsky test of motor proficiency, second edition. Master's thesis, InJe University, KyungNam.
  14. Cohen, N. J., Vallance, D. D., Barwick, M., Im, N., Menna, R., & Horodezkym, N. B. (2000). The interface between ADHD and language impairment: An examination of language, achievement and cognitive processing. Journal of Child Psychology and Psychiatry, 41, 353-362. https://doi.org/10.1111/1469-7610.00619
  15. Colarusso, R. P., & Hammill, D. D. (1996). Motor-free visual perception test-revised (MVPT-R). Novato, CA: Academic Therapy Publications.
  16. Dunn, W. (1999). Sensory profile: Examiner's manual. San Antonio, TX: Psychological Corporation.
  17. Dunn, W. (2001). The sensation of everyday life: Empirical, theoretical, and pragmatic consideration. American Journal of Occupational Therapy, 55, 608-620. https://doi.org/10.5014/ajot.55.6.608
  18. Dunn, W., & Bennett, D. (2002). Patterns of sensory processing in children with attention deficit hyperactivity disorder. Occupational Therapy Journal of Research, 22, 4-15.
  19. DuPaul, G. J. (1991). Parent and teacher ratings of ADHD symptoms: Psychometric properties in a community-based sample. Journal of Clinical Child Psychology, 20(3), 245-253. https://doi.org/10.1207/s15374424jccp2003_3
  20. Engel-Yeger, B., & Ziv-On, D. (2011). The relationship between sensory processing difficulties and leisure activity preference of children with different types of ADHD. Research in Developmental Disabilities, 32(3), 1154-1162. https://doi.org/10.1016/j.ridd.2011.01.008
  21. Farrar, R., Call, M., & Maples, W. C. (2001). A comparison of the visual symptoms between ADD/ADHD and normal children. Journal of Behavioral Optometry, 72, 441-451.
  22. Frazier, T. W., Demaree, H. A., & Youngstrom, E. A. (2004). Meta analysis of intellectual and neuropsychological test performance in attention deficit/hyperactivity disorder. Neuropsychology, 18, 543-555. https://doi.org/10.1037/0894-4105.18.3.543
  23. Goyette, C. H., Conners, C. K., & Ulrich, R. F. (1978). Normative data on revised conners parent and teacher rating scale. Journal of Abnormal Psychology, 6(2), 221-236.
  24. Ham, B. H., Kim, S. K., Lee, J. S., & Jeon, B. J. (2012). The effects of sensory integration treatment on handwriting performance in children with attention deficit hyperactivity disorder. Korean Journal of Occupational Therapy, 20(2), 55-71.
  25. Hammill, D. D., Pearson, N. A., & Voress, J. K. (1993). Developmental test of visual perception (2nd ed). Austin, TX: Pro-Ed.
  26. In, M. J. (2013). A study of relationship between a child's visual perceptual ability and reading ability. Master's thesis, GaChon University, Gyeonggido.
  27. Josman, N., & Rosenblum, S. (2011). A metacognitive model for children with atypical brain development (3rd ed). Bethesda, MD: AOTA Press.
  28. Jung, H. R., Woo, Y. J., Kang, J. W., Choi, Y. W., & Kim. K. M. (2014). Visual perception of ADHD children with sensory processing disorder. Psychiatry Investigation, 11(2), 119-123. https://doi.org/10.4306/pi.2014.11.2.119
  29. Kim, E. S. (2008). The study on sensory integrative function of children with attention deficit hyperactivity disorder. Master's thesis, Inje University, Kyeongnam.
  30. Kim, J. K., & Lee, T. Y. (2010). A comparison of sensory processing skills in children with developmental disabilities. Korean Journal of Occupational Therapy, 18(3), 69-81.
  31. Kim, J. W., Park, K. H., & Choi, M. J. (2004). Screening for attention deficit/hyperactivity disorder in community mental health service for children. Psychiatry Investigation, 43(2), 200-208.
  32. Kim, S. Y., & Park, S. H. (2011). The relationship of sensory processing skill and anxiety in children with attention deficit hyperactive disorder. Korean Journal of Occupational Therapy, 19(2), 73-84.
  33. Koo, H. J., & Kang, N. S. (2007). A comparative study on the sensory integration between normal and ADHD children. Journal of Intellectual Disabilities, 9(2), 173-189.
  34. Koomar, J. A., Szklut, S., Silver, D., & Kranowitz, C. (2004). Making sense of sensory integration. Las Vegas: Sensory Resources.
  35. Koppitz, E. M. (1970). Brain damage, reading disability and the bender gestalt test. Journal of Learning Disability, 3, 429-433. https://doi.org/10.1177/002221947000300901
  36. Kwon, H. R. (2007). Effects of sensory integration therapy on motor proficiency and visual perception development in children with developmental disability. Doctoral dissertation, Pochon CHA University, Kyeonggido.
  37. Lane, S., Reynolds, S., & Thacker, L. (2010). Sensory over-responsivity and ADHD: Differentiating using electrodermal responses, cortisol, and anxiety. Frontiers in Integrative Neuroscience, 4(8), 1-11.
  38. Lee, M. S. (2010). The relationship between sensory profile and functional activities in school for children with ADHD. Master's thesis, Dankook University, Gyeonggido.
  39. Lightsey, R. (1993). Tactile defensiveness in attention deficit/hyperactivity disorder children. Sensory Integration Special Interest Section Newsletter, 21, 6.
  40. Lim, Y. J., Park, K. Y., & Yoo, E. Y. (2007). Pilot study to establish content validity of a Korean-translated version of a sensory profile. Korean Journal of Occupational Therapy, 15(2), 25-42.
  41. Liston, C., Cohen, M. M., Telovich, T., Levenson, D., & Casey, B. J. (2011). Atypical prefrontal connectivity in attention-deficit/hyperactivity disorder: Pathway to disease or pathological end point? Biological Psychiatry, 69, 1168-1177. https://doi.org/10.1016/j.biopsych.2011.03.022
  42. Mangeot, S. D., Millerm, L. J., McIntosh, D. N., McGrath-Clarke, J., Simon, J., Hagerman, R. J., et al. (2001). Sensory modulation dysfunction in children with attention deficit hyper activity disorder. Developmental Medicine and Child Neurology, 43(6), 399-406. https://doi.org/10.1017/S0012162201000743
  43. McIntosh, D. N., Miller, L. S., Shyu, V., & Dunn, W. (1999). The sensory profile: Examiner's manual. San Antonio, TX: Psychological Corporation.
  44. Moon, S. B., Yeo, K. E., & Cho, Y. T. (2000). Korean developmental test of visual perception-2 manual. Seoul: Hakjisa.
  45. Mulligan, S. (1996). An analysis of score patterns of children with attention disorders on the sensory integration and praxis tests. American Journal of Occupational Therapy, 50, 647-654. https://doi.org/10.5014/ajot.50.8.647
  46. Oh, K. J., & Lee, H. L. (1989). Assessment of ADHD with Abbreviated conners rating scale. Korean Psychological Association, 8(1), 135-142.
  47. Pan, C. Y., Tsai, C. L., & Chu, C. H. (2009). Fundamental movement skills in children diagnosed with autism spectrum disorders and attention deficit hyperactivity disorder. Journal of Autism Developmental Disorders, 39(2), 1694-1705. https://doi.org/10.1007/s10803-009-0813-5
  48. Papadopoulos, R. J. B., & Staley, D. (1997). Occupational therapy assessment of neurodevelopmentally disorder children and adolescents. Occupational Therapy in Mental Health, 13, 23-36. https://doi.org/10.1300/J004v13n01_03
  49. Park, E. H., So, Y. K., Kim, Y. S., Choi, N. Y., Kim, S. J., Noh, J. S., et al. (2000). The reliability and validity of Korean conners parent and teacher rating scale. Korean Journal Child & Adolescent Psychiatry, 14(2), 183-196.
  50. Park, S. J. (2009). The effect of therapy with bimanual coordination activities on the visual perception in children with the cerebral palsy. Master's thesis, Inje University, Kyeongnam.
  51. Pitcher, T. M., Piek, J. P., & Hay, D. A. (2003). Fine and gross motor ability in males with ADHD. Developmental Medicine and Child Neurology, 45(8), 525-535. https://doi.org/10.1111/j.1469-8749.2003.tb00952.x
  52. Raggio, D. (1999). Visuomotor perception in children with attention deficit hyperactivity disorder-combined type. Perceptual and Motor Skills, 88(2), 448-450. https://doi.org/10.2466/PMS.88.2.448-450
  53. Sheiman, M. (2002). Understanding and managing vision deficits: A guide for occupational therapists (2nd ed). Slack: Thorofare, NJ.
  54. Shimizu, V. T., Bueno, O. F. A., & Miranda, M. C. (2014). Sensory processing abilities of children with ADHD. Brazilian Journal of Physical Therapy, 18(4), 343-352. https://doi.org/10.1590/bjpt-rbf.2014.0043
  55. So, Y. K., Noh, J. S., Kim, Y. S., Ko, S. G., & Koh, Y. J. (2002). The reliability and validity of korean parent and teacher ADHD rating scale. Journal of Korean Neuropsychiatric Association, 41(2), 283-289.
  56. Tamm, L., Barnea-Goraly, N., & Reiss, A. L. (2012). Diffusion tensor aging reveals white matter abnormalities in attention-deficit/hyperactivity disorder. Psychiatry Research, 202, 150-154. https://doi.org/10.1016/j.pscychresns.2012.04.001
  57. Warren, M. (1993). A hierarchical model for evaluation and treatment of visual perceptual dysfunction in adult acquired brain injury. American Journal of Occupational Therapy, 47, 42-54. https://doi.org/10.5014/ajot.47.1.42
  58. Whitmont, S., & Clark, C. (1996). Kinaesthetic acuity and fine motor skills children with attention deficit hyperactivity disorder: A preliminary report. Developmental Medicine & Child Neurology, 38(12), 1091-1098. https://doi.org/10.1111/j.1469-8749.1996.tb15072.x
  59. Won, Y. E. (2013). The effects of visual perception training program on visual perception developmental and attention concentration of students with intellectual disabilities. Master's thesis, Uiduk University, Kyungbuk.
  60. Yochman, A., Parush, S., & Ornoy, A. (2004). Responses of preschool children with and without ADHD to sensory events in daily life. American Journal of Occupational Therapy, 58(3), 294-302. https://doi.org/10.5014/ajot.58.3.294
  61. Yoo, E. Y., Cheong, M. Y., Park, S. Y., & Choi, E. H. (2006). Current trends of occupational therapy assessment tool by Korean occupational therapist. Korean Journal of Occupational Therapy, 14(3), 27-37.
  62. Zang, Y., Gu, B., Qian, Q., & Wang, Y. (2002). Objective measurement of the balance dysfunction in attention deficit hyperactivity disorder children. Chinese Journal of Clinical Rehabilitation, 6(9), 1372-1374. https://doi.org/10.3321/j.issn:1673-8225.2002.09.141