• 한국환경교육학회지:환경교육
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• 제23권2호
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• pp.113-128
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• 2010

This study investigated ADHD prevalence among the first to sixth graders in ordinary classes of H elementary school located in an area of special rural conditions and selected 4 sixth graders who received high scores in a self-diagnostic test on attention deficit and over 17 points from teachers in an ARS-IV test with a view to verifying the effects of the education in environment on the improvement of maladjusted behaviors among ADHD children when the education program for improvement of maladjusted behaviors is applied to the environment. The program was applied from March to mid-July for about 4.5 months in 13 periods. The program applied consisted of activities of experiencing the nature. Behavior changes of targets during the course of the program were recorded in the frequency of ADHD target behaviors card and the observation log to describe the results, which underwent a comparative analysis through pre-and post-tests of ADDES-SV and to graph the changes in maladjusted behaviors of target children. To sum up, the education in environment resulted in positive effects on the changes of maladjusted behaviors among ADHD children by reducing attention deficit impulsive behaviors and hyperactivity.

• 문화기술의 융합
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• 제10권5호
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• pp.465-472
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• 2024

이 연구의 목적은 미술치료를 활용한 사회기술훈련 프로그램이 ADHD 아동의 증상 감소에 미치는 효과를 알아보는 것이다. 연구대상은 초등학교 1학년 남아로 서울 소재 H 상담센터에서 주 1회, 총 12회기에 걸쳐 프로그램을 진행하였다. 연구 효과는 주의력 결핍과 과잉행동 및 충동성 척도를 통해 사전 및 사후로 측정하였고, 변화과정을 질적 분석하였다. 연구 결과, 프로그램 참여 후 ADHD 아동의 주의력 결핍과 과잉행동 및 충동성이 감소하였음을 확인하였다. 이는 미술치료와 사회기술훈련의 결합이 ADHD 아동의 주요 증상 개선에 효과적임을 시사하며, 본 연구는 ADHD 아동 치료에 있어 새로운 치료적 접근법의 가능성을 확인하였다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제26권1호
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• pp.45-51
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• 2015

Objectives : Children with attention-deficit hyperactivity disorder (ADHD) have been shown to display more inhibitory deficits and executive function deficits. This study investigated the treatment effects of neurofeedback (NF) training on executive function by comparing the results of neuropsychological tests of the trained children at pre- and post-training. Methods : Fifteen children with ADHD, aged 6 to 14 years, participated in the study. The NF treatment consisted of slow cortical potential (SCP) training and these sessions took place once a week. The ADHD children performed 20 sessions of NF training within 6 months. Pre-training and post-training assessments encompassed Continuous Performance Test (CPT), Stroop Test, Children's Color Trails Test I&II (CCTT) and Wisconsin Card Sorting Test (WCST). Results : Patients receiving NF training showed significant improvement in visual commission error and standard deviation of auditory response time on CPT ; and total errors on WCST. But there was no significant improvement in the Stroop test and CCTT. Conclusion : SCP training using NF improves the self-regulatory capacities and impulsivity in ADHD patient, especially impulsivity in visual stimulation tasks. This study showed evidence of clinical efficacy of NF on executive function in ADHD.

• 디지털융복합연구
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• 제16권6호
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• pp.463-470
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• 2018

본 연구는 융합적 중재의 심리운동프로그램의 참여가 ADHD 아동의 주의집중력에 미치는 영향에 대하여 규명하고자 한다. ADHD 아동을 대상으로 한 Kiphard의 6단계의 심리운동 적용에 따른 시각과 청각의 주의집중력에 하위요인 중 누락오류와 오경보오류를 반복측정 분석하였다. ADHD 아동의 심리운동 중재에 따른 분석결과 시각주의력의 하위요인인 누락오류와 오경보오류는 실험집단에서만 오류가 감소하였으며 청각주의력의 하위요인인 누락오류와 오경보오류는 실험집단과 통제집단 모두에서 감소하지 않으며 중재에 따른 유의미한 영향이 없는 것으로 분석되었다. 이후 분석결과를 토대로 융합적 중재를 기반으로 심리운동의 후속 연구는 주의집중력 뿐만이 아닌 다양한 중재에 관한 연구를 통하여 ADHD 아동을 위한 융합적 중재에 새로운 패러다임이 제시되어야 할 것이다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제28권1호
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• pp.25-30
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• 2017

Objectives: The study compared the intelligence test profiles of Tourette's Disorder (TD), attention-deficit hyperactivity disorder (ADHD), and TD with ADHD (TD+ADHD) groups. Methods: The Korean Wechsler Intelligence Scale for Children-third edition (K-WISC-III) and Korean Wechsler Intelligence Scale for Children-fourth edition (K-WISC-IV) were administered to 13 children and adolescents with TD, 17 children and adolescents with ADHD, and 15 children and adolescents with TD+ADHD. Each parameter was compared among the groups using the Kruskal-Wallis test. Results: The mean scores of the freedom from distractibility/working memory index (FD/WMI) and the digit span and arithmetic subtests of the TD+ADHD group were significantly lower than those of the TD group. Conclusion: According to the intelligence test results, the comorbid ADHD+TD group showed a significant decrease in working memory compared to the TD group. These findings are similar to those of previous research on cognitive functions and suggest that the TD+ADHD comorbid and TD alone groups exhibit different endophenotypes. The results also imply that WISC-III and WISC-IV, the most commonly used intelligence tests clinically, are effective in evaluating cognitive functions such as attention. Further research is required to confirm these results.

• Childhood Kidney Diseases
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• 제18권2호
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• pp.71-76
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• 2014

목적: 주의력결핍 과잉운동장애(ADHD)는 소아에서 3-5%의 유병률을 보이며 전두엽의 억제기전 저하와 대뇌의 카테콜라민 대사이상이 관련된다고 알려져 있다. ADHD 환아에서 야뇨증을 비롯한 다양한 하부요로계 증상을 동반한다는 보고가 있지만 국내에서는 ADHD 환아들에 대한 보고가 없기에 저자들은 ADHD 환아에서 배뇨증상을 알아보기 위해 본 연구를 시행하였다. 방법: 2009년 10월부터 2011년 3월까지 DSM-IV 진단기준에 근거하여 ADHD로 진단받은 33명의 환아들과 같은 기간 동안 신경계 질환이나 요로계 질환 없이 상기도 감염으로 외래를 내원한 환아 30명을 대상으로 배뇨와 배변에 대한 설문지를 시행하였다. 결과: ADHD 환자군의 평균 연령은 $9.09{\pm}2.8$세(남 28: 여 5) 이었고, 대조군의 평균 연령은 $8.58{\pm}3.1$ (남 20: 여 10) 이었다. ADHD 환아군에서 대조군에 비해 요절박(P=0.017), 절박 요실금(P=0.033), 변비(P=0.045)의 유병률이 대조군에 비해 유의하게 높았고, 복압배뇨, 간헐뇨, 배뇨지연 행동에는 두 군간에 유의한 차이가 없었다. 야뇨증은 ADHD 환아군에서 12.1% (4/33)로 대조군의 0%에 비해 많았지만 통계학적인 유의성은 없었다. 결론: ADHD 환아는 대조군에 비해 요절박, 절박 요실금과 변비의 유병률이 유의하게 높았다.

• 한국콘텐츠학회논문지
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• 제19권1호
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• pp.96-107
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• 2019

본 연구의 목적은 ADHD 문제를 지닌 아동을 양육하는 어머니의 양육스트레스 대처와 가족탄력성 사이에 어떤 인과관계를 가지는지를 실증적으로 분석하는데 있다. 연구를 위한 자료수집은 부산경남에 거주하는 ADHD 아동을 둔 어머니 113명을 대상으로 설문조사하였으며 위계적 회귀분석의 방식으로 분석하였다. 연구결과는 다음과 같다. 첫째, 어머니의 학력과 가족월소득에 따라 가족탄력성 수준에서 유의미한 차이가 나타났다. 둘째, 양육스트레스가 높을수록 가족탄력성은 떨어지고($r=-.622^{**}$), 3가지 유형의 대처방법 모두 가족탄력성과 유의한 상관관계를 보이는 것으로 나타났다. 셋째, 가족탄력성에 영향을 미치는 변인은 문제중심대처(${\beta}=.376$)와 양육스트레스(${\beta}=-.338$), 어머니의 학력(${\beta}=.239$)순으로 나타났다. 이를 토대로 본 연구에서는 ADHD 아동을 양육하는 어머니의 양육스트레스를 감소시키고 가족탄력성을 증진시키기 위한 사회복지실천방안을 제시하였다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제18권2호
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• pp.154-161
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• 2007

Objectives: The aim of the current study is to test for the association of DRD4 exon III VNTR polymorphism with attention-deficit hyperactivity disorder(ADHD) in Korean children population. Methods: 113 Korean children with ADHD, 102 parents, and 133 control subjects participated with the current study. The distribution of genotypes and alleles of DRD4 exon III VNTR in children with ADHD was compared with that in control subjects. In addition, 69 children with ADHD and their parents were analyzed using the transmission disequilibrium test(TDT). Results: We could not find any significant differences in the distribution of genotypes and alleles at DRD4 exon III VNTR polymorphism between children with ADHD and control subjects. In addition, there was no preferential transmission of long allele of DRD4 exon III VNTR polymorphism. Conclusion: These results suggest that DRD4 is not associated with ADHD in Korean children population.

• Journal of Nutrition and Health
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• 제45권6호
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• pp.522-530
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• 2012

This study was performed in order to investigate the relationship between attention deficit hyperactivity disorder (ADHD), dietary habit and caffeine intake in upper-grade elementary school children. The total number of the study subjects was 237 students (111 boys and 126 girls), where 30 students (12.7%) were diagnosed as ADHD. The dietary habit score of the ADHD group was significantly lower than that of the normal group. In particular, the ADHD group had lower dietary scores in consuming daily breakfast, diverse foods, fruit and milk than those in the normal group. Meanwhile, the daily intake frequency of instant noodle (ramyeon) was significantly higher in the ADHD group than that in the normal group. The mean caffeine intake of the students was 42.95 mg and the proportion of students consuming more than the ADI (acceptable daily intake) was 11.8%. The caffeine intake of ADHD group (63.63 mg) tended to be higher than that of the normal group (39.95 mg); however, it was not significantly different. The ADHD score of the students was negatively related with the dietary habit score (r = -0.279, p < 0.01) but positively related with caffeine intake (r = 0.164, p < 0.05). The dietary habit score had a negative relationship with caffeine intake (r = -0.180, p < 0.01) and a positive relationship with height (r = 0.195, p < 0.01). Caffeine intake had a negative relationship with the height of the students (r = -0.171, p < 0.05). In conclusion, ADHD in children was related to poor dietary habit and high caffeine intake.

• Clinical and Experimental Pediatrics
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• 제60권11호
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• pp.337-343
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• 2017

Attention deficit hyperactivity disorder (ADHD) is one of the most common psychiatric disorders in childhood. This disorder, in addition to its main symptoms, creates significant difficulties in education, social performance, and personal relationships. Given the importance of rehabilitation for these patients to combat the above issues, the use of virtual reality (VR) technology is helpful. The aim of this study was to highlight the opportunities for VR in the rehabilitation of children with ADHD. This narrative review was conducted by searching for articles in scientific databases and e-Journals, using keywords including VR, children, and ADHD. Various studies have shown that VR capabilities in the rehabilitation of children with ADHD include providing flexibility in accordance with the patients' requirements; removing distractions and creating an effective and safe environment away from real-life dangers; saving time and money; increasing patients' incentives based on their interests; providing suitable tools to perform different behavioral tests and increase ecological validity; facilitating better understanding of individuals' cognitive deficits and improving them; helping therapists with accurate diagnosis, assessment, and rehabilitation; and improving working memory, executive function, and cognitive processes such as attention in these children. Rehabilitation of children with ADHD is based on behavior and physical patterns and is thus suitable for VR interventions. This technology, by simulating and providing a virtual environment for diagnosis, training, monitoring, assessment and treatment, is effective in providing optimal rehabilitation of children with ADHD.