Table 1. The variables of T.O.V.A. inattention impulsivity disinhibition variability inconsistency 200msec., 291

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1 KISEP Original Articles Korean J Child & Adol Psychiatr 11290~296 주의산만을주소로소아정신과를내원한 아동의인지적특성 - T.O.V.A. 양상을중심으로 - T.O.V.A. PROFILES OF CLINICALLY REFERRED CHILDREN WITH SYMPTOMS OF INATTENTION 신의진 * 이수진 * 이혜란 * 고려원 * Yee-Jin Shin, M.D., Ph.D.,* Soo-Jin Lee, M.A.,* Hye-Ran Lee, M.A.,* Ryo-Won Ko, Ph.D.* 요약 중심단어 서 론 Department of Psychiatry, College of Medicine, Yonsei University, Seoul Corresponding author 290

2 Table 1. The variables of T.O.V.A. inattention impulsivity disinhibition variability inconsistency 200msec., 291

3 1. 연구대상 방법 2. 측정도구 1) 한국판아동용웩슬러지능검사 (KEDI-WISC) 13) 2) T.O.V.A.(The Tests of Variables of Attention) 292

4 3. 연구방법및절차 4. 자료분석 14) 결 1. 세집단간인지기능의비교 과 Table 2. KEDI-WISC mean scaled scores for the ADHD, Tic, and Emotion groups ADHDN38 TicN17 EmotionN10 MeanSD MeanSD MeanSD FIQ VIQ* PIQ *:Value is significantly different based on ANCOVA 2. 세집단간 T.O.V.A. 양상의비교 293

5 Table 3. T.O.V.A. mean scaled scores for the ADHD, Tic, and Emotion groups ADHDN38 a TicN17 b EmotionN10 c MeanSD MeanSD MeanSD omih F Post Hoc omih omit comh comh comt rth a 5.23** ab, c rth b 3.96* ac rtt a 4.45* ab, c varh varh vart anth anth antt mrh mrh rt *:p.05, **:p.01 omi:errors of omission com:errors of commission rt:response time var:response time standard deviation ant:anticipatory response mr:multiple response h1:half 1 h2:half 2 t:total 논의 294

6 References 1) Shaffer D, Greenhill LL(1979):A critical note on the predictive validity of the hyperkinetic syndrome. J Child Psychol Psychiatry 20: ) 홍강의, 김종훈, 신민섭, 안동현 (1996): 주의산만 과잉운동을주소로소아정신과를방문한아동의진단적분류와평가. 소아청소년정신의학 7 (2): ) Arnold LE, Jensen PS(1995):Attention-deficit disorders, Comprehensive textbook of psychiatry, 6 th ed, ed by Kaplan HI, Sadock BJ, Baltimore, Williams & Wilkins, pp ) 고려원, 오경자, 박중규 (1997): 주의산만을주소로하는아동의발달및행동특성에관한연구. 한국임상심리학회 16(2): ) Barkely RA(1991):Attention-Deficit Hyperactivity Disorder:A Clinical Workbook. The Guilford Press, NY 6) Cantwell DP(1996):Classification of Child and Adolescent Psychopathology. J Child Psychol Psychiatry 37:3-12 7) Leake RA, Dupuy TR, Greenberg LM, Corman 295

7 CL, Kindschi CL(1996):T.O.V.A.:Test of Variables of Attention, Professional Manual Version 7.0. Los Alamitos, Universal Attention Disorders, Inc. 8) 김남혁 (1994) : 아동주의력측정도구 (T.O.V.A.) 의타당도연구. 연세대학교석사학위청구논문 9) 김승태, 김지혜 (1996): 읽기장애아동과주의력결핍-과잉활동아동의인지적특성비교. 소아청소년정신의학 7(2): ) 노주선, 김지혜, 정유숙, 홍성도 (1997): 주의력결핍 / 과잉행동장애와관련된 T.O.V.A. 와 GDS의진단변별력에관한연구. 한국임상심리학회 16(2): ) 고승희, 신민섭, 홍강의 (1996): KEDI-WISC와 T.O.V.A. 를이용한소아정신과장애별주의력문제와인지적특성에관한연구. 한국임상심리학회 96 하계학술대회발표논문 12) American Psychiatric Association(1994):Diagnostic and Statistical Manual of Mental Disorder. 4th ed, Washington DC, American Psychiatric Association 13) 한국교육개발원 (1991):KEDI-WISC(Korean Educational Development Institute-Wechlser Intelligence Scale for Children) 개인지능검사. 특수교육, 서울 14) 이종구 (1993): 실험및조사자료분석을위한 SAS 의이해와활용. 도서출판성원사, 서울 15) Jenike MA, Baer L, Minichiello WE(1998):Obsessive-Compulsive Disorders. Mosby Inc, St Louis 16) Harris EL, Schuerholz LJ, Singer HS, Reader MJ, Brown JE, Cox C, Mohr J, Chase GA, Denckla MB(1995):Executive function in children with Tourette syndrome and/or attention deficit hyperactivity disorder. J Int Neuropsychol Soc 1(6): ) Schuerholz LJ, Baumgardner TL, Singer HS, Reiss AL, Denckla MB(1996):Neuropsychological status of children with Tourette syndrome with and without attention deficit hyperactivity disorder. Neurology 46(4): ) Corkum PV, Siegel LS(1993):Is the continuous performance task a valuable research tool for use with children with attention-deficit-hyperactivity disorder? J Child Psychol Psychiatry 34(7): ABSTRACT Korean J Child & Adol Psychiatr 11290~296, 2000 T.O.V.A. PROFILES OF CLINICALLY REFERRED CHILDREN WITH SYMPTOMS OF INATTENTION Yee-Jin Shin, M.D., Ph.D., Soo-Jin Lee, M.A., Hye-Ran Lee, M.A., Ryo-Won Ko, Ph.D. Department of Psychiatry, College of Medicine, Yonsei University, Seoul ObjectiveThis study aims to investigate the cognitive characteristics of clinically referred children with symptoms of inattention, cach as having ADHD, tic disorder, and emotional disorder. Methods65 boys38 with ADHD, 17 with Tic disorder, and 10 with Emotional disorder were individually assessed using the KEDI-WISCFIQ, VIQ, PIQ and T.O.V.A.errors of omission, errors of commission, reaction time, variability, anticipatory response, multiple response, and the results of those tests were analyzed. ResultsThere was significant difference among three diagnostic groups of the VIQ of KEDI- WISC and the reaction time of T.O.V.A. after the correction of the effect of age difference. ConclusionThe findings suggest that the reaction time of T.O.V.A. might be the useful variable to differentiate the ADHD from other psychiatric disorders and the effect of age and IQ difference should be considered carefully to diagnose in clinical setting. KEY WORDSCognitive characteristic Inattention T.O.V.A. Reaction time. 296

歯5-4-04(윤치연외).PDF

歯5-4-04(윤치연외).PDF The Korea Journal of Counseling 2004, Vol. 5, No. 4, 927-939 ADHD,, ADHD. ADHD. ADHD.,, ()ADHD, ADHD (,, ). ADHD, (K-ADHDDS).,,. :,, (2000) (DSM-- TR), / (Attention Deficit Hyperactivity Disorder; ADHD).,,,,,,,.,,,,,,