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1 KISEP Original Article J Korean Neuropsychiatr Assoc Vol 45, No 1 주의력결핍과잉행동장애환아들의기질및성격특성 장원석 홍성도 정유숙 Temperament and Character Patterns of Patients with Attention Deficit Hyperactivity Disorder Won Seok Jang, MD, Sungdo D Hong, MD and Yoosook Joung, MD, PhD Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea Objectives:The purpose of this study is to compare temperament/character patterns of patients with attention deficit hyperactivity disorders with normal controls. Methods:The Junior Temperament and Character Inventory was given to a clinical sample of one hundred - four patients with ADHD (all male, mean age 10.46±1.45) and their parents. The diagnoses were done using DSM-IV criteria. Fifty ones of the patients with ADHD were confirmed by K-SADS-PL-K. One hundred forty four normal controls (all male, mean age 13.26±0.26) and their parents were enrolled to compare temperament and character patterns with ADHD patients. Results:Novelty seeking was significantly higher in parental JTCI of patients with ADHD. Reward dependence, persistence, self directedness, cooperativeness and self transcendence (ST23) were significantly lower in both self and parental JTCI of patients with ADHD. Using K-SADS-PL-K, ADHD patients were divided into three groups with their ADHD subtype (combined type:32, inattentive type:11, NOS type:7). Self transcendence (ST23) in self JTCI was significantly lower in ADHD patients of the inattentive type than those of the combined type. Conclusion:The temperament and character patterns of ADHD patients were different from those of normal controls. Novelty seeking was significantly higher in the ADHD patients. Reward dependence, persistence, self directedness, cooperativeness, self transcendence (ST23) were significantly lower in the ADHD patients. (J Korean Neuropsychiatr Assoc 2006; 45(1):77-82) KEY WORDS:Temperament ADHD JTCI. 서 론 - 77

2 방법 연구대상 측정도구 아동용기질성격검사 (Junior temperament and character inventory) - K-SADS-PL-K(Korean Kiddie-Schedule for Affective Disorders and Schizophrenia -Present and Lifetime Version-Korean Version) 통계분석 결과 78

3 Table 1. Temperament and character patterns of subjects self rating scale Scale ADHD No MeanSD NC No MeanSD Significance* NS * HA * RD * SD * C * ST * ST * NCnormal controls, NSnovelty seeking, HAharm avoidance, RDreward dependence, SDself directedness, Ccooperativeness, STself transcendence, independent t test Table 2. Temperament and character patterns of subjects parent rating scale Scale ADHD No MeanSD NC No MeanSD Significance* NS * HA * RD * PS * SD * C * ST * ST * NCnormal controls, NSnovelty seeking, HAharm avoidance, RDreward dependence, PSpersistence, SDself directedness, Ccooperativeness, STself transcendence, independent t test 고찰 - 79

4 Table 3. Temperament and character patterns of subjects stratified by subtype of ADHD Scale Combined type n32 Inattentive type n11 NOS n7 df P value Self rating NS HA RD SD C ST ST *.02* Parent rating NS HA RD PS SD C ST ST Data are given as mean rank unless otherwise indicated NSnovelty seeking, HAharm avoidance, RDreward dependence, PSpersistence, SDself directedness, Ccooperativeness, STself transcendence, NOSnot otherwise specified, Kruskal Wallis test - 80

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아동기에주의력결핍과잉행동증상을경험한성인의정신병리와기질성격요인 Psychopathology, Temperament, and Character Factors of Adults with Childhood Attention-Deficit Hyperactivity Symptom

아동기에주의력결핍과잉행동증상을경험한성인의정신병리와기질성격요인 Psychopathology, Temperament, and Character Factors of Adults with Childhood Attention-Deficit Hyperactivity Symptoms 저자저널명발행기관 NDSL URL 송열매 ; 이건석 ; 한덕현 ; 이영식 ; 민경준 ;