1. 연구대상 연구방법 196

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1 KISEP Original Articles Korean J Child & Adol Psychiatr 10195~200 가족내의위험요인이 ADHD 아동의 행동문제에미치는영향 THE EFFECTS OF FAMILIAL RISK FACTORS ON THE BEHAVIOR PROBLEMS OF ADHD CHILDREN 김진희 * 유희정 ** Jin-Hee Kim, M.A.*, Hee-Jung You, Ph.D.** 요약 중심단어 서 론 Department of Psychology, Korea University, Seoul Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul Corresponding author 195

2 1. 연구대상 연구방법 196

3 2. 연구도구 1) 상태-특질불안검사 (State-Trait Anxiety Inventory:STAI) 2) Beck 우울질문지 (Beck Depression Inventory: BDI) 3) 결혼만족도평가지 (Marital Satisfaction Scale: MSS) 4) 부모용행동평정척도 (Child Behavior Checklist: CBCL) 3. 연구절차 결 η 과 197

4 Table 1. MSS, BDI, STAI 점수에서정상군과 ADHD 군의차이검증 n131 ADHDn29 df F 2 MSS , *.249 BDI , *.112 STATE , *.079 TRAIT , *.126 *:p.001 Table 2. MSS, BDI, STAI 점수와아동행동문제간상관 WITHD ANXDEP SOCP THOUT ATTEN DELIN AGG EXT INT MSS.436*.292*.446*.204*.398*.362*.431*.445*.377* BDI.413*.276*.336*.408*.398*.437*.334*.378*.380* STATE.384*.295*.343*.351*.352*.368*.274*.334*.367* TRAIT.386*.367*.336*.363*.403*.376*.386*.402*.407* *:p.001 고찰 198

5 References 1) Rutter M(1985):Resilience in the face of adversity:protective factors and resilience to psychiatric disorders. Br J Psychiatry 147: ) Rutter M, Cox A, Tulping C, Berger M, Yule W (1975):Attainment and adjustment in two geographical areas:vol. 1. The prevalence of psychiatric disorders, Br J Psychiatry 126: ) Rutter M, Quinton D(1977):Psychiatiric disorder: ecological factors and concepts of causation, In: Ecological Factors in Human Development, McGurk H, ed. Amsterdam:North Holland, pp ) Melvin D, Wright C, Goddard S(1997):Incidence and nature of feeding problems in young children referred to a pediatric HIV center in London. Child Care Health Dev 23(4): ) Keller MB, Beardslee WR, Dorer DJ, Lavori PW, Samuelson H, Klerman GR(1986):Impact of severity and chronicity of parental affective illness on adaptive functioning and psychopathology in children. Arch Gen Psychiatry 43: ) Faraone SV, Biederman J(1994):Is attention deficit hyperactivity disorder familial? Harv Rev psychiatry 1: ) Faraone SV, Santangelo S(1992):Methods in genetic epidemiology. In:Research Designs and Methods in Psychiatry, Fava M, Rosenbaum JF, eds. Amsterdam:Elsevier, pp ) Faraone SV, Tsuang MT(1995):Methods in psychiatiric genetics. In Textbook in Psychiatric Epidemiology, Tohen M, Tsuang MT, Zahner GEP, eds. New York: John Wiley & Sons 9) Biederman J, Milberger S, Faraone SV, Kiely K, Guite J, Mick E, Ablon S, Warburton R, Reed E, Davis SG(1995):Impact of adversity on functioning & comorbidity in children with attentiondeficit hyperactivity disorder. J Am Acad Child Adolesc Psychiatry 34(11): ) Faraone SV, Biederman J, Chen WJ, Milberger S, Warburron RM, Tsuang MT(1995):Genetic heterogeneity in ADHD:gender, psychiatric comorbidity and parental illness. J Abnorm Psychol 104: ) 김영아, 하은혜, 오경자, 김소라 (1996) : 한국의부모와교사들의아동의심리적문제에대한태도. 한국심리학회지임상 15: ) Forehand R, Wierson M, McCombs A, Armistead L, Kempton T, Neighbors B(1990):The role of family stressors and parent relationships on adolescent functioning. J Am Acad Child Adolesc Psychiatry 30: ) Hetherington EM, Cox M, Cox R(1982):Effects of divorce on parents and children. In:Nontraditional Families, Lamb M, ed. Hillsdale, NJ:Erlbaum, pp ) Emery RE(1982):Interparental conflict and the children of discord and divorce. Psychol Bull 92(2): 199

6 ) Weisz JR, Weiss B, Langmeyer DB(1987):Giving up on child psychotherapy. who drops out? J Consult Clin Psychol 55(6): ) Auerbach SM, Spielberger CD(1972):The assessment of state and trait anxiety with Rorschach test. J Pers Assess 36(4): ) Achenbach TM, Edelbrock CS(1984):Psychopathology of childhood. Annu Rev Psychol 35: ) Rutter M, Giller H(1983):Juvenile Delinquency: Trends and Perspective. New York:Penguin Books 19) Reid WJ, Crisafulli A(1990):Maritaal discord and child behavioral problems:a meta analysis. J Abnorm Child Psychol 18: ) Grith JH, Fincham FD(1990):Marital conflict and children s adjustment:a cognitive-contextual framework. Psycho Bull 108: ) Simmons RG, Burgeson R, Carlton-Ford S, Blyth DA(1987):The impact of cumulative change in early adolescence. Child Dev 58: ) Wierson M, Forehand R, Fauber R, McCombs A (1989):Buffering young male adolescents against negative parental divorce influences:the role of good parent-adolescenct relations. Child Study Journal 19: ABSTRACT Korean J Child & Adol Psychiatr 10195~200, 1999 THE EFFECTS OF FAMILIAL RISK FACTORS ON THE BEHAVIOR PROBLEMS OF ADHD CHILDREN Jin-Hee Kim, M.A., Hee-Jung You, Ph.D. Department of Psychology, Korea University, Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine, Seoul ObjectiveThis study was to investigate the effects of familial risk factors on the behavior problems of ADHD group and normal group. MethodThe familial risk factors and behavioral problems of the children were administered to 160 mothers, comprised of 29 ADHD children and 131 normal children. ResultsThe results showed that the ADHD group and normal group were significantly different in the degree of marital satisfaction, state-trait anxiety, and depression. Familial risk factors and the behavior problems of children were significantly correlated. ConclusionMarital unsatisfaction and parental affective problems were closely related to behavior problems of ADHD patients. KEY WORDSFamilial risk factor ADHD Behavior problem. 200

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상담학연구 ADHD- : ) 2) 3) 4) 5).,.,. MMPI, K-CBCL, KPR-C,. (Corresponding Author): / / 47 / Tel: / ADHD- : 1. 51 15.. 1) 2) 3) 4) 5).,.,. MMPI, K-CBCL, KPR-C,. (Corresponding Author): / / 47 / Tel: 031-416-7179 / E-mail: webhope@hanmail.net (Attention-deficit hyperactivity disorder, ADHD),, (DuPaul