청소년의 ADHD 증상이 또래관계 질에 미치는 영향에서 실행기능의 매개효과 = The Mediating Effects of Executive Functions on the Relationships between Adolescent's ADHD Symptoms and Quality of Peer Relationships

다국어 초록 (Multilingual Abstract)

The purpose of this study was to investigate the mediating effects of executive functions on the relationships between adolescents’ symptoms of ADHD and quality of peer relationships. Subjects included 450 middle school students, 197 boys and 253 girls in Seoul, who were assessed using the ADHD Rating Scale, Behavior Rating Inventory of Executive Functions, and Quality of Peer Relationship Scale. SPSS 15.0 and AMOS 7.0 were used for analysis of data. The results were as follows: First, shift, monitor and task completion, which were sub-factors of executive functions, had significant effects on total score for quality of peer relationships. In addition, plan/organize, organization of materials, and task completion had effects on the positive sub-factor of quality of peer relationships, and inhibit, shift, and emotion control had significant effects on negative sub-factors. Second, total score for executive functions perfectly mediated the way in which ADHD symptoms effect the quality of peer relationships. Therefore, adolescents could have peer relational difficulties resulting from defects of executive functions, not just by primary ADHD symptoms. Findings of this study confirmed that executive functions had mediating effects on relationships between adolescents’ symptoms of ADHD and quality of peer relationships.

참고문헌 (Reference)

1 김은이, "환경 위험요인이 청소년의 정서·행동문제, 효능감, 학업성취감에 미치는 영향 : 실행기능의 매개효과" 연세대학교 대학원 2011

2 김은이, "한국판 청소년용 자기보고식 실행기능 질문지(BRIEF-SR)의 타당도 연구" 한국임상심리학회 31 (31): 561-574, 2012

3 김동일, "한국 ADHD 연구 경향의 분석: 1999년부터 2008년까지" 한국학습장애학회 6 (6): 101-127, 2009

4 신윤희, "학교부적응아동과 일반아동의 실행기능 및 문제행동 유형간의 관계연구" 특수교육재활과학연구소 49 (49): 197-213, 2010

5 이정윤, "청소년의 내면화-외현화 문제에 따른 인지적 특성" 한국청소년상담복지개발원 14 (14): 39-48, 2006

6 김민주, "청소년의 ADHD 증상이 실행기능에 미치는 영향" 한국놀이치료학회 14 (14): 43-58, 2011

7 하은혜, "청소년기 부정적 자동적 사고의 내용특수성 검증:내재화 장애와 외현화 장애를 변별하는가?" 한국임상심리학회 25 (25): 429-447, 2006

8 노민정, "주의문제 유아와 일반유아의 실행기능에 따른 유아교육기관 적응" 울산대학교 대학원 2011

9 강위영, "주의력결핍 아동의 교육 프로그램" 대구대학교 출판부 1998

10 위지희, "주의력결핍 과잉행동 청소년의 인터넷 중독성향과 심리·사회적 특성" 한국임상심리학회 23 (23): 397-416, 2004

11 양수진, "주의력 결핍 과잉 행동 장애의 유병률과 관련 인자 : 서울시 학교 정신보건 사업" 대한신경정신의학회 45 (45): 69-76, 2006

12 윤미경, "아동의 또래수용과 우정관계의 질에 대한 연구" 延世大學校 大學院 1999

13 김진경, "시설거주여부, 성별 및 연령에 따른 초기 청소년의 의사소통 기술과 또래관계의 질" 서울대학교 대학원 2002

14 장문선, "성인 ADHD 성향집단의 하위군집 탐색:우울, 자아 존중감 및 대인관계 문제를 중심으로" 한국임상심리학회 26 (26): 827-843, 2007

15 조혜진, "또래 괴롭힘의 피해요인 연구" 숙명여자대학교 대학원 2004

16 최진희, "또래 거명에 의한 인기아와 비인기아의 자아개념 및 대인관계 성향의 차이" 연세대학교 교육대학원 1999

17 Lahey, B. B. & Carlson, C. L., "Validity of the diagnostic catefory of attention deficit disorder without hyperactivity: A review of the literature, In Attention deficit disorder comes of age: Toward the twenty-first century" pro-ed 119-144, 1992

18 Polanczyk, G., "The worldwide prevalence of ADHD : A systematic review and metaregression analysis" 164 (164): 942-948, 2007

19 Milich, R., "The role of social status variables in differentiating subgroups of hyperactive children, In Attention deficit disorder (Vol. 4): Current concepts and emerging trends in the treatment of attentional and behavior disorders of childhood" Pergamon 1-16, 1989

20 McCandless, S., "The clinical utility of the Behavior Rating Inventory of Executive Function(BRIEF)in the diagnosis of ADHD" 10 : 381-389, 2007

21 Lee, S. S., "The assessment of executive functions in adolescents: Development of the behavior rating inventory of executive function-self report version" American University 2005

22 Chansky, T. E., "Social expectancies and self-perceptions in anxiety disordered children" 11 : 347-363, 1997

23 Landau, S., "Social communication patterns of attention-deficit-disordered boys" 16 : 69-81, 1988

24 Crick, N. R., "Relational aggression, gender, and social-psychological adjustment" 66 : 710-722, 1996

25 Gioia, G. A., "Profiles of everyday executive function in acquired and developmental disorder" 8 : 121-137, 2002

26 Toplak, M. E., "Practitioner review: Do performance- based measures and ratings of executive function assess the same construct?" 2012

27 Pelham, W. E., "Peer relationships in hyperactive children: Description and treatment, In Advances in learning and behavioral disabilities Vol. 1" JAI 365-436, 1982

28 Hoza, B., "Peer functioning in children with ADHD" 32 (32): 655-663, 2007

29 Erhardt, D., "Initial sociometric impressions of attention-deficit hyperactivity disorder and comparison boys : predictions from social behaviors and from nonbehavioral variables" 62 : 833-842, 1994

30 Diamantopoulou, S., "Impact of executive functioning and symptoms pf attention deficit hyperactivity disorder on children's peer relations and school performance" 32 (32): 521-542, 2007

31 Weiss, G., "Hyperactive children grown up: ADHD in children, adolescent and adults" Guilford press 1993

32 Ladd, G. W., "Friendship quality as a predictor of young children's early school adjustment" 67 : 1103-1118, 1996

33 Best, J. R., "Executive functions after age 5 : Changes and correlates" 29 (29): 180-200, 2009

34 Pennington, B. F., "Executive Functions and Developmental Psychopathology" 37 (37): 51-87, 1996

35 Miller, K. J., "Executive Function" 34 (34): 310-317, 2005

36 Riccio, C. A., "Differences in academic and executive function domains among children with ADHD Predominantly Inattentive and Combined Types" 21 (21): 657-667, 2006

37 American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders" American Psychiatric Association Inc 2000

38 Kendall, P. C., "Cognitive-behavioral therapies with youth : Guiding theory, current status, and emerging developments" 61 : 235-247, 1993

39 Mash, E. J., "Child psychopathology" Guilford Press 1996

40 Huang-Pollack, C. L., "Can Executive Functions Explain the Relationship Between Attention Deficit Hyperactivity Disorder and Social Adjustment?" 37 : 679-691, 2009

41 Barkley, R. A., "Behavioral inhibition, sustained attention and executive functions : Construction a unifying theory of ADHD" 121 : 65-94, 1997

42 Gioia, G. A., "BRIEF-SR: Behavior rating inventory of executive function-self-report version professional manual" Psychological Assessment Resources, Inc 2004

43 Barkley, R. A., "Attention-deficit Hyperactivity Disorder: A handbook for Diagnosis and Treatment" Guilford press 2005

44 Gioia, G. A., "Assessment of executive functions in children with neurologic impairment, In Psychological and Developmental Assessment" Guilford Press 317-356, 2001

45 Anderson, V., "Assessing executive functions in children : Biological, psychological and developmental considerations" 8 (8): 319-349, 1998

46 Furman, W., "Age and sex differences in perceptions of networks of personal relationships" 63 : 103-115, 1992

47 배대석, "ADHD 하위유형에 따른 관리기능 결함양상" 한국건강심리학회 11 (11): 275-299, 2006

48 서울시 소아청소년 정신보건센터, "2005년도 역학사업보고서: 서울시 소아청소년 정신장애 유병률 조사" 서울시 소아청소년 정신보건센터 2005