놀이 중심의 자기통제훈련을 통한 ADHD 아동의 부적응 행동 개선에 관한 사례연구 = A Case Study on Improvement in ADHD Children’s Maladjustment Behavior with Play‐based Self‐control Training

다국어 초록 (Multilingual Abstract)

This study determined whether a play？]based self？]control training program would improve self？]control and reduce maladjustment behavior in children with attention deficit hyperactivity disorder (ADHD). Participants of this study were 4, 2？] or 3？]grade male children who had been found to have ADHD, had been receiving drug treatment for over six months, scored 16 point or higher in Connors？f Scale for parents, and were classified as composite type in DSM-？W (APA, 1994) diagnosis standard. The program was administered twice a week, a total of 12 sessions and 60 minutes per session, focusing on cognitive behavioral strategies such as self-teaching method, modeling, reward for response and reinforcement and the therapeutic factors of play such as motivation, insight and purification. To examine the effects of the program on self？]control and maladjustment behavior, we asked the parents and teachers to evaluate children's self？]control on the self？]control rating scale (SCRS) before and after each session, and two observers counted the frequency of maladjustment behavior by examining at intervals of 30 seconds (10 seconds？f observation and 20 seconds？f recording) the videotape which recorded the children's free play situation for 20 minutes. In addition, to examine changes in impulsiveness, we performed the matching familiar figure test (MFFT) before and after each session and compared the results turned out that the play？]based self？]control training program improved the ADHD children？fs self？]control, and reduced the ADHD children？fs maladjustment behaviors (inattention, impulsiveness and hyperactivity).

There results suggest that a play？]based self？]control training program is effective in improving ADHD children？fs self？]control and reducing their maladjustment behaviors.

목차 (Table of Contents)

• Ⅰ. 서 론 1
• 1. 연구의 필요성 1
• 2. 연구문제 4
• 3. 용어정의 4
• Ⅱ. 이론적 배경 7
• 1. ADHD 아동의 특성과 자기통제력 7
• 1) ADHD 아동의 핵심증상 및 관련된 특성 7
• 2) ADHD 아동의 핵심증상과 자기통제력 결함 8
• 2. ADHD 아동의 자기통제력 향상에 관한 선행연구 9
• 3. 놀이의 치료적 요인과 자기통제력 향상 13
• Ⅲ. 연구방법 16
• 1. 연구대상 16
• 2. 연구설계 17
• 3. 연구도구 17
• 1) 선별도구 17
• 2) 측정도구 18
• 4. 연구절차 19
• 5. 놀이 중심의 자기통제훈련 프로그램 구성 20
• 6. 자료처리 24
• Ⅳ. 연구결과 25
• 1. 자기통제력의 변화 25
• 2. 부적응 행동의 변화 26
• 1) 부주의 행동 27
• 2) 충동적 행동 28
• 3) 과잉행동 31
• Ⅴ. 논 의 33
• 1. 결과에 대한 논의 33
• 2. 프로그램 진행과정에 대한 논의 36
• Ⅵ. 결론 및 제언 41
• 참고문헌 43
• 영문초록 54
• 부 록 55
• <부록 1> 주의력결핍 과잉행동 장애의 진단 56
• <부록 2> 코너스 부모용 평정척도 57
• <부록 3> 자기통제력 평정척도 58
• <부록 4> ADHD 아동의 부적응 행동 관찰기록표 61
• <부록 5> 프로그램 진행과정에 따른 아동들의 행동변화 62
• <부록 6> 놀이 중심의 자기통제훈련 프로그램 66