ADHD-SC4를 통한 주의력결핍 과잉행동아동 출현율 조사연구 : 부산지역 초등학교 저학년을 대상으로 = (A) Study of Investigation with ADHD Children Prevalence Rate by ADHD Symptom Checklist-4 : early elementary school children in Pusan

다국어 초록 (Multilingual Abstract)

This investigation by means of a prevalence survey was to determine ADHD children in Pusan public elementary schools using the ADHD Symptom Checklist.
The ADHD Symptom Checklist (ADHD-SC4) is a screening instrument for the behavioral symptoms of attention-disorder/hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD), with the addition of a peer conflict scale (PCS) and a stimulant side effects checklist (SSEC) to the Questionnaire. Items in the ADHD-SC4 are based on the Diagnostic and Statistical Manual of Mental Disorders (APA, 1994), and the reliability and validity allowed in the United States of America. To interpret its scores two kinds of methods were used, naming symptom count scores and symptom severity scores. However, it is important to emphasize the fact that the ADHD-SC4 is simply a symptom Questionnaire. It does not make diagnoses.
The ADHD-SC4 in this study was translated into Korean for the first time, and we were thus able to analyze reliability based on data of this study: Cronbach-α= .94(N=42).
As the purpose of this study, first, we revealed the total prevalence rate, the prevalence rate of ADHD types: ADHD inattentive type, ADHD hyperactivity type, ADHD combined type and the prevalence rate of severity ranking; low severity, moderate severity, and high severity. Second, differences of tendency between the parent completed checklist and the teacher completed checklist were suggested. Third, we described the prevalence rate concerned with ADHD symptoms categories; as well as the severity ranking of oppositional defiant disorder and peer conflict scale.
The results of this study were as follows:
First, the total ADHD children of prevalence rate indicated 4% of total subjects. In the parent completed checklist, the prevalence rate of ADHD inattention type was 0.9%, ADHD hyperactivity type was 1.5%, and ADHD combined type was 0.7%. In the teacher completed checklist, the prevalence rate of ADHD inattention type was 2.3%, ADHD hyperactivity type was 2.7%, and ADHD combined type was 1.5%. As for the analysis of ADHD prevalence rate of severity ranking, the parent completed checklist distribution was distributed more at "low severity" than others and the teacher completed checklist was distributed more at "moderate severity" than others.
Second, the differences of tendency between the parent completed checklist and the teacher completed checklist indicated the highest equal rate in ADHD inattention type.
Third, as described the prevalence rate concerned with ADHD symptoms categories, it was explained by means of two kind of categories. In severity ranking of oppositional defiant disorder, the parent completed checklist was more distributed at "low severity" than others and the teacher completed checklist was more distributed at "high severity" than others. In the peer conflict scale, the teacher completed checklist was distributed at "high severity" and "low severity" similarity.

목차 (Table of Contents)

• Ⅰ. 서론 = 1
• 1. 연구 의의 = 1
• 2. 연구 목적 = 5
• Ⅱ. 이론적 배경 = 6
• 1. ADHD아동의 특성 = 6
• 2. ADHD의 출현율 = 16
• 3. ADHD 평정척도 = 17
• 4. ADHD-SC4의 개관 = 21
• Ⅲ. 연구 방법 = 27
• 1. 연구 대상 = 27
• 2. 연구 절차 = 27
• 3. 자료 분석 = 28
• 4. 연구 도구 = 28
• Ⅳ. 연구 결과 = 31
• 1. 출현율 조사 = 31
• 2. 집단간 ADHD 평가경향 차이 분석 = 43
• 3. ADHD-SC4에 따른 ADHD관련 범주별 출현율 조사 = 50
• Ⅴ. 논의 = 55
• Ⅵ. 결론 및 제언 = 58
• 1. 결론 = 58
• 2. 제언 = 60
• 참고문헌 = 62
• 영문초록 = 67
• <부록 1> DSM-Ⅳ의 ADHD 진단기준 = 69
• <부록 2> ADHD-SC4 설문지 = 71
• <부록 3> ADHD-SC4 사용지침내용 = 73