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    주의력결핍 과잉행동장애 위험요인에 따른 어머니의 양육스트레스, 우울 및 아동문제행동 간의 관계분석 = Analysis of Relationships between Parenting Stress, Maternal Depression, and Behavioral Problems in Children at Risk for Attention Deficit Hyperactive Disorder

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    https://www.riss.kr/link?id=A104133068

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    다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

    Purpose: In this study differences in behavioral problems between children at risk for Attention Deficit Hyperactive Disorder (ADHD) and normally developing children were identified. Further, relationships between parental stress, depression,and child behavioral problems according to ADHD symptoms were explored. Methods: Participants were 222 elementary school children and their parents. The ADHD risk group was determined by the Korean-ADHD Rating Scale.
    Data were collected using the Korean-ADHD Rating Scale, Korean version of Child Behavior CheckList (K-CBCL), Parenting Stress Index, and Beck Depression Inventory. Data were analyzed using t-test, Pearson correlation coefficients,and regression analysis. Results: 1) The ADHD risk group showed higher levels of behavioral problems, parenting stress,and maternal depression than the normal group. 2) There were significant relationships between ADHD scores and parenting stress (r=.66), maternal depression (r=.35), internal behavioral problems (r=.47), and external problems (r=.55),but, ADHD risk scores were negatively correlated with social competence (r=-.40). 3) The regression analysis revealed that ADHD levels affected the child’s internal behavioral problems, mediated by maternal depression (b=.29, p<.001).
    Conclusion: The study results show that higher risk scores for ADHD indicate a significant effect for behavioral problems.
    Also, parenting stress and depression influence child’s behavioral problems. These results suggest that identification of children at risk for ADHD and development of parental education programs would contribute to the prevention of behavioral problems and aggravation of the ADHD symptoms.
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    Purpose: In this study differences in behavioral problems between children at risk for Attention Deficit Hyperactive Disorder (ADHD) and normally developing children were identified. Further, relationships between parental stress, depression,and child...

    Purpose: In this study differences in behavioral problems between children at risk for Attention Deficit Hyperactive Disorder (ADHD) and normally developing children were identified. Further, relationships between parental stress, depression,and child behavioral problems according to ADHD symptoms were explored. Methods: Participants were 222 elementary school children and their parents. The ADHD risk group was determined by the Korean-ADHD Rating Scale.
    Data were collected using the Korean-ADHD Rating Scale, Korean version of Child Behavior CheckList (K-CBCL), Parenting Stress Index, and Beck Depression Inventory. Data were analyzed using t-test, Pearson correlation coefficients,and regression analysis. Results: 1) The ADHD risk group showed higher levels of behavioral problems, parenting stress,and maternal depression than the normal group. 2) There were significant relationships between ADHD scores and parenting stress (r=.66), maternal depression (r=.35), internal behavioral problems (r=.47), and external problems (r=.55),but, ADHD risk scores were negatively correlated with social competence (r=-.40). 3) The regression analysis revealed that ADHD levels affected the child’s internal behavioral problems, mediated by maternal depression (b=.29, p<.001).
    Conclusion: The study results show that higher risk scores for ADHD indicate a significant effect for behavioral problems.
    Also, parenting stress and depression influence child’s behavioral problems. These results suggest that identification of children at risk for ADHD and development of parental education programs would contribute to the prevention of behavioral problems and aggravation of the ADHD symptoms.

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    참고문헌 (Reference)

    1 소유경, "한국어판 부모, 교사 ADHD 평가 척도의 신뢰도와 타당도 연구" 대한신경정신의학회 41 (41): 283-289, 2002

    2 오원옥, "주의력결핍/과잉행동장애 아동 가족의 삶의 질 영향 요인" 아동간호학회 14 (14): 396-404, 2008

    3 오원옥, "주의력결핍 과잉행동장애(ADHD) 아동 부모의 양육 경험: 정상에 다가가기" 한국간호과학회 37 (37): 91-104, 2007

    4 서민정, "주의력 결핍-과잉행동장애 아동 어머니의 양육스트레스, 우울감, 부모효능감에 관한 연구-정서장애 아동과 일반아동 어머니와의 비교를 중심으로-" 한국여성심리학회 8 (8): 69-81, 2003

    5 박진아, "모-자녀관계와 어머니의 양육스트레스가 유아의 문제행동에 미치는 영향" 한국여성심리학회 14 (14): 549-566, 2009

    6 Lee, Y, "The relationship among child’s behavior problems, maternal depression, and parenting stress" 14 : 218-228, 2003

    7 Lee, Y. J, "The relations between mothers depression, parenting stress, and children’s behavior problems" Seoul Woman’s University 2006

    8 Derks, E. M, "The relations between DISC-IV DSM diagnoses of ADHD and multi-informant CBCL-AP syndrome scores" 47 : 116-122, 2006

    9 Kim, E. Y, "The path analysis of the relationship of maternal parenting stress, parenting efficacy and dysfunctional discipline practice to child’s adjust problems" Ewha Womans University 2005

    10 Baron, M. A, "The moderator-mediator variable distinction in social psychological research" 51 : 1173-1182, 1986

    1 소유경, "한국어판 부모, 교사 ADHD 평가 척도의 신뢰도와 타당도 연구" 대한신경정신의학회 41 (41): 283-289, 2002

    2 오원옥, "주의력결핍/과잉행동장애 아동 가족의 삶의 질 영향 요인" 아동간호학회 14 (14): 396-404, 2008

    3 오원옥, "주의력결핍 과잉행동장애(ADHD) 아동 부모의 양육 경험: 정상에 다가가기" 한국간호과학회 37 (37): 91-104, 2007

    4 서민정, "주의력 결핍-과잉행동장애 아동 어머니의 양육스트레스, 우울감, 부모효능감에 관한 연구-정서장애 아동과 일반아동 어머니와의 비교를 중심으로-" 한국여성심리학회 8 (8): 69-81, 2003

    5 박진아, "모-자녀관계와 어머니의 양육스트레스가 유아의 문제행동에 미치는 영향" 한국여성심리학회 14 (14): 549-566, 2009

    6 Lee, Y, "The relationship among child’s behavior problems, maternal depression, and parenting stress" 14 : 218-228, 2003

    7 Lee, Y. J, "The relations between mothers depression, parenting stress, and children’s behavior problems" Seoul Woman’s University 2006

    8 Derks, E. M, "The relations between DISC-IV DSM diagnoses of ADHD and multi-informant CBCL-AP syndrome scores" 47 : 116-122, 2006

    9 Kim, E. Y, "The path analysis of the relationship of maternal parenting stress, parenting efficacy and dysfunctional discipline practice to child’s adjust problems" Ewha Womans University 2005

    10 Baron, M. A, "The moderator-mediator variable distinction in social psychological research" 51 : 1173-1182, 1986

    11 Choi, M. R, "The moderating and mediating effects of self-esteem on the relationship between life stress and depression" Chung-Ang University 2000

    12 Shin, S. J, "The influence of parenting stress, social support, and mother’s efficacy on mother’s rearing behavior" Yonsei University 1997

    13 Gonzalez, L. O, "The effects of a stressmanagement program on self-concept, locus of control, and the acquisition of coping skills in school-age children diagnosed with attention deficit hyperactivity disorder" 15 : 5-15, 2002

    14 Choi, Y, "The effect of ADHD child mother’s depressive mood, parenting stress, and parenting related attitude on parenting behavior" 13 : 153-162, 2002

    15 Park, H. S, "The difference of temperament, goodness of fit and behavioral problems in ADHD subtypes of adolescent high risk group" 16 : 106-116, 2005

    16 Froehlich, T. E, "Prevalence, recognition, and treatment of attention-deficit/hyperactivity disorder in a national sample of US children" 161 : 857-864, 2007

    17 Lin, Y, "Parenting stress and parent’s willingness to accept treatment in relation to behavioral problems of children with attention-deficit hyperactive disorder" 10 : 43-56, 2002

    18 Sonuga-Barke, E. J. S, "Parent based therapies for preschool attention deficit/hyperactivity disorder: A randomized controlled trial with a community sample" 40 : 402-408, 2001

    19 Oh, K, "Korea child behavior checklist" HUNO Counsulting 2007

    20 Sayal, K, "Identification of children at risk of attention deficit/hyperactive disorder: A school-based intervention" 41 : 806-813, 2006

    21 Luteijin, E. F, "How unspecified are disorders of children with a pervasive developmental disorder not otherwise specified?" 9 : 168-179, 2000

    22 Larsson, J. O, "Genetic and environmental contributions to stability and change of ADHD symptoms between 8 and 13 years of age: A longitudinal twin study" 43 : 1267-1275, 2004

    23 Cho, S, "Full syndrome and subthreshold attention-deficit/hyperactivity disorder in a Korean community sample: Comorbidity and temperament findings" 18 : 447-457, 2009

    24 Johnston, C, "Families of children with attention-deficit/hyperactivity disorder: Review and recommendations for future research" 4 : 183-207, 2001

    25 Kim, E. J, "Endocrine disruptive substance and children’s health" Dankook University Medical Center 2008

    26 American Psychiatric Association, "Diagnostic and statistical manual of mental disorders (4th ed.)" American Psychiatric Press 1994

    27 Cho, S. C, "Attention-deficit and hyperactive disorder" Seoul National University Publishing 2001

    28 Daley, D, "Attention deficit hyperactive disorder: A review of the essential facts" 32 : 193-204, 2006

    29 Harrison, C, "ADHD and parental psychological distress: Role of demographics, child behavioral characteristics, and parental cognitions" 41 : 703-711, 2002

    30 Kendall, J, "A typology of management styles in families with children with ADHD" 9 : 257-280, 2003

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