성인 ADHD 성향 집단과 우울 성향 집단의 대인관계 문제와 사회인지 결함 = Social Cognition Deficits and Interpersonal Problems in Adults with ADHD and Depression

다국어 초록 (Multilingual Abstract)

Attention deficit hyperactivity disorder (ADHD) causes various difficulties in social interaction as well as impairment of cognitive functions. Depression, one of the comorbidities of ADHD, also impairs social functioning. This study explored interpersonal problems in adults with ADHD and their underlying social cognition deficits by comparing them with non-ADHD adults with depression and normal adults. A group of 29 adults with ADHD, a group of 17 adults with depression, and a group of 31 normal adults participated. All subjects were examined with the following assessment tools: the Short Form of the Korean Inventory of Interpersonal Problems Circumplex Scale (KIIP-SC), the Korean version of the Social Information Processing-Attribution and Emotional Response Questionnaire (SIP-AEQ), the Korean version of the Social Problem Fluency Test (K-SPFT), the Korean version of the Questionnaire of Cognitive and Affective Empathy (K-QCAE), and the Korean-Multifaceted Empathy Test (K-MET). The results were as follows: (1) The ADHD and depression groups experienced more interpersonal problems and showed more hostile attribution than the normal group. (2) The group with ADHD generated fewer socially sensitive and practically effective responses than the normal group in the K-SPFT. (3) In the K-QCAE, a self-rated empathy test, the group with ADHD showed higher emotional contagion but lower perspective-taking than the normal group. Finally, the limitations and implications of the study were discussed.

국문 초록 (Abstract)

성인 ADHD는 인지기능 손상과 함께 사회적 상호작용에서 여러 가지 어려움을 동반한다. 그런데 성인 ADHD에 흔히 동반되는 우울증 역시 사회적 기능 손상을 초래한다. 본 연구에서는 ADHD가 아닌 우울한 성인, 건강한 정상 성인들과의 비교를 통해 성인 ADHD가 경험하는 대인관계 문제와 그 기저의 사회인지 결함의 특성을 확인하였다. 연구 참여자로 ADHD 성향 집단 29명, 우울 성향 집단 17명, 정상 집단 31명을 모집하였다. 사회인지검사로 객관적 수행검사인 한국판 다면적 공감검사(K-MET), 한국판 사회적 문제해결 유창성 검사(K-SPFT)와 자기보고 검사인 한국형 대인관계 문제 검사 원형척도 단축형(KIIP-SC), 한국판 사회정보처리-귀인 및 정서 질문지(SIP-AEQ), 한국판 인지-정서 공감척도(K-QCAE)를 실시하였다. 그 결과, 대인관계 문제, 적대적 귀인에서 ADHD와 우울 성향 집단은 정상 집단에 비해 유의하게 높은 것으로 나타났다. 또한 ADHD 성향 집단은 정상 집단에 비해 사회적 상황에서 문제해결에 효과적이면서도 사회적으로 민감한 해결방안을 더 적게 생성하고, 더 낮은 조망수용을 보였으며 정서 전염은 유의하게 높은 것으로 나타났다. 본 연구에서는 성인 ADHD는 대인관계 문제를 경험하기 쉬우며, 사회인지, 공감, 사회적 유창성 측면에서도 결함이 있는 것으로 나타나, 이에 대한 세부적인 평가와 치료적 개입이 필요함을 확인하였다.

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