주의력결핍 과잉행동장애 환아 부모들의 인지-정서적 특성과 양육 스트레스, 부모 효능감과의 관계에 대한 연구

• 영문명: The Relationship between Parental Attention Deficit Hyperactivity Disorder Characteristics, Executive Function and Parental Emotional Distress
• 발행기관: 대한신경정신의학회
• 저자명: 이동익 윤희준 오수환 최은영 오윤혜 김지혜 정유숙
• 간행물 정보: 『신경정신의학』제56권 제4호, 186~193쪽, 전체 8쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2017.11.30

영문 초록

Objectives Attention deficit hyperactivity disorder (ADHD) is a disease of high heritability. Parents of children with ADHD have high parenting stress and low parenting efficacy. In this study, we assessed parents characteristics including inattention, hyperactivity, impulsivity, executive function, anxiety/depression severity level, child s ADHD symptom severity, and parents emotional distress level. The relationships between severity of ADHD symptoms in children, cognitive and emotional characteristics in parents, as well as parenting stress and parenting efficacy were evaluated. Methods 96 parents participated in the study. Each parent assessed their child s ADHD symptom severity, their own ADHD symptom severity, as well as executive function, depression, anxiety, parenting stress and parenting efficacy. Collected data was analyzed using multiple regression analysis. Results The mean ADHD Rating Scale score of 53 children was 22.91 (±9.63). Of these, 26 (49.0%) were taking medication. Eight (8.3%) of the 96 parents had psychiatric illnesses and 12 (12.5%) had the possibility of ADHD. Mothers showed significantly higher levels of parenting stress (p<0.001), depression (p=0.006), and parenting efficacy (p<0.001) compared with fathers. The children s ADHD symptoms, severity, and parental depression were related to high parenting stress. The ADHD symptoms of parents were associated with high parenting stress (p=0.032). Parental executive function was significantly associated with low parenting efficacy (p=0.015). Conclusion Children s ADHD symptoms severity, parental depression and ADHD symptom severity were significantly associated with high parenting stress. Parental executive function was significantly associated with low parenting efficacy. In addition to treating the children with ADHD, evaluation and treatment of parents symptoms is needed in order to reduce parenting stress and provide a stable parenting environment.

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Adult attention deficit hyperactivity disorder Executive function Parenting stress Depression Parenting efficacy 성인 주의력결핍 과잉행동장애 집행기능 양육 스트레스 우울 부모 효능감