주의력결핍 과잉행동장애와 적대적 반항장애 남자 아동 청소년의 기능장애에 대한 평가

• 영문명: Assessment of Functional Impairments in Male Children and Adolescents with Attention-Deficit/Hyperactivity Disorder and Oppositional Defiant Disorder
• 발행기관: 대한신경정신의학회
• 저자명: 유영서(Yungseo Ryu) 이소영(Soyoung Irene Lee) 이지원(Jeewon Lee) 이아름(A Reum Lee) 김신겸(Shin-Gyeom Kim) 정한용(Han-
• 간행물 정보: 『신경정신의학』제58권 제4호, 331~338쪽, 전체 8쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2019.11.30

영문 초록

Objectives Many studies have demonstrated comorbidities and overlapping symptoms in attention- deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD). The purpose of this study was to examine the functional impairment in subjects with ADHD, ODD, and in those with both ADHD and ODD. Methods 172 male subjects, aged 6 to 15 years old, were enrolled in this study. Based on diagnoses made by applying the Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime (K-SADS-PL), the subjects were categorized into four groups: ADHD group (n=64), ODD group (n=17), ADHD+ODD group (n=28), and control group (n=63). The Child and Adolescent Functioning Impairment Scale (CAFIS) was used to measure the functional impairment of the subjects. CAFIS consists of four subscales : Family relationship, Teacher relationship, Peer relationship, and Academic achievement scales. A high CAFIS score implies high functional impairment. Analysis of covariance was conducted to compare the scores between the four groups. Results Both the ODD and the ADHD+ODD groups had significantly high scores for Parent relationship compared to that of the ADHD group. Compared to the control group, both the ADHD and the ADHD+ODD group had significantly higher scores for Peer relationship and Academic achievement, whereas, the ODD group showed no significant difference from the control group on those two subscales. Conclusion The present study showed that subjects with ADHD and ODD have different functional impairment characteristics. The subjects’ relationships with their parents were worsened by the presence of ODD. Peer relationships and Academic achievements were significantly affected by the presence of ADHD.

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키워드

Attention-deficit/hyperactivity disorder Oppositional defiant disorder Comorbidity Functional impairment Child and Adolescent Functioning Impairment Scale (CAFIS)