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품행장애와 적대적 반항장애의 발달 경로 탐색

Developmental Pathways in Conduct Disorder and Oppositional Defiant Disorder

문장원|마소
한독심리운동학회 (Korean-German Society for Motologie)|2021.03|심리운동연구 (Journal of Motologie)|제7권 제1호|pp. 143-157|DOI 10.23123/jmot.2021.7.1.143

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참고문헌

키워드

품행장애발달 경로Conduct Disorder적대적 반항장애Oppositional Defiant DisorserDevelopmental Pathways

초록

적대적 반항장애는 종종 품행장애 발달의 초기 단계를 형성하는 경미한 형태의 품행장애로 여겨져 왔다. 그러나 두 장애 사이의 연관성에 대한 현재 증거는 상당히 제한적이며 발달적 관계에 대한 혼합된 지원만 제공하며, 적대적 반항장애는 여전히 논란의 여지가 있는 진단이기도 하다. 품행장애와 적대적 반항장애 사이의 연관성은 적대적 반항장애 증상 내에서 명확한 차원을 확인함으로써 명확해질 수 있다. 이 연구는 품행장애와 적대적 반항장애에 대한 관련 연구들을 통해 밝혀진 내용들을 기초로, 적대적 반항장애에서 품행장애로 진행되는데 관여하는 예측 인자에 대해 탐색하고, 품행장애와 적대적 반항장애의 발달 경로를 검토한 후, 품행 문제의 발현 시기와 품행장애의 위험 요인에 대해 알아보고자 하였다. 연구 결과, 적대적 반항장애는 품행장애의 전조증상이며, 적대적 반항장애가 품행장애로 진행되는데 관여하는 요인들은 여러 가지가 있는데, 진행 과정에서 어떻게 그 요인들을 관리하느냐가 품행장애로 진행되는데 많은 영향을 미치는 것으로 판단된다.

Abstract

Oppositional defiant disorder has often been regarded as a mild form of conduct disorder that forms the early stages of the development of behavior disorder. However, current evidence for the link between the two disorders is quite limited and provides only mixed support for developmental relationships, and oppositional defiant disorder is still a controversial diagnosis. The link between behavioral disorder and oppositional defiant disorder can be clarified by identifying clear dimensions within the symptoms of oppositional defiant disorder. This study explores the predictors involved in the progression from oppositional defiant disorder to conduct disorder, based on the findings from related studies on conduct disorder and oppositional defiant disorder, and examines the development path of conduct disorder and oppositional defiant disorder. After that, we tried to find out the timing of onset of conduct problems and risk factors for conduct disorders. As a result of the study, oppositional defiant disorder is a precursor of conduct disorder, and there are several factors that are involved in the progression of oppositional defiant disorder to conduct disorder, and it is judged that how to manage the factors in the process of progression has a great influence on the progression of conduct disorder.

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