자폐스펙트럼장애 영유아의 수면문제 경계선 및 임상 수준 집단과 정상 수준 집단 간 사회성숙도와 문제행동의 차이
Differences in Social Maturity and Behavioral Problems According to the Level of Sleep Problems in Infants With Autism Spectrum Disorder
1
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
목적 : 본 연구에서는 자폐스펙트럼장애(ASD) 영유아와 영유아의 어머니를 대상으로 수면문제 경계선및 임상 수준과 정상 수준 간 사회성숙도와 문제행동의 차이를 검증하였다. 연구방법 : 서울시에 소재한 종합병원의 소아정신과, 발달장애 클리닉, 재활의학센터 등에서 2010년부터2015년까지 ASD로 진단된 만 1-5세 영유아와 영유아 어머니 102명을 대상으로 축적된 자료를 활용하였으며 유아행동평가척도(CBCL 1.5-5)와 사회성숙도 검사(SMS) 자료를 최종분석에 사용하였다. 결과 : ASD 영유아의 수면문제 수준은 T점수에서 56.58로 나타났다. 수면문제는 CBCL 1.5-5의 하위척도들과 유의한 상관관계를 나타냈으나, 사회지수와 유의한 상관관계를 나타내지 않았다. 본 연구에서는수면문제 경계선 및 임상 수준 집단과 정상 수준의 2개 집단으로 나누었다. 집단 간 사회성숙도의차이를 검증한 결과, 경계선 및 임상 수준 집단이 정상 수준 집단보다 SMS의 사회지수가 낮았다. 또한, 정서적 반응성, 불안/우울, 신체증상, 위축 등 내재화 문제와 주의집중문제, 공격행동 등 외현화 문제가심각했다. 이외 DSM 전반적 발달문제, DSM 주의력결핍/과잉행동장애, DSM 반항행동문제 등 외현화DSM 장애 증상이 유의하게 심각했다. 결론 : 수면문제 경계선 및 임상 수준 집단은 정상 수준 집단과 비교하여 유의하게 낮은 사회성숙도와심각한 문제행동을 나타낸다는 것을 확인하였다.
Abstract
Objective : The purpose of this study was to examine differences in social maturity and behavioral problems according to the level of sleep problems in children with ASD. Methods : The participants were 102 mothers of infants with ASD aged 1-5 years. The Social Maturity Scales (SMS) and Child Behavior Checklist 1.5-5 were used as the measuring tools. Results : The level of sleep problems in infants with ASD was 56.58T on the sleep problems scale. The participants were grouped based on scores on the sleep problems scale: those with scores <65 (good sleepers) or scores ≥65 (poor sleepers). Sleep problems significantly correlated with all the scales on the CBCL. However, no association was found between sleep problems and social quotients. Poor sleepers achieved significantly lower scores on the social quotient scale of the SMS than good sleepers. Poor sleepers achieved significantly higher scores in internalizing problems, externalizing problems, and DSM-oriented scales on the CBCL compared to those in the good sleepers. Conclusion : The significance of this study is that it has verified the severity of sleep problems in infants with ASD and has examined the differences in social maturity and behavioral problems between poor sleepers and good sleepers.
참고문헌 (19)
- Manual for the ASEBA Preschool Forms & Profiles, "Achenbach, T. M.", University of Vermont, Research Center for Children, Youth, & Families, ~ (2000)
- "Diagnostic and statistical manual of mental disorders" (2013)[URL]
- 정경미, "자폐 스펙트럼 환아의 수면 패턴에 대한 고찰", 한국심리학회지: 건강, 20(4), pp.765~783 (2015), 한국건강심리학회[DOI]
- DeVincent, C. J., "Sleep disturbance and its relation to DSM-IV psychiatric symptoms in preschool-age children with pervasive developmental disorder and community controls", Journal of Child Neurology, 22(2), pp.161~169 (2007)[DOI]
- Doll, E. A., "Vineland Social Maturity Scale:Condensed manual of direction", American Guidance Service, ~ (1965)
- Goldman, S. E., "Sleep is associated with problem behaviors in children and adolescents with autism spectrum disorders", Research in Autism Spectrum Disorders, 5(3), pp.1223~1229 (2011)[DOI]
- Hirata, I., "Sleep problems are more frequent and associated with problematic behaviors in preschoolers with autism spectrum disorder", Research in Developmental Disabilities, 49-50, pp.86~99 (2016)[DOI]
- Kim, S. G., "Social Maturity Scale" (1985), Jungangjeoksung
- 김영아, "한국판 CBCL 1.5-5의 표준화 연구", Korean Journal of Clinical Psychology, 28(1), pp.117~136 (2009), 한국임상심리학회[DOI]
- Krakowiak, P., "Sleep problems in children with autism spectrum disorders, developmental delays, and typical development : A population based study", Journal of sleep research, 17(2), pp.197~206 (2008)[DOI]
- 이경숙, "영유아 자폐스펙트럼장애 특성 탐색을 위한 ITSEA(Infant Toddler Socio-Emotional Assessment) 예비적 적용", 자폐성장애연구, 16(2), pp.111~131 (2016), 한국자폐학회
- Malhi, P., "Sleep dysfunction and behavioral daytime problems in children with autism spectrum disorders : A comparative study", The Indian Journal of Pediatrics, 86(1), pp.12~17 (2019)[DOI]
- Mayes, S. D., "Variables related to sleep problems in children with autism", Research in Autism Spectrum Disorders, 3(4), pp.931~941 (2009)[DOI]
- Mazurek, M. O., "Sleep and behavioral problems in children with autism spectrum disorder", Journal of Autism and Developmental Disorders, 46(6), pp.1906~1915 (2016)[DOI]
- Oh, K. J., "Manual for the Child Behavior Checklist 1.5-5" (2009), Huno Assessment
- Park, C. L, "The effects of sleep problems on autistic symptoms of infants and toddlers with autism spectrum disorder", master, pp.2019
- Park, S., "Sleep problems and their correlates and comorbid psychopathology of children with autism spectrum disorders", Research in Autism Spectrum Disorders, 6(3), pp.1068~1072 (2012)[DOI]
- Sikora, D. M., "The relationship between sleep problems and daytime behavior in children of different ages with autism spectrum disorders", Pediatrics, 130(2), pp.83~90 (2012)[DOI]
- Taylor, M. A., "Sleep disruption as a correlate to cognitive and adaptive behavior problems in autism spectrum disorders", Research in Developmental Disabilities, 33(5), pp.1408~1417 (2012)[DOI]