주의력 결핍？과잉행동장애 아동을 위한 부모훈련 프로그램 중재효과에 관한 고찰
A Review on the Effects of Parent Training Program Intervention Research for Children with Attention-Deficit Hyperactivity Disorder
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초록
주의력 결핍과잉행동장애(Attention Deficit Hyperactivity Disorder) 아동을 위한 약물치료 효과에서 나타난 문제점은 다양한 다른 기법의 접근의 필요성을 시사했고 그 중 하나의 방안으로 행동수정기법에 기초한 부모훈련의 중요성을 제기하였다. 본 연구에서는 부모훈련 프로그램 중재 효과에 관한 국내 연구들을 검토해 봄으로써 연구의 동향을 살펴보고 앞으로 다루어져야 할 연구과제를 고찰하였다. 연구검토 결과 부모훈련 프로그램은 단순히 문제행동의 변화만을 주는 약물치료와는 달리 가족 내에서 발생하는 문제행동 감소와 부모의 양육태도와 스트레스 감소를 가져왔고 나아가서는 학교에서의 중재의 필요성도 제기하였다. 또한 약물치료와 부모훈련을 병합시킨 경우가 가장 좋은 효과를 얻은 것으로 나타났다. 부모훈련 프로그램과 관련해서 앞으로 수행되어야 할 연구과제들에 대해서 논하였다.
Abstract
The purpose of this paper was to review the most recent experimental studies conducted to examine the effects of parent training program intervention for children with attention-deficit hyperactivity disorder(ADHD), and to identify research trends and issues appeared in the recent research on educationally relevant intervention. For this purpose, searches of the National Library of Korea and Web-databases were conducted to find studies published from 1990 to 2007 meeting the selection criteria of this paper. At first, 12 studies were selected. However, three studies of 12 had to be excluded because disqualification of children with ADHD, lack of research design, and difference between research title and research questions. Finally, 9 studies were selected for this review. Each study was analyzed according to 5 categories: (a) subjects, (b) research design, (c) independent/dependent variables, dependent measurement, and evaluator, (d) maintenance & generalization, and (e) results.The results indicated that parent training was effective on improving behavioral problems, decreasing the parenting stress of mothers as well as changing parenting attitude. Moreover, the combined treatment of medication and parent training in children with ADHD was the most effective intervention in all aspects. Directions for future research related to parent training program were offered.
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