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물질 중독 및 인터넷 중독 위험 청소년에서의 불안정한 애착형성과 충동성-주의력 문제

Insecure Attachment and Impulsivity-Inattention Problem in Adolescent with a High Risk of Substance or Internet Addiction

기백석|이영식|한덕현|박두병|고복자|조성일|백형태
대한신경정신의학회 (Korean Neuropsychiatric Association)|2010.07|신경정신의학 (JOURNAL OF THE KOREAN NEUROPSYCHIATRIC ASSOCIATION)|제49권 제4호|pp. 393-400

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참고문헌

주제분류정신과학

초록

Objectives: This study was done in adolescents with a high risk of substance or internet addiction in order to confirm the assumption that insecure attachment formation and impulsivity-inattention problems are major risk factors in adolescent addictive behavior. Methods: 2,188 middle and high school students including a nicotine dependent treatment group were assessed using self-reporting scales : Adolescent Drinking Index (ADI), Fagerstrom Tolerance Questionnaire, Young Internet Addiction Scale, Revised Adult Attachment Scale (RAAS), and the Conner and Well’s Self-reporting Scale for ADHD (CASS) were used. Subjects were classified into risk groups including substance addiction, internet addiction, as well as a combined group. Results: Significant correlations were found between attachment formation and internet addiction tendencies, with respect to dependence, anxiety, and closeness (r=-0.185, r=0.248, r=-0.147,p<0.01, respectively). Impulsivity-inattention problems had positive correlations with internet addiction,alcohol addiction and nicotine addiction groups (r=0.345, r=0.211, r=0.187, p<0.01). With regard to attachment formation, the four groups showed significant differences regarding dependence (F=19.427, p<0.01), anxiety (F=28.926, p<0.01), and closeness (F=12.853, p<0.01). In addition,the four groups showed significant difference with respect to impulsivity-inattention problems (F=83.857, p<0.01), of which the combined risk group showed the highest scores, and the non-addicted group had the lowest scores. Conclusion: Insecure attachment formation and impulsivity-inattention problems were major risk factors for adolescent addictive behavior including internet addiction.

Abstract

Objectives: This study was done in adolescents with a high risk of substance or internet addiction in order to confirm the assumption that insecure attachment formation and impulsivity-inattention problems are major risk factors in adolescent addictive behavior. Methods: 2,188 middle and high school students including a nicotine dependent treatment group were assessed using self-reporting scales : Adolescent Drinking Index (ADI), Fagerstrom Tolerance Questionnaire, Young Internet Addiction Scale, Revised Adult Attachment Scale (RAAS), and the Conner and Well’s Self-reporting Scale for ADHD (CASS) were used. Subjects were classified into risk groups including substance addiction, internet addiction, as well as a combined group. Results: Significant correlations were found between attachment formation and internet addiction tendencies, with respect to dependence, anxiety, and closeness (r=-0.185, r=0.248, r=-0.147,p<0.01, respectively). Impulsivity-inattention problems had positive correlations with internet addiction,alcohol addiction and nicotine addiction groups (r=0.345, r=0.211, r=0.187, p<0.01). With regard to attachment formation, the four groups showed significant differences regarding dependence (F=19.427, p<0.01), anxiety (F=28.926, p<0.01), and closeness (F=12.853, p<0.01). In addition,the four groups showed significant difference with respect to impulsivity-inattention problems (F=83.857, p<0.01), of which the combined risk group showed the highest scores, and the non-addicted group had the lowest scores. Conclusion: Insecure attachment formation and impulsivity-inattention problems were major risk factors for adolescent addictive behavior including internet addiction.

참고문헌 (46)

  1. Kaplan HI, "Human development throughout the life cycle. Synopsis of Psychiatry", pp.35~41 (2003), Williams & Wilkins
  2. Macdonald DI, "Drugs, drinking, and adolescence", Am J Dis Child, 138, pp.117~125 (1984)
  3. Dusenbury L, "Adolescent substance abuse in Substance Abuse, a Comprehansive textbook", pp.832~842 (1992), Williams & Wilkins
  4. Kim HS, "Relation between juvenile criminal patterns and family type in korea", J Korean Neuropsychiatr Assoc, 35, pp.574~593 (1996)
  5. 김헌수, "한국청소년 음주 및 약물남용과 비행행동간의 상관관계", 신경정신의학, 41(3), pp.472~485 (2002), 대한신경정신의학회
  6. Cohen M, "Age of onset of drug abuse in psychiatric inpatients", Arch Gen Psychiatry, 26, pp.266~269 (1972)
  7. Kwon JS, "Internet addiction", J Korean Med Assoc, 42, pp.759~764 (1999)
  8. Yang SJ, "Effects of family environment on the internet addiction and psychiatric symptoms", 생물정신의학, 8, pp.157~162 (2003)
  9. Hubbard BG, "Internet abuser: What is doing to our families and what do professionals need to know?", The Ohio Psychologist, 44, pp.25~28 (1998)
  10. Orzack MH, "Recognition and Treatment of Computer.com Addictions", Directions in Psychiatry, 19 (1999)
  11. Shapira NA, "Psychiatric features of individuals with problematic internet use", J Affect Disord, 57, pp.267~272 (2000)
  12. Kraut R, "Internet paradox. A social technology that reduces social involvement and psychological well-being?", Am Psychol, 53, pp.1017~1031 (1998)
  13. Lee SB, "Relationship between internet addiction and anxiety, depression, and self efficacy in meddle and high school students", 생물정신의학, 40, pp.1174~1183 (2001)
  14. 이명수, "청소년 인터넷 중독증과 우울, 사회적 불안,또래관계 문제와의 연관성 조사", 신경정신의학, 40(4), pp.616~626 (2001), 대한신경정신의학회
  15. Bowlby J, "Maternal care and mental health", Bull World Health Organ, 3, pp.355~533 (1951)
  16. Hazan C, "Romantic love conceptualized as an attachment process", J Pers Soc Psychol, 52, pp.511~524 (1987)
  17. Collins NL, "Adult attachment, working models, and relationship quality in dating couples", J Pers Soc Psychol, 58, pp.644~663 (1990)
  18. Perris C, "Parenting and psychopathology", pp.3~26 (1994), John Willy & Sons Ltd
  19. Crittenden PM, "Attachment and risk for psychopathology: the early years", J Dev Behav Pediatr, 16(3 Suppl), pp.S12~S16 (1995)
  20. Rosenstein DS, "Adolescent attachment and psychopathology", J Consult Clin Psychol, 64, pp.244~253 (1996)
  21. Reimers TM, "Risk factors for adolescent cigarette smoking. The Muscatine study", Am J Dis Child, 144, pp.1265~1272 (1990)
  22. Wilens TE, "Attention-deficit", hyperactivity disorder and the substance use disorders: the nature of the relationship, subtypes at risk, and treatment issues, 2004, pp.27, 283~301
  23. Yoo HJ, "Attention deficit hyperactivity symptoms and internet addiction", Psychiatry Clin Neurosci, 58, pp.487~494 (2004)
  24. Chan PA, "A cross-sectional analysis of video games and attention deficit hyperactivity disorder symptoms in adolescents", Ann Gen Psychiatry, 5, pp.16~ (2006)
  25. Sung JE, "A study on the clinical characteristics of internet addiction", pp.1999
  26. Kim EJ, "Interpersonal characteristics related with depressive symptoms; focused on adult attachment", J Korean Psychological Association, 17, pp.139~153 (1998)
  27. Heatherton TF, "TF, Kozlowski LT, Frecker RC, Fagerstrom KO. The Fagerstrom Test for Nicotine Dependence: a revision of the Fagerstrom Tolerance Questionnaire", Br J Addict, 86, pp.1119~1127 (1991)
  28. 안희경, "한국어판 니코틴 의존도 설문 도구(Fagerstrom Tolerance Questionnaire, FTQ and Fagerstrom Test for Nicotine Dependence, FTND)의 신뢰도 및 타당도", Korean Journal of Family Medicine, 23(8), pp.999~1008 (2002), 대한가정의학회
  29. Conner CK, "ADD-H adolescent self-report scale", Psychopharmacol Bull, 21, pp.921~922 (1985)
  30. Bahn GH, "A preliminary study for the development of the assessment scale for ADHD in adolescents: reliability and validity for CASS(S)", Korean J Child & Adol Psychiatr, 12, pp.218~224 (2001)
  31. Harrell AV, "Types of adolescent problem drinking: differential symptoms as a function of family drinking history", 97th Annual Convention of the American Psychological Association (1989)
  32. Hoffman JP, "Exploring the direct and indirect family effects on adolescent drug use", J Drug Issues, 23, pp.535~557 (1996)
  33. 이후경, "한 중소도시의 청소년 약물사용 실태조사", 신경정신의학, 40(1), pp.23~36 (2001), 대한신경정신의학회
  34. Kim JS, "PC addiction in adolescence" (2000), Korea Youth Counseling Institute
  35. 김 태 형, "청소년 인터넷 중독과 관련된 정서 및 행동 증상", 신경정신의학, 44(3), pp.364~370 (2005), 대한신경정신의학회
  36. Ohlmeier MD, "Nicotine and alcohol dependence in patients with comorbid attention-deficit", hyperactivity disorder (ADHD), 2007, pp.42, 539~543
  37. Retz W, "Drug addiction in young prison inmates with and without attention deficit hyperactivity disorder (ADHD)", Fortschr Neurol Psychiatr, 75, pp.285~292 (2007)
  38. Yoo HJ, "Relationship between attention deficit hyperactivity disorder symptoms and internet addiction in high school students", The Korean Journal of Psychopathology, 12, pp.85~94 (2003)
  40. Cao F, "The relationship between impulsivity and Internet addiction in a sample of Chinese adolescents", Eur Psychiatry, 22, pp.466~471 (2007)
  41. Mano S, "Relationship between characteristic behaviors of children with AD", HD and mothers’ parenting styles, 2007, pp.39, 19~24
  42. Pinto C, "ADHD and infant disorganized attachment: a prospective study of children next-born after stillbirth", J Atten Disord, 10, pp.83~91 (2006)
  43. Johann M, "Attachment styles in German alcoholics with or without attention-deficit hyperactivity disorder (ADHD)", Psychiatr Prax, 31(Suppl 1), pp.S105~S107 (2004)
  44. Young KS, "The relationship between depression and internet addiction", Cyberpsychology and Behavior, 1, pp.25~28 (1998)
  45. Kim MH, "Smoking, drinking and parental drinking problem in adolescents with internet addiction", 중독정신의학, 9, pp.17~22 (2005)
  46. 노경선, "청소년기 애착 유형과 부모 양육행동에 관한 연구", 신경정신의학, 42(1), pp.166~123 (2003), 대한신경정신의학회

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