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주의력결핍/과잉행동 성향을 가진 대학생의 신경심리 기능에 관한 연구

Neuropsychological functions of college students with Attention-Deficit/Hyperactivity Disorder (ADHD) traits

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주제분류심리과학

초록

본 연구는 주의력결핍/과잉행동(attention deficit/hyperactivity disorder; ADHD) 성향을 가진 대학생들이 인지 기능의 저하를 가지고 있는지와 이들의 신경심리검사 수행과 ADHD 증상이 어떻게 관련되어 있는지를 포괄적인 신경심리 배터리를 사용하여 조사하였다. Conners' Adult ADHD Rating Scales-Korean(CAARS-K)와 Adult ADHD Self-Report Scale(ASRS) 질문지의 점수에근거하여 성인 ADHD 성향군(n=31)과 정상통제군(n=32)을 선택하였고, 신경심리 기능은 주의, 언어/비언어 기억, 간섭 통제, 언어 유창성, 개념 전환, 작업기억으로 구성되어 있는 집행기능을 평가하였다. 그 결과 정상통제군에 비해 성인 ADHD 성향군이 주의 검사와 집행기능 중 간섭 통제, 언어 유창성, 작업기억을 평가하는 검사에서 유의하게 낮은 수행을 보였다. 또한 ADHD 성향군이정상통제군에 비해 유의하게 높은 우울과 불안 수준을 보였으며, 우울과 불안을 통제한 후에는주의 검사 중 d2와 집행기능을 측정하는 스트룹의 색채-단어 조건과 공간 폭 검사에서 정상통제군에 비해 유의하게 낮은 수행을 보임이 관찰되었다. ADHD 성향군의 신경심리검사 수행과ADHD 증상 간의 관련성을 분석한 결과, d2의 정반응 점수, 주의집중력지표와 CAARS-K의 하위척도인 DSM-IV total 점수 간에 부적상관이 관찰되었다. 이러한 결과는 성인 ADHD 성향군이주의와 집행기능의 어려움, 즉 지속적인 주의집중의 어려움, 무질서함, 인내심 부족뿐만 아니라 조직화하는 능력의 결여, 계획성 부족, 체계적이지 못한 학업 및 직무수행, 규칙이나 지시를 따르지못하는 등의 어려움을 가지고 있음을 시사한다.

Abstract

This study investigated the neuropsychological functioning and its relationship to attention-deficit/hyperactivity disorder (ADHD) symptoms in nonclinical college students with ADHD traits using a comprehensive battery of neuropsychological tests. Based on the scores of the Conners' adult ADHD rating scales-Korean (CAARS-K) and adult ADHD self-report scale (ASRS), ADHD trait (n=31) and normal control (n=32) groups were selected. Verbal/nonverbal memory, attention, and executive functions were evaluated. Compared to the normal control group, the ADHD trait group showed significantly poor performances on attention, interference control, verbal fluency and working memory. In addition, the ADHD trait group showed poorer performance on d2, Stroop color-word condition, spatial span after controlling for the effects of depression and anxiety. In terms of relationships between neuropsychological functioning and ADHD symptoms in ADHD trait group, a negative correlation was observed between the performance of d2 test and DSM-IV total scores of CAARS-K. These results indicated that attention and executive functioning were impaired in college students with ADHD traits. These individuals seemed to have difficulties in attention/concentration, being disorganized, lacking persistence, being poor in planning, with poor academic and job performance.

참고문헌 (86)

  1. 권석만, "불안장애의 정신병리 평가", 정신병리학, 6(1), pp.37~51 (1997)
  2. 김정기, "한국판 캘리포니아 언어학습검사(K-CVLT)의 표준화 연구", 한국심리학회지 : 임상, 16(2), pp.379~397 (1997)
  3. 김주영, "성인 ADHD 성향군의 우울․불안과 수면의 질의 관계", 상담학연구, 11(1), pp.75~89 (2010), 한국상담학회
  4. 김호영, "한국판 Conners 성인 ADHD 평정척도의 신뢰도 및 타당도 연구: 대학생 표본을 중심으로", Korean Journal of Clinical Psychology, 24(1), pp.171~186 (2005), 한국임상심리학회
  5. 서보경, "성인 주의력 결핍 및 과잉 행동 장애(ADHD)환자의 실행기능 연구", 한국심리학회지:일반, 31(2), pp.301~321 (2012), 한국심리학회
  6. 염태호, "K-WAIS 실시요강" (1992), 한국 가이던스
  7. 이영호, "BDI, SDS, MMPI-D 척도의신뢰도 및 타당도에 대한 연구", 한국심리학회지임상, 10(1), pp.98~113 (1991)
  8. 이용승, "K-WAIS 단축형의 타당도 연구", 한국심리학회지 임상, 14(1), pp.111~116 (1995)
  9. 장문선, "성인 ADHD 성향집단의 하위군집 탐색:우울, 자아 존중감 및 대인관계 문제를 중심으로", Korean Journal of Clinical Psychology, 26(4), pp.827~843 (2007), 한국임상심리학회
  10. 한오수, "한국어 판 구조화 임상면담도구 개발 : 신뢰도 연구", 신경정신의학, 39(2), pp.362~372 (2000)
  11. Adler, L. A., "Adult ADHD self-report scale-v1. 1 (ASRS-v1. 1) symptom checklist" (2003), World Health Organization
  12. Al-Ghatani, A., "The Arabic version of the Stroop Test and its equivalency to the English version", Pan Arab Journal of Neurosurgery, 14(1), pp.112~115 (2010)
  13. American Psychiatric Association., "Diagnostic and statistical manual of mental disorders" (1994), American Psychiatric Association
  14. American Psychiatric Association, "Diagnostic and statistical manual of mental disorders:DSM-5" (2013), American Psychiatric Association
  15. Baddeley, A., "Working memory, thought, and action" (2007), Oxford University Press
  16. Baddeley, A. D., "Working memory" (1986), Oxford University Press
  17. Barkley, R. A., "Time perception and reproduction in young adults with attention deficit hyperactivity disorder", Neuropsychology, 15(3), pp.351~360 (2001)
  18. Beck, A., "Manual for the beck anxiety inventory" (1990), Psychological Corporation
  19. Beck, A. T., "An inventory for measuring depression", Archives of General Psychiatry, 4, pp.561~571 (1961)
  20. Biederman, J., "Age-dependent decline of symptoms of attention deficit hyperactivity disorder : Impact of remission definition and symptom type", The American Journal of Psychiatry, 157(5), pp.816~818 (2000)
  21. Biederman, J., "Effects of stimulant medication on neuropsychological functioning in young adults with attention-deficit", hyperactivity disorder, 2008, pp.69(7), 1150~1156
  22. Brickenkamp, R., "The d2 test of attention" (1998), Hogrefe & Huber Publishers
  23. Burgess, G. C., "Attentional control activation relates to working memory in attention-deficit", hyperactivity disorder, 2010, pp.67(7), 632~640
  24. Cocchi, L., "Altered functional brain connectivity in a nonclinical sample of young adults with attentiondeficit", hyperactivity disorder, 2012, pp.32(49), 17753~17761
  25. Conners, C. K., "Conners’Adult ADHD rating scales: Technical manual" (1999), Multi-Health Systems
  26. Delis, D., "California verbal learning test (CVLT)" (1987), Psychological Corporation
  27. Dinn, W. M., "Adult attention-deficit", hyperactivity disorder:Neuropsychological correlates and clinical presentation, 2001, pp.46(1-2), 114~121
  28. Faraone, S. V., "Diagnosing adult attention deficit hyperactivity disorder: Are late onset and subthreshold diagnoses valid?", The American Journal of Psychiatry, 163(10), pp.1720~1729 (2006)
  29. Faraone, S. V., "Attention-deficit", hyperactivity disorder in adults : An overview, 2000, pp.48(1), 9~20
  30. First, M. B., "Structured clinical interview for DSM-IV axis I disorder" (1996), New York State Psychiatric Institute
  31. Gansler, D. A., "Are there cognitive subtypes in adult attention deficit", hyperactivity disorder?, 1998, pp.186(12), 776~781
  32. Golden, C. J., "The stroop color and word test" (1978), Stoelting Company
  33. Gronwall, D. M., "Paced auditory serial-addition task: A measure of recovery from concussion", Perceptual and Motor Skills, 44(2), pp.367~373 (1977)
  34. Gualtieri, C. T., "Is objective diagnosis possible?", Psychiatry (Edgmont (Pa.: Township)), 2(11), pp.44~53 (2005)
  35. Gupta, R., "Specific cognitive deficits in ADHD : A diagnostic concern in differential diagnosis", Journal of Child and Family Studies, 19(6), pp.778~786 (2010)
  36. Heilbronner, R. L., "Lateralized brain damage and performance on trail making A and B, digit span forward and backward, and TPT memory and location", Archives of Clinical Neuropsychology, 6(4), pp.251~258 (1991)
  37. Hervey, A. S., "Neuropsychology of adults with attention-deficit", hyperactivity disorder : A meta-analytic review, 2004, pp.18(3), 485~503
  38. Holdnack, J. A., "Speed of processing and verbal learning deficits in adults diagnosed with attention deficit disorder", Cognitive and Behavioral Neurology, 8(4), pp.282~292 (1995)
  39. Ibanez, A., "Cortical deficits of emotional face processing in adults with ADHD: Its relation to social cognition and executive function", Social Neuroscience, 6(5-6), pp.464~481 (2011)
  40. Jenkins, M., "Neuropsychological measures which discriminate among adults with residual symptoms of attention deficit disorder and other attentional complaints", The Clinical Neuropsychologist, 12(1), pp.74~83 (1998)
  41. Johnson, D. E., "Neuropsychological performance deficits in adults with attention deficit", hyperactivity disorder, 2001, pp.16(6), 587~604
  42. Kaplan, E., "WISC-III PI manual" (1999), The Psychological Corporation
  43. Kaplan, R. F., "A review of adult ADHD: A neuropsychological and neuroimaging perspective", CNS Spectrums, 7(5), pp.355~362 (2002)
  44. Kessler, R. C., "The world health organization adult ADHD self-report scale(ASRS) : A short screening scale for use in the general population", Psychological Medicine, 35(2), pp.245~256 (2005)
  45. 김지혜, "The WHO Adult ADHD Self-Report Scale: Reliability and Validity of the Korean Version", PSYCHIATRY INVESTIGATION, 10(1), pp.41~46 (2013), 대한신경정신의학회
  46. Lezak, M. D., "Neuropsychological assessment" (2004), Oxford University Press
  47. Lockwood, K. A., "Differentiation of attention-deficit", hyperactivity disorder subtypes : Application of a neuropsychological model of attention, 2001, pp.23, 317~330
  48. Lovejoy, D. W., "Neuropsychological performance of adults with attention deficit hyperactivity disorder(ADHD) : Diagnostic classification estimates for measures of frontal lobe", executive functioning, 1999, pp.5(3), 222~233
  49. Marchetta, N. D., "Interference control, working memory, concept shifting, and verbal fluency in adults with attention-deficit", hyperactivity disorder(ADHD), 2008, pp.22(1), 74~84
  50. McGough, J. J., "Diagnostic controversies in adult attention deficit hyperactivity disorder", The American Journal of Psychiatry, 161(11), pp.1948~1956 (2004)
  51. Meyers, JE, "Rey complex figure test and recognition trial: Professional manual" (1995), Psychological Assessment Resources
  52. Muller, B. W., "Neuropsychological assessment of adult patients with attention-deficit", hyperactivity disorder, 2007, pp.257(2), 112~119
  53. Murphy, K. R., "Executive functioning and olfactory identification in young adults with attention deficithyperactivity disorder", Neuropsychology, 15(2), pp.211~220 (2001)
  54. Murphy, K. R., "Young adults with attention deficit hyperactivity disorder : Subtype differences in comorbidity, educational, and clinical history", The Journal of Nervous and Mental Disease, 190(3), pp.147~157 (2002)
  55. Murphy, P., "Cognitive functioning in adults with attention-Deficit", Hyperactivity disorder, 2002, pp.5(4), 203~209
  56. Newton-Howes, G., "What happens when children with attention deficit", hyperactivity disorder grow up?, 2004, pp.97(11), 531~535
  57. Oncu, B., "Neuropsychological findings in adults with attention deficit hyperactivity disorder", Turkish Journal of Psychiatry, 15(1), pp.41~46 (2004)
  58. Oria, R. B., "Semantic fluency: A sensitive marker for cognitive impairment in children with heavy diarrhea burdens?", Medical Hypotheses, 73(5), pp.682~686 (2009)
  59. Osterrieth, P. A., "Le test de copie d'une figure complexe; contribution à l'étude de la perception et de la mémoire.", test of copying a complex figure; contribution to the study of perception and memory, 1944, pp.30, 206~356
  60. Pennington, B. F., "Executive functions and developmental psychopathology. Journal of Child Psychology and Psychiatry", and Allied Disciplines, 37(1), pp.51~87 (1996)
  61. Perales, J. C., "Bright and dark sides of impulsivity : performance of women with high and low trait impulsivity on neuropsychological tasks", Journal of clinical and experimental neuropsychology, 31(8), pp.927~44 (2009)
  62. Rapport, L. J., "Executive functioning in adult attention-deficit hyperactivity disorder", The Clinical Neuropsychologist, 15(4), pp.479~491 (2001)
  63. Rey, A., "L'examen psychologique dans les cas d'encéphalopathie traumatique. (les problems. ).", the psychological examination in cases of traumatic encepholopathy. problems, 1941, pp.28, 215~285
  64. Richards, T. L., "Driving anger and driving behavior in adults with ADHD", Journal of Attention Disorders, 10(1), pp.54~64 (2006)
  65. Riordan, H. J., "Neuropsychological correlates of methylphenidate treatment in adult ADHD with and without depression", Archives of Clinical Neuropsychology, 14(2), pp.217~233 (1999)
  66. Rohlf, H., "Set shifting and working memory in adults with attention-deficit", hyperactivity disorder, 2012, pp.119(1), 95~106
  67. Roth, R. M., "Contribution of organizational strategy to verbal learning and memory in adults with attentiondeficit", hyperactivity disorder, 2004, pp.18(1), 78~84
  68. Sandson, T. A., "Right hemisphere dysfunction in ADHD : Visual hemispatial inattention and clinical subtype", Journal of Learning Disabilities, 33(1), pp.83~90 (2000)
  69. Schweitzer, J. B., "Working memory deficits in adults with ADHD: Is there evidence for subtype differences?", Behavioral and Brain Functions : BBF, 2, pp.43~ (2006)
  70. Seidman, L. J., "Neuropsychological functioning in people with ADHD across the lifespan", Clinical Psychology Review, 26(4), pp.466~485 (2006)
  71. Seidman, L. J., "Toward defining a neuropsychology of attention deficit-hyperactivity disorder : Performance of children and adolescents from a large clinically referred sample", Journal of Consulting and Clinical Psychology, 65(1), pp.150~160 (1997)
  72. Seidman, L. J., "Neuropsychological function in adults with attention-deficit hyperactivity disorder", Biological Psychiatry, 44(4), pp.260~268 (1998)
  73. Silverstein, A. B., "Agreement between a short form and the full scale as a function of the correlation between them", Journal of Clinical Psychology, 45(6), pp.929~931 (1989)
  74. Stroop, J. R., "Studies of interference in serial verbal reactions", Journal of Experimental Psychology, 18(6), pp.643~ (1935)
  75. Stuss, D.T., "The frontal lobes" (1986), Raven Press
  76. Tombaugh, T. N., "Trail Making Test A and B : normative data stratified by age and education", Archives Clinical Neuropsychology, 19(2), pp.203~14 (2004)
  77. Torralva, T., ""Ecological"abd highly demanding executive tasks detect real-life deficits in high-functioning adults ADHD patients", Journal of Attention Disorders, 17(1), pp.11~19 (2013)
  78. Torralva, T., "Neuropsychological functioning in adult bipolar disorder and ADHD patients: A comparative study", Psychiatry Research, 186(2-3), pp.261~266 (2011)
  79. Tucha, L., "Neuropsychological assessment of attention in adults with different subtypes of attentiondeficit", hyperactivity disorder, 2008, pp.115(2), 269~278
  80. van Mourik, R., "The stroop revisited: A meta-analysis of interference control in AD", HD, 2005, pp.46(2), 150~165
  81. Walker, A. Y., "Neuropsychological functioning of adults with attention deficit hyperactivity disorder", Journal of Clinical and Experimental Neuropsychology, 22(1), pp.115~124 (2000)
  82. Wasserstein, J., "Diagnostic issues for adolescents and adults with ADHD", Journal of Clinical Psychology, 61(5), pp.535~547 (2005)
  83. Weiss, G., "Hyperactive children grown up: ADHD in children, adolescense, and adults" (1993), The Guilford Press
  84. Weyandt, L. L., "Chapter 20. neuropsychological performance in adults with attention deficit hyperactivity disorder" (2005), Humana Press Inc
  85. Willcutt, E. G., "Validity of the executive function theory of attention-deficit", hyperactivity disorder : A meta-analytic review, 2005, pp.57(11), 1336~1346
  86. Woods, S. P., "Comparative efficiency of a discrepancy analysis for the classification of attention-Deficit", Hyperactivity disorder in adults, 2002, pp.17(4), 351~369

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