아동의 ADHD 성향과 의사결정 능력이 부상 행동에 미치는 영향
The Injury Behaviors of Children with Traits of Attention Deficit/Hyperactivity Disorder: The Mediating Effect of Decision-Making Abilities
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본 연구의 목적은 주의력결핍/과잉행동장애(ADHD) 특성과 부상 행동과의 관계에서 암묵 및 명시적 의사결정 능력이 보이는 매개 효과를 검증하고자 하는 것이다. 56명의 초등학교 학생(남자 27명, 여자 29명)은 암묵적 의사결정 능력을 측정하는 것으로 가정할 수 있는 아이오와 도박 과제(IGT)와 명시적 의사결정 능력을 측정하는 것으로 보는 주사위 게임 과제(GDT)라는 두 개의 의사결정 과제를 수행하였다. 참가한 아동의 보호자는 ADHD 특성과 실제 부상 경험 및 부상을 유발하는 행동 경향성을 측정하는 설문지를 작성하였다. 분석결과, 아동의 ADHD 특성과 부상 행동들 간에는 정적 상관이 있었으며, ADHD 특성은 암묵적 및 명시적 의사결정 능력들과 부적 상관을 보였다. 암묵적 및 명시적 의사결정 능력의 매개 효과를 검증하기 위해 부트스트랩을 사용하였다. 실제 부상 경험에 미치는 ADHD 특성의 효과에는 두 가지 의사결정 능력의 매개효과가 유의하지 않았고, 부상 행동 경향성에 미치는 ADHD 특성의 효과에는 암묵적 의사결정 능력의 매개효과가 유의하였다. 연구 결과를 토대로 본 연구가 갖는 함의와 제한점이 논의되었으며, 추후 연구를 위한 방향을 제시하였다.
Abstract
The purpose of this study is to examine the relationship between Attention Deficit/Hyperactivity Disorder (ADHD) traits and injury behaviors and the mediating effect of implicit and explicit decision-making abilities between ADHD traits and injury behaviors. A total of 56 elementary school students (27 boys, 29 girls) completed two decision-making tasks including Iowa Gambling Task (IGT) and Game of Dice Task (GDT). Their parents carried out an assessment battery consisting of the measures of ADHD traits and injury behaviors, such as actual injury experience and injury behavior tendency. The results indicated that there was a positive relationship between ADHD traits of the children and their injury behaviors and a negative relationship between ADHD traits and implicit and explicit decision-making abilities. A Bootstrap approach was used to test the mediation effect of implicit and explicit decision-making abilities. Results indicated that, for the actual injury experience, there were no the mediating effects of the two decision-making abilities, just the influence of ADHD traits’. In addition, for the injury behavior tendency, only the implicit decision-making ability mediates the influence of ADHD traits on injury behavior tendency. Thus, the significant and clinical implications of the current study have been discussed on the basis of the overall findings, followed b suggestions for further research.
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