ADHD 위험 아동에 대한 반응성 부모교육이 아동의 문제행동과 중심축 발달행동에 미치는 효과
Effects of a Responsive Parenting Education Program on Child’s Behavioral Problems and Pivotal Developmental Behaviors in Children at Risk for Attention Deficit Hyperactivity Disorder
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본 연구에서 ADHD 성향을 가진 아동 부모 17명에 대한 반응성 교수방법에 의한 부모 중재를 실시하여 그 결과를 확인하였다. 첫째, 어머니의 양육스트레스는 총점과 하위요인에 있어서 부모중재 교육 후 약간의 감소는 나타났으나 통계적으로 의미 있는 변화는 아니었다(Z= -1.00, p = .320). 둘째, 어머니의 상호작용 행동유형에서는 좀 더 반응적이고 효율적인 행동을 나타내어 중재 효과를 나타내었다. 셋째, 아동의 ADHD 성향점수는 유의하게 낮아졌으며(Z= -2.41, p = .016), 아동의 중심축 발달행동도 중재 후 통계적으로 유의한 변화가 나타났다(Z= -2.67, p = .008). 문제행동에서는 내재화 행동문제 중 신체적 증상에서 유의한 감소를 나타내었다(Z= -2.05, p = .040). 넷째, 어머니의 상호작용요인 중 특히 지시성 요인은 아동의 중심축 발달행동과 관련이 있으며 발달행동에서 지속성 변화는 문제행동 감소에 영향이 있음을 나타내었다. 본연구결과, 반응성 증진을 위한 부모 중재가 앞으로 ADHD 성향을가진 아동에게 효과적인 중재방법으로 유용하다고 볼 수 있다.
Abstract
Purpose: This study was done to determine whether a parenting education program using responsive teaching strategies is effective for parenting stress, maternal interactional behavior and behavioral problems in children at risk for Attention Deficit Hyperactivity Disorder (ADHD). Methods: Participants in this study were 17 elementary school children and their parents. The ADHD risk group was determined by scores on the Korean-ADHD Rating Scale. The parenting education program was developed based on Dr. Mahoney’s responsive teaching curriculum. Mothers participated in the program once a week for 8 sessions. Treatment outcome was evaluated using the Korean version of the Child Behavior CheckList (K-CBCL), parenting stress, maternal interactional behavior, and child pivotal developmental behavior. Data were analyzed using Wilcoxon signed rank test,Mann-Whitney test, and regression analysis. Results: After the parenting education program, no significant difference in parenting stress (Z=-1.00, p=.320) was found, but there was a significant decrease in the child’s internal behavior problems (Z=-2.05, p=.040), and also a significant improvement in maternal interactional behavior and a significant difference in child pivotal developmental behavior (Z=-2.67, p=.008). Conclusion: The results indicate that parenting education programs based on responsive teaching strategies are effective and that application of a program is recommended to prevent behavioral problems and improve maternal child interaction for children at risk for ADHD.
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