ADHD 하위유형별 증상과 정서조절 능력과의 관계: 부/모 애착의 매개효과 검증
The Relationships between Symptoms of ADHD Subtypes and Emotion Regulation: Mediating Effects of Attachment with Parents
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초록
The main purposes of this study were to examine differences in emotion regulation and parental attachment between two subtypes of ADHD and to investigate whether paternal and maternal attachment mediated the relationship between ADHD symptoms and emotion regulation. A total of 66 children (in grades 1-6) were diagnosed with ADHD based on the K-ARS(Korean ADHD Rating Scale) and were included in the present study. Participants were classified into one of two ADHD subtypes based on their ADHD diagnosis (33 children in each group). Children’s emotional regulation and their attachment to their mothers and fathers were measured with the ERC(Emotion Regulation Checklist) and IPPA-R(Inventory of Parent and Peer Attachment), respectively to test whether parental attachment significantly mediated the relationship between ADHD symptoms and emotion regulation. Results revealed that paternal attachment partially mediated the relationship between hyperactivity/impulsiveness and adaptive emotion regulation; maternal attachment also partially mediated the relationship between hyperactivity/impulsiveness and maladaptive emotion regulation. These results suggest that the effects of ADHD symptoms on emotion regulation are modulated and can be modified by the quality of parental attachment.
Abstract
The main purposes of this study were to examine differences in emotion regulation and parental attachment between two subtypes of ADHD and to investigate whether paternal and maternal attachment mediated the relationship between ADHD symptoms and emotion regulation. A total of 66 children (in grades 1-6) were diagnosed with ADHD based on the K-ARS(Korean ADHD Rating Scale) and were included in the present study. Participants were classified into one of two ADHD subtypes based on their ADHD diagnosis (33 children in each group). Children’s emotional regulation and their attachment to their mothers and fathers were measured with the ERC(Emotion Regulation Checklist) and IPPA-R(Inventory of Parent and Peer Attachment), respectively to test whether parental attachment significantly mediated the relationship between ADHD symptoms and emotion regulation. Results revealed that paternal attachment partially mediated the relationship between hyperactivity/impulsiveness and adaptive emotion regulation; maternal attachment also partially mediated the relationship between hyperactivity/impulsiveness and maladaptive emotion regulation. These results suggest that the effects of ADHD symptoms on emotion regulation are modulated and can be modified by the quality of parental attachment.
참고문헌 (56)
- 고려원, "주의 산만을 호소로 하는 아동의 발달 및 행동 특성에 관한 연구", 한국심리학회지 : 임상, 16(2), pp.133~149 (1997)
- 공희자, "주의력 결핍 및 과잉행동장애 아동과 일반 아동 어머니의 양육태도 비교연구", 보건교육건강증진학회지, 21(1), pp.297~317 (2004), 한국보건교육건강증진학회
- 김영신, "한국어판 부모 및 교사용 ADHD 평가 척도(K-ARS)의 규준연구", 신경정신의학, 42(3), pp.352~359 (2003), 대한신경정신의학회
- 박서정, "어머니의 정서사회화 행동과 학령기 아동의 정서조절 전략 및 정서조절 능력간의 관계", 박사, 가족학, pp.2005
- 송영혜, "놀이치료 원리" (1997), 대구대학교 출판부
- 옥 정, "청소년기 애착 안정성과 우울성향의 관계 : 지각된 유능감(Perceived Competence)의 매개효과를 중심으로", 석사, 심리학, pp.1998
- 윤호열, "주의력결핍 과잉행동 경향으로 의뢰된 아동의 부모 양육태도 유형과 관련된 요인에 대한 연구", 놀이치료연구, 15(2), pp.31~55 (2011), 한국아동심리재활학회
- 이명주, "주의력 결핍 과잉행동장애의 하위유형에 따른 행동특성과 주의기제", 박사, 심리학, pp.2006
- 이은순, "유아의 애착유형과 정서조절 및 사회적 유능성", 생활과학연구논총, 13(1), pp.59~82 (2009)
- 황새라, "주의력 결핍 과잉행동 장애의 하위 유형에 따른 내재화 및 외현화 문제행동 간의 차이", 석사, 아동ㆍ청소년상담및임상심리, pp.2010
- American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" (2002), American Psychiatric Association
- Armsden, G. C., "The inventory of parent and peer attachment: Individual differences and their relationship to psychological well-being in adolescence", Journal of Youth and Adolescence, 16(5), pp.427~453 (1987)
- Barkley, R. A., "Childhood disorders: Behavioral-developmental approaches", pp.1985, Brunner
- Barkley, R. A., "Attention-Deficit Hyperactivity Disorder: A handbook for diagnosis and treatment" (1990), The Guilford Press
- Barkley, R. A., "Behavioral inhibition, sustained attention, and executive functions: Constructing a unifying theory of ADHD", Psychological Bulletin, 121, pp.65~94 (1997)
- Barkley, R. A., "Comprehensive evaluation of attention deficit disorder with and without hyperactivity as defined by research criteria", Journal of Counselling and Clinical Psychology, 58, pp.775~789 (1990)
- Baron, R. M., "The moderator-mediator variable distinction in social psychological research : Conceptual, strategic, and statistical considerations", Journal of Personality and Social Psychology, 6, pp.1173~1182 (1986)
- Biederman, J., "Influence of gender on attention deficit hyperactivity disorder in children referred to a psychiatric clinic", American Journal of Psychiatry, 159, pp.36~42 (2002)
- Braaten E. B., "Self-regulation of affect in attention deficit-hyperactivity disorder(ADHD)and non-ADHD boys : Differences in empathic responding", Journal of Consulting and Clinical Psychology, 68(2), pp.313~321 (2000)
- Bussing, R., "Self-esteem in special education children with ADHD : Relationship to disorder characteristics and medication use", Journal of the American Academy of Child & Adolescent Psychiatry, 39(10), pp.1260~1269 (2000)
- Caspi, A., "Unraveling girls' delinquency : Biological, dispositional, and contextual contributions to adolescent misbehavior", Developmental Psychology, 29, pp.19~30 (1993)
- Cassidy, J., "The development of emotion regulation", Monographs of the Society for Research in Child Development, 59(2), pp.228~249 (1994)
- Clarke-Stewart, K. A., "And daddy makes three: The fathers impact on the mother and young child", Child Development, 49, pp.466~478 (1978)
- Clarke, L., "Attention deficit hyperactivity disorder is associated with attachment insecurity", Clinical Child Psychology and Psychiatry, 7(2), pp.1359~1045 (2002)
- Cohn, D., "The family and children's peer relations", Journal of Social and Personal Relationships, 8, pp.315~346 (1991)
- Crowell, J. A., "Mothers' internal models of relationships and children's behavioral and developmental status : A study of mother-child interaction", Child Development, 59, pp.1273~1285 (1988)
- de Nijs, P. F., "No hyperactive-impulsive subtype in teacher-rated attention-deficit", hyperactivity problems, 2007, pp.16(1), 25~32
- DuPaul, G. J., "Parent and teacher ratings of ADHD symptoms : Psychometric properties in a community-based sample", Journal of Clinical Child Psychology, 20(3), pp.245~253 (1991)
- Elia, J., "ADHD laten class clusters: DSM-Ⅳ subtypes and comorbidity", Psychiatry Research, 170(2), pp.192~198 (2009)
- Esterbrooks, M. A., "Attachment in the preschool years: Theory, research and intervention", pp.221~244 (1990), University of Chicago Press
- Gadeyne, E., "Longitudinal relations between parenting and child adjustment in young children", Journal of Clinical Child and Adolescent Psychology, 33, pp.347~358 (2004)
- Goodyear. P., "Attention deficit disorder with(ADD", H)and without(ADD, Journal of Clinical Child Psychology, pp.1992, 21[DOI]
- Graziano, P. A., "Severity of children's ADHD symptoms and parenting stress : A multiple mediation model of self-regulation", Journal of Abnormal Child Psychology, 39, pp.1073~1083 (2011)
- Green, J. M., "Disorganized attachment representation and atypical parenting in young school age children with externalizing disorder", Attachment and Human Development, 9(3), pp.207~222 (2007)
- Grossman, K., "The uniqueness of the child-father attachment relationship : Father's sensitive and challenging play as a pivotal variable in a 16-year longitudinal study", Social Development, 11, pp.307~333 (2002)
- Hartman, C. A., "The relation between sluggish cognitive tempo and DSM-Ⅳ ADHD", Journal of Abnormal Child Psychology, 32, pp.491~503 (2004)
- Hynd, G. W., "Attention deficit disorder without hyperactivity(ADD", WO), 1991, pp.6, 37~43
- Keown, L. J., "Fathering and mothering of preschool boys with hyperactivity", International Journal of Behavioral Development, 35, pp.161~168 (2011)
- Lamb, M., "The role of the father in child development" (1997), Wiley
- Lamb, M. E., "Fathers and their families", pp.11~26 (1989), The Analytic Press
- Lathey, B. B., "Dimensions and types of attention deficit disorders", Journal of the American Academy of Childs and Adolescent Psychiatry, 27, pp.330~335 (1988)
- Landau, S., "Social communication patterns of attention-deficit-disordered boys", Jounal of Abnormal Child Psychology, 16, pp.69~81 (1998)
- Lifford, K., "Parent-child relationships and ADHD symptoms : A longitudinal analysis", Journal of Abnormal Child Psychology, 36, pp.285~296 (2008)
- Lockwood, K. A., "Differentiation of attention-deficit", hyperactivity disorder subtypes : Application of a neuropsychological model of attention, 2001, pp.23, 317~330
- Maedgen, J. W., "Social functioning and emotional regulation in the attention deficit hyperactivity disorder subtypes", Journal of Clinical Psychology, 29, pp.30~42 (2000)
- McBurnett, K., "Symptoms properties as a function of ADHD type : An argument for continued study of sluggish cognitive tempo", Journal of Abnormal Child Psychology, 29, pp.207~213 (2001)
- Melnick, S. M., "Emotion regulation and parenting in AD", HD and comparison boys : Linkages with social behaviors and preference, 2000, pp.28, 73~86
- Nigg, J. T., "Neuropsychological executive functions and DSM-Ⅳ ADHD subtypes", Journal of Academy Child and Adolescent Psychiatry, 41(4), pp.59~66 (2002)
- Owen, M., "The relation between maternal employment status and the stability of attachments to mother and to father", Child Development, 55(5), pp.1984~1901 (1984)
- Paterson, J. E., "Adolescents' perceptions of their attachment relationships with their mothers, fathers, and friends", Journal of Youth and Adolescence, 23(5), pp.579~600 (1994)
- Perry, D., "Social Development" (1984), Prentice-Hall, INC
- Russell, G., "Mother-child and father-child relationships in middle childhood", Child Development, 58, pp.1573~1585 (1987)
- Shields, A., "Emotion regulation among school-age children : The development of a new criterion Q-sort scale", Developmental Psychology, 33, pp.906~916 (1995)
- Sull, I., "Temperament, mother-child attachment and peer relationship in Korean preschool children", pp.1995
- Tannock, R., "Attention-deficit disorders and comorbidities in children, adolescent, and adults", pp.125~170 (2000), American Psychiatric Press
- Whalen, C. K., "Child and adolescent psychiatric clinics of north America: Attention-deficit hyperactivity disorder", pp.395~410 (1992), Saunders
