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초등학교 고학년 아동에서 인터넷 중독과 주의력결핍 과잉행동장애와의 관련성

Association between Internet Addiction and ADHD in Senior Students of Some Elementary Schools

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초록

본연구는G광역시소재4개초등학교에재학중인5, 6학년학생을연구대상으로인터넷중독과ADHD 와의관련성을 파악하였다. 자료수집기간은 2012년7 월 9일에서 7월 20일까지였다. 본 연구의 대상은 총1,172명을 최종 분석 대상자로하였고 남자는 628명(53.6%), 여자는 544명(46.4%)이었다. 인터넷 중독은한국형 인터넷 자가진단검사인K-척도를사용하였고, 주의력결핍과잉행동장애(ADHD)는 DSM- IV 의 기준으로 재구성한 설문지를 사용하였다. 연구결과 ADHD는 총 1,172명중 정상군은 1,107 명(94.5%), ADHD군 65명으로 유병률은 전체 5.5 %이었으며, 남자9.2%, 여자1.3%로 남자가여자보다많았다. 인터넷중독은고위험사용군157명(13.4%), 잠재적위험사용군106명(9.0%), 일반사용군909 명(77.6%) 이었다. 다중로지스틱회귀분석 결과일반사용 군을 기준으로 했을 때 잠재적 위험사용군인 경우비차비 20.08 (95% CI 3.51~114.92), 고위험 사용군인 경우 비차비 125.77 (95% CI 24.46~646.66) 로 ADHD일 가능성이 유의하게 높았다. Model II은인터넷 중독 점수를 로지스틱 회귀분석을 하였을 때비차비 1.08 (95% 신뢰구간 1.06~.11)로 중독점수가높을수록ADHD일가능성이높았다. 따라서초등학교고학년아동의인터넷중독과ADHD와는관련성이있었고, 향후변수 간의인과관계를좀 더명확히밝힐수 있는 연구가 필요할 것으로 사료된다.

Abstract

Objectives: This study aimed to evaluate the association between internet addiction and Attention-Deficity/Hyperactivity Disorder (ADHD) among senior students in some elementary schools. Methods: Total 1,172 students of 4 elementary schools were chosen. General characteristics,health-related behavior, internet addition(K-scale), and ADHD were collected using self-reported questionnaires. Chi-square tests, t-tests and multiple logistic regression analysis were performed to assess the association between internet addiction and ADHD symptoms. Results: Amongst 1,172 subjects, boy students were 628 (53.6%) and girl students were 544(46.4%). The prevalence of ADHD was 65 (5.5%). With regard to internet addiction, 157 (13.4%),106 (9.0%) and 909 (77.6%) of the students were categorized as high-risk group, potential-risk group and normal group, respectively. The odds ratio for ADHD was significantly higher in potentialrisk group (OR=20.08, 95% CI=3.51-114.92) and high-risk group (OR=125.77, 95% CI=24.46-646.66) than normal group. Also, internet addiction score was significantly associated with ADHD symptoms OR=108, 95%CI=1.06-1.11). Conclusions: Internet addiction was associated with ADHD in late elementary students. Further study is need to investigate the biologic mechanism between internet addiction and ADHD.

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