본문 바로가기
KERD
논문KCI 등재

Temperament and Character Profiles Associated with Internalizing and Externalizing Problems in Children with Attention Deficit Hyperactivity Disorder

0

조회

0

다운로드

0

인용

0

참고문헌

키워드

주제분류정신과학

초록

Objective This study aimed to identify temperament and character profiles associated with internalizing and externalizing problems in children with attention deficit hyperactivity disorder (ADHD). Methods Children with ADHD (n=114, 8.51±1.87 years) were selected from the Department of Child and Adolescent Psychiatry at Jeju National University Hospital. They were diagnosed by Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version and evaluated using the Advanced Test of Attention and Korean Wechsler Intelligence Scale for Children-Fourth Edition. Their parents completed the ADHD Rating Scale, Korean-Child Behavioral Checklist, and Junior Temperament and Character Inventory. Results The participants with both internalizing and externalizing problem had more severe ADHD symptoms and significantly higher novelty seeking, harm avoidance, and self-transcendence, as well as lower self-directedness and cooperativeness than those who had not comorbid problems. Harm avoidance was correlated with their level of internalizing problems regardless of severity of ADHD symptoms. In addition, novelty seeking and sex (male) were being associated with the level of externalizing problems. Conclusion Differences were observed in the temperament and character profiles of children with ADHD according to their comorbid psychopathology. Results suggested that temperament and character profiles may affect the comorbid psychopathology in children with ADHD regardless of ADHD symptom severity.

Abstract

Objective This study aimed to identify temperament and character profiles associated with internalizing and externalizing problems in children with attention deficit hyperactivity disorder (ADHD). Methods Children with ADHD (n=114, 8.51±1.87 years) were selected from the Department of Child and Adolescent Psychiatry at Jeju National University Hospital. They were diagnosed by Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version and evaluated using the Advanced Test of Attention and Korean Wechsler Intelligence Scale for Children-Fourth Edition. Their parents completed the ADHD Rating Scale, Korean-Child Behavioral Checklist, and Junior Temperament and Character Inventory. Results The participants with both internalizing and externalizing problem had more severe ADHD symptoms and significantly higher novelty seeking, harm avoidance, and self-transcendence, as well as lower self-directedness and cooperativeness than those who had not comorbid problems. Harm avoidance was correlated with their level of internalizing problems regardless of severity of ADHD symptoms. In addition, novelty seeking and sex (male) were being associated with the level of externalizing problems. Conclusion Differences were observed in the temperament and character profiles of children with ADHD according to their comorbid psychopathology. Results suggested that temperament and character profiles may affect the comorbid psychopathology in children with ADHD regardless of ADHD symptom severity.

참고문헌 (36)

  1. Bauermeister JJ, "ADHD correlates, comorbidity, and impairment in community and treated samples of children and adolescents", J Abnorm Child Psychol, 35, pp.883~898 (2007)
  2. Gillberg C, "Co–existing disorders in ADHD–implications for diagnosis and intervention", Eur Child Adolesc Psychiatry, 13(Suppl 1), pp.i80~i92 (2004)
  3. Tung I, "Patterns of comorbidity among girls with ADHD: a meta-analysis", Pediatrics, 138, pp.e20160430~ (2016)
  4. Volk HE, "Does the Child Behavior Checklist juvenile bipolar disorder phenotype identify bipolar disorder?", Biol Psychiatry, 62, pp.115~120 (2007)
  5. Armstrong D, "Longitudinal associations between internalizing and externalizing comorbidities and functional outcomes for children with ADHD", Child Psychiatry Hum Dev, 46, pp.736~748 (2015)
  6. Chen TJ, "Genetic and environmental influences on the relationship between ADHD symptoms and internalizing problems : a Chinese twin study", Am J Med Genet B Neuropsychiatr Genet, 171, pp.931~937 (2016)
  7. Hur YM, "Genetic and environmental etiology of the relationship between childhood hyperactivity", inattention and conduct problems in a South Korean twin sample, 2015, pp.18, 290~297
  8. Cloninger C, "The Development of Psychiatry and Its Complexity", pp.1~16 (1998), Waxmann
  9. Gjone H, "A longitudinal twin study of temperament and behavior problems: common genetic or environmental influences?", J Am Acad Child Adolesc Psychiatry, 36, pp.1448~1456 (1997)
  10. Schmeck K, "Temperament and disruptive behavior disorders", Psychopathology, 34, pp.159~163 (2001)
  11. Lonigan CJ, "Relations of positive and negative affectivity to anxiety and depression in children : evidence from a latent variable longitudinal study", J Consult Clin Psychol, 71, pp.465~481 (2003)
  12. Biederman J, "The CBCL-pediatric bipolar disorder profile predicts a subsequent diagnosis of bipolar disorder and associated impairments in ADHD youth growing up : a longitudinal analysis", J Clin Psychiatry, 70, pp.732~740 (2009)
  13. Meyer SE, "Long-term outcomes of youth who manifested the CBCL-Pediatric Bipolar Disorder phenotype during childhood and", or adolescence, 2009, pp.113, 227~235
  14. Van Domburgh L, "Childhood predictors of desistance and level of persistence in offending in early onset offenders", J Abnorm Child Psychol, 37, pp.967~980 (2009)
  15. Ayer L, "Child Behavior Checklist Juvenile Bipolar Disorder(CBCL‐JBD)and CBCL Posttraumatic Stress Problems(CBCL‐PTSP)scales are measures of a single dysregulatory syndrome", J Psychol Psychiatry, 50, pp.1291~1300 (2009)
  16. Althoff RR, "Latent class analysis shows strong heritability of the child behavior checklist–juvenile bipolar phenotype", Biol Psychiatry, 60, pp.903~911 (2006)
  17. Boomsma DI, "Longitudinal stability of the CBCL-juvenile bipolar disorder phenotype : a study in Dutch twins", Biol Psychiatry, 60, pp.912~920 (2006)
  18. Holtmann M, "Psychometric validity of the strengths and difficulties questionnairedysregulation profile", Psychopathology, 44, pp.53~59 (2011)
  19. 김영신, "The Reliability and Validity of Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version-Korean Version (K-SADS-PL-K)", Yonsei Medical Journal, 45(1), pp.81~89 (2004), 연세대학교의과대학
  20. Achenbach TM, "Manual for the Child Behavior Checklist: and Revised Child Behavior Profile" (1983), University of Vermont, Department of Psychiatry
  21. Development of Korean Version of Child Behavior Checklist (K-CBCL), "Oh K", Korean Research Foundation, ~ (1990)
  22. Luby JL, "The Junior Temperament and Character Inventory : preliminary validation of a child self-report measure", Psychol Rep, 84, pp.1127~1138 (1999)
  23. Lyoo IK, "The reliability and validity of the junior temperament and character inventory", Compr Psychiatry, 45, pp.121~128 (2004)
  24. 소유경, "한국어판 부모, 교사 ADHD 평가 척도의 신뢰도와 타당도 연구", 신경정신의학, 41(2), pp.283~289 (2002), 대한신경정신의학회
  25. Kwak K, "Manual for Korean Wechsler Intelligence Scale for Children-IV (K-WISC-IV)-Manual" (2011), Hakjisa
  26. Cho SZ, "A study of the development and standardization of ADHD diagnostic system", J Korean Acad Child Adolesc Psychiatry, 11, pp.91~99 (2000)
  27. Marijnissen G, "The temperament and character inventory in major depression", J Affect Disord, 70, pp.219~223 (2002)
  28. Zappitelli MC, "Temperament and character traits in children and adolescents with major depressive disorder : a case–control study", Compr Psychiatry, 54, pp.346~353 (2013)
  29. Rettew DC, "Associations between temperament and DSM-IV externalizing disorders in children and adolescents", J Dev Behav Pediatr, 25, pp.383~391 (2004)
  30. 구연익, "내재화, 외현화, 내-외 혼재 장애를 가진 아동들의 기질 및 성격에 대한 비교 연구", 한국심리학회지: 발달, 25(4), pp.1~20 (2012), 한국심리학회 산하 한국발달심리학회
  31. Copeland W, "Multi-informant assessment of temperament in children with externalizing behavior problems", J Clin Child Adolesc Psychol, 33, pp.547~556 (2004)
  32. Purper-Ouakil D, "Temperament and character dimensions associated with clinical characteristics and treatment outcome in attention-deficit", hyperactivity disorder boys, 2010, pp.51, 286~292
  33. De Bolle M, "Exploring the complexity of the childhood trait–psychopathology association : continuity, pathoplasty, and complication effects", Dev Psychopathol, 28, pp.139~148 (2016)
  34. Peyre H, "Do ADHD children with and without Child Behavior Checklist–dysregulation profile have different clinical characteristics, cognitive features, and treatment outcomes?", J Atten Disord, 19, pp.63~71 (2015)
  35. Althoff RR, "Temperamental profiles of dysregulated children", Child Psychiatry Hum Dev, 43, pp.511~522 (2012)
  36. Martel MM, "How do trait dimensions map onto ADHD symptom domains?", J Abnorm Child Psychol, 37, pp.337~348 (2009)

관련 논문AI추천

A Comparison of Comorbidity and Psychological Outcomes in Children and Adolescents with Attention-Deficit/Hyperactivity Disorder정유숙, 홍성도, Inchul Choi, Misun Song, Sunyoung Kim, Yoon Huh대한신경정신의학회 · PSYCHIATRY INVESTIGATION2011 · 제8권 제2호내재화, 외현화, 내-외 혼재 장애를 가진 아동들의 기질 및 성격에 대한 비교 연구구연익, 노경란한국심리학회 산하 한국발달심리학회 · 한국심리학회지: 발달2012 · 제25권 제4호Impact of Comorbid Oppositional Defiant Disorder on the Clinical and Neuropsychological Characteristics of Korean Children With Attention-Deficit/Hyperactivity Disorder김효원, Eunji Jung, Haewon Kim, Seonok Kim, Taeyeop Lee대한신경정신의학회 · PSYCHIATRY INVESTIGATION2023 · 제20권 제10호Temperament in Adulthood Attention Deficit-Hyperactivity Disorder without Bipolar DisorderCagdas Oyku Memis, Filiz Ozdemiroglu, Kadir Karakus, Levent Sevincok, Sanem Mersin대한신경정신의학회 · PSYCHIATRY INVESTIGATION2018 · 제15권 제3호Insecure Attachment, Temperament, and Character Traits Associated With Cognitive Disengagement Syndrome and Attention Deficit Hyperactivity Disorder Symptoms in ChildrenDoğa Sevinçok, Hasan Can Özbay, Hatice Aksu, Muhammed Mutlu Özbek대한신경정신의학회 · PSYCHIATRY INVESTIGATION2025 · 제22권 제6호KPI-C 프로파일로 본 ADHD 아동의 행동특성김용희한국건강심리학회 · 한국심리학회지: 건강2005 · 제10권 제1호

이 간행물의 다른 논문 (10건)