본문 바로가기
KERD
논문KCI 등재

군인들에서 성인 주의력 결핍 과잉 행동 장애 증상이 스트레스와 우울증에 미치는 영향

Effect of Symptoms of Adult Attention Deficit Hyperactivity Disorder on Stress and Depressive Symptoms in Soldiers

2

조회

0

다운로드

3

인용

0

참고문헌

키워드

주제분류정신과학

초록

Objectives : The aim of this study was to investigate whether and how the symptoms of adult attention deficit hyperactivity disorder (ADHD) affect the stress and depressive symptoms in Korean soldiers. Methods : Data were collected on 131 subjects through self-report using the Korean Adult Attention-Deficit/Hyperactivity Disorder Scale (K-AADHDS), Center for Epidemiological Studies Depression Scale (CES-D), Korean Wender Utah Rating Scale (K-WURS), and the Brief Encounter Psychosocial Instrument (BEPSI-K). Student t-tests, Pearson Correlation, Logistic regression, and Path analysis were performed. Results : The scores related to adult ADHD symptoms on the K-AADHDS and K-WURS were correlated with stress scores on the BEPSI-K (r=0.529, p<0.001 and r=0.484, p<0.001) and with depressive symptoms on the CES-D (r=0.686, p<0.001 and r=0.628, p<0.001). Scores related to adult ADHD on the K-AADHDS were the most significant risk factors for stress (O.R=1.198, 95% CI=1.104-1.299), and depressive symptoms (O.R=1.306, p95% CI=1.112-1.534). Path analysis on depressive symptoms showed that adult ADHD symptoms affected stress and depressive symptoms. Conclusion : The results suggest that it may be important to consider the evaluation and treatment of adult ADHD in soldiers. Prospective studies with larger numbers of subjects are warranted to further explore the relevance of the present results. (Anxiety and Mood 2011;7(2):101-106)

Abstract

Objectives : The aim of this study was to investigate whether and how the symptoms of adult attention deficit hyperactivity disorder (ADHD) affect the stress and depressive symptoms in Korean soldiers. Methods : Data were collected on 131 subjects through self-report using the Korean Adult Attention-Deficit/Hyperactivity Disorder Scale (K-AADHDS), Center for Epidemiological Studies Depression Scale (CES-D), Korean Wender Utah Rating Scale (K-WURS), and the Brief Encounter Psychosocial Instrument (BEPSI-K). Student t-tests, Pearson Correlation, Logistic regression, and Path analysis were performed. Results : The scores related to adult ADHD symptoms on the K-AADHDS and K-WURS were correlated with stress scores on the BEPSI-K (r=0.529, p<0.001 and r=0.484, p<0.001) and with depressive symptoms on the CES-D (r=0.686, p<0.001 and r=0.628, p<0.001). Scores related to adult ADHD on the K-AADHDS were the most significant risk factors for stress (O.R=1.198, 95% CI=1.104-1.299), and depressive symptoms (O.R=1.306, p95% CI=1.112-1.534). Path analysis on depressive symptoms showed that adult ADHD symptoms affected stress and depressive symptoms. Conclusion : The results suggest that it may be important to consider the evaluation and treatment of adult ADHD in soldiers. Prospective studies with larger numbers of subjects are warranted to further explore the relevance of the present results. (Anxiety and Mood 2011;7(2):101-106)

참고문헌 (34)

  1. Cantwell DP, "Attention deficit disorder: a review of the past 10 years", J Am Acad Child Adolesc Psychiatry, 35, pp.978~987 (1996)
  2. Anderson JC, "DSM-III disorders in preadolescent children: Prevalence in a large sample from the general population", Arch Gen Psychiatry, 44, pp.69~76 (1987)
  3. Bird HR, "Estimnates of the Prevalence of Childhood Maladjustment in a Community Survey in Puerto Rico: The Use of Combined Measures", Arch Gen Psychiatry, 45, pp.1120~1126 (1988)
  4. Ban GH, "Review : Attention Deficit-Hyperactivity Disorder in Adults", Kyunghee Med, 18, pp.143~157 (2002)
  5. Ban GH, "Reviews: Occupational & Military Issues of Adult with Attention-Deficit", Hyperactivity Disorder, 2006, pp.22, 112~116
  6. Weiss G, "Psychiatric status of hyperactives as adults: a controlled prospective 15-year follow-up of 63 hyperactive children", J Am Acad Child Psychiatry, 24, pp.211~220 (1985)
  7. Lee YS, "Attention-Deficit Hyperactivity Disorder in Adolescents and Adults", J Korean Neuropsychiatr Assoc, 37, pp.932~941 (1998)
  8. Mannuzza S, "Adult outcome of hyperactive boys: educational achievement, occupational rank, and psychiatric status", Arch Gen Psychiatry, 50, pp.565~576 (1993)
  9. Park S, "Prevalence, correlates, and comorbidities of adult ADHD symptoms in Korea: Results of the Korean epidemiologic catchment area study", PSYCHIATRY RESEARCH, 186(2-3), pp.378~383 (2011), ELSEVIER IRELAND LTD
  10. 서혜석, "해군 신세대병사의 진로발달과 군생활 적응 간의 관계-진로정체감, 진로결정수준, 진로준비행동을 중심으로", 청소년복지연구, 11(2), pp.81~102 (2009), 한국청소년복지학회
  11. 현진희, "병사들의 군 적응을 위한 분노조절프로그램의 효과성", 정신보건과 사회사업, (27), pp.5~27 (2007), 한국정신보건사회복지학회
  12. 정미경, "군 병사들의 자아존중감과 우울이 자살의도에 미치는 영향 - 우울의 매개효과 검증", 사회복지연구, 40(4), pp.453~483 (2009), 한국사회복지연구회
  13. Koo SS, "A Study on Adjustment in military Life of the New Generation Soldier", ~ (2004)
  14. Jang MJ, "Characteristic and Educational intervention strategy of Adult with Attention-Deficit", Hyperactivity, 2004, pp.20, 43~57
  15. Murphy K, "Preliminary normative data on DSM-IV criteria for adults", The ADHD Report, 3, pp.6~7 (1995)
  16. 김은정, "한국형 성인 ADHD 척도의 타당화 연구: 대학생 표본을 중심으로", 한국심리학회지 임상, 22(4), pp.897~911 (2003), 한국임상심리학회
  17. Cho MJ, "Diagnostic validity of the CES-D (Korean version) in the assessment of DSM-III-R major depression", J Korean Neuropsychiatr Assoc, 32, pp.381~399 (1993)
  18. Ward MF, "The Wender Utah Rating Scale: an aid in the retrospective diagnosis of childhood attention deficit hyperactivity disorder", Am J Psychiatry, 150, pp.885~890 (1993)
  19. Stein M, "Psychometric characteristics of the Wender Utah Rating Scale (WURS): reliability and factor structure for men and women", Psychopharmacol Bull, 31, pp.425~433 (1995)
  20. Lee KS, "Attention-deficit hyperactivity symptoms in childhood of adult bipolar disorder", schizophrenia patients, 1998, pp.9, 26~33
  21. Yim JH, "The validity of modified Korean translated BEPSI as instrument of stress measurement in outpatient clinic", J Korean Acad Fam Med, 17, pp.42~53 (1996)
  22. Kim KN, "Degree of stress and stress-related factors by the Korean version of the BEPSI", J Korean Acad Fam Med, 19, pp.559~570 (1998)
  23. 서혜석, "병사의 무망감, 스트레스, 우울과의 관계", 청소년복지연구, 12(1), pp.123~144 (2010), 한국청소년복지학회
  24. Smith TC, "The physical and mental health of a large military cohort: baseline functional health status of the Millennium Cohort", BMC Public Health, 7, pp.340~ (2007)
  25. Kessler RC, "The prevalence and correlates of adult ADHD in the United States: results from the National Comorbidity Survey Replication", Am J Psychiatry, 163, pp.716~723 (2006)
  26. Torgersen T, "ADHD in adults: a study of clinical characteristics, impairment and comorbidity", Nord J Psychiatry, 60, pp.38~43 (2006)
  27. Able S, "Functional and psychosocial impairment in adults with undiagnosed ADHD", Psychol Med, 37, pp.97~107 (2007)
  28. McIntosh D, "Adult ADHD and comorbid depression: A consensus-derived diagnostic algorithm for ADHD", Neuropsychiatr Dis Treat, 5, pp.137~150 (2009)
  29. Biederman J, "New insights into the comorbidity between ADHD and major depression in adolescent and young adult females", J Am Acad Child Adolesc Psychiatry, 47, pp.426~434 (2008)
  30. Jo SY, "Original articles: Relations of health promoting behaviors, mental health, and military life adjustments of soldiers", J Korean Acad Psych Mental Health Nurs, 12, pp.164~171 (2003)
  31. 현명선, "군인들의 군 적응에 영향을 미치는 관련 요인", 정신간호학회지, 18(3), pp.305~312 (2009), 정신간호학회
  32. Bernardi S, "The lifetime impact of attention deficit hyperactivity disorder: results from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC)", Psychol Med, 16, pp.1~13 (2011)
  33. Hoza B, "Time-dependent changes in positively biased self-perceptions of children with attention-deficit", hyperactivity disorder: A developmental psychopathology perspective, 2010, pp.22, 375~390
  34. McQuade J, "Changes in Self-Perceptions in Children With ADHD: A Longitudinal Study of Depressive Symptoms and Attributional Style", Behavior Therapy, 42, pp.170~182 (2011)

관련 논문AI추천

군인들에서 성인 주의력결핍 과잉행동장애, 우울 그리고 자살 사고의 관계김봉조, 박철수, 서지영, 이동윤, 이소진, 이철순, 차보석대한생물치료정신의학회 · 생물치료정신의학2012 · 제18권 제2호군 훈련병의 스트레스, 성인 주의력결핍 과잉행동장애 증상과 자살사고의 연관성에 관한 연구김봉조, 박철수, 손진욱, 이동윤, 이소진, 이철순, 차보석대한생물치료정신의학회 · 생물치료정신의학2011 · 제17권 제2호성인 주의력결핍 과잉행동장애 환자에서 임상양상과 우울 증상 간의 연관성에 대한 연구: 한국형 성인 주의력결핍 과잉행동장애 평가척도를 중심으로김가은, 김의정, 박민아대한신경정신의학회 · 신경정신의학2023 · 제62권 제4호성인 주의력결핍 과잉행동장애 및 수면장애가 경도의 손상 위험에 미치는 영향: 전향적 관찰 연구남기혁, 박수동, 박혜인, 한승민, 한재현대한신경정신의학회 · 신경정신의학2021 · 제60권 제1호젊은 성인 남성 우울증 환자에서 성인 ADHD 경향성이 심리학적 특징에 미치는 영향김양태, 정현경대한생물치료정신의학회 · 생물치료정신의학2019 · 제25권 제1호Prevalence and Comorbidities of Adult Attention-deficit/ hyperactivity Disorder in a Community Sample from Korea박원명, Bo-Hyun Yoon, Hyung Mo Sung, Jeong Seok Seo, Jung Goo Lee, Jung Wan Hong, Se-Hoon Shim, Sung-Yong Park, Young Sup Woo대한정신약물학회 · Clinical Psychopharmacology and Neuroscience2023 · 제21권 제4호

이 간행물의 다른 논문 (7건)