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뇌성마비 아동과 일반 아동의 초기 사회적 의사소통 특성 비교

Comparison of Early Social Communication Characteristics of Children with Cerebral Palsy and Typically Developing Children

황민아|박주혜
한국지체·중복·건강장애교육학회 (Korean Council of Physical, Multiple, & Health Disabilities : KCPMHD)|2021.10|지체.중복.건강장애연구 (Korean Journal of Physical, Multiple, & Health Disabilities)|제64권 제4호|pp. 67-92|DOI 10.20971/kcpmd.2021.64.4.67

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참고문헌

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사회적 상호작용social interactioncerebral palsy뇌성마비공동관심초기 사회적 의사소통행동적 요구하기early social communicationjoint-attentionbehavioral requests
주제분류교육학

초록

연구목적: 본 연구는 일반 아동과 뇌성마비 아동의 초기 사회적 의사소통 능력을 비교하여 뇌성마비 아동의 의사소통 특성을 자세히 살펴보았다. 연구방법: 초기 사회적 의사소통 기능 측정을 위해 ESCS(Early Social Communication Scale, Mundy et al., 2003)를 사용하였다. 연구결과: 첫째, 공동관심 시도하기에서 눈맞춤은 집단 간 차이가 유의하지 않았고, 시선 교대, 가리키기, 가리키기와 눈맞춤, 보여주기는 유의한 차이가 나타났다. 공동관심 반응하기의 가리키기와 시선 따라가기에 대한 반응 모두에서 뇌성마비 아동 집단이 일반 아동 집단보다 반응 비율이 유의하게 낮았다. 둘째, 행동적 요구 시도하기에서 눈맞춤은 집단 간 차이가 유의하지 않았고, 팔 뻗기, 호소하기, 가리키기, 가리키기와 눈맞춤, 건네주기, 건네주기와 눈맞춤에서 유의한 차이를 보였다. 행동적 요구 반응하기에서 뇌성마비 아동 집단이 일반 아동 집단보다 반응 비율이 유의하게 낮았다. 셋째, 사회적 상호작용 시도하기에서 차례 주고받기는 집단 간 차이가 유의하지 않았고, 장난치기, 간질이기에서 유의한 차이를 보였다. 사회적 상호작용 반응하기의 눈맞춤, 행동하기, 호소하기, 차례 주고받기, 사물제시에 반응하기 모두 유의한 차이를 보였다. 결론: 본 연구의 결과를 통해 뇌성마비 아동은 초기에 발달하는 의사소통 능력은 일반 아동과 유사한 발달 패턴을 보였으며, 후기에 발달하는 의사소통 행동에서 낮은 수행을 보임을 확인하였다. 이와 함께 뇌성마비 아동은 운동기능에서 상대적으로 원활한 비언어적 행동이 더 많이 나타남을 볼 수 있었다. 또한 이러한 결과를 양육 환경적 요인과도 관련지어 논의하였다.

Abstract

Purpose: This study compared the early social communication characteristics of children with cerebral palsy(CP) and typically developing children(TD). Method: Early Social Communication Scale was used to measure early communication. Results: First, eye contact of the joint-attention initiation was not significantly different between the groups. Pointing aternation, pointing with eye contact, and showing things were significantly different between the two groups. The CP group had significantly lower responses in following pointing with eye contact and, indicating responses to common interests. Second, eye contact was not significant in the behavioral initiation, and there were significant differences in reaching out, appeal, pointing, pointing and eye contact, giving, giving and eye contact. CP had significantly lower responses than those of the TD group in responding to behavioral resquests. Third, turn-taking did not show significant differences between groups in social interaction initiation. There were significant differences in eye contact, acting, appeal, turn-taking, and responding to Ioffering of things in social interaction responding. Conclusion: The results of this study confirmed that the children with CP showed early developmental patterns similar to those of TD children and poor performance in later developmental communication behaviors. These results were discussed in relation to parenting environmental factors.

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