- 권한신청
- P-ISSN1226-9654
- E-ISSN2733-466X
- KCI
성인 ADHD 성향군의 오류 후 행동 특성
Characteristics of post-error behavior in adult ADHD tendency
변신철 (경북대학교 심리학과)
장문선 (경북대학교)
곽호완 (경북대학교)
- 다운로드 수
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초록
본 연구에서는 성인 ADHD 성향군의 오류 후 수행 특성을 확인하고, 오류 후 행동 특성과 성인 ADHD 증상의 관련성을 알아보고자 하였다. 구체적으로, 반응시간과 정반응 측정을 기반으로 연속수행과제 중 나타나는 오류와 오류 후 지연을 측정하고, 정상 수행으로의 행동 지표를 새롭게 제안하여 정상 통제군과 성인 ADHD 성향군 간의 차이를 비교하였다. 다음으로, 오류 후 행동 지표들과 변화맹시 및 회귀억제과제에서의 수행과 비교하여 오류 후 행동 지표들의 활용 가능성을 확인하였다. 분석 결과, 첫째, 연속수행과제의 일반 수행 지표들 중에서는 평균반응시간에서만 유의미한 차이가 관찰되었다. 그러나 오류 후 지연 지표(오류 후 즉시지연, 오류 전후 반응시간)에서는 ADHD 성향군에 비해 통제군이 유의미하게 많은 지연을 나타냈다. 그리고 정상 수행으로의 회복 지표들(정상수행회복시간, 초기 및 후기 평균반응시간)에서도 통계적으로 유의미한 차이가 나타났다. 둘째, CAARS-K 내의 하위 척도들과의 상관분석에서도 회복 전 재 이탈 횟수를 제외한 모든 지표들에 유의미한 부적 상관을 나타냈다. 셋째, 변화맹시 및 회귀억제 과제들과의 비교에서도 오류 후 행동 지표들은 두 과제의 하위 지표들과 유의미한 상관을 보였으며, 특히 많은 지표들이 회귀억제량과 유의미한 상관을 나타냈다. 집단 변별력을 비교하기 위한 판별분석에서도, 연속수행과제의 오류 후 행동 지표들의 경우 유의미한 판별함수와 판별적재량을 나타내었다. 종합해보면, 오류 발생 후 나타나는 반응시간의 지연 및 정상 수행 회복 특성은 성인 ADHD의 증상을 잘 나타내는 지표이며, 향후 보다 민감한 연속수행기제 기반 과제에서 활용가능성이 높음을 의미한다.
- keywords
- Adulst ADHD, post-error behavior, continuous performance test, executive function, 성인기 ADHD, 오류 후 행동, 연속수행기제, 실행기능
Abstract
This study examined post-error behavior in adult ADHD tendencies based on self-monitoring deficit, and relationship between characteristics of post-error behavior and adults ADHD symptoms. We have measured general performance(response time, ommission and commission errors) and post-error slowing based on response time and accuracy while accomplishing a continuous performance test(CPT), also we newly suggested that the goal recovery performance indices. Next, we have compared performance of participants between post-error behavior and executive function indices to examine whether the post-error behavior indices could be useful or not. As results, in general performance in a CPT, there was only a significant difference in a mean of response time index. In contrast, in the post-error performance indices, there were significant difference in the post-error slowing and the recovery of goal performance indices. Normal controls showed more slow response time as a correct trial after error than ADHD tendencies, and more slow response time during the recovery. Interestingly ADHD tendencies showed more short recovery time than normal controls. Next, There were significant negative correlations in nearly all indices between the post-error behavior indices and CAARS-K scale indices. There were significant correlations between the post-error behavior indices and change blindness(CB) and inhibition of return(IOR) indices, especially, many indices showed significant correlations with the amount of IOR. In addition, the result of a discriminant analysis showed that indices from the post-error behavior have significant discrimination function and discriminant loading. Taken together, the result of the present study may be useful in understanding the characteristic of the post-error behavior and symptom of self-monitoring process in adults with ADHD tendency. Finally, these mean that the post-error behavior can have high possibility of utilizing in the more sensitive neuropsychological task.
- keywords
- Adulst ADHD, post-error behavior, continuous performance test, executive function, 성인기 ADHD, 오류 후 행동, 연속수행기제, 실행기능
참고문헌
고승희, 신민섭, 홍강의 (1996). KEDI-WISC와 TOVA를 이용한 소아정신과 장애별 주의력 문제와 인지적 특성에 관한 연구. 한국심리학회지: 임상, 15(1), 165-178.
곽호완 (1996). 회귀억제효과로 본 억제적 주의과정의 기제. 한국심리학회지: 실험 및 인지, 8(2), 133-145.
곽호완, 장문선 (2007). 성인 ADHD 경향성에 대한 웹기반 실험신경심리연구: 회귀억제, 스트룹 및 내생-외생 주의과제. 한국심리학회지: 임상, 26(4), 1039-1055.
김호영, 이주영, 조상수, 이임순, 김지혜 (2005). 한국판 Conners 성인 ADHD 평정척도의 신뢰도 및 타당도 연구: 대학생 표본을 중심으로. 한국심리학회지: 임상, 24(1), 171-185.
송현주, 권미경, 오경자, 김민식, 하은혜, 송동호, 신민섭 (2004). ADHD 아동의 회귀억제 결함. 한국심리학회지: 임상, 23(1), 243-251.
이상일, 장문선, 곽호완 (2012). 안구운동추적과 주의력 신경심리검사를 이용한 성인 ADHD 변별과제 개발. 한국심리학회지: 일반, 31(4), 1211-1230.
이선희, 장문선, 곽호완 (2011). 폭식경향 집단의 충동성과 주의력 결함. 한국심리학회지: 임상, 30(2), 537-551.
이수경, 박 경, 곽호완 (2012). ADHD 아동의 주의력 결함 판별을 위한 웹-기반 신경심리 연구. 한국심리학회지: 임상, 31(1), 203-216.
이영호, 송종용 (1991). BDI, SDS, MMPI-D, 척도의 신뢰도 및 타당도에 관한 연구. 한국심리학회지: 임상, 10(1), 98-113.
이학식, 임지훈 (2011). SPSS 18.0 매뉴얼. 서울:도서출판 집현재.
장미자 (2004). 성인 주의력 결핍-과잉행동장애의 특징과 교육적인 중재 전략. 교육발전연구, 20(2), 43-57.
정진영, 장문선, 곽호완 (2008). 성인 ADHD 성향군의 회귀억제와 반응억제 결함. 한국심리학회지: 일반, 27(1), 179-196.
조민경, 곽호완 (2010). 변화맹시과제 제시방법에 따른 성인 ADHD 성향군의 주의력 결함. 한국심리학회지: 인지 및 생물, 22(3), 355-368.
조아름 (2012). 인지기능저하 노인집단의 정서인식 특성. 경북대학교 석사학회논문.
American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorder (4th ed. rev.). Washington, D. C.: American Psychiatric Association.
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorder (5th ed.). Washington, D. C.: American Psychiatric Association.
Balogh, L., & Czobor, P. (2014). Post-error slowing in patients with ADHD: A meta-analysis. Journal on Attention Disorders, 1-13.
Barkley, R. A. (1997). Behavioral inhibition sustained, attention, and executive function: Consturcting a unifying theory of ADHD. Psychological Bulletin, 121, 65-94.
Barkley, R. A., Fischer. M., Smallish, L., & Fletcher, K. (2006). The persistence of attention-deficit/hyperactivity disorder into young adulthood as a function of reporting source and definition of disorder. Journal Abnormal Psychology, 111, 279-289.
Barkley, R. A., Murphy, R. R., & Fischer, M. (2008). ADHD in Adults: What the science tells us. New York: Guilford Press.
Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893-897.
Biederman, J. (2005). Attention-deficit hyperactivity disorder: A selective overview. Biological Psychiatry. 57(11), 1215-1220.
Castellanos, F. X., & Tannock, R. (2002). Neuroscience of attention-deficit/hyperactivity disorder: The search for endophenotypes. Nature Review Neuroscience, 3, 617-628.
Carter, C. S., Braver, T. S., Barch, D. M., Botvinick, M. M., Noll, D., Cohen, J., D. et al. (1998). Anterior cingulate cortex, error detection, and the online monitoring of performance. Science, 280, 747-749.
Cheyne, J. A., Carriere, J. S. A., & Smilek, D. (2009). Absent minds and absent agents: Attention-lapse induced alienation of agency. Consciousness and Cognition, 18, 481-493
Cheyne, J. A., Carriere, J. S. A., Solman, G. J. F., & Smilek, D. (2011). Challenge and error: Critical events and attention-related errors. Cognition, 121, 437-446.
Cohen, A. L., & Shapiro, A. K. (2007). Exploring the performance differences on the flicker task and the Conners’ continuous performance test in adults with ADHD. Journal of Attention Disorders, 11(1), 49-63.
Conners, C. K., Erhart, D., & Sparrow, E. P. (1999). Conners' adult ADHD rating scales, technical manual. New York: Multi-Health Systems.
Conners. C. K., & MHS Staff. (Eds.) (2000). Conners’ continuous performance test Ⅱ: Computer program for Windows technical guide and software manual. North Tonawanda, NY: Multi-Health Systems.
Crump, M. J. C., & Lagan, G. G. (2013). Prevention and correction in post-error performance: An ounce of prevention, a pound of cure. Journal of Experimental Psychology: General, 142(3), 692-709.
Douglas, V. I. (1985). The response of ADD children to reinforcement? theoretical and clinical implications. In Bloomingdale, L. L.. editor. Attention Deficit Disorder Identification, Course, and Rationale. New York: Spectrum.
Dutilh, G., Van Ravenzwaaij, D, Nieuwenhuis, S., L. J., Han, Van der Mass, Forstmann, B. U., & Wagernmakers, E. -J. (2012). How to measure post-error slowing: A confound and a simple solution. Journal of Mathematical Psychology, 56, 208-216.
Epstein, J. N., Conners, C. K., Sitarenios, G., & Erhadt, D. (1998). Continuous performance test results of adult with attention deficit hyperactivity disorder. The Clinical Neuropsychologist, 12, 155-168.
Falkenstein, M., Hoormann, J., Christ, S., & Hohnsbein, J. (2000). ERP components on reaction errors and their functional significance: A tutorial. Biological Psychology, 51, 87-107.
Faraone, S. V., Biederman, J. (2005). What is the prevalence of Adult ADHD? Results of a population screen of 966 adults. Journal of Attention disorders, 9, 384-391.
Faraone, S. V., Biederman, J., & Mick, E. (2006). The age-dependent decline of attention deficit hyperactivity disorder: A meta-analysis of follow-up studies. Psychological Medicine, 36, 159-165.
Groom, M. J., Cahill, J. D., Bates, A. T., Jackson, G. M., Calton, T. G., Liddle, P. F., Hollis, C., et al. (2010). Electrophysiological indices of abnormal error-processing in adolescents with attention deficit hyperactivity disorder (ADHD). Journal of Child Psychology and Psychiatry, 51, 66-76.
Herrmann, M. J., Mader, K., Schreppel, T., Jacob, C., Heine, M., Boreatti-Hummer, A., et al. (2009). Neural correlates of performance monitoring in adult patients with attention deficit hyperactivity disorder (ADHD). World Biological Psychiatry, 10, 1-8.
Herver, A. S., Epstein, J. N., & Curry, J. F. (2004). Neuropsychology of adults with attention-deficit/hyperactivity disorder: A meta- analytic review. Nueropsychology. 18, 485-503.
Houtman, F., & Notebaert, W. (2013). Blinded by an error. Cognition, 128, 228-236.
Johnson, P. S., & Conners, C. K. (2002). The assessment process: conditions and comorbidities, Clinician’s guide to adult ADHD: Assessment and intervention, 71-83. San Diego: Academic Press.
Jonker, R. T., Seli, P., Cheyne, J. A., & Smilek, D. (2013). Performance reactivity in a continuous-performance task: Implications for understanding post-error behavior. Consciousness and Cognition, 22, 1468-1476.
Kwak, H. -W., & Egeth, H. (1992). Consequences of allocating attention to locations and to other attributes. Perception & Psychophysics, 51, 455-464.
Kwon, S. M. (1992). Differential roles of dysfunctional attitudes and automatic thoughts in depression: An integrated cognitive model of depression. Unpublished doctoral dissertation, Queensland University, Australia.
Li, C-S. R., Chang, H-L., & Lin, S-C. (2003). Inhibition of return in children with attention deficit hyperactivity disorder. Experimental Brain Research, 149, 125-130.
Murphy, K., & Barkley, R. A. (1996). Attention deficit hyperactivity disorder adults: comorbidities and adaptive impairments. Comprehensive Psychiatry, 37, 393-401.
O’Connell R. G., Bellgrove, M. A., Dockree, P. M., Lau, A., Hester, R., Garavan, H., et al. (2009). The neural correlates of deficient error awareness in attention-deficit hyperactivity disorder (ADHD). Nueropsychologia, 47, 1149- 1159.
Rabbit, P. M. (1966). Error and error correction in choice response task. Journal of Experimental Psychology, 71, 264-272.
Rensink, R. A. (2000). When good observers go bad: Change blindness, inattentional blindness, and visual experience. Psyche, 6(9).
Rensink, R. A., O’Regan, J. K., & Clark, J. J. (1997). To see or not to see: The need for attention to perceive change in scenes. Psychological Science, 8(5), 368-373.
Ridderinkhof, K. R., Ullsperger, M., Crone, E. A., & Nieuwenhuis, S. (2004). The role of the medial frontal cortex in cognitive control. Science, 306, 443-447.
Roccio, C. A., Reynolds, C. R., & Lowe, P. A. (2001). Clinical application of continuous performance test: Measuring attention and impulsive responding in children and adult. New York: Wiley & Sons.
Schachar, R. J., Chen, S., Logan, G. D., Ornstein, T. J., Crosbie, J., Ickowicz, A., & Pakulak, A. (2004). Evidence for an error monitoring deficit in attention deficit hyperactivity disorder. Journal of Abnormal Child Psychology, 32, 285-293.
Shaffer, D. (1994). Attention deficit hyperactivity disorder in adults. American Journal of Psychiatry, 151, 633-638.
Shiels K., & Hawk Jr., L. W. (2010). Self-regulation in ADHD: The role of error processing. Clinical Psychology Review, 30(8), 951-961.
Shiels, K., Tamm, L., & Epstein, J. N. (2012). Deficient post-error slowing in children with ADHD in limited to the inattentive subtype. Journal of the International Neuropsychological Society, 18(3), 612-617.
Solanto, M. V., Etefia, K., & Marks, D. J. (2004). The utility of self report measures and the continuous performance test in the diagnosis of ADHD in adult. CNS Spectrums, 9, 649- 659.
Spinelli, S., Vasa, R. A., Joel, S., Nelson, T. E., Pekar, J. J., & Mostofsky, S. H. (2011). Variability in post-error behavioral adjustment is associated with functional abnormalities in the temporal cortex in children with ADHD. Journal of Child Psychology and Psychiatry, 52, 808-816.
Steinborn, M. B., Flehmig, H. C., Bratzke, D., & Schroter, H. (2012). Error reactivity in self-paced performance: Highly-accurate individuals exhibit largest post-error slowing. The Quarterly Journal of Experimental Psychology, 65, 624-631.
Ullsperger, M., Volz, K. G., & von Cramon, D. Y. (2004). A common neural system signaling the need for behavioral changes. Trends Cognitive Science, 8, 445-446; author reply, 446-447.
Van De Boorde, S., Roeyers, H., & Wiersema, J. R. (2010). Error monitoring in children with ADHD or reading disorder: An event-related potential study, Biological Psychology, 84, 176- 185.
White, A. (2007). Inhibitory control of proactive interference in adults with ADHD. Journal of Attention Disorders, 11(2), 141-149.
Wiersema, J. R., van der Meere, J. J., Roeyers, H. (2009). ERP cerrelates of error monitoring in adult ADHD. Journal of Neural Transmission, 116, 371-379.
Yordanova, J., Kolev, V., Alvrecht, B., Uebel, H., Banaschewski, T., & Rothenberger, A. (2011). May posterror performance be a critical factor for behavioral deficits in attention-deficit/ hyperactivity disorder? Biological Psychiatry, 70, 246-254.
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