ADHD 아동의 하위 유형에 따른 전두엽집행기능 연구-WCST 수행을 중심으로-
Executive functioning in ADHD subtypes:primarily in WCST
- 다운로드 수
- 조회수
초록
본 연구는 ADHD(Attention Deficit Hyperactivity Disorder) 아동을 주의력결핍우세형, 혼합형으로 하위유형을 구분하여 통제집단으로 설정한 신경증아동집단과 전두엽집행기능을 비교하였다. 전두엽집행과제로는 WCST(위스컨신카드분류검사)를 사용하였으며, 이외에도 KEDI-WISC(지능검사)와 ADS(연속주의력검사) 수행을 비교하였다. 연구대상은 ADHD 주의력결핍우세형 5명, ADHD 혼합형 12명, 신경증 19명이였다. 연구 결과, 전체 지능과 동작성 지능, 산수, 숫자, 기호, 토막에서 주의력결핍 우세형이 신경증아동보다 유의하게 낮게 나타났다. 그리고 WCST의 정반응수, 오반응수, 보속반응수, 보속오류수, 개념수준반응수, 완성범주수에서 주의력결핍우세형이 혼합형과 신경증 아동보다 수행이 빈약하게 나타났다. 또한 ADS의 누락오류와 WCST의 지표들간에 유의한 상관이 있었다. 마지막으로 본 연구의 제한점, 후속연구에 대한 제안을 논의하였다.
- keywords
- ADHD, ADHD subtype, WCST, frontal executive functioning, ADHD, 하위유형, WCST, 전두엽집행기능, ADHD, ADHD subtype, WCST, frontal executive functioning
Abstract
This study was intended to compare two ADHD subtypes(N; inattentive type=5, combined type=12) and neurotic group(n=19) in their frontal executive functioning. WCST used as a frontal-executive task, and KEDI-WISC, ADS were administered. ADHD inattentive type demonstrated deficits in full scale IQ, performance IQ, digit span, arithmetic, digit symbol. So after controlling for IQ, total correct, total error, perseverative errors, perseverative response, conceptual level response were low score in ADHD's inattentive type than combined type and neurotic group. And ADS's ommission error and WCST are correlated significantly. These results suggested that inattention was significantly associated with executive function weakness, whereas hyperactivity-impulsivity was not independently associated with executive function performance. Limitation of these studies and further study directions were also discussed.
- keywords
- ADHD, ADHD subtype, WCST, frontal executive functioning, ADHD, 하위유형, WCST, 전두엽집행기능, ADHD, ADHD subtype, WCST, frontal executive functioning
참고문헌
(2000) 위스컨신카드분류검사의 인지요인분석,
(2000) 외상성 뇌손상환자와 정신분열증 환자의 위스컨신분류검사상에 나타난 인지적 특성 비교,
(1999) 주의력결핍 과잉행동장애 아동의 실행능력,
(2000) 뚜렛 장애와 주의력결핍 과잉행동장애 아동의 실행기능 비교,
(2001) 주의력결핍-과잉행동장애 아동의 주의력수준이 CPT와 WCST 수행에 미치는 효과,
(2001) 주의력결핍 과잉행동장애 아동의 연령에 따른 특성 비교,
(1994) Diagnostic and Statistical Manual of Mental Disorders,
(1996) Linkages between attention and executive functions, Brooks
(1997) Attention-deficit/hyperactivity disorder, self-regulation, and time: toward a more comprehensive theory,
(2003a) Issues in the diagnosis of attention-deficit/hyperactivity disorder in children,
(2003b) Attention-Deficit/Hyperactivity Disorder.(2rd). , Guilford Press
(2003) Selective inhibition in children with attention-deficit hyperactivity disorder off and on stimulant medication,
(1986) Developmental norms for the Wisconsin Card Sorting Test,
(2001) A comparison of the cognitive deficits in DSM-IV subtypes of ADHD ,
(1997) Right hemisphere dysfunction in subjects with attention-deficit disorder with and without hyperacitivity,
(1997) Gender differences in ADHD:a meta-analysis and critical review,
Gormezano,I.,, (1958) Progressive ambiguity in the attainment of concepts on the Wisconsin Card Sorting Test,
Heaton, (1981) A manual for the Wisconsin Card Sorting Test,
(1984) Are attention deficit disorders with and without hyperactivity similar or dissimilar disorder? Journal of American Academy of Child and Adolescent Psychiatry,
(2001) ADHD/combined type and ADHD predominantly inattentive type are distinct and unrelated disorders,
(1996) Validity of DSM-IV ADHD predominantly inattentive adn combined types: Relationship to previous DSM diagnosis/ subtype differences,
(1976) A modified card sorting test sensitive to frontal lobe defects,
(2005) Neuropsychologic theory and findings in ADHD:The state of the field and salient challenges for the coming decade,
(2004) Wisconsin card sorting test with children: a meta-analytic study of sensitivity and specitivity,
(1984) Varieties of perserveration,
(2002) Neuropsychological performance in DSM-IV ADHD subtypes: An exploratory study with untreated adolescents,
(2003) Use of the WCST and WCST-64 in the assessment of Traumatic Brain Injury Journal of Clinical and Experimental Neuropsychology,
(1991) A normative-developmental study of executive function a window on prefrontal function in children,
(2005) VValidity of the executive fuction theory of Attention-Deficit Hyperactivity Disorder: A meta-analytic review,
- 다운로드 수
- 조회수
- 0KCI 피인용수
- 0WOS 피인용수