바로가기메뉴

본문 바로가기 주메뉴 바로가기

The Effect of Adult ADHD tendencies on Depression: The Mediating Effect of Emotion Dysregulation and Self-Encouragement

The Korean Journal of Health Psychology / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2018, v.23 no.2, pp.475-488
https://doi.org/10.17315/kjhp.2018.23.2.009


  • Downloaded
  • Viewed

Abstract

The purpose of this study is to investigate the roles of emotional dysregulation and self-encouragement in the relationship between adult ADHD tendencies and depression. Participants included 266 college students and non-students (mean age 21.68 years, male 135, female 131) in the Gyeongnam and Gyeongbuk areas. The scale used in this study was the Conners ADHD scale (K-CARRS), the Korean version of the K-DERS scale, the self-encouragement scale, and the Korean depression scale (KDS). Through structural equation modeling(SEM), we analyzed whether mediating effect of emotional dysregulation and self-encouragement is medated when adult ADHD tendencies affects depression. As a result, Adult ADHD tendencies had positive correlations with emotional dysregulation and depression, but a negative correlation with self-encouragement. Also, depression had a positive correlation with emotion dysregulation, but a negative correlation with self-encouragement. In addition, the relationship between Adult ADHD tendencies and depression was found to be mediated by emotional dysregulation and self-encouragement. This suggest that Adult ADHD tendencies directly affects depression but indirectly affectc through emotional dysregulation and self-encouragement. This study confirms the role of emotion dysregulation and self-encouragement, between the Adult ADHD tendencies and depression in auldt ADHD. This paper also dicuss the limitation of this study and the recommendations for future studies.

keywords
Adult ADHD tendency, Depression, Emotional Dysregulation, Self-Encouragement, 성인 ADHD 성향, 우울, 정서조절곤란, 자기격려, 매개효과

Reference

1.

권석만 (2012). 현대 심리치료와 상담이론: 마음의 치유와 성장으로 가는 길. 서울: 학지사.

2.

김영혜 (2005). 주의력 결핍 청소년과 일반 청소년의 정서적 특성 비교 분석. 아주대학교 교육대학원 특수교육전공 석사학위 청구논문.

3.

김진구 (2016, 9, 2). 성인 ADHD도 건강보험 적용, 치료제 급여 확대. 중앙일보. http://jhealthmedia.joins.com/article/article_view.asp?pno=17524에서 2018, 1, 22 자료 얻음.

4.

노안영, 정민 (2007). 자기격려-낙담 척도 개발 및 타당화. 한국심리학회지: 상담 및 심리치료, 19(3), 675-692.

5.

박미라 (2017, 9, 11). 성인 ADHD 환자 70% 공존질환경험. 메디칼업저버. http://www.monews.co.kr/news/articleView.html?idxno=89997에서 2018, 1, 24 자료 얻음.

6.

박은정 (2009). 고등학생의 자기격려-낙담과 자아존중감 및 우울과의 관계. 전남대학교 교육대학원 석사학위 청구논문.

7.

박정수, 이원혜, 이소라, 김설민, 반건호 (2013). 일반인을 대상으로 한 한국판 Conners 성인 Attention Deficit Hyperactivity Disorder 평정의 신뢰도 및 타당도. 신경정신의학, 52, 342-352.

8.

배병렬 (2011). AMOS 19 구조방정식 모델링 원리와 실제. 서울: 도서출판 청람.

9.

송다혜 (2012). 아동의 자기격려가 정서 인식·표현과 정서조절전략에 미치는 영향. 숙명여자대학교 대학원 석사학위 청구논문.

10.

신누리 (2014). 성인 ADHD 증상이 우울 증상에 미치는 영향: 정서자각과 정서조절의 매개효과. 아주대학교 대학원 석사학위 청구논문.

11.

이민수, 이민규 (2003). 한국우울증척도의 개발. 신경정신의학, 42(4), 492-506.

12.

이지영, 권석만 (2006). 정서조절과 정신병리의 관계. 한국심리학회지: 상담 및 심리치료, 8(3), 461-493.

13.

장미자 (2004). 성인 주의력 결핍-과잉행동장애의 특징과 교육적인 중재전략. 교육발전연구, 20(2), 43-57.

14.

정인철 (2012). 평가염려 완벽주의와 우울의 관계에서 자기격려, 자기낙담, 사회적 유대감의 매개효과. 전남대학교 대학원 석사학위 청구논문.

15.

조용래 (2007). 정서조절곤란의 평가: 한국판 척도의 심리측정적 속성. 한국심리학회지: 임상, 26(4), 667-693.

16.

Biederman, J., Faraone, S. V., Monuteaux, M. C., Bober, M., & Cadogen, E. (2004). Gender affects on attention-deficit/hyperactivity disorder in adults, revisited. Biological Psychiatry, 55(7), 692-700.

17.

Cho, Y., & Hong, S. (2013). The new factor structure of the Korean version of the difficulties in Emotion regulation Scale(K-DERS) incorporating method factor. Measurement and Evaluation in Counseling and Development, 46(3), 192-201.

18.

Curran, P. J., West, S. G., & Finch, J. F. (1996). The Robustness of Test Statistics to Nonnomality and Specification Error in confirmatory Factor Analysis, Psychological Methods, 1(1), 16-29.

19.

Daviss, W. (2008). A review of co-morbid depression in pediatric ADHD: etiologies, phenomenology, and treatment. Journal of Child and Adolescent psychopharmacology, 18(6), 565-571.

20.

Donfrancesco, R., Di Trani, M., Gregori, P., Auguanno, G., Melegari, M. G., Zaninotto, S., & Luby, J. (2013). Attention-deficit/hyperactivity disorder and alexithymia: a pilot study. ADHD Attention Deficit and Hyperactivity Disorders 5(4), 361-367.

21.

Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, Factor Structure, and Initial Validation of the Diffculties in Emotion Regulation Scale. Journal of psychopathology and behavioral assessment, 26(1), 41-54.

22.

Kline, R. B. (2005). Principles and Pracitices of Structural Equation Modeling (2nd ed.). New York: The Guilford press.

23.

Meinzer, M. C., Lewinsohn, P. M., Pettit, J. W., Seeley, J. R., Gau, J. M., Chronis-Tuscano, A., & Waxmonsky, J. G. (2013). Attention–deficit/hyperactivity disorder in adolescence predicts onset of major depressive disorder through early adulthood. Depression and Anxiety, 30(6), 546-553.

24.

Michielsen, M., Comijs, H. C., Semeijn, E. J., Beekman, A. T., Deeg, D. J., & Sandra Kooij, J. (2013). The comorbidity of anxiety and depressive symptoms in older adults with attention-deficit/hyperactivity disorder: A longitudinal study. Journal of affective disorders, 148(2), 220-227.

25.

Seymour, K. E., Chronis-Tuscano, A., Iwamoto, D. K., Kurdziel, G., & MacPherson, L. (2013). Emotion Regulation Mediates the Association Between ADHD and Depressive Symptoms in a Community Sample of Youth. Journal abnormal Child Pyshcology, 42(4), 611-621.

26.

Simon, V., Czobor, P., & Bitter, I. (2013). Is ADHD severity in adults associated with the lifetime prevalence of comorbid depressive episodes and anxiety disorders?. European Psychiatry, 28(5), 308-314.

27.

Vincent, A. (2012). 실수투성이 당신. “성인 ADHD 성향 ?” (안동현 외 옮김). 서울: 한울림 스폐셜. (원전은 2011에 출판).

28.

Young, S., Bramham, J., Gray, K., & Rose, E. (2008). The experience of Receiving a Diagnosis and treatment of ADHD in Adulthood. Journal of attention disorder, 11(4), 493-503.

The Korean Journal of Health Psychology