본 연구는 ADHD 아동의 또래관계에 관한 최근 국내외 연구들을 고찰하여 ADHD 아동의 또래관계에 영향을 미치는 여러 요인들을 살펴보고 그 특성을 이해하는데 목적이 있다. 이를 위해 1988년부터 2011년까지 ADHD 아동의 또래관계를 다룬 국내외 학술지 58편을 검토하였다. ADHD 아동의 또래관계 증진을 위해 가장 많이 사용되는 사회기술훈련은 ADHD 아동의 특정한 사회기술 및 기능을 향상시킴으로써 어느 정도 긍정적인 효과를 가져왔지만 여러 가지 한계점도 나타났다. 최근의 연구결과들은 행동치료 및 인지행동치료 기반의 사회기술훈련이 왜 ADHD 아동의 또래관계에 효과적이지 못한지 그 이유에 대해 다양한 관점을 제시하고 있다. ADHD 아동은 하위유형이나 공격성 및 공존장애의 유무에 따라 또래관계에서 상이한 행동패턴을 보였다. 이들은 사회정보처리과정의 결핍, 긍정착각오류, 정서지각 능력의 결함, 공감 및 사회적 관점 수용 능력의 부족과 같은 인지적 오류 및 정서지각 능력의 결함을 가지고 있어 또래관계에서 어려움을 경험할 수 있다. 또한, 단순히 ADHD 아동의 행동 변화에만 초점을 맞추는 것이 아니라 ADHD 아동을 둘러싼 주변의 부정적인 편견에도 개입할 필요가 있다. 연구결과에 기초하여 논의 및 시사점이 제시되었다.
The purpose of this study was to provide a comprehensive research review. In doing so, the current study provided a better understanding of peer relationship of children with ADHD, and suggestions for future research. This study reviewed 58 articles published in international and domestic journals from 1988 through 2011. Previous literatures implied that social skills training based on behavioral and cognitive behavior therapy produced partially positive outcomes on peer relationship of children with ADHD, but showed limitations on the treatmen. However, recent research revealed that the subtypes of ADHD, gender differences, aggression, and comorbidities of ADHD could influence peer interaction of children with ADHD. Additionally, ADHD children having cognitive errors and impaired emotional recognition might have more chance to peer victimization. Furthermore, ADHD children might suffer from a negative social stigma in peer group relationships. Based on the review, findings and implications are discussed.
배도희, 조아라, 이지연 (2004). ADHD 아동과 우울한 아동의 얼굴표정 및 음성을 통한 비언어적 정서인식능력. 한국심리학회지: 임상, 23(3), 741-754.
서경희 (2010). 또래관계 중심 중재가 ADHD 아동의 우정발달과 사회적 기술에 미치는 영향: 질적, 양적 연구. 정서행동장애, 26(1), 43-64.
손기준 (2010). 짝 구성방법에 의한 또래협동학습이 주의력 결핍 과잉행동장애 아동의 학습수행과 성격특성에 미치는 영향. 한국교육학회지, 10(3), 131-148.
안동현, 김세실, 한은선 (2004). 주의력결핍 아동의 사회기술훈련. 서울: 학지사.
온싱글, 김은정 (2003). 주의력결핍 과잉행동 장애 아동의 사회적 이해와 행동. 한국심리학회지: 임상, 22(4), 793-813.
이동훈 (2009). 초등학생의 ADHD 증상 유병율 및 우울, 불안, 스트레스, 학교부적응과의 관계. 상담학연구,10(4), 2397-2419.
이동훈, 송연주, 김홍석 (2012). 초등학생의 ADHD 증상과 인터넷 중독 성향과의 관계: 불안과 사회기술의 매개효과. 한국심리학회지: 상담 및 심리치료, 24(2), 421- 440.
이명자, 홍경자, 조성은 (2004). 주의력결핍과잉행동장애 아동과 정상아동간의 귀인성향과 사회적기술의 차이. 상담학연구, 5(3), 681-692.
임혜정, 김혜리, 손정우, 김영랑 (2008). 학령기 ADHD 아동에 대한 사회기술훈련과 부모훈련의 병합치료 효과. 아동교육, 17(1), 225-239.
표경식, 박상학, 김상훈, 조용래, 김학렬, 문경래 (2001). 도시지역 초등학생에서 주의력결핍 과잉운동장애의 유병율. 조선대학교 의대논문집, 26(2), 105-117.
한미경, 김혜리, 손정우, 김영랑, 최현옥 (2009). 주의력결핍과잉행동 아동의 마음이론과 사회적 능력. 아동교육, 18(4), 277-292.
Abikoff, H. (2009). ADHD psychosocial treatments: generalization reconsidered. Journal of Attention Disorders, 13(3), 207-210.
Abikoff, H. B., Jensen, P. S., Arnold, L. L., Hoza, B., Hechman, L., Pollack, S., Martin, D., Alvir, J., March, J. S., Hinshw, S., Vitiello, B., Newcorn, J., Greiner, A., Cantwell, D. P., Conners, C. K., Elliott, G., Greenhill, L. L., Kraemer, H., Pelham, W. E. Jr., Severe, J. B., Swanson, J. M., Wells, K., & Wigal, T. (2002). Observed classroom behavior of children with ADHD: relationship to gender and comorbidity. Journal of Abnormal Child Psychology, 30(4), 349-359.
Antshel, K. M., & Remer, R. (2003). Social skills training in children with attention deficit hyperactivity disorder: A randomized-controlled clinical trial. Journal of Clinical Child and Adolescent Psychology, 32(1), 153-165.
Bagwell, C. L., Molina, B. G., Kashdan, T. B., Pelham, W. E., & Hoza, B. (2006). Anxiety and mood disorders in adolescents with childhood Attention-Deficit Hyperactivity Disorder. Journal of Emotional and Behavioral Disorders, 14(3), 178-187.
Baldwin, J. S., & Dadds, M. R. (2008). Examining alternative explanations of the covariation of ADHD and anxiety symptoms in children: a community study. Journal of Abnormal Child Psychology, 36(1), 67-79.
Barkley, R. A. (2006). Attention-deficit hyperactivity disorder: A handbook for diagnosis and treatment (3rd ed.). New York: Guilford.
Biederman, J., Faraone, S. V., Doyle, A., Lehman, B. K., Kraus, I., Perrin, J., & Tsuang, M. T. (1993). Convergence of the child behavior checklist with structured interview-based psychiatric diagnoses of ADHD children with and without comorbidity. Journal of Child Psychology & Psychiatry & Allied Disciplines, 34(7), 1241-1251.
Biederman, J., Faraone, S, V., Wozniak, J., Mick, E., Kwon, A., Cayton, G. A., & Clark, S. V. (2005). Clinical correlates of bipolar disorder in a large, referred sample of children and adolescents. Journal Of Psychiatric Research, 39(6), 611-622.
Blachman, D. R., & Hinshaw, S. P. (2002). Patterns of friendship among girls with and without attention-deficit-hyperactivity disorder. Journal of Abnormal Child Psychology, 30(6), 625-640.
Braaten, E. B., & Rosen, L. A. (2000). Self-regulation of affect in attention deficit-hyperactivity disorder(ADHD) and non-ADHD boys: Differences in empathic responding. Journal of Consulting and Clinical Psychology, 68(2), 313-321.
Cadesky, E. B., Mota, V. L., & Schachar R. J. (2000). Beyond words: how do children with ADHD and/or conduct problems process nonverbal information about affect? Journal of the American Academy of Child and Adolescent Psychiatry, 39(9), 1160-1167.
Carlson, C. L., & Mann, M. (2002). Sluggish cognitive tempo predicts a different pattern of impairment in the attention deficit hyperactivity disorder, predominantly inattentive type. Journal of Clinical Child and Adolescent Psychology, 31(1), 123-129.
Centers for Disease Control and Prevention. (2010). Increasing prevalence of parent-reported attention-deficit/hyperactivity disorder among children-United States, 2003 and 2007. Morbidity & Mortality Weekly Report, 59(44), 1439-1443.
Chronis, A. M., Fabiano, G. A., Gnagy, E. M., Onyango, A. N., Pelham, W. E., Lopez-Williams, A., Chacko, A., Wymbs, B. T., Coles, E. K., & Seymour, K. E. (2004). An evaluation of the summer treatment program for children with attention-deficit/ hyperactivity disorder using a treatment withdrawal design. Behavior Therapy, 35(3), 561-585.
Cordier, R., Bundy, A., Hocking, C., & Einfeld, S. (2010). Comparison of the play of children with attention deficit hyperactivity disorder by subtypes. Australian Occupational Therapy Journal, 57(2), 137-145.
Crick, N. R., & Dodge, K. A. (1994). A review and reformulation of social information- processing mechanisms in children's social adjustment. Psychological Bulletin, 115(1), 74- 101.
de Boo, G. M., & Prins, P. J. (2007). Social incompetence in children with ADHD: Possible moderators and mediators in social-skills training. Clinical Psychology Review, 27(1), 78-97.
Dyck, M. J., Ferguson, K., & Schocher, I. M. (2001). Do autism spectrum disorders differ from each other and from non-spectrum disorders in emotion recognition tests? European Child & Adolescent Psychiatry, 10(2), 105-116.
Erhardt, D., & Hinshaw, S. P. (1994). Initial sociometric impressions of attention deficit hyperactivity disorder and comparison boys: Predictions from social behaviors and from nonbehavioral variables. Journal of Consulting and Clinical Psychology, 62(4), 833-842.
Evangelista, N. M., Owens, J. S., Golden, C. M., & Pelham, W. E. Jr. (2008). The positive illusory bias: do inflated self-perceptions in children with ADHD generalize to perceptions of others? Journal of Abnormal Child Psychology, 36(5), 779-791.
Graziano, P., Geffken, G. R., & McNamara, J. P. (2011). A typical behaviors and comorbid externalizing symptoms equally predict children with attention-deficit/hyperactivity disorders’ social functioning. Child Psychiatry Human Development, 42(4), 377-389.
Gregg, N., Scott, S., McPeek, D., & Ferri, B. (1999). Definitions and eligibility criteria applied to the adolescent and adult populations with LD across 141 agencies. Learning Disability Quarterly, 22(3), 213-223.
Harada, Y., Yamazaki, T., & Saitoh, K. (2002). Psychosocial problems in attention-deficit hyperactivity disorder with oppositional defiant disorder. Psychiatry and Clinical Neurosciences, 56(4), 365-369.
Harty, S., Miller, C. J., Newcorn, J. H., & Halperin, J. M. (2009). Adolescents with childhood ADHD and comorbid disruptive behavior disorders: Aggression, anger, and hostility. Child Psychiatry & Human Development, 40(1), 85-97.
Hinshaw, S. P. (2006). Treatment for children and adolescents with attention-deficit /hyperactivity disorder. In P. C. Kendall (Ed.), Child and Adolescent Therapy: Cognitive-behavioral procedures, Third Edition. New York: Guilford Press.
Hodgens, J. B., Cole, J., & Boldizar, J. (2000). Peer-based differences among boys with ADHD. Journal of Clinical Child Psychology, 29(3), 443-452.
Hoza, B. (2007). Peer functioning in children with ADHD. Ambulatory Pediatrics, 7(1), 101-106.
Hoza, B., Murray-Close, D., Arnold, L. E., Hinshaw, S. P., & MTA Cooperative Group. (2010). Time-dependent changes in positive illusory self-perceptions of children with ADHD: a developmental psychopathology perspective. Development and Psychopathology, 22(2), 375-390.
Hoza, B., Pelham, W. E., Dobbs, J., Owens, J. S., & Pillow, D. R. (2002). Do boys with attention-deficit/hyperactivity disorder have positive illusory self-concepts? Journal of Abnormal Psychology, 111(2), 268-278.
Hoza, B., Gerdes, A. C., Hinshaw, S. P., Arnold, L. E., Pelham, W. E. Jr., Molina, B. S., Abikoff, H. B., Epstein, J. N., Greenhill, L. L., Hechtman, L., Odbert, C., Swanson, J. M., & Wigal, T. (2004). Self-perceptions of competence in children with ADHD and comparison in children. Journal of Consulting and Clinical Psychology, 72(3), 382-391.
Hoza, B., Gerdes, A. C., Mrug, S., Hinshaw, S. P., Bukowski, W. M., Gold, J. A., Arnold, L. E., Abikoff, H. B., Corrners, C. K., Eliiott, G. R., Grennhill, L. L., Hechtman, L., Jensen, P. S., Kraemer, H. C., March, J. S., Newcorn, J. H., Severe, J. B., Swanson, J. M., Vitiello, B., Wells, K. C., & Wigal, T. (2005). Peer-assessed outcomes in the multimodal treatment study of children with attention deficit hyperactivity disorder. Journal of Clinical Child and Adolescent Psychology, 34(1), 74-86.
Huang-Pollock, C., Mikami, A., Pfiffner, L., & McBurnett, K. (2009). Can executive functions explain the relationship between attention deficit hyperactivity disorder and social adjustment? Journal of Abnormal Child Psychology, 37(5), 679-691.
Hurtig, T., Ebeling, H., & Taanila, A. (2007). ADHD and comorbid disorders in relation to family environment and symptom severity. European Child and Adolescent Psychiatry, 16(6), 363-369.
Jarret, M., & Ollendick, T. (2008). A conceptual review of the comorbidity of attention-deficit/ hyperactivity disorder and anxiety: Implications for future research and practice. Clinical Psychology Review, 28(7), 1266-1280.
Kats-Gold, I., Besser, A., & Priel, B. (2007). The role of simple emotion recognition skills among school aged boys at risk of ADHD. Journal of Abnormal Child Psychology, 35(3), 363-378.
Kibby. M. Y., Cohen, M. J., & Hynd, G. W. (2002). Clock face drawing in children with attention-deficit/hyperactivity disorder. Archives of Clinical Neuropsychology, 17(6), 531-546.
King, S., Waschbusch, D. A., Pelham, W. E. Jr., Frankland, B. W., Andrade, B. F., Jacques, S., Jacques, S., & Corkum, P. V. (2009). Social information processing in elementary- school aged children with ADHD: medication effects and comparisons with typical children. Journal of Abnormal Child Psychology, 37(4), 579-589.
Landau, S., & Milich, R. (1988). Social communication patterns of attention-deficit- disordered boys. Journal of Abnormal Psychology, 16(1), 69-81.
Landau, S., & Moore, L. (1991). Social skill deficits in children with attention-deficit hyperactivity disorder. School Psychology Review, 20(2), 235 -252.
Maedgen, J. W., & Carlson, C. L. (2000). Social functioning and emotional regulation in the attention deficit hyperactivity disorder subtypes. Journal of Clinical Child Psychology, 29(1), 30-42.
Marton, I., Wiener, J., Rogers, M., Moore, C., & Tannock, R. (2009). Empathy and social perspective taking in children with attention- deficit/hyperactivity disorder. Journal of Abnormal Child Psychology, 37(1), 107-118.
Matthys, W., Cuperus, J. M., & Van Engeland, H. (1999). Deficient social problems-solving in boys with ODD/CD, with ADHD, and with both disorders. Journal of the American Academy of Chld and Adolescent Psychiatry, 38(3), 311 -321.
McQuade, J. D., & Hoza, B. (2008). Peer problems in ADHD: current status and future directions. Developmental Disabilities Research Reviews, 14(4), 320-324.
McQuade, J. D., Tomb, M., Hoza, B., Waschbusch, D. A., Hurt, E. A., & Vaughn, A. J. (2011). Cognitive deficits and positively biased self-perceptions in children with ADHD. Journal of Abnormal Child Psychology, 39(2), 307-319.
Mikami, A. Y. (2010). The importance of friendship for youth with attention-deficit /hyperactivity disorder. Clinical Child and Family Psychology Review, 13(2), 181-198.
Mikami, A. Y., & Hinshaw, S. P. (2003). Buffers of peer rejection among girls with and without ADHD: The role of popularity with adults and goal-directed solitary play. Journal of Abnormal Child Psychology, 31(4), 381-397.
Mikami, A. Y., & Hinshaw, S. P. (2006). Resilient adolescent adjustment among girls: Buffers of peer rejection and attention-deficit/hyperactivity disorder. Journal of Abnormal Child Psychology, 34(6), 825-839.
Mikami, A. Y., & Lorenzi, J. (2011). Gender and conduct problems predict peer functioning among children with attention-deficit/ hyperactivity. Journal of Clinical Child and Adolescent Psychology, 40(5), 777-786.
Mikami, A. Y., & Pfiffner, L. J. (2007). Sibling relationships among children with attention- deficit/hyperactivity disorder. Journal of Attention Disorders, 11(4), 1-11.
Mikami, A. Y., Calhoun, C. D., & Abikoff, H. B. (2010). Positive illusory bias and response to behavioral treatment among children with attention-deficit/hyperactivity disorder. Journal of Clinical Child & Adolescent Psychology, 39(3), 373-385.
Mikami, A. Y., Ransone, M. L., & Calhoun, C. D. (2011). Influence of anxiety on the social functioning of children with and without ADHD. Journal of Attention Disorders, 15(6), 473-484.
Mikami, A. Y., Huang-Pollock, C. L., Pfiffner, L. J., McBurnett, K., & Hangai, D. (2007). Social skills differences among attention-deficit/ hyperactivity disorder types in a chat room assessment task. Journal of Abnormal Child Psychology, 35(4), 509-521.
Nijmeijer, J., Minderaa, R. B., Buitelaar, J. K., Mulligan, A., Hartman, C., & Hoekstra, P. (2008). Attention-deficit/hyperactivity disorder and social dysfunctioning. Clinical Psychology Review, 28(4), 692-708.
Normand, S., Schneider, B. H., & Robaey, P. (2007). Attention-deficit/hyperactivity disorder and the challenges of close friendship. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 16(2), 67-73.
Normand, S., Schneider, B. H., Lee, M. D., Maisonneuve, M., & Robaey, P. (2011). How do children with ADHD (Mis) manage their real-life dyadic friendships? A multi-method investigation. Journal of Abnormal Child Psychology, 39(2), 293-305.
Ohan, J. L., & Johnston, C. (2007). What is the social impact of ADHD in girls? A multi-method assessment. Journal of Abnormal Child Psychology, 35(2), 239-250.
Ohan, J. L., & Johnston, C. (2011). Positive illusions of social competence in girls with and without ADHD. Journal of Abnormal Child Psychology, 39(4), 527-539.
Owens, J. S., & Hoza, B. (2003). The role of inattention and hyperactivity/impulsivity in the positive illusory bias. Journal of Consulting and Clinical Psychology, 71(4), 680-691.
Pelc, K., Kornreich, C., Foisy, M. L., & Dan, B. (2006). Recognition of emotional facial expressions in attention-deficit hyperactivity disorder. Pediatric Neurology, 35(2), 93-97.
Realmuto, G, M., Winters, K, C., August, G, J., Lee, S., Fahnhorst, T., & Botzet, A. (2009). Drug use and psychosocial functioning of a community-derived sample of adolescents with childhood ADHD. Journal of Child & Adolescent Substance Abuse. 18(2), 172-192.
Sibley, M., Pelham, W., Molina, B., Gnagy, E., Waschbusch, D., Biswas, A., MacLean, M., Babinski, D., & Karch, K. (2011). The delinquency outcomes of boys with ADHD with and without comorbidity. Journal of Abnormal Child Psychology, 39(1), 21-32.
Toplak, M. E., Connors, L., Shuster, J., Knezevic, B., & Parks, S. (2008). Review of cognitive, cognitive-behavioral, and neral-based interventions for attention-deficit/hyperactivity disorder (ADHD). Clinical Psychology Review, 28(5), 801-823.
Webster-Stratton, C. H., Reid, M. J., & Beauchaine, T. (2011). Combining parent and child training for young children with ADHD. Journal of Clinical Child and Adolescent Psychology, 40(2), 191-203.
Whalen, C. K., Henker, B., Collins, B. E., McAuliffe, S., & Vaux, A. (1979). Peer interaction in a structured communication task: Comparisons of normal and hyperactive boys and of methylphenidate (Ritalin) and placebo effects. Child Development, 50(2), 388 -401.
Wheeler, J., & Carlson, C. L. (1994). The social functioning of children with ADD with hyperactivity and ADD without hyperactivity: A comparison of their peer relations and social deficits. Journal of Emotional and Behavioral Disorders, 2(1), 2-12.
Wiener, J., & Mak, M. (2009). Peer victimization in children with attention-deficit/ hyperactivity disorder. Psychology in Schools, 46(2), 116-131.
Wilkes, S., Cordier, R., Bundy, A., Docking, K., & Nunro, N. (2011). A play-based intervention for children with ADHD: A pilot study. Australian Occupational Therapy Journal, 58(3), 231-240.
Young, S., & Amarasinghe, J. M. (2010). Practitioner review: non-pharmacological treatment for ADHD: A lifespan approach. The Journal of Child Psychology and Psychiatry, 51(2), 116-133.
Yuill, N., & Lyon, J. (2007). Selective difficulty in recognizing facial expressions of emotion in boys with ADHD. European Child & Adolescent Psychiatry, 16(6), 398-404.
Zalecki, C. A., & Hinshaw, S. P. (2004). Overt and relational aggression in girls with attention deficit hyperactivity disorder. Journal of Clinical Child and Adolescent Psychology, 33(1), 125-137.