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  • 한국과학기술정보연구원(KISTI) 서울분원 대회의실(별관 3층)
  • 2024년 07월 03일(수) 13:30
 

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성인 주의력 결핍 및 과잉 행동 장애(ADHD)환자의 실행기능 연구

Executive function in adult attention deficit/hyperactivity (ADHD) disorder

한국심리학회지: 일반 / Korean Journal of Psychology: General, (P)1229-067X; (E)2734-1127
2012, v.31 no.2, pp.301-321
서보경 (한국정보화진흥원 인터넷중독대응센터)
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초록

본 연구에서는 ADHD 아동에게서 나타난 실행기능 결함이 성인 ADHD 환자들에게서도 나타날 것이라는 가설을 검증하였다. 임상척도를 이용하여 성인 ADHD 환자의 임상적 특성인 충동성, 우울, 불안, 자존감을 조사하였고, 구조적 임상 인터뷰를 통하여 공존정신장애를 검사하였다. 신경 심리 검사를 통하여 주의력, 인지기능 및 실행 기능을 조사하였다. 이를 위해 대학병원의 성인 ADHD 외래 진료병동에서 치료를 받고 있는 성인 ADHD 환자 26명과, 성별, 나이, 교육 정도가 실험군과 일치하는 21명의 통제군이 실험에 참가하였다. 연구결과 성인 ADHD 환자는 정상 통제군과 비교하여 우울, 불안, 충동성에서 건강한 통제군보다 더 높은 증상을 보였고 더 낮은 자존감을 보였다. 신경심리검사에서는 ADHD 환자군이 주의력, 기억력, 언어 유창성, 심리 운동적 행동 등 실행기능에서 가설과 달리 통제군과 유의미한 차이를 보이지 않았다. 이 결과에 대해 몇 가지 논의점이 기술되었으며, 제한점과 추후 연구에 대한 제안을 논의하였다.

keywords
ADHD, depression, anxiety, impulsivity, memory, intelligence, executive function, cognitive function, neuropsychological function, ADHD, depression, anxiety, impulsivity, memory, intelligence, executive function, cognitive function, neuropsychological function, ADHD, 우울, 불안, 충동성, 자존감, 주의력, 기억력, 지능, 신경심리검사, 실행기능, 인지기능

Abstract

The purpose of this study is to test clinical symptoms and executive functions of adult ADHD patients. The hypothesis is that adult ADHD patients show higher clinical symptoms and lower performance in executive functions as children with ADHD show deficits in those functions. Method: Twenty-five ADHD patients and twenty-one healthy control subjects with matching age, gender and education participated in the study. They were tested in clinical symptoms like impulsivity, depression, anxiety, and self esteem, and executive functions. We analyzed the symptoms and performance in executive functions. Results: With regard to the clinical symptoms the adult ADHD patient showed severer clinical symptoms, but in contrast to our hypothesis they exhibited no neuropsychological deficits in attenion, memory, verbal fluency, psychomotoric behavior, and IQ, compared to the healthy control. The implications and limitations of this results are discussed.

keywords
ADHD, depression, anxiety, impulsivity, memory, intelligence, executive function, cognitive function, neuropsychological function, ADHD, depression, anxiety, impulsivity, memory, intelligence, executive function, cognitive function, neuropsychological function, ADHD, 우울, 불안, 충동성, 자존감, 주의력, 기억력, 지능, 신경심리검사, 실행기능, 인지기능

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