본 연구의 목적은 지역사회 아동을 대상으로 주의력 결핍 우세형 기준에 해당하는 아동과 복합형 기준에 해당하는 아동의 성비 및 동반되는 문제에서의 차이를 비교해 보는 것이다. 부산시내 초등학교에 재학 중인 717명의 1학년에서 6학년 아동을 대상으로 부모용 K-ARS와 또래 수용도, 그리고 KPI-C를 실시하였다. 연구결과, 복합형기준에 해당하는 아동이 6.4%(46명), 남녀비율은 3.2(35):1(11), 주의력 결핍 우세형 기준에 해당하는 아동이 4.3%(31명)으로 남녀비율은 2.1(21):1(10)로 나타났다. 하위 유형별 관련문제를 비교해 본 결과, 복합형기준에 해당하는 아동과 주의력 결핍 우세형 기준에 해당하는 아동은 내재화문제와 외현화 문제에서 정상아동에 비해 높은 어려움을 보였다. 특히, 복합형 기준에 해당하는 아동은 주의력 결핍 우세형 기준에 해당하는 아동에 비해 비행문제를 더 많이 보였으며, 내재화장애에서는 두 하위 유형간에 차이가 없었고, 성차도 유의하지 않았다. 다만, 또래 수용도의 경우 하위 유형과 성차의 상호작용이 유의하였으며, 복합형 기준에 해당하는 남아는 주의력 결핍 우세형 기준에 해당하는 남아와 정상남아에 비해 또래 수용도에 유의한 어려움을 보인 반면, 여아는 유의한 차이를 보이지 않았다. 끝으로 이연구의 의의와 제한점에 대해서 논의하였다.
The goals of the present study were to investigate the male-to-female ratio according to the attention-deficit/hyperactivity(ADHD) subtype in community-based population and exploring related problem of two subtype of ADHD(ADHD-Combined type and ADHD-Inattention type). 717 school children were evaluated by the parent ratings on a Korean ADHD rating scale(K-ARS) and Korean personality inventory for children(KPI-C). From 717 school children, 77 ADHD <46(6.4%) ADHD-Combined type and 31(4.3%) ADHD-Inattention type> were identified. The male-to-female ratio for the ADHD-Combined type is 3.2:1 and the male-to-female ratio for the ADHD-Inattention type is 2.1:1. ADHD-Combined children and ADHD-Inattention children were rated as displaying more externalizing problem and internalizing problem than control group. ADHD-Combined children were rated as displaying more externalizing problem than ADHD- Inattention children, but ADHD-Combined group and ADHD-Inattention group were not significantly different on the internalizing problem. The most interesting results was an interaction effect between the subtype and the gender. In case of the male, ADHD-Combined children were rated as displaying more peer dislike problem than ADHD-Inattention type and control group. In case of the female, there was not differecne in peer dislike.
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