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KMID : 0367320050160010106
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Journal of the Korean Academy of Child and Adolescent Psychiatry
2005 Volume.16 No. 1 p.106 ~ p.116
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THE DIFFERENCE OF TEMPERAMENT, GOODNESS OF FIT AND BEHAVIORAL PROBLEMS IN ADHD SUBTYPES OF ADOLESCENT HIGH RISK GROUP
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Park Hae-Song
Choi Eun-Ju
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Abstract
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Summary: This study was designed to identify the difference in temperament, parent-adolescent’’s goodness of fit and behavioral problems between early-adolescent high risk group which can be divided into subgroups (ADHD-I and ADHD-HI/C) and normal group.
Method: Subjects of this study were students of a Boy’’s Middle School and their parents. ADHD high risk group was determined by using three rating scales of ADHD behavioral symptoms : 1. Korean-ADHD Rating Scale, 2. Abbreviated Conners Parents Rating Scale, 3. Conners-Wells’’ Adolescent Self-Report Scale. Final research was based on the subjects including 25 people in ADHD-I high risk group, 70 ADHD-HI/C high risk group, 70 in normal group. Revised Dimensions of Temperament (DOTS-R) was used for students to assess their temperament, while DOTS-R : Ethnology for parents to access environmental demands. Goodness of fit between parent and adolescent was figured out by results of the two scales. Korean Youth Self Report (K-YSR) was used to examine behavioral problems.
Results: When it comes to temperament of adolescents, ADHD-HI/C high risk group was found to be associated with higher scores on general activity level. In contextual parent demand to adolescent, ADHD-HI/C parents showed higher level of demands in general activity than other groups, and lower expectation of positive mood than ADHD-I parents. In parent-adolescent’’s goodness/poorness of fit, the research found out that ADHD-I and ADHD-HI/C had lower level of fit on pesitive/negative mood than normal group and indicated that ADHD behavioral symptoms connected with poorness of fit in emotional relationship between adolescents and their parents. In behavioral problems, ADHD-HI/C high risk group had severe externalizing and internalizing problems distinctly. It had more severe in externalizing problems than ADHD-I, while there were no differences in internalizing problems between the two subgroups.
Conclusion: The two ADHD subgroups in high risk adolescents had differences on temperamental activity level and on goodness of fit about positive mood. In addition, they had different patterns in externalizing/internalizing problems.
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KEYWORD
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ADHD, Subtype, Temperament, Goodness of fit, Behavioral problem
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