The Effectiveness of School Based Short-Term Social Skills Training in Children with Attention-Deficit/Hyperactivity Disorder(ADHD)

ADHD 초등학생을 위한 학교 중심 사회성기술 훈련 프로그램의 효과에 대한 연구

  • Paek, Myung-Jae (Division of Child and Adolescent Psychiatry, Seoul National University Hospital) ;
  • Ahn, Jung-Kwang (Division of Child and Adolescent Psychiatry, Seoul National University Hospital) ;
  • Lim, So-Yun (Division of Child and Adolescent Psychiatry, Seoul National University Hospital) ;
  • Kim, Yang-Ryul (Division of Child and Adolescent Psychiatry, Seoul National University Hospital) ;
  • Park, Min-Hyeon (Department of Psychiatry, The Catholic University of Korea College of Medicine, Seoul Saint Mary's Hospital) ;
  • Kim, Boong-Nyun (Department of Psychiatry, College of Medicine, Clinical Research Institute, Institute of Behavioral Medical Science, Seoul National University) ;
  • Cho, Soo-Churl (Department of Psychiatry, College of Medicine, Clinical Research Institute, Institute of Behavioral Medical Science, Seoul National University) ;
  • Shin, Min-Sup (Department of Psychiatry, College of Medicine, Clinical Research Institute, Institute of Behavioral Medical Science, Seoul National University) ;
  • Kim, Jae-Won (Department of Psychiatry, College of Medicine, Clinical Research Institute, Institute of Behavioral Medical Science, Seoul National University) ;
  • Kim, Hyo-Won (Division of Child and Adolescent Psychiatry, Seoul National University Hospital)
  • 백명재 (서울대학교병원 소아정신과) ;
  • 안정광 (서울대학교병원 소아정신과) ;
  • 임소연 (서울대학교병원 소아정신과) ;
  • 김양렬 (서울대학교병원 소아정신과) ;
  • 박민현 (가톨릭대학교 의과대학 서울성모병원 정신과학교실) ;
  • 김붕년 (서울대학교 의과대학 정신과학교실, 서울대학교병원 임상의학연구소, 서울대학교 행동의과학연구소) ;
  • 조수철 (서울대학교 의과대학 정신과학교실, 서울대학교병원 임상의학연구소, 서울대학교 행동의과학연구소) ;
  • 신민섭 (서울대학교 의과대학 정신과학교실, 서울대학교병원 임상의학연구소, 서울대학교 행동의과학연구소) ;
  • 김재원 (서울대학교 의과대학 정신과학교실, 서울대학교병원 임상의학연구소, 서울대학교 행동의과학연구소) ;
  • 김효원 (서울대학교병원 소아정신과)
  • Published : 2009.06.30

Abstract

Objectives: Children with attention-deficit hyperactivity disorder(ADHD) often have difficulties in social behavior. The aim of this study was to evaluate the effectiveness of a short-term training program for improving social skills, self-perception and attention deficits. Methods: The subjects were nine children diagnosed with ADHD with(or without) other mental disorders using the Diagnostic Interview Schedule for Children(DISC-ADHD) module. Children were given eight sessions of a social skills training program. Parents of children simultaneously participated in their own training which was designed to support their children's generalization of skills. Assessments included child, parent and teacher ratings of social skills, self-perception and attention deficit at baseline and post-treatment. Results: Social skills training led to significant improvements in child-reported measures of self-esteem, in teacher reported measures of social skills, and in parent-reported measures of attention deficit. Conclusion: This study suggests that short-term social skills training programs for children with ADHD may improve their social skills, self-perception and attention deficits.

Keywords

References

  1. Yang SJ, Cheong SS, Hong SD. Prevalence and Correlates of Attention Deficit Hyperactivity Disorder: School-Based Mental Health Services in Seoul. J Korean Neuropsychiatr Assoc 2006;45:69-76.
  2. Brown CA. Convergent Developments: Cognitive-Developmental Correlates of Growth in Infant/Toddler Peer Skills. Child Development 1986;57:275-286. https://doi.org/10.2307/1130582
  3. Hong KE. Korean Textbook of Child Psychiatry: Jungang Moonhwa Co.;2005.
  4. Pelham WE, Jr., Fabiano GA, Massetti GM. Evidence-based assessment of attention deficit hyperactivity disorder in children and adolescents. J Clin Child Adolesc PsychoI 2005;34:449-476. https://doi.org/10.1207/s15374424jccp3403_5
  5. Hoza B, Mrug S, Gerdes AC, Hinshaw SP, Bukowski WM, Gold JA, et al. What aspects of peer relationships are impaired in children with attention-deficitlhyperactivity disorder? J Consult Clin PsychoI 2005;73:411-423. https://doi.org/10.1037/0022-006X.73.3.411
  6. Gentschel DA, McLaughlin TF. Attention deficit hyperactivity disorder as a social disability: Characteristics and suggested methods of treatment. Journal of Developmental and Physical Disabilities 2000;12:333-347. https://doi.org/10.1023/A:1009432130076
  7. Barkley RA, Fischer M, Smallish L, Fletcher K. Young adult follow-up of hyperactive children: antisocial activities and drug use. J Child Psychol Psychiatry 2004:45:195-211. https://doi.org/10.1111/j.1469-7610.2004.00214.x
  8. Pfiffner LJ, Calzada E, McBurnett K. Interventions to enhance social competence. Child Adolesc Psychiatr Clin N Am 2000;9:689-709.
  9. Kavale KA, Forness SR. Social skill deficits and learning disabilities: a meta-analysis. J Learn Disabil 1996;29:226-237. https://doi.org/10.1177/002221949602900301
  10. de Boo GM, Prins PJ. Social incompetence in children with ADHD: possible moderators and mediators in social-skills training. Clin Psychol Rev 2007;27:78-97. https://doi.org/10.1016/j.cpr.2006.03.006
  11. Tutty S, Gephart H, Wurzbacher K. Enhancing behavioral and social skill functioning in children newly diagnosed with attention-deficit hyperactivity disorder in a pediatric setting. J Dev Behav Pediatr 2003;24:51-57. https://doi.org/10.1097/00004703-200302000-00010
  12. Frankel F, Myatt R, Cantwell DP, Feinberg DT. Parent-assisted transfer of children's social skills training: efIects on children with and without attention-deficit hyperactivity disorder. J Am Acad Child Adolesc Psychiatry 1997;36:1056-1064. https://doi.org/10.1097/00004583-199708000-00013
  13. Pfiffner LJ, McBumett K. Social skills training with parent generalization: treatment efIects for children with attention deficit disorder. J Consult Clin PsychoI 1997;65:749-757. https://doi.org/10.1037/0022-006X.65.5.749
  14. DuPAul G. Parent and teacher ratings of ADHD symptoms: psychometric properties in a community-based sample. J Clin Child Psychol 1991;20.
  15. So YK, Noh JS, Kim YS, Ko SG, Koh YJ. The Reliability and Validity of Korean Parent and Teacher ADHD Rating Scale. J Korean Neuropsychiatr Assoc 2002:41:283-289.
  16. Shaffer D, Fisher P, Lucas CP, Dulean MK, Schwab-Stone ME. NIMH Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV): description, differences from previous versions, and reliability of some common diagnoses. J Am Acad Child Adolesc Psychiatry 2000;39:28-38. https://doi.org/10.1097/00004583-200001000-00014
  17. Cho SC, Kim BN, Kim JW, Kim HW, Choi HJ, Jung SW, et aI. The Reliability and Validity of Diagnostic lnterview Schedule for Children Yersion IY-Korean Yersion (DISC-IV). J Korean Acad Child Adolesc Psychiatry 2007;18:138-144.
  18. Yang YR, Oh KJ. Development of Peer Relational Skills Scale for 4th-9th grade. The Korean Joumal of Clinical Psychology 2005;24:961-971.
  19. Wheeler VA, Ladd GW. Assessment of children's self-efficacy for social interactions with peers. Developmental Psychology 1982;18:795-805. https://doi.org/10.1037/0012-1649.18.6.795
  20. Yang YR. The Mechanism of the Influence of Peer Relational Skills on Social Anxiety: The Mediational and Modemting Role of Self-Presentational Expectancy and Self-Insight. Seoul: Yonsei Univ;2004.
  21. Rosenberg M. Society and the Adolescent Self-Image. Newjersey: Princeton University Press;1965.
  22. Matson JL, Helsel WJ, Bellack AS, Senatore V. Development of a rating scale to assess social skill detìcits in mentally retarded adults. Appl Res Ment Retard 1983;4:399-407. https://doi.org/10.1016/0270-3092(83)90038-3
  23. DuPaul GJ, Eckert TL. The effects of social skills curricula: Now you see them, now you don't. School Psychology Quarterly 1994;9:113-132. https://doi.org/10.1037/h0088847
  24. Daly BP, Creed T, Xanthopoulos M, Brown RT. Psychosocial treatments for children with attention deficit/hyperactivity disorder. Neuropsychol Rev 2007;17:73-89. https://doi.org/10.1007/s11065-006-9018-2
  25. Hinshaw SP, Owens EB, Wells KC, Kraemer HC, Abikoff HB, Arnold LE, et aI. Family processes and treatment outcome in the MTA: negative/ineffective parenting practices in relation to multimodal treatment. J Abnorm Child PsychoI 2000;28:555-568. https://doi.org/10.1023/A:1005183115230
  26. Han ES, Ahn DH, Lee YH. The Social Skills Training in Children with ADHD. Korean Journal of Child & Adolescent Psychiatry 2001;12:79-93.
  27. Miranda A, Presentaclon MJ. Efficacy of Cognitive-Behavioml Thempy in the Treatment of Children with ADHD, with or without Aggressiveness. Psychology in the Schools 2000;37:169-182. https://doi.org/10.1002/(SICI)1520-6807(200003)37:2<169::AID-PITS8>3.0.CO;2-8
  28. Park SY, Kwack KY, Kim MK. Effect of the Social Skill Tmining in ADHD Children. Korean Journal of Child & Adolescent Psychiatry 1998;9:154-164.
  29. Antshel KM, Remer R. Social Skills Training in Children with Attention Deticit Hypemctivity Disorder: A Randomized-Controlled Clinical Trial. Journal of Clinical Child and Adolescent Psychology 2003;32:153-165. https://doi.org/10.1207/S15374424JCCP3201_14
  30. Bierman KL. Process of change during social skills training with preadolescents and its relation to treatment outcome. Child Dev 1986;57:230-240. https://doi.org/10.2307/1130654