군인들에서 성인 주의력 결핍 과잉 행동 장애 증상이 스트레스와 우울증에 미치는 영향

Effect of Symptoms of Adult Attention Deficit Hyperactivity Disorder on Stress and Depressive Symptoms in Soldiers

  • 서지영 (경상대학교 의학전문대학원 정신과학교실) ;
  • 박철수 (경상대학교 의학전문대학원 정신과학교실) ;
  • 김봉조 (경상대학교 의학전문대학원 정신과학교실) ;
  • 차보석 (경상대학교 의학전문대학원 정신과학교실) ;
  • 이철순 (경상대학교 의학전문대학원 정신과학교실) ;
  • 이소진 (서울대학교병원 신경정신과) ;
  • 방수영 (울산대학교 의과대학 정신과학교실)
  • Seo, Ji-Yeong (Department of Psychiatry, School of Medicine, Gyeongsang National University) ;
  • Park, Chul-Soo (Department of Psychiatry, School of Medicine, Gyeongsang National University) ;
  • Kim, Bong-Jo (Department of Psychiatry, School of Medicine, Gyeongsang National University) ;
  • Cha, Bo-Seok (Department of Psychiatry, School of Medicine, Gyeongsang National University) ;
  • Lee, Cheol-Soon (Department of Psychiatry, School of Medicine, Gyeongsang National University) ;
  • Lee, Sojin (Department of Neuropsychiatry, Seoul National University Hospital) ;
  • Bhang, Soo Young (Department of Psychiatry, College of Medicine, Ulsan University)
  • 투고 : 2011.08.29
  • 심사 : 2011.10.06
  • 발행 : 2011.10.30

초록

Objectives : The aim of this study was to investigate whether and how the symptoms of adult attention deficit hyperactivity disorder (ADHD) affect the stress and depressive symptoms in Korean soldiers. Methods : Data were collected on 131 subjects through self-report using the Korean Adult Attention-Deficit/Hyperactivity Disorder Scale (K-AADHDS), Center for Epidemiological Studies Depression Scale (CES-D), Korean Wender Utah Rating Scale (K-WURS), and the Brief Encounter Psychosocial Instrument (BEPSI-K). Student t-tests, Pearson Correlation, Logistic regression, and Path analysis were performed. Results : The scores related to adult ADHD symptoms on the K-AADHDS and K-WURS were correlated with stress scores on the BEPSI-K (r=0.529, p<0.001 and r=0.484, p<0.001) and with depressive symptoms on the CES-D (r=0.686, p<0.001 and r=0.628, p<0.001). Scores related to adult ADHD on the K-AADHDS were the most significant risk factors for stress (O.R=1.198, 95% CI=1.104-1.299), and depressive symptoms (O.R=1.306, p95% CI=1.112-1.534). Path analysis on depressive symptoms showed that adult ADHD symptoms affected stress and depressive symptoms. Conclusion : The results suggest that it may be important to consider the evaluation and treatment of adult ADHD in soldiers. Prospective studies with larger numbers of subjects are warranted to further explore the relevance of the present results.

키워드

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