Korean Journal of Psychosomatic Medicine (정신신체의학)

Korean Psychosomatic Society (한국정신신체의학회)
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Common Features of Attention Deficit Hyperactivity Disorder and Epileptic Disorder in Childhood and Early Adolescence

소아와 조기청소년에서 보이는 주의력결핍 과잉행동장애와 간질의 공통적 특성

  • Kim, Si-Hyung (Department of Neuropsychiatry, Presbyterian Medical Center (Jesus Hospital)) ;
  • Kim, Tae-Hyung (Department of Neuropsychiatry, Presbyterian Medical Center (Jesus Hospital)) ;
  • Choi, Mal-Rye (Department of Neuropsychiatry, Presbyterian Medical Center (Jesus Hospital)) ;
  • Kim, Byung-Jo (Department of Neuropsychiatry, Presbyterian Medical Center (Jesus Hospital)) ;
  • Song, Ok-Sun (Department of Neuropsychiatry, Presbyterian Medical Center (Jesus Hospital)) ;
  • Jang, Young-Taek (Department of Pediatrics, Presbyterian Medical Center (Jesus Hopital)) ;
  • Eun, Hun-Jeong (Department of Neuropsychiatry, Presbyterian Medical Center (Jesus Hospital))
  • Received : 2011.05.23
  • Accepted : 2011.07.20
  • Published : 2011.12.15
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Abstract

Objectives:We conduct this study to investigate the common features between Attention Deficit Hyperactivity Disorder(ADHD) and epileptic patients compared to normal control. Methods:Epileptic patients were recruited from the department of pediatic in Jesus Hospital. ADHD patients were recruited from the department of neuropsychiatry in Jesus Hospital. We excluded mental retardation or brain organic pathology. We use ADHD Diagnostic System and Korean-Child Behavior Checklist(K-CBCL) to assess features of ADHD. Electroencephalogram(EEG) of ADHD, epileptic patients and normal control were analyzed and compared. Results:Compared to normal control group, inattention, reaction time deviation were increased in both ADHD and epilepsy group. EEG abnormalities(control 13.8%, epilepsy 97.1%, ADHD 40%) in three groups were reported. Conclusion:There are common features of ADHD and epileptic patients.

연구목적: 주의력결핍 과잉행동장애(Attention Deficit Hyperactivity Disorder, ADHD)와 간질 사이에서 나타나는 공통적 특성을 연구할 목적으로 Korea-Child Behavior Checklist(K-CBCL)과 ADHD Diagnostic System (ADS), Electroencephalogram(EEG)를 평가하여 두 질환군의 공통적 특성(Common features)을 알아보고자 하였다. 방 법: 6세부터 16세까지의 소아,청소년들을 대상으로 ADHD군 30명 간질군 34명 그리고 대조군은 29명이었다. 평가도구는 K-CBCL과 자가보고 도구인 ADS를 사용하였으며 뇌파를 측정하였다. 모든 결과의 분석은 다중변량분석(MANOVA)과 교차분석(${\chi}^2$-test)을 이용하였다. 결 과: 간질군, ADHD군 간의 공통적 특성으로 뇌파에서 비정상 뇌파 소견(대조군 13.8%, 간질군 97.1%, ADHD군 40%)을 보인 것과 ADS에서 부주의, 반응시간 표준편차 항목에서 유의미한 차이가 있음이 확인되었다. 결 론: 간질군과 ADHD군에서 비정상 뇌파 소견, 부주의, 반응시간 표준편차라는 공통적 특성이 있음을 확인하였다.

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