본 연구는 ADHD아동부모들이 아동양육과정에서 겪는 역할수행에 대한 혼란과 괴로움을 완화하고, 부모로서의 효능감과 자녀와 긍정적 상호작용을 강화하기 위한 부모교육프로그램으로서 PET프로그램의 적용가능성을 검증하는데 그 목적이 있다. 연구대상은 B시의 아동신경정신과 병원에서 ADHD로 약물치료를 받고 있는 아동 20명의 부모들을 실험집단과 비교집단 각 10명으로 나누어, 실험집단에 주 1회 3시간씩 9회기 프로그램을 구성하여 운영 하였다. PET프로그램을 통한 부모의 우울, 불안, 양육스트레스, 부모효능감, PET개입으로 부모가 평가하는 아동의 ADHD척도의 점수수준을 알아보기 위해 반복측정분산분석(Repeated Measures ANOVA)을 실시하였고, 이를 위해 두 집단 모두 사전, 사후검사를 실시하였으며, 실험집단에서는 종결 후 2개월 뒤 추후검사를 실시하여 변화정도를 살펴보았다. 결과 부모의 우울수준의 감소, 부모효능감의 증진, 프로그램을 통해 부모가 평가하는 아동의 ADHD점수의 수준의 감소에서는 통계적으로 유의미한 변화를 보였다. 결과적으로 PET프로그램의 개입은 궁극적으로 ADHD자녀의 치료에 긍정적인 영향력을 발휘할 수 있는 도구가 될 수 있음을 알 수 있다. 이에 따라 지역사회 복지관과 아동청소년 관련 상담실, 그리고 학교사회사업 현장에서 부모교육 프로그램의 활용 가능성을 시사하는데 그 의의가 있다.
The purpose of this study was to find out the effects of PET on emotion and parental efficacy of parents with ADHD children. And also it was to prove the effects on decreasing ADHD symptoms by PET. 20 parents of ADHD children in medication was selected as objects from the Child Neuropsychiatric Clinics in Busan. Two groups were organized, 10 were in experimental group and treated by medication and PET, and 10 were in comparison group and treated medication only. Both groups got pre-test and post-test, and were confirmed as equivalent groups. The experimental group attended PET once a week for 9 weeks in 3-hour weekly sessions. The comparison group got a post-test 9 weeks later from the pre-test. Both of groups were followed up after 2 months to evaluate the stability of treatment effects. Treatment outcomes were evaluated by comparing both groups at pre-test and post-test used by the various rating scales like depression, anxiety, parenting stress, parental efficacy, and Conners ADHD scale. This study was designed by purposive sampling and nonequivalent comparison groups design of a quasi-experimental design. And SPSS WIN 12.0 used as a statistical package. Data was analyzed by Repeated Measures ANOVA of two factors spilt-plot (2 groups by 3 treatment times). The major results of this study were as follows. First, PET affected on decreasing depression of parents with ADHD children and the effects were maintained until 2 months after. Second, PET did not affect on decreasing anxiety of parents with ADHD children. Third, PET did not affect on decreasing parenting stress of parents with ADHD children. Fourth, PET affected on increasing of parental efficacy and the effects were maintained until 2 months after. Fifth, PET affected on decreasing Conners ADHD symptoms level, and the effects maintained until 2 months after. In Conclusion, the result showed that PET affects on depression, parental efficacy of parents with ADHD children and decreasing of ADHD symptoms. Accordingly, PET was proved as an effective intervention for the parents with ADHD children and a medication-parenting combined treatment. In addition, the fact that PET affects on decreasing ADHD symptoms was proved.
1. 프로그램구성 2. 방 법 3. 결 과 4. 결론 및 논의 5. 제 언 참 고 문 헌 ABSTRACT
