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The Effect of Mother's Object Relation on Mother's Rearing Attitude and Children's Self-Esteem in Children with Attention-Deficit Hyperactivity Disorder

주의력결핍 과잉행동장애 아동에서 어머니의 대상관계가 양육태도와 아동의 자아존중감에 미치는 영향

  • Ko, Myoung-Jung (Department of Psychiatry, College of Medicine, Inje University, Sanggye Paik Hospital) ;
  • Park, Eun-Jin (Department of Psychiatry, College of Medicine, Inje University, Ilsan Paik Hospital) ;
  • Lee, Dae-Hwan (Seoul I Clinic) ;
  • Choi, Young-Min (Department of Psychiatry, College of Medicine, Inje University, Sanggye Paik Hospital) ;
  • Kim, Bong-Seog (Department of Psychiatry, College of Medicine, Inje University, Sanggye Paik Hospital)
  • 고명정 (인제대학교 의과대학 상계백병원 정신과학교실) ;
  • 박은진 (인제대학교 의과대학 일산백병원 정신과학교실) ;
  • 이대환 (서울아이클리닉) ;
  • 최영민 (인제대학교 의과대학 상계백병원 정신과학교실) ;
  • 김봉석 (인제대학교 의과대학 상계백병원 정신과학교실)
  • Received : 2011.06.02
  • Accepted : 2011.07.26
  • Published : 2011.12.31

Abstract

Objectives : This study examined maternal object relations, child's and mother's perception on rearing attitude, and children's self-esteem in children with attention-deficit hyperactivity disorder (ADHD) and their mothers. Methods : 64 children with ADHD and their mothers were included in the study group. In the control group, there were 85 children and their mothers. Mothers completed the following tests : Bell object relation inventory (BORI), maternal behavior research instrument (MBRI), Beck Depression Inventory (BDI), and Korean ADHD Rating Scale (K-ARS). Children completed Children's Report of Parental Behavior Inventory (CRPBI) and Rosenberg self-esteem scale. Results : Mothers of ADHD children displayed more rejecting and controlling parenting style than mothers in the control group. ADHD children showed lower self-esteem and perceived their parents as not affectionate, but rejecting and controlling. Mothers with ADHD children who belonged to object relations pathological group showed more rejecting rearing attitude and their children believed that they were more controlling, compared with children and mothers in other conditions. Among factors in mother's object relations, insecure attachment and ego-centricity impacted the rearing attitude. In turn, affective rearing attitude mainly influenced children's self-esteem. Conclusion : This study suggests that the approach focused on mother's object relations may help with the treatment of children with ADHD.

Keywords

References

  1. Jang MK, Yang SM. The effects of mother's awareness of disorder, child-rearing attitude, and self-esteem and peer relationship of the child with ADHD. J Emot Behav Disord 2005;21:163-188.
  2. Choi YY, Kim JH, Cho SM, Hong SD, Oh EY. The effect of ADHD child mother's depressive mood, parenting stress, and parenting related attitude on parenting behavior. J Korean Acad Child Adolesc Psychiatry 2002;13:153-162.
  3. Ahn DH, Kim JY, Koh BJ, Sa SU, Lee SE, Lee YK, et al. Parenting stress among parents of children with Attention Deficit Hyperactivity Disorder (ADHD). Ment Health Res 2001;20:128-136.
  4. Song HK. A study on their child rearing attitudes of the only child's mothers and two or multiple children's mothers. Seoul: Duksung Wo-men's Univ.;2004.
  5. Hurlock EB. Child Development. 6th ed. New York: McGraw Hill Publication;1981.
  6. Kim MK, Yun KW, Kang KM, Kim YK. Rearing pattern of mothers with affective disorder and their children's behavior problem. J Korean Neuropsychiatr Assoc 2003;42:360-367.
  7. Park BH, Lee YH. Validation study of Korean version of object relations inventory. J Korean Clin Psychol 2004;23:1065-1084.
  8. Bowlby J. A secure base: Patient-child attachment and healthy human development. New York: Basic Books;1983.
  9. Sullivan HS. The interpersonal theory of psychiatry. New York: Nor-ton;1953.
  10. Greenberg JK, Mitchell SA. Object relations in psychoanalytic theory. Cambridge: Harvard University Press;1983.
  11. Chun KH. The effect of mother's early object relation for mother's rearing attitude and young children's self-esteem. Seoul: Konkuk Univ.;2004.
  12. Jang MJ, Choi BH. Intergenerational transmission of attachment: mothers internal working model of relationships and infant attachment patterns. Korean J Child Stud 1999;20:147-164.
  13. Winnicott DW. Playing and reality. Mark Paterson and Associates; 1971.
  14. Bell M, Billington R, Becker B. A scale for the assessment of object relations: reliability, validity, and factorial invariance. J Clin Psychol 1986;42:733-741. https://doi.org/10.1002/1097-4679(198609)42:5<733::AID-JCLP2270420509>3.0.CO;2-C
  15. Schaefer ES, Bell RQ, Bayley N. Development of a maternal behavior research instrument. J Genet Psychol 1959;95:83-104. https://doi.org/10.1080/00221325.1959.10534247
  16. Lee OH. The relationship of mothers educational view and childrearing attitudes to child development. Seoul: Ewha Women's Univ.; 1983.
  17. Schaefer ES. Children's reprts of parental behavior: an inventory. Child Dev 1965;36:413-424. https://doi.org/10.2307/1126465
  18. Oh SS, Lee JS. The relationship between children's perception of parental discipline and affective characteristics of the children. KIRBS Research Notes 1982;11:1-15.
  19. Ahn HJ. A study on the relationship between parenting attitudes and emotional intelligence. Seoul: Seoul National Univ.;1999.
  20. Choi BG, Jeon GY. A study on the development of the self-esteem inventory (I). J Korean Home Econ Assoc 1993;31:41-54.
  21. Beck AT. Depression: Clinical, experimental, and theoretical aspects. New York: Harper & Row;1967.
  22. 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.
  23. Shin WS, Choi HR, Kim KW, Lee JS, Park SB, Hong JP, et al. Association of the symptom of parental attention-deficit hyperactivity disorder and the parental personality patterns with the symptoms of boys with attention-deficit hyperactivity disorder. J Korean Acad Child Adolesc Psychiatry 2009;20:23-28.
  24. Kim SS, Ahn DH, Lee YH, Ahn DH. The effects of the combined treatment of medication and parent training in children with attention- deficit/hyperactivity disorder (ADHD). J Korean Neuropsychiatr Assoc 1998;37:683-699.
  25. Yu SM, Kim BS. The correlation among maternal object relation, personality and symptoms of children with attention deficit hyperactivity disorder. J Korean Neuropsychiatr Assoc 2009;48:474-480.
  26. Kim SY, Hwang JW, Kim BN, Cho SC, Shin MS. Parents' rearing attitude of children with attention-deficit hyperactivity disorder and depressive disorder. J Korean Acad Child Adolesc Psychiatry 2008; 19:175-181.
  27. Kim HS. The relationship between parental attitude, self-esteem, and career decision in high school students. Secondary Educ Res 2005;53:63-88.
  28. Kim KY. The Relation of parental evaluation of children, self-esteem and child-rearing attitudes to children's self-esteem. Pusan: Pusan Univ.;1987.
  29. Belsky J. The determinants of parenting: a process model. Child Dev 1984;55:83-96. https://doi.org/10.2307/1129836
  30. Stand PS, Wahler RG. Predicting maladaptive parenting: Role of maternal object relations. J Clin Child Psychol 1996;25:43-51. https://doi.org/10.1207/s15374424jccp2501_5