불안장애 아동의 감각자극에 대한 생리학적 반응: 체계적 고찰

서지정보

· 발행기관 : 대한작업치료학회
· 수록지 정보 : 대한작업치료학회지 / 22권 / 2호
· 저자명 : 최연우, 김경미

초록

목적 : 본 연구는 불안장애 아동의 감각자극에 따른 생리학적 반응 특성을 알아보고자 하였다. 연구방법 : 논문 검색을 위해 사용된 데이터베이스는 Cochrane library, EBSCOhost, Embase, ScienceDirect, Medline, PsycINFO, Pubmed, Social Sciences Citation Index이었다. 검색대상은 2000년 1월부터 2013년 5월까지의 국외 학회지에 개제된 논문으로 하였다. 검색어는“generalized anxiety disorder, specific phobias, panic disorder, social anxiety disorder, obsessive-compulsive disorder, posttraumatic stress disorder, separation anxiety, children, pediatric, adolescent, sensory stimuli, sensory response, startle reflex, startle reactivity, auditory, olfactory, visual, vestibular, proprioceptive, tactile, taste, skin conductance response, galvanic skin response, heart rate, beats per minute, heart rate variability, vasomotor activity, electromyography”이었다. 최종적으로 분석에 사용된 논문은 5개이었으며, 연구의 근거 수준은 모두 수준Ⅱ이었다. 결과 : 불안장애 아동은 정상아동에 비해 감각 자극에 대한 각성이 높게 나타났다. 감각자극에 대해 반응 진폭은 불안장애 아동이 정상아동에 비해 크게 나타났으며, 반응 잠재기는 짧게 나타났다. 또한 불안장애 아동은 감각 자극에 대해 지연된 습관화의 특징을 보였다. 결론 : 불안장애 아동은 정상 아동과 다른 생리학적 반응을 보였다. 앞으로 불안장애 아동의 생리학적 반응을 측정하는데 있어 동일한 감각계에 대해 같은 방법으로 연구되어야 할 것이다.

영어초록

Objective : This study aimed at examining the difference in cognitive distortion, depression, and school function between children with a disability and children without a disability during their school-age years. In addition, an investigation into the effect of cognitive distortion and depression on the school function in school-age children was conducted.The aim of this study was to provide children with an anxiety disorder sensory stimulation with physiology response features. Methods : We examined the papers published in journals from January 2000 to May 2013, using the Cochrane library, EBSCOhost, Embase, ScienceDirect, MEDLINE, PsycINFO, PubMed, and Social Sciences Citation Index. The key-words for the search were “generalized anxiety disorder, specific phobias, panic disorder, social anxiety disorder, obsessive-compulsive disorder, post-traumatic stress disorder, separation anxiety, children, pediatric, adolescent, sensory stimuli, sensory response, startle reflex, startle reactivity, auditory, olfactory, visual, vestibular, proprioceptive, tactile, taste, skin conductance response, galvanic skin response, heart rate, beats per minute, heart rate variability, vasomotor activity, and electromyography.” Five studies were used for the data analysis, and all levels of evidence were at level Ⅱ. Results : The level of arousal from sensory stimulation in children with an anxiety disorder was higher than in healthy children. The magnitude of sensory stimulation was higher in children with an anxiety disorder, with a shorter latency, than in healthy children. The children with an anxiety disorder also indicated a delayed habituation to stimulation. Conclusion : The children with an anxiety disorder have different physiological response features than the normal control group. A systematic study is expected to be conducted to investigate the physiology response using the same method as for children with an anxiety disorder.

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