반응성 애착장애 아동의 애착유형

Abstract

This study aims at examining examine the quality of attachment in children with Reactive Attachment Disorder(RAD). The subjects of this study were 26 chidren with RAD and 22 normal children as control group. The diagnosis of RAD was made according to DSM-IV and ICD-10 criteria of reactive attachment disorder. Attachment of each children was classified by using the Strange Situation Procedure(SSP). The data was statistically processed through Fisher s exact test and t-test. The results were as follows ： Among the RAD children, 61.5% were classified as disorganized (D) type, 26.9% as anxious-avoidant(A) type, 11.6% as anxious-resistant(C) type. Among the normal children, 63.5% were classified as secure attachment(B) type, 18.3% as anxious-avoidant (A) type, 13.6% as anxious-resistant(C) type, 4.5% as disorganized(D) type. And RAD children had siftiigicantly higher proportion of disorganized(D) type and lower proportion of secure(B) type than that of the normal children. The above results suggest that RAD children has serious problems in their attachment relationship and there must be some consideration on serious attachment problem to make diagnosis and intervention of RAD children