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정신장애 영유아에 대한 K-CBCL 1.5-5 (Korean-Child Behavior Checklist 1.5-5) 조절곤란 프로파일의 요인구조와 정신장애 간 차이검증

Factor Structure of the Korean-Child Behavior Checklist 1.5-5 Dysregulation Profile in Infants and Toddlers With Mental Disorders and the Difference Among Mental Disorders

하은혜|경혜민
대한신경계작업치료학회 (Korean Society for Neurological Occupational Therapy)|2023.02|재활치료과학 (Therapeutic Science for Rehabilitation)|제12권 제1호|pp. 37-49|DOI https://doi.org/10.22683/tsnr.2023.12.1.037

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참고문헌

키워드

정신장애전반적 발달장애정서장애Mental disorder이중요인 모형CBCL 1.5-5 조절곤란 프로파일BifactorCBCL 1.5-5 Dysregulation ProfileEmotional disorderPervasive developmental disorder

초록

목적 : 본 연구의 목적은 정신장애 영유아의 K-CBCL 1.5-5(Korean-Child Behavior Checklist 1.5-5) DP(Dysregulation Profile)의 요인구조를 확인하고, 정신장애 진단 집단 간 차이를 검증하였다. 연구방법 : 서울 소재의 종합병원 소아정신과, 발달장애 클리닉 등에서 2010년에서 2015년까지 수집된자료를 활용하였다. DSM-IV에 근거하여 정신장애로 진단된 영유아 265명의 어머니에게 실시된K-CBCL 1.5-5 자료를 최종분석에 사용하였다. 결과 : 정신장애 영유아의 K-CBCL 1.5-5 DP의 요인구조는 이중요인 모형(Bifactor)이 상대적으로 가장적합하였다( = 893.722, TLI = .782, CFI = .822, RMSEA = .064). 또한 의사소통장애, 전반적 발달장애, 정서장애, 발달지체 등 영유아의 정신장애 진단 집단 간 차이가 유의하였다(F (3, 259) = 9.780, p < .001). 그 중 전반적 발달장애 집단과 정서장애 집단이 의사소통장애 집단보다 높은 조절곤란을 보이는것으로 확인되었다. 결론 : 본 연구에서는 정신장애 영유아의 조절곤란 문제의 존재를 확인하였다. 이중요인 모형을 통해K-CBCL 1.5-5 DP가 불안/우울, 공격행동, 주의집중문제의 특정요인과 특정요인 이상의 일반요인으로구성된다는 것을 확인하였고, K-CBCL 1.5-5 DP의 다차원성을 규명하였다. 또한 정신장애 집단 간유의한 차이가 있었고 조절곤란 문제는 영유아기부터 전반적 발달장애와 정서장애의 증상 발현과 심화에 기여하는 것으로 사료된다.

Abstract

Object : This study aimed to identify the factor structure of Korean-Child Behavior Checklist 1.5-5 Dysregulation Profile (K-CBCL 1.5-5 DP) in infants and toddlers with mental disorders and verify differences in K-CBCL 1.5-5 DP among the diagnosis groups. Methods : The participants were 265 mothers of infants and toddlers with mental disorders who completed K-CBCL 1.5-5 DP. The data was analyzed using AMOS 25.0 and SPSS 25.0. Results : First, the bifactor model was the most suitable for the factor structure of the K-CBCL 1.5-5 DP. Second, there were significant differences among the diagnosis groups, such as communication disorders, pervasive developmental disorders, emotional disorders, and developmental delays. It was confirmed that the pervasive developmental disorder and emotional disorder groups showed significantly higher dysregulation compared with the communication disorder group. Conclusion : This study confirmed that infants and toddlers had dysregulation problems. Using the bifactor model, the multidimensional nature of the K-CBCL 1.5-5 DP was assessed. It was also meaningful that dysregulation could contribute to onset and deepening of symptoms of pervasive developmental disorders and emotional disorders in infancy.

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관련 논문AI추천

한국판 CBCL 1.5-5의 변별타당도 및 임상적 유용성이진, 김영아, 오경자한국임상심리학회 · Korean Journal of Clinical Psychology2009 · 제28권 제1호학령기 아동의 CBCL 조절곤란프로파일(Child Behavior Checklist Dysregulation Profile)의 요인구조와 특성김은영, 하은혜한국심리학회산하학교심리학회 · 한국심리학회지:학교2020 · 제17권 제1호CBCL 일반정신병리와 조절곤란 프로파일의 요인구조: 아동복지시설 심리장애 아동을 대상으로김은영, 하은혜한국임상심리학회 · Korean Journal of Clinical Psychology2021 · 제40권 제1호한국판 CBCL 1.5-5의 표준화 연구이진, 김영아, 김유진, 문수종, 오경자한국임상심리학회 · Korean Journal of Clinical Psychology2009 · 제28권 제1호영유아 발달지체 선별에 대한 CBCL 1.5-5 유아행동평가척도-부모용의 변별력하은혜한국임상심리학회 · Korean Journal of Clinical Psychology2011 · 제30권 제1호심리장애 진단아동의 K-CBCL 아동 청소년 행동평가척도 군집분석김명선, 오경자, 하은혜한국임상심리학회 · Korean Journal of Clinical Psychology2014 · 제33권 제4호

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