한국판 청소년용 부모 양육스트레스 검사(Korean-Stress Index for Parents of Adolescents: K-SIPA)의 표준화 연구
Standardization Study for the Korean Version of Stress Index for Parents of Adolescents (K-SIPA)
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참고문헌
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초록
본 연구에서는 청소년용 부모 양육스트레스 검사(Stress Index for Parents of Adolescent; SIPA)를 한국어로 번역하여 한국판 청소년용 부모 양육스트레스 검사(K-SIPA)를 제작하고, 이에 대해 국내 표준화를 진행하였다. 원문항의 의미를 훼손하지 않고 명확한 문항을 만들기 위하여 3단계 번역 절차에 따라 모든 문항을 번역하였으며, 관련 전문가 및 청소년 자녀를 둔 일부 부모의 자문 과정을 통해 K-SIPA를 완성하였다. 전국 20개 도시로부터 모집된 만 11세에서 19세의 청소년 자녀를 둔 부모 942명을 대상으로 K-SIPA, 건강관련질문지, 아동용 양육효능감 척도와 건강 관련 삶의 질 척도(SF-36)을 실시하였다. 재검사에 대하여 동의한 부모를 대상으로 2-4주 후, K-SIPA 재검사와 더불어 한국판 아동·청소년 행동평가 척도(K-CBCL 6-18), 한국어판 우울증 선별도구(PHQ-9), 불안장애 선별도구(GAD-7)를 실시하였다. K-SIPA의 자녀 연령, 성별 및 부모 성별에 따른 독립적인 국내 규준 산출의 필요성을 확인하기 위하여 삼원분산분석을 통해 차이를 검증하였으며, 신뢰도를 확인하기 위하여 내적 일치도 계수와 검사-재검사 신뢰도 추정치를 산출하였다. 정신과적 진단을 받은 청소년의 부모로부터 수집된 자료와 규준자료로부터 무선추출한 일부 자료와의 K-SIPA 측정치에서의 차이검증을 통해 K-SIPA의 변별타당도를 확인하였다. 아동용 양육효능감 척도, SF-36, PHQ-9, GAD-7과 K-SIPA와의 상관분석을 실시하였으며, 추가로 K-SIPA 측정치로 구분된 양육스트레스 집단 간 양육효능감 차이검증을 진행하여 K-SIPA의 공인타당도를 확인하였다. 마지막으로 K-SIPA의 모든 하위영역, 하위척도간 상관관계를 분석하여 수렴타당도를 확인하였으며, 미국판 SIPA의 요인구조를 기준으로 확인적 요인분석을 실시하였다. 본 연구의 표준화 작업을 바탕으로 심리측정적 측면에서 K-SIPA의 신뢰도와 타당도가 우수함을 확인하였으며, K-SIPA의 표준화 작업이 갖는 함의와 추후 연구를 통해 보완이 필요한 측면에 대하여 논의하였다.
Abstract
The purpose of this standardization study was to develop the Korean-norm of the Korean-Stress Index for Parents of Adolescents(K-SIPA). For the development of K-SIPA, the Stress Index for Parents of Adolescents(SIPA) was translated by 3-step translation process, and the final items of K-SIPA were completed through consultation from experts and parents of adolescents. 942 parents of adolescents (age range: 11 to 19) answered health-related questionnaire, K-SIPA, Parental Confidence Questionnaire for child and 36-Item Short Form Health Survey(SF-36). After 2-4 weeks, parents who agreed to participate in the retest answered K-SIPA for the second time, and answered Korean-Child Behavior Checklist for ages 6-18(K-CBCL 6-18), Patient Health Questionnaire 9(PHQ-9) and Generalized Anxiety Disorder 7(GAD-7). Three-way ANOVA was conducted to examine possible influence of demographic variables of gender, age, and parent gender on K-SIPA score. To verify the internal reliability of K-SIPA, cronbach’s alpha index were calculated for each domain, subscale, and the total score. Test-retest reliability were calculated to verify the test-retest reliability. Discriminant validity was verified by analyzing differences in the K-SIPA score between parents of adolescents with mental disorder and parents of typically developing adolescents. For the verification of concurrent validity, correlation analysis between K-SIPA and other measures, and differential analysis in parental confidence according to the level of K-SIPA score were conducted. Convergent validity was confirmed by correlation analysis between each domain, subscale, and the total score. Finally, to identify the factor structure of K-SIPA on the basis of the structure of SIPA, confirmatory factor analysis was conducted. The result of the current standardization study confirmed that K-SIPA was psychometrically reliable and valid measurement. The implication and limitations of this study were discussed.
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