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한국형 아동 섭취행동 검사의 표준화 연구

A Study for Standardization of Korean Version Children's Eating Behavior Inventory

박미정|정경미|김혜진
한국정서행동장애학회 (The Korean Society of Emotional and Behavioral Disorders)|2008.03|정서·행동장애연구 (JOURNAL OF EMOTIONAL & BEHAVIORAL DISORDERS)|제24권 제1호|pp. 163-183

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참고문헌

키워드

Eating Behavior아동 섭취행동 검사섭식 문제섭취 행동표준화.Children's Eating Behavior InventoryChildhood Feeding DisorderStandardization.

초록

본 연구는 아동 섭취행동 검사(Children's Eating Behavior Inventory; CEBI)를 한국 실정에 맞게 개발하고 표준화하는 것을 목적으로 한다. 3단계에 걸친 작업을 통해 도구를 번역하였으며, 3-10세 정상발달 아동의 부모(N=713) 및 성장발달클리닉에 내원하여 섭식문제를 드러내는 것으로 보고된 아동(N=96)에게 CEBI를 실시하였다. 이들 중 일부는 신뢰도를 위하여 재검사가 실시되었고 (N=16), 타당도를 위하여 K-CBCL을 시행하였다 (N=300). 문항사이의 상관분석 후 40개 문항 중 27개 문항이 선정되었으며, 확인적 요인분석 및 탐색적 요인분석, 그리고 이론적 근거에 따라 최종적으로 5요인 구조를 채택하였다: 식사 중 부모스트레스, 전반적 식사문제, 식사 시 문제행동, 상차림 돕기, 금지식품 섭취. CEBI의 신뢰도는 내적 합치도와 검사-재검사 신뢰도에 의해, 그리고 타당도는 K-CBCL과 CEBI의 상관관계, 그리고 성장발달 클리닉 집단과 정상집단간의 CEBI 점수 차이를 통하여 검증되었으며, 그 결과 CEBI가 섭식 문제행동을 측정하기에 신뢰롭고 타당한 도구임을 보여주었다. 이원변량분석 결과 학령 전기의 아동과 학령기 아동 사이에 섭취문제행동에 유의한 차이가 드러남에 따라 이를 규준 작성에 반영하였다. 끝으로 본 연구에 따른 연구적, 임상적 함의와 한계점에 대해서 논의하였다.

Abstract

The present study was designed to develop and standardize the Korean version of Children's Eating Behavior Inventory (CEBI). The parents of preschool and elementary school children ranging in age from 3 to 10(N=713) and those of children showing significant growth failure as well as eating problem(N=96) administered CEBI, and some of them also completed K-CBCL(N=300) for validating CEBI. After correlation analysis, 27 items out of 40 were selected. Based on the exploratory and confirmatory factor analysis along with theoretical assumption, 5-factor structure was selected: pervasive problematic eating attitude, parent stress, problem behavior during mealtime, eating prohibited food, and helping prepare mealtime. Internal consistency and test-retest reliability demonstrated that CEBI was a reliable instrument. The significant correlation between K-CBCL and CEBI and differences between clinic and normal group showed that CEBI was also a valid instrument to examine children's problematic eating behavior. The result of two-way ANOVA showed that there were significant differences between preschooler and school-aged children in problematic eating behavior. Clinical and research implications and limitations are discussed.

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