노인에서 한국판 행동통제척도의 표준화 및 타당도 연구
The Standardization and Validation Study of Korean Behavioral Dyscontrol Scale (BDS-K) in Elderly
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
연구목적：본 연구는 한국어판 행동통제척도(Behavioral Dyscontrol Scale: BDS-K)의 신뢰도와 타당도를 검증하며, 한국 노인에 있어 BDS-K의 정상규준을 구하려는 목적으로 수행되었다. 방 법： 지역사회로부터 광고를 통해 모집된 65세 이상의 정상노인 1,389명을 대상으로 BDS-K, 바텔 일상활동지표(BADL), 로톤 도구적 일상활동지표(LIADL) 및 간이정신상태검사를 시행하였다. BDS-K의 신뢰도 검증을 시행하고, BDS-K 점수에 유의한 영향을 미치는 인구학적 변인에 따른 정상규준을 산출하였다. BDS-K의 타당도를 검증을 위하여 BDS-K와 MMSE-KC, BADL, LIADL간 공존타당도를 비교하였다. 결 과： BDS-K의 내적 일치도(Cronbach’s alpha=0.812), 검사-재검사 신뢰도(r=0.88), 평가자간 신뢰도(r=0.99)는 모두 우수하였다. BDS-K 수행점수는 연령과 교육 수준에 유의한 차이를 보였으며, 연령과 교육 수준에 따라 규준단위로 세분화하여 각 규준단위별 BDS-K의 정상규준을 산출하였다. BDS-K는 MMSE-KC, BADL, LIADL과 비교해서도 모두 유의한 수준(p<0.001)의 타당도를 가지고 있는 것으로 확인되었다. 결 론：BDS-K는 노인의 실행기능 평가에 신뢰도 및 타당도가 높은 도구로서, 본 연구에서 산출된 한국 노인 BDS-K 정상규준은 향후 임상 및 연구 현장에서 노인의 실행기능을 평가함에 있어 객관적 해석 기준으로 유용하게 활용될 수 있다.
Abstract
The aims of this study are to demonstrate the reliability and validity of the Korean version of Behavioral Dyscontrol Scale (BDS-K), and to present the normative values of BDS-K among the Korean elderly. The BDS-K was administered in a standardized manner to 1,389 healthy volunteers aged over 65 years recruited from the community. The elderly with serious neurological, medical or psychiatric disorders were excluded using screening tests. BDS-K showed good internal consistency (Cronbach’s alpha=0.812), test-retest reliability (r=0.88) and inter-rater reliability (r=0.99). Age and educational level were found to affect BDS-K score. Based on this result, normative values of BDS-K were calculated by age and educational level. The validity of the BDS-K were demonstrated in comparison with MMSE-KC (r=0.72). BDS-K is reliable and valid instrument for measuring executive function of the elderly. The normative values suggested by this study can be widely used as reference values to objectively interpret BDS-K scores of the Korean elderly.
참고문헌 (23)
- "Higher cortical functions in man" (1980), Basic Books
- "Higher cortical functions in man The decline of working memory in Alzheimer's disease Dementia due to subcortical ischemic vascular disease Executive function in Parkinson's disease and subcortical disorders Executive dysfunction in subcortical ischaemic vascular disease The measurement of creativity by the Stroop Color and Word Test A group version of the stroop color and word test", pp.603 2521 40 34 217 502 386~18 6 42 51 40 20 6 8 (1994), Oxford University Press Basic Books Clin Cornerstone Semin Clin Neuropsychiatry
- "Personality correlates of the Stroop Color and Word Test", pp.599~602 (1975)
- "The decline of working memory in Alzheimer's disease", pp.2521~6 42 (1991)
- "Clinical Evaluation of the Frontal Lobe Syndrome Using Kims Frontal Executive Neuropsychological Test", 8(2), pp.173~190 (2001)
- "Dementia due to subcortical ischemic vascular disease", 3(4), pp.40~51 (2001)
- "CLOX: an executive clock drawing task", 64(5), pp.588~94 (1998)
- "Executive function in Parkinson's disease and subcortical disorders", 4(1), pp.34~40 (1999)
- "Bedside assessment of executive cognitive impairment", pp.1221~6 (1992)
- "Executive dysfunction in subcortical ischaemic vascular disease", 72(2), pp.217~220 (2002)
- "norms and factor structure of the Behavioral Dyscontrol Scale", pp.3 883~92 (1992)
- "Validation of the behavioral dyscontrol scale-electronic version: sensitivity to subtle sequelae of mild traumatic brain injury", 21(1), pp.69~80 (2007)
- "The measurement of creativity by the Stroop Color and Word Test", pp.502~6 (1975)
- "Screening for dementia with the memory impairment screen", 52(2), pp.231~238 (1999)
- "A group version of the stroop color and word test", pp.386~8 (1975)
- "The Validity and Reliability of Korean Version of Bathel ADL Index", 25, pp.534~541 (2004)
- "The validity and reliability of Korean version of Lawton IADL index", 9(1), pp.23~29 (2005)
- "Development of the Korean version of the Consortium to Establish a Registry for Alzheimer's Disease Assessment Packet (CERAD-K): clinical and neuropsychological assessment batteries", 57(1), pp.47~53 (2002)
- "A Normative Study of the Mini-Mental State Examination in the Korean Elderly", 43(3), pp.508~525 (2002)
- "Assessment of older people self-maintaining and instrumental activities of daily living", pp.179~86 (1969)
- "A study on developing minimum requirement guidelines for standard questionnaire translation, validation using delphi method", 21(4), pp.457~470 (2000)
- "Cognitive and motor impairments predict functional declines in patients with vascular dementia", 72(2), pp.164~9 (2002)
- "The Behavioral Dyscontrol Scale and Functional Status Among Elderly Medical and Surgical Rehabilitation Patients", 6(4), pp.259~268 (2000)