한국판 외상후 스트레스 장애 체크리스트-민간인용(PTSD Checklist Civilian Version)의 신뢰도 및타당도 연구 : 북한이탈주민을 대상으로
Reliability and Validity of the Korean Version of the PTSD Checklist Civilian Version in North Korean Defectors
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본 연구는 다음과 같은 임상적 함의를 갖는다. 즉, PTSD 선별에서 PDS 또는 DTS에 비해 장점을 지닌 PCL-C를 북한이탈주민에게 사용할 목적으로 표준화하고 절단점을 제시한 본 연구가 PTSD를 지녔을 가능성이 있는 북한이탈주민의 효율적 선별에 기여할 수있을 것이다. 그 뿐만 아니라 한국어판 PCL-C가 PTSD를지닌 북한이탈주민의 증상 및 치료 반응 모니터링을 용이하게 함으로써 증상의 추이에 따라 적절하게 개입할 가능성을높일 것으로 기대한다.
Abstract
Objectives This study was conducted for development of the Korean version of the Posttraumaticstress disorder (PTSD) Checklist civilian version (PCL-C) by evaluating its reliability and validityfor the North Korean defectors population. Methods A total of 69 North Korean defectors participated in this study. All patients were recruitedfrom the psychiatric outpatient or inpatient ward. We categorized the participants intotwo groups according to the Clinician-Administered PTSD Scale (CAPS) diagnosis of PTSD(PTSD, n=32 ; Non-PTSD, n=37). All Subjects completed psychometric assessments, includingthe PCL-C, Minnesota Multiphasic Personality Inventory (MMPI-PTSD), Beck Depression Inventory(BDI), and State-Trait Anxiety Inventory (STAI). Results Findings provided support for psychometric properties of the Korean version of thePCL-C. The PCL-C showed good internal consistency (Cronbach α=0.93), and a significantlypositive correlation with CAPS and MMPI-PTSD (r=0.47, r=0.61, respectively). The optimal cutoffpoint of PCL-C for the North Korean defectors was at a total score of 56 with sensitivity andspecificity of 0.88, and 0.50, respectively. Conclusion Overall, the Korean version of the PCL-C appears to be a valid and reliable measureof PTSD symptoms among the North Korean defectors.
참고문헌 (30)
- ". Seoul: Ministry of Unification"[URL]
- Kang SR, "Development of trauma scale for North Korean refugee", 석사, pp.2001
- ". Seoul: National Medical Center; 2012"[URL]
- Blake DD, "The development of a clinician-administered PTSD scale", J Trauma Stress, 8, pp.75~90 (1995)
- Weathers FW, "The PTSD Checklist (PCL): reliability, validity, and diagnostic utility", Proceeding of the 9th Annual Conference of the International Society for Traumatic Stress Studies (1993)
- Foa EB, "The validation of a self-report measure of posttraumatic stress disorder: The Posttraumatic Diagnostic Scale", Psychol Assess, 9, pp.445~ (1997)
- Davidson JR, "Assessment of a new self-rating scale for post-traumatic stress disorder", Psychol Med, 27, pp.153~160 (1997)
- 남보라, "한국판 외상 후 스트레스 진단 척도의 신뢰도 및 타당도 연구", Korean Journal of Clinical Psychology, 29(1), pp.147~167 (2010), 한국임상심리학회
- Seo HJ, "Reliability and validity of the Korean version of the Davidson Trauma Scale", Compr Psychiatry, 49, pp.313~318 (2008)
- ". Seoul: Korean Guidline-Cleainghouse; 2009"[URL]
- Wilkins KC, "Synthesis of the psychometric properties of the PTSD checklist (PCL) military, civilian, and specific versions", Depress Anxiety, 28, pp.596~606 (2011)
- Ruggiero KJ, "Psychometric properties of the PTSD Checklist-Civilian Version", J Trauma Stress, 16, pp.495~502 (2003)
- Blanchard EB, "Psychometric properties of the PTSD Checklist (PCL)", Behav Res Ther, 34, pp.669~673 (1996)
- McDonald SD, "The diagnostic accuracy of the PTSD checklist: a critical review", Clin Psychol Rev, 30, pp.976~987 (2010)
- Conybeare D, "The PTSD Checklist-Civilian Version: reliability, validity, and factor structure in a nonclinical sample", J Clin Psychol, 68, pp.699~713 (2012)
- Weathers FW, "Psychometric properties of nine scoring rules for the Clinician-Administered Posttraumatic Stress Disorder Scale", Psychol Assess, 11, pp.124~133 (1999)
- Lee BY, "A reliability and validity study of a clinician-administered PTSD scale", J Korean Neuropsychiatr Assoc, 38, pp.514~522 (1999)
- Keane TM, "Empirical development of an MMPI subscale for the assessment of combat-related posttraumatic stress disorder", J Consult Clin Psychol, 52, pp.888~891 (1984)
- Kang YS, "A comparative study of the Mississippi Scale and MMPIPTSD Scale to diagnose PTSD" (1997), Chonbuk National University
- Beck AT, "An inventory for measuring depression", Arch Gen Psychiatry, 4, pp.561~571 (1961)
- Lee YH, "A study of the reliability and the validity of the BDI, SDS, and MMPI-D scales", Korean J Clin Psychol, 10, pp.98~113 (1991)
- Spielberger CD, "Manual for the state-trait anxiety inventory" (1970), Consulting Psychologists Press
- Hahn DW, "Korean adaptation of Spielberger’s STAI (K-STAI)", Korean J Health Psychol, 1, pp.1~14 (1996)
- Woo-Teak Jeon, "Traumatic Experiences and Mental Health of North Korean Refugees in South Korea", PSYCHIATRY INVESTIGATION, 5(4), pp.213~220 (2008), 대한신경정신의학회
- Shapinsky AC, "Civilian PTSD scales: relationships with trait characteristics and everyday distress", Assessment, 12, pp.220~230 (2005)
- Watson D, "Development and validation of brief measures of positive and negative affect: the PANAS scales", J Pers Soc Psychol, 54, pp.1063~1070 (1988)
- Weiss DS, "Assessing psychological trauma and PTSD", pp.399~411 (1996), Guilford Press
- Cuevas CA, "HIV", AIDS Cost Study: construct validity and factor structure of the PTSD Checklist in dually diagnosed HIV-seropositive adults, 2007, pp.5, 29~51
- McDonald SD, "The validity and diagnostic efficiency of the Davidson Trauma Scale in military veterans who have served since September 11th, 2001", J Anxiety Disord, 23, pp.247~255 (2009)
- ". National Center for PTSD; 2013"[URL]