한국판 임상가용 아동 및 청소년을 위한 외상후 스트레스장애 척도의 신뢰도 및 타당도 연구
A Study of Reliability and Validity on the Korean Version of Clinician Administered PTSD Scale for Children and Adolescents
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본 연구는 소아와 청소년에서 외상후 스트레스 장애의 진단 및 평가를 위해 사용되고 있는 임상가용 아동과 청소년을 위한 외상후 스트레스장애 척도(CAPS-CA)의 신뢰도와 타당도를 알아보고자 하였다. 이를 위해 우리말로 번안하였고, 외상경험이 있는 피험자를 대상으로 Cronbach alpha 계수, 검사-재검사 신뢰도를 평가하고, CDI, RCMAS, TSC와의 상관을 산출하여 타당도를 평가하였다. 그 결과, CAPS-CA는 신뢰도와 타당도가 우수하였으며 따라서 이 도구는 향후 아동과 청소년의 외상후 스트레스 장애를 진단하기에 유용한 임상가보고검사로 활용될 수 있을 것으로 기대한다.
Abstract
Objectives:This present study was conducted to explore the reliability and the validity of Clinician Administered PTSD Scale for Children and Adolescents Korean version (CAPS-CA). Methods:The Subjects were children and adolescents (8-13yrs) from different places: a certain elementary school, three orphanages, a general hospital, and two neuropsychiatric local clinics. Only subjects who experienced a catastrophic traumatic event were tested by CAPS-CA, CDI, RCMAS, and TSC. Results:The range of correlations between item-criterion were .67-.84. The coefficients of internal consistency were .87. and test-retest reliability was .90, were all the coefficients in the proper range. Inter-correlations of CAPS-CA, CDI, RCMAS, and TSC scale showed significant correlation. TSC showed the highest correlation coefficient. CAPS-CA can be a useful clinician- administered diagnostic instrument for children and adolescents PTSD symptoms. Conclusion:The reliability and the validity of CAPS-CA were confirmed. CAPS-CA could be applied for diagnostic purposes of PTSD in children and adolescents. (J Korean Neuropsychiatr Assoc 2006;45(6):571-577)
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