위험군 영아에 대한 발달 평가: 한국 Bayley 영 유아 발달검사의 행동평정 척도를 중심으로
The Behavior and Developmental EvaluationFocused on Bayley's Behavioral Rating Scale
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초록
본 연구는 평균 연령 5.6개월의 일반아 39명, 미숙 위험아 38명 및 만삭 위험아 39명의 행동과 발달을 소아과 의사와 심리학자간 다 학제적 접근을 통하여 비교하고자 한 탐색적 연구이다. 측정도구로는 한국 Bayley 영 유아 발달검사(2004)의 인지척도와 동작 척도 및 행동 평정 척도(Behavior Rating Scale: BRS)를 사용하였다. 1-5개월 및 6-12개월 영아에 대하여 각 집단별 인지 지수와 동작지수 및 행동평정 척도에서의 주의/각성 척도, 과제 지향성 척도, 정서 조절 척도와 동작 수준 척도를 비교하였으며, 행동 평정 척도와 인지 및 동작 지수 간 상관 관계와 행동평정 척도 총점을 설명하는 변인을 측정하였다. 그 결과, 1-5개월 영아의 경우, 인지 및 동작 지수, 주의/각성, 동작 수준 및 행동평정 총점에서 집단 간 차이가 나타났으며, 6-12개월 영아의 경우, 인지 및 동작 지수, 과제 지향성, 동작 수준과 행동평정 척도 총점에서 집단 간 차이가 나타났다. 행동평정척도는 1-5개월 및 6-12개월 각각에서 집단별 인지 지수와 동작 지수와의 관련성도 높게 나타났다. 1-5개월 행동평정 척도를 설명하는 변인은 인지 지수와 동작 지수였으며, 6-12개월 행동평정 척도를 설명하는 변인은 동작 지수였다. 이상의 결과로 토대로 이론적 및 방법론적 추후 연구에 관하여 논의하였다.
Abstract
This study was designed to explore behavior and developmental evaluation in preterms at risk, full-terms at risk, and normal infants. Specifically the purposes of the study were to investigate behavior rating scale based on Korean Bayley Scales of Infant Development-Ⅱ(K-BSID-Ⅱ)(2004). The subjects were 116 infants, 39 preterms at risk infants, 38 full-terms at risk infants and 39 normal infants. The data were analyzed through Kruskal-Wallis, a correlation and multiple regrression test to examine the behavioral ratings. It was shown that there were significant differences among three groups in attention/arousal, orientation/engagement and motor quality and the sum of the behavior rating scale. In the terms of behavior rating scale, mental developmental index and psychomotor developmental index, preterms at risk-, full-terms at risk-, and normal infants showed substantial corrrelations to each other. There were some differences on the behavior rating scale depending on the age of the subjects. For the infants of 1 to 5 months of age, mental development index and pyschomotor develpoment index are correlated while behavior rating scale and psychomotor development index are correlated for the infants of 6 to 12 months of age. Authors discussed in terms of canalization theory and future infant developmental study.
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