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죽음에 대한 두려움 부재 척도(ACSS-FAD) 타당화 연구: 노인을 대상으로

Validation of the Acquired Capability for Suicide Scale-Fearlessness About Death for Older Adults

서장원|양소현
한국건강심리학회 (Korean Health Psychological Association)|2023.09|한국심리학회지: 건강 (Korean Journal of Health Psychology)|제28권 제5호|pp. 1051-1066|DOI 10.17315/kjhp.2023.28.5.006

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참고문헌

키워드

노인신뢰도reliabilityvalidity타당도older adults죽음에 대한 두려움 부재 척도(ACSS-FAD)Acquired Capability for Suicide Scale-Fearlessness About Death(ACSS-FAD)
주제분류심리과학

초록

죽음에 대한 두려움 부재 척도(Acquired Capability for Suicide Scale-Fearlessness About Death: ACSS-FAD)는 자살의 대인관계 이론에서 자살실행력의 구성요소인 죽음에 대한 두려움 부재를 측정하는 척도이다. 본 연구의 목적은 한국판 죽음에 대한 두려움 부재 척도(ACSS-FAD)를 노인 450명에게 실시하여 ACSS-FAD의 신뢰도와 타당도를 검증하는 것이다. 이를 위해 노인 450명을 대상으로 ACSS-FAD 척도의 내적 일치도를 확인하고, 확인적 요인분석을 실시하여 ACSS-FAD 척도의 요인구조를 살펴보았다. 또한 ACSS-FAD 척도의 성별에 따른 측정동일성을 검증하기 위해 다집단 확인적 요인분석을 실시하였다. 마지막으로 자살에 대한 공포, 통증 불안, 신체적 염려, 우울과의 상관 분석을 통해 수렴타당도와 변별타당도를 살펴보았다. 연구 결과, ACSS-FAD 척도의 내적 일치도는 적절한 수준으로 나타났으며, 확인적 요인분석은 원척도와 동일하게 1 요인 구조가 적합한 것으로 확인되었다. 성별에 따른 측정동일성을 확인한 결과, 측정동일성 또한 유지되는 것으로 나타났다. 수렴타당도를 확인하기 위해 여러 변인들과의 상관을 분석한 결과, ACSS-FAD 척도는 자살에 대한 공포와 통증 불안, 신체적 염려와 유의한 상관을 보였다. 그러나 변별타당도를 살펴보았던 우울과는 유의하지만 약한 부적 상관을 보였다. 이러한 결과들을 바탕으로 본 연구의 의의와 제한점을 제시하였다.

Abstract

The Acquired Capability for Suicide Scale-Fearlessness About Death(ACSS-FAD) is a measure that assesses the absence of fear of death, which is a component of acquired capability for suicide in the Interpersonal Theory of Suicide. The aim of this study was to validate the Korean version of the ACSS-FAD with a sample of 450 elderly individuals. The study examined the reliability and validity of the ACSS-FAD by assessing its internal consistency and conducting confirmatory factor analysis to explore its factor structure in the elderly population. Furthermore, a multi-group confirmatory factor analysis was conducted to examine the measurement invariance of the ACSS-FAD across genders. Finally, convergent and discriminant validity were examined by correlating the ACSS-FAD with measures of fear of suicide, pain anxiety, physical concern, and depression. Based on the results, the ACSS-FAD demonstrated adequate internal consistency, and the confirmatory factor analysis supported a one-factor structure consistent with the original scale. Measurement invariance across genders was also confirmed, indicating that the scale measures the same construct in both male and female participants. For convergent validity, the ACSS-FAD showed significant correlations with fear of suicide, pain anxiety, and physical concern. However, for discriminant validity, it exhibited a significant but weak correlation with depression. Based on these findings, the significance and limitations of the study were discussed.

참고문헌 (44)

  1. 이기원, "자살하지 않는 이유 척도(The Reasons for Living Inventory)의 타당도 연구", 한국심리학회지: 건강, 15(2), pp.227~242 (2010), 한국건강심리학회[DOI]
  2. 전겸구, "통합적 한국판 CES-D 개발", 한국심리학회지 : 건강, 6(1), pp.59~76 (2001)
  3. "2019년 사망원인통계 결과" (2020), 통계청[URL]
  4. "2020년 사망원인통계 결과" (2021), 통계청[URL]
  5. "2021년 사망원인통계 결과" (2022), 통계청[URL]
  6. Aggarwal, P., "Examining psychometric properties of the Interpersonal Needs Questionnaire among college students in India", Suicide and Life-Threatening Behavior, 52(1), pp.110~120 (2022)
  7. Aisenberg-Shafran, D., "Who is really at risk? The contribution of death anxiety in suicide risk and loneliness among older adults during the COVID-19pandemic", Death Studies, 46(10), pp.2517~2522 (2022)
  8. S. M. Yasir Arafat, "Thwarted belongingness, perceived burdensomeness, and acquired capability for suicide among university students of Bangladesh: Scales validation and status assessment", Frontiers in Psychiatry, 13, pp.1025976~ (2022), Frontiers Media SA[DOI]
  9. Bentler, P. M., "Significance tests and goodness of fit in the analysis of covariance structures", Psychological Bulletin, 88(3), pp.588~606 (1980)
  10. Berkley, K. J., "Sex differences in pain", Behavioral and Brain Sciences, 20(3), pp.371~380 (1997)
  11. Calati, R., "Suicidal thoughts and behaviors and social isolation : A narrative review of the literature", Journal of Affective Disorders, 245, pp.653~667 (2019)
  12. Carney, S. S., "Suicide over 60 : the San Diego study", Journal of the American Geriatrics Society, 42(2), pp.174~180 (1994)
  13. Chan HL, "Prevalence and association of suicide ideation among Taiwanese elderly—a population-based cross-sectional study", Chang Gung Med J, 34(2), pp.197~204 (2011)
  14. Chen, F. F., "Sensitivity of goodness of fit indices to lack of measurement invariance", Structural Equation Modeling : A Multidiscip linary Journal, 14(3), pp.464~504 (2007)
  15. Cho, S., "Psychometric properties of a Korean version of the Pain Anxiety Symptoms Scale-20 in chronic pain patients", International Journal of Behavioral Medicine, 17(2), pp.108~117 (2010)
  16. Conwell, Y., "Completed suicide at age 0 and over", Journal of the American Geriatrics Society, 38(6), pp.640~644 (1990)
  17. Cukrowicz, K. C., "Perceived burdensomeness and suicide ideation in older adults", Psychology and Aging, 26(2), pp.331~ (2011)
  18. Fischer, R., "A primer to (cross-cultural) multi-group invariance testing possibilities in R", Frontiers in Psychology, 10 (2019)
  19. Heikkinen, M. E., "Recent life events in elderly suicide : a nationwide study in Finland", International Psychogeriatrics, 7(2), pp.287~300 (1995)
  20. Hu, L. T., "Fit indices in covariance structure modeling : Sensitivity to underparame terized model misspecification", Psychological Methods, 3(4), pp.424~ (1998)
  21. Joiner, T. E., "Why people die by suicide" (2005), Harvard University Press
  22. Kim, S. H., "Suicidal ideation and suicide attempts in older adults : Influences of chronic illness, functional limitations, and pain", Geriatric Nursing, 37(1), pp.9~12 (2016)
  23. Kim, Y. A., "Chronic medical conditions and wishes to die among older primary care patients", The International Journal of Psychiatry in Medicine, 36(2), pp.183~198 (2006)
  24. 임영진, "Korean Anxiety Sensitivity Index-3: Its Factor Structure, Reliability, and Validity in Non-Clinical Samples", PSYCHIATRY INVESTIGATION, 9(1), pp.45~53 (2012), 대한신경정신의학회
  25. Linehan, M. M., "Reasons for staying alive when you are thinking of killing yourself : The reasons for living inventory", Journal of Consulting and Clinical Psychology, 51(2), pp.276~286 (1983)
  26. McCracken, L. M., "A short version of the Pain Anxiety Symptoms Scale(PASS-20) : preliminary development and validity", Pain Research and Management, 7(1), pp.45~50 (2002)
  27. Miller, J. S., "A comparison of suicidal thinking and reasons for living among younger and older adults", Death Studies, 25(4), pp.357~365 (2001)
  28. Radloff, L. S., "The CES-D scale : A self-report depression scale for research in the general population", Applied Psychological Measurement, 1(3), pp.385~401 (1977)
  29. Ribeiro, J. D., "Fearlessness about death : The psychometric properties and construct validity of the revision to the Acquired Capability for Suicide Scale", Psychological Assessment, 26(1), pp.115~126 (2014)
  30. Rogers, M. L., "Examination of measurement invariance of the Acquired Capability for Suicide Scale", Psychological Assessment, 33(5), pp.464~470 (2021)
  31. Schermelleh-Engel, K., "Evaluating the fit of structural equation models : Tests of significance and descriptive goodness-of-fit measures", Methods of Psychological Research Online, 8(2), pp.23~74 (2003)
  32. Schmitt, N., "Measurement invariance : Review of practice and implications", Human Resource Management Review, 18(4), pp.210~222 (2008)
  33. Seo, J. W., "Preliminary validation of a Korean version of the acquired capability for suicide scale-fearlessness about death", Suicide and Life Threatening Behavior, 48(3), pp.305~314 (2018)
  34. Silva, C., "Mental disorders and thwarted belongingness, perceived burden someness, and acquired capability for suicide", Psychiatry Research, 226(1), pp.316~327 (2015)
  35. Spangenberg, L., "Fearlessness about death and suicidal behavior : Psychometric properties of the German version of the Revised Acquired Capability for Suicide Scale(ACSS-FAD)", Psychiatrische Praxis, 43(2), pp.95~100 (2014)
  36. Spangenberg, L., "Dimensionality, psychometric properties and population-based norms of the German version of the Revised Acquired Capability for Suicide Scale(ACSS-FAD)", Psychiatry Research, 238, pp.46~52 (2016)
  37. Stanley, I. H., "Understanding suicide among older adults : A review of psychological and sociological theories of suicide", Aging & Mental Health, 20(2), pp.113~122 (2016)
  38. Taylor, S., "Robust dimensions of anxiety sensitivity : Development and initial validation of the Anxiety Sensitivity Index-3", Psychological Assessment, 19(2), pp.176~188 (2007)
  39. Van Orden, K. A., "Thwarted belongingness and perceived burdensomeness : Construct validity and psychometric properties of the Interpersonal Needs Questionnaire", Psychological Assessment, 24(1), pp.197~ (2012)
  40. Van Orden, K. A., "Suicidal desire and the capability for suicide : tests of the interpersonal–psychological theory of suicidal behavior among adults", Journal of Consulting and Clinical Psychology, 76(1), pp.72~83 (2008)
  41. Van Orden, K. A., "The interpersonal theory of suicide", Psychological Review, 117(2), pp.575~ (2010)
  42. Witte, T. K., "Stoicism and sensation seeking : Male vulnerabilities for the acquired capability for suicide", Journal of Research in Personality, 46(4), pp.384~392 (2012)
  43. Wolford-Clevenger, C., "Interpersonal violence, alcohol use, and acquired capability for suicide", Death Studies, 39(4), pp.234~241 (2015)
  44. The World Health Report 2001: Mental health: new understanding, new hope, "World Health Organization", World Health Organization, ~ (2001)

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