섭식장애 신념척도의 개발 및 타당화 - 여대생을 중심으로 -
Validation of the Korean Version of Testable Assumption Questionnaire-Eating Disorders (TAQ-ED) in Female University Students
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초록
Hinrichsen과 Garry, Waller(2006)가 개발한 섭식장애 신념척도를 한국어로 번안하여 요인구조를 확인하고, 섭식장애 척도 및 초기 부적응 도식 질문지와의 상호상관과 중다회귀분석을 통해 번안된 척도의 타당도를 검증하였다. 여대생 589명(연령: 18-25세)을 대상으로 한 요인분석 결과 3개의 요인이 전체 분산의 46.3%를 설명하였다. 각 요인은 비만에 대한 타인관점 부정적 신념(23.0%), 체중증가에 대한 부정적 신념(12.2%), 감정조절에 대한 부정적 신념(11.1%)으로 각각 명명되었다. 섭식장애 신념척도의 3개 하위 요인은 섭식장애척도의 8개 하위 요인과는 상관계수가 .13∼.51 (p<.01)이었고, 초기 부적응 도식 질문지의 18개 하위요인과는 상관계수가 .09∼.35 (p<.01)였다. 섭식장애 신념에 유의한 영향을 미치는 초기 부적응 도식은 중다회귀분석 결과 부정성/비관주의, 승인/인정추구, 정서적 결핍, 자기희생, 복종, 결함/수치심 도식으로 나타났다. 본 도구는 섭식 문제행동을 보이는 내담자의 부정적 신념을 평가하는 도구로 활용될 수 있을 것으로 판단되었으며, 끝으로 연구의 한계와 추가적 고려사항을 논의하였다.
Abstract
We developed the Korean Version of Testable Assumption Questionnaire-Eating Disorders(TAQ-ED) originally by Hinrichsen, Garry and Waller(2006). We identified the reliability and validity of TAQ-ED which assess the negative beliefs related with eating disorders. TAQ-ED was administered with Eating Disorders Inventory(EDI) and shortened version of Young Schema Questionnaire(YSQ-S3A) for female undergraduate students(N=589) who lived in Daegu, Korea. Among them, 100 students were conducted TAQ-ED repeatedly after 4 weeks. As a result, Cronbach's α were .76∼.85 and test-retest reliability coefficients(r) were .75∼.84 for total and subscale scores. Factor analysis showed three-factors structure which accounted for 46.3% of the total variance. These results showed some difference with the original questionnaire but three subscale factors were classified into similar pattern. So, negative beliefs about other person's perspective on obesity(23.0%), negative beliefs about weight control(12.2%) and negative beliefs about emotion dysregulation(11.1%) were founded. The results of the correlation analysis between TAQ-ED and EDI were significant(r=.13∼.51, p<.01). The correlation analysis and multiple regression analysis were conducted with TAQ-ED and YSQ-S3A. The results of the correlation analysis were significant(r=.09∼.35, p<.01). The results of the multiple regression analysis showed that Eating disorder beliefs were predicted partially by the negativity/pessimism, approval-seeking/recognition-seeking, emotional deprivation, self-sacrifice, subjugation, defectiveness/shame schema. The TAQ-ED can be used as objective instrument for assessing negative beliefs of clients who have eating problems. Finally, several limitations, implications and the necessity of future study were discussed.
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