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한국형 아동 섭취행동 질문지(K-CEBQ)의 표준화 연구

A Psychometric Evaluation of The Korean Version Children’s Eating Behaviour Questionnaire

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참고문헌

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초록

본 연구에서는 Wardle 등(2001)의 아동 섭취행동 질문지(Children’s Eating Behaviour Questionnaire: CEBQ)를 한국어로 번안하고 이에 대한 요인구조 및 신뢰도와 타당도를 살펴 한국 실정에 맞게 표준화하고자 하였다. 이를 위하여 만 2-9세 정상발달 아동의 부모(N=687)를 대상으로 번안된 CEBQ와 K-CEBI 및 K-CBCL을 실시하였으며, 신뢰도를 검증하기 위하여 이들 중 일부에게 재검사(N=45)를 실시하였다. 또한 발달장애아동의 양육자 70명과 연령과 성별을 짝 맞춘 정상 아동의 양육자 70명을 대상으로 CEBQ를 실시하여 변별타당도를 검증하였다. 요인분석 결과, 한국형 아동 섭취행동 질문지(K-CEBQ)는 최종적으로 8요인 구조가 적합한 것으로 나타났다(음식 즐기기, 포만감에 대한 반응, 까다로움, 음식에 대한 반응, 감정적 과식, 감정적 소식, 느린 식사 속도, 음료 욕구). K-CEBQ는 유의한 수준의 내적 합치도와 검사-재검사 신뢰도를 보고하였으며, K-CEBI, K-CBCL과의 상관분석 및 발달장애 아동 집단과 정상 아동 집단 간의 차이를 살펴본 결과 아동의 섭취 행동을 측정하기에 신뢰롭고 타당한 도구인 것으로 나타났다. t 검증 결과 성별에 대한 차이는 없었으며, 변량분석 결과 연령에 따른 섭취행동의 유의한 차이가 드러나 이를 반영하여 규준을 제시하였다. 마지막으로 본 연구의 연구적, 임상적 함의와 한계점에 대해 논의하였다.

Abstract

The purpose of the present study was to develop and standardize the Korean version of the Children’s Eating Behavior Questionnarie (K-CEBQ). The parents of preschool and elementary school children (N=687) ranging in age from 2 to 9 years and parents of children with developmental disorders (N=71) completed the CEBQ. A subset of these participants were retested for reliability and also completed the Children's Eating Behavior Inventory-Korean Version (K-CEBI) and Child Behavior Checklist-Korean Version (K-CBCL) to examine the validity of the scores. Based on exploratory and confirmatory factor analyses, a theoretically-supported 8-factor structure fit the data best, comprising the following factors: Enjoyment of Food, Satiety Responsiveness, Food Fussiness, Food Responsiveness, Emotional Overeating, Emotional Undereating, Slowness in Eating, and Desire to drink. Reliability was supported by high internal consistency and test-retest reliability estimates. Validity was also supported as evidenced by positive andsignificant correlations between the K-CEBI and K-CBCL and differences in K-CEBQ scores between the developmental disordered and normal (school-based) samples of youth. T-test results showed no significant differences in K-CEBQ scores between gender, and a one-way ANOVA revealed significant differences across ages. Clinical and research implications and limitations are discussed.

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