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한국판 사회불안 안전행동 질문지(SBQ) 타당화 연구

Validation of the Korean Version of the Social Behavior Questionnaire

김다혜|안정광
한국임상심리학회 (Korean Clinical Psychology Association)|2021.08|Korean Journal of Clinical Psychology|제40권 제3호|pp. 280-298|DOI http://doi.org/10.15842/KJCP.PUB.40.3.280

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키워드

social anxiety사회불안안전행동인상관리회피행동불안증상 통제safety behaviorimpression managementavoidance behavioranxiety-symptom control
주제분류심리과학

초록

본 연구는 사회불안장애가 있는 사람들이 사용하는 안전행동을 측정하는 한국판 사회불안 안전행동 질문지를 타당화하였다. 안전행동이란 자신이 두려워하는 사회적 상황에서 고통을 줄이고, 자신의 불안을 숨기기 위한 행동이다. 안전행동은 치료 효과를 감소시키고, 사회불안을 영속화시킨다. 국내 특성을 반영한 질문지 타당화를 위하여 2020년 주민등록 인구통계를 기준으로 인구비례(성별, 연령, 지역)에따라 온라인 패널들을 모집하였다. 교차 타당도 검증을 위하여 무작위 추출된 자료의 절반은 탐색적 요인분석, 또 다른 절반에는 확인적요인분석을 실시하였다. 탐색적 요인분석 결과, 원척도의 2요인(회피, 인상관리)과는 달리 본 연구에서는 사회불안 안전행동 질문지가 28 문항으로 이루어진 3요인(인상관리, 회피행동, 불안증상 통제) 구조임을 알 수 있었다. 확인적 요인분석 결과, 3요인 구조가 적합하였다. 사회불안 안전행동 질문지의 신뢰도와 수렴 타당도가 우수하였으며, 변별 타당도가 양호하였다. ROC 곡선 분석 결과 절단점이 34점일 때 민감도와 특이도의 합이 최대가 되었다. 이에 본 질문지는 사회불안장애 연구 및 임상 장면에서 안전행동을 파악하고 측정하는 데 유용하게사용될 것으로 보인다.

Abstract

Safety behaviors are forms of avoidance in social anxiety disorder (SAD) and function to reduce pain and conceal anxiety symptoms in social situations perceived as fearful. The use of safety behaviors perpetuates SAD and diminishes the effectiveness of the treatment. The purpose of this study was to validate the Korean version of the Social Behavior Questionnaire (KSBQ), which measures the safety behaviors of individuals with SAD. A total of 742 online panels were recruited based on the Korean 2020 resident registration demographics. We conducted exploratory factor analysis (EFA) on half of the randomly selected data and confirmatory factor analysis (CFA) with the remaining half. According to the EFA results, the K-SBQ had a 28-item three-factor (impression management, avoidance behavior, and anxiety-symptoms control) structure. These results differed from the original scale, which had a two-factor structure (avoidance and impression management). As a result of CFA, the three-factor model showed a suitable model fit. The reliability and convergent validity of the K-SBQ were good, and the discriminant validity was adequate. Further, the ROC curve analysis indicated that 34 points appeared appropriate for the K-SBQ cut-off scores. The study results suggested that the K-SBQ could identify and measure the safety behaviors of individuals with SAD in clinical and research settings.

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