본문 바로가기
KERD
논문KCI 등재

행동원인규명척도(FAPB)의 개발 연구

Functional Assessment for Challenging/Problem Behaviors (FAPB): Development and Validation

김수연|정경미|정다이
한국재활심리학회 (Korean Association For Rehabilitation Psychology)|2017.03|재활심리연구 (The Korean Journal of Rehabilitation Psychology)|제24권 제1호|pp. 97-117

1

조회

0

다운로드

5

인용

0

참고문헌

키워드

발달장애problem behavior문제행동functional assessment척도기능분석기능평가developmental disabilityfunctional analysis
주제분류심리과학

초록

발달장애인들은 자해, 공격, 파괴 등 다양한 문제행동을 보인다. 문제행동의 기능파악을 위해서는 직접관찰에 의한 기능평가가 가장 권장되나, 전문가의 부재와 시간과 비용 측면에서 효율적이지 못하다. 본 연구는 발달장애인의 문제행동의 기능을 평가하는 간접평가도구인 문제행동 기능평가 설문도구를 개발하는 데 목적이 있다. 본 연구는 3개 연구로 구성되어 있는데, 연구 1에선 기존의 도구와 환자/가족/전문치료사의 집중면담을 통해 일차 설문문항을 개발하였고, 연구 2에선 두 차례의 파일럿 분석을 통하여 예비척도 문항을 확정하였다. 연구 3에서 탐색적 요인분석을 시행한 결과(N=377), 문제행동 기능은 6요인 구조를 보이는 것으로 나타났다. 하위요인들은 요구, 자기자극, 신체적 상태, 강박 및 통제, 회피, 그리고 관심으로 명명되었으며 각각 4문항씩 총 24문항이 도출되었다. 타당도 검증을 위한 확인적 요인분석(N=377)을 실시한 결과, 척도의 추출된 6요인 구조는 적합한 것으로 확인되었다. 이 과정을 통해 최종적으로 개발된 도구인 행동원인규명척도(Functional Assessment for Challenging/Problem Behaviors; FAPB)는 적절한 내적일치도와 검사-재검사 신뢰도를 보였으며 기존 기능평정척도인 QABF와의 하위 척도간 상관도 유의한 것으로 나타났다. 국내 발달장애인의 문제행동 기능을 평정하기에 심리측정적으로 양호한 도구인 FAPB의 이론적 및 임상적 의의에 대해 논의하였다.

Abstract

Individuals with developmental disabilities often display problem behaviors such as self-injurious behaviors, aggressions, and destructions. The purpose of this study was to develop and validate the Functional Assessment for Challenging/Problem Behaviors (FAPB). In study 1, several interviews with patients, families, and therapists were conducted; the initial pool of items were developed from these interview results as well as existing measures. In study 2, a preliminary analysis was conducted twice and items were reduced to 70. In study 3, an exploratory factor analysis (EFA) was conducted which yielded six factors: ‘demand’, ‘self-stimulation’, ‘physical state’, ‘obsession and control’, ‘avoidance’ and ‘attention’. Each factor consisted of 4 items, constructing a total of 24 items. A confirmatory factor analysis (CFA) was conducted and confirmed the six-factor model with good fit indices. Finally, the FAPB showed good internal consistency, test-retest reliability, and convergent validity. Theoretical and clinical implications are discussed.

참고문헌 (69)

  1. 고일영, "장애아동 어머니의 장애수용 척도 개발", 재활심리연구, 17(1), pp.57~80 (2010), 한국재활심리학회
  2. 김명선, "심리장애 진단아동의 K-CBCL 아동 청소년 행동평가척도 군집분석", Korean Journal of Clinical Psychology, 33(4), pp.675~693 (2014), 한국임상심리학회
  3. 김민희, "소아암 생존자 집단과 건강통제 집단의 삶의 질과 문제행동 비교 및 부모보고와 자기보고의 차이 연구", 한국심리학회지: 건강, 16(3), pp.483~500 (2011), 한국건강심리학회
  4. 문장원, "긍정적 행동지원이 장애학생의 수업방해 행동에 미치는 효과", 재활심리연구, 18(3), pp.301~319 (2011), 한국재활심리학회
  5. 신혜연, "발달장애 아동의 부모를 위한 행동주의적 부모교육의 효과성 연구: 이론교육과 실습교육의 비교", Korean Journal of Clinical Psychology, 33(2), pp.221~242 (2014), 한국임상심리학회
  6. 이민주, "문제행동을 가진 발달장애 아동을 위한 부모-아동 상호작용 관찰 체크리스트(PCI-D)의 개발", 재활심리연구, 23(2), pp.367~395 (2016), 한국재활심리학회
  7. 이수민, "고기능 자폐스펙트럼장애에서 제한된 관심과 반복적인 행동 유무에 따른 임상 양상의 차이", 소아 청소년 정신의학, 25(4), pp.187~195 (2014), 대한소아청소년 정신의학회
  8. 이효정, "발달장애인의 문제행동 지원을 위한 기능평가의 활용: 국내·외 문헌분석", 자폐성장애연구, 15(2), pp.121~145 (2015), 한국자폐학회
  9. 장승민, "리커트 척도 개발을 위한 탐색적 요인분석의 사용", Korean Journal of Clinical Psychology, 34(4), pp.1079~1100 (2015), 한국임상심리학회
  10. 장현숙, "발달장애인의 부모와 교육관계자의 삶의 질 예측 변인–환경 변인, 문제행동, 부모", 교육관계자의 심리적 특성을 중심으로, 2015, pp.22(3), 441~463[DOI]
  11. 홍주연, "매체이용 심리치료자들의 수퍼비전 요구 척도 개발", 재활심리연구, 20(3), pp.481~500 (2013), 한국재활심리학회
  12. Andres De Los Reyes, "Informant Discrepancies in the Assessment of Childhood Psychopathology: A Critical Review, Theoretical Framework, and Recommendations for Further Study.", Psychological Bulletin, 131(4), pp.483~509 (2005), American Psychological Association (APA)[DOI]
  13. Iwata, B. A., "Perspectives in the use of non aversive and aversive interventions for persons with developmental disabilities", pp.301~330 (1990), Sycamore
  14. Oh, D. H., "Evaluating Differences between Direct and Indirect Measures for Identifying the Function of Problem Behaviors among Individuals with Developmental Disabilities", Empirical Studies for Understanding and Helping Persons With Autism and DD in Korea. Symposium conducted at the meeting of the Association for Behavior Analysis International (2016)
  15. Thomas M. Achenbach, "Child", adolescent behavioral and emotional problems: Implications of cross-informant correlations for situational specificity., 1987, pp.101(2), 213~232[DOI]
  16. American Psychiatric Association, "Diagnostic and statistical manual of mental health disorders: DSM-5" (2013), American Psychiatric Publishing
  17. Richard E. Arndorfer, "Functional Assessment and Treatment of Challenging Behavior", Topics in Early Childhood Special Education, 13(1), pp.82~105 (2016), SAGE Publications[DOI]
  18. Jennifer M Asmus, "Use of a short-term inpatient model to evaluate aberrant behavior: outcome data summaries from 1996 to 2001.", Journal of Applied Behavior Analysis, 37(3), pp.283~304 (2004), Society for the Experimental Analysis of Behavior[DOI]
  19. B. L. Baker, "Pre-school children with and without developmental delay: behaviour problems and parenting stress over time", Journal of Intellectual Disability Research, 47(4-5), pp.217~230 (2003), Wiley[DOI]
  20. Barton-Arwood, S. M., "Functional behavior assessment rating scales : Intrarater reliability with students with emotional or behavioral disorders", Behavioral Disorders, 28(4), pp.386~400 (2003)
  21. Gracie A. Beavers, "THIRTY YEARS OF RESEARCH ON THE FUNCTIONAL ANALYSIS OF PROBLEM BEHAVIOR", Journal of Applied Behavior Analysis, 46(1), pp.1~21 (2013), Wiley[DOI]
  22. Sarah E Bloom, "CLASSROOM APPLICATION OF A TRIAL-BASED FUNCTIONAL ANALYSIS", Journal of Applied Behavior Analysis, 44(1), pp.19~31 (2011), Society for the Experimental Analysis of Behavior[DOI]
  23. Sarah E. Bloom, "TEACHER-CONDUCTED TRIAL-BASED FUNCTIONAL ANALYSES AS THE BASIS FOR INTERVENTION", Journal of Applied Behavior Analysis, 46(1), pp.208~218 (2013), Wiley[DOI]
  24. Brosnan, J., "A review of behavioral interventions for the treatment of aggression in individuals with developmental disabilities", Research in Developmental Disabilities, 32(2), pp.437~446 (2011)
  25. E G Carr, "Reducing behavior problems through functional communication training.", Journal of Applied Behavior Analysis, 18(2), pp.111~126 (1985), Society for the Experimental Analysis of Behavior[DOI]
  26. Deborah Russell Carter, "Adding Functional Behavioral Assessment to First Step to Success", Journal of Positive Behavior Interventions, 9(4), pp.229~238 (2016), SAGE Publications[DOI]
  27. V M Durand, "Social influences on "self-stimulatory" behavior: analysis and treatment application.", Journal of Applied Behavior Analysis, 20(2), pp.119~132 (1987), Society for the Experimental Analysis of Behavior[DOI]
  28. V. Mark Durand, "Identifying the variables maintaining self-injurious behavior", Journal of Autism and Developmental Disorders, 18(1), pp.99~117 (1988), Springer Nature[DOI]
  29. Ervin, R. A., "A descriptive analysis and critique of the empirical literature on school-based functional assessment", School Psychology Review, 30(2), pp.193~210 (2001)
  30. Glenn, S. S., "On the revolutionary nature of the operant as a unit of behavioral selection", American Psychologist, 47(11), pp.1329~1336 (1992)[DOI]
  31. Vanessa A. Green, "Assessing Behavioral Flexibility in Individuals With Developmental Disabilities", Focus on Autism and Other Developmental Disabilities, 21(4), pp.230~236 (2016), SAGE Publications[DOI]
  32. Brian D. Greer, "FUNCTIONAL ANALYSIS AND TREATMENT OF PROBLEM BEHAVIOR IN EARLY EDUCATION CLASSROOMS", Journal of Applied Behavior Analysis, 46(1), pp.289~295 (2013), Wiley[DOI]
  33. Hair, J. F., "Multivariate data analysis" (2010), Prentice Hall
  34. Gregory P Hanley, "Functional analysis of problem behavior: a review.", Journal of Applied Behavior Analysis, 36(2), pp.147~185 (2003), Society for the Experimental Analysis of Behavior[DOI]
  35. Olive Healy, "A comparison of experimental functional analysis and the Questions About Behavioral Function (QABF) in the assessment of challenging behavior of individuals with autism", Research in Autism Spectrum Disorders, 7(1), pp.66~81 (2013), Elsevier BV[DOI]
  36. Robert H. Horner, "Problem behavior interventions for young children with autism: A research synthesis", Journal of Autism and Developmental Disorders, 32(5), pp.423~446 (2002), Springer Nature[DOI]
  37. Brian A. Iwata, "RELIABILITY AND VALIDITY OF THE FUNCTIONAL ANALYSIS SCREENING TOOL", Journal of Applied Behavior Analysis, 46(1), pp.271~284 (2013), Wiley[DOI]
  38. Iwata, B. A., "Toward a functional analysis of self-Injury", Analysis and Intervention in Developmental Disabilities, 2(1), pp.3~20 (1982)
  39. Iwata, B. A., "The functions of self‐injurious behavior : An experimental‐epidemiological analysis", Journal of Applied Behavior Analysis, 27(2), pp.215~240 (1994)
  40. Johnston, J. M., "Strategies and tactics for human behavioral research" (1993), Erlbaum
  41. SungWoo Kahng, "Behavioral Treatment of Self-Injury, 1964 to 2000", American Journal on Mental Retardation, 107(3), pp.212~ (2002), American Association on Intellectual and Developmental Disabilities (AAIDD)[DOI]
  42. Kanner, L., "Autistic disturbances of affective contact", Nervous Child, 2, pp.217~250 (1943)
  43. Kern, L., "Student-assisted functional assessment interview", Assessment for Effective Intervention, 19(2-3), pp.29~39 (1994)
  44. Lewis, M. H., "Repetitive behavior disorders in autism", Mental Retardation and Developmental Disabilities Research Reviews, 4(2), pp.80~89 (1998)
  45. Kathleen Macintosh, "Social Skills and Problem Behaviours in School Aged Children with High-Functioning Autism and Asperger’s Disorder", Journal of Autism and Developmental Disorders, 36(8), pp.1065~1076 (2006), Springer Nature[DOI]
  46. Johnny Matson, "Aggression and Tantrums in Children with Autism: A Review of Behavioral Treatments and Maintaining Variables", Journal of Mental Health Research in Intellectual Disabilities, 2(3), pp.169~187 (2009), Informa UK Limited[DOI]
  47. Matson, J. L., "User’s guide: Questions about behavioral function (QABF)" (1995), Scientific Publishers
  48. Matson, J. L., "The relationship of challenging behaviors to severity and symptoms of autism spectrum disorders", Journal of Mental Health Research in Intellectual Disabilities, 2(1), pp.29~44 (2009)
  49. McDougle, C. J, "A case-controlled study of repetitive thoughts and behavior in adults with autistic disorder and obsessive-compulsive disorder", American Journal of Psychiatry, 152(5), pp.772~777 (1995), American Psychiatric Publishing[DOI]
  50. Kent McIntosh, "Validity of Functional Behavior Assessment Within a Response to Intervention Framework", Assessment for Effective Intervention, 34(1), pp.6~14 (2008), SAGE Publications[DOI]
  51. Michael M Mueller, "FUNCTIONAL ANALYSIS IN PUBLIC SCHOOLS: A SUMMARY OF 90 FUNCTIONAL ANALYSES", Journal of Applied Behavior Analysis, 44(4), pp.807~818 (2011), Society for the Experimental Analysis of Behavior[DOI]
  52. Muthén, L. K., "Mplus User’s guide" (1998), Muthén & Muthén
  53. J. T. NEWTON, "The Motivation Assessment Scale: inter-rater reliability and internal consistency in a British sample", Journal of Intellectual Disability Research, 35(5), pp.472~474 (1991), Wiley[DOI]
  54. Joyce S. Nicholas, "Prevalence and Characteristics of Children With Autism-Spectrum Disorders", Annals of Epidemiology, 18(2), pp.130~136 (2008), Elsevier BV[DOI]
  55. O’neill, R. E., "Functional assessment of problem behavior: A practical assessment guide", pp.1997, Brooks
  56. Theodosia R Paclawskyj, "Questions about behavioral function (QABF):", Research in Developmental Disabilities, 21(3), pp.223~229 (2000), Elsevier BV[DOI]
  57. T. R. Paclawskyj,, "Assessment of the convergent validity of the Questions About Behavioral Function scale with analogue functional analysis and the Motivation Assessment Scale", Journal of Intellectual Disability Research, 45(6), pp.484~494 (2001), Wiley[DOI]
  58. L Pelios, "The impact of functional analysis methodology on treatment choice for self-injurious and aggressive behavior.", Journal of Applied Behavior Analysis, 32(2), pp.185~195 (1999), Society for the Experimental Analysis of Behavior[DOI]
  59. Margot Prior, "Maintenance of sameness in children with Kanner's syndrome", Journal of Autism and Childhood Schizophrenia, 3(2), pp.154~167 (1973), Springer Nature[DOI]
  60. R. Matthew Reese, "Functional Characteristics of Disruptive Behavior in Developmentally Disabled Children with and without Autism", Journal of Autism and Developmental Disorders, 35(4), pp.419~428 (2005), Springer Nature[DOI]
  61. Karrie A. Shogren, "Convergent Reliability and Validity of the Questions about Behavioral Function and the Motivation Assessment Scale: A Replication Study", Journal of Developmental and Physical Disabilities, 15(4), pp.367~375 (2003), Springer Nature[DOI]
  62. Jeff Sigafoos, "Interrater reliability of the motivation assessment scale: Failure to replicate with aggressive behavior", Research in Developmental Disabilities, 15(5), pp.333~342 (1994), Elsevier BV[DOI]
  63. Spreat, S., "Reliability analysis of the motivation assessment scale", American Journal of Mental Retardation, 100(5), pp.528~532 (1996)
  64. M W Steege, "The use of behavioral assessment to prescribe and evaluate treatments for severely handicapped children.", Journal of Applied Behavior Analysis, 22(1), pp.23~33 (1989), Society for the Experimental Analysis of Behavior[DOI]
  65. Michelle Turner, "Annotation: Repetitive Behaviour in Autism: A Review of Psychological Research", Journal of Child Psychology and Psychiatry, 40(6), pp.839~849 (1999), Wiley[DOI]
  66. Vaughn, S., "Focus group interviews in education and psychology" (1996), Sage
  67. Wilder, D. A., "Brief functional analysis and treatment of tantrums associated with transitions in preschool children", Journal of Applied Behavior Analysis, 39(1), pp.103~107 (2006)[DOI]
  68. Arthur E. Wilke, "Indirect functional assessment of stereotypy in children with autism spectrum disorders", Research in Autism Spectrum Disorders, 6(2), pp.824~828 (2012), Elsevier BV[DOI]
  69. Zarcone, J. R., "Reliability analysis of the Motivation Assessment Scale : A failure to replicate", Research in Developmental Disabilities, 12(4), pp.349~360 (1991)

관련 논문AI추천

행동원인규명척도(FAPB)를 활용한 문제행동 유형 및 관찰자 유형 변인에 따른 문제행동 기능 규명정경미, 진동주한국행동분석학회 · 행동분석ㆍ지원연구2021 · 제8권 제3호지적장애, 자폐성장애 등 발달장애아동의 기능적 행동평가를 위한 동기사정척도(MAS)의 타당성 검증에 관한 연구백종남한국행동분석학회 · 행동분석ㆍ지원연구2020 · 제7권 제1호발달지체 및 장애 영유아의 도전적 행동 지원을 위한 기능평가에 대한 체계적 문헌 분석김예진, 박경은한국행동분석학회 · 행동분석ㆍ지원연구2023 · 제10권 제1호기능평가에 근거한 중재가 자폐아동의 문제행동에 미치는 효과김의정, 최혜승한국특수교육문제연구소 · 특수교육저널:이론과 실천2005 · 제6권 제3호Reliability and Validity of a New Comprehensive Tool for Assessing Challenging Behaviors in Autism Spectrum Disorder김인향, Bung-Nyun Kim, Hee Jeong Yoo, Hyewon Kim, Hyojung Lee, Min-Sup Shin, Soo-Jin Kim, Soo Yeon Kim, Youngsun Lee대한신경정신의학회 · PSYCHIATRY INVESTIGATION2018 · 제15권 제1호발달장애 학생의 문제행동 중재를 위한 동기 사정 척도(MAS)의 타당화김태형한국정서행동장애학회 · 정서·행동장애연구2018 · 제34권 제1호

이 간행물의 다른 논문 (11건)

신경퇴행성 질환자 부양자의 부양부담에 관한 연구 : 알츠하이머병과 파킨슨병을 중심으로홍창희, 김고운pp. 1-15유기불안, 미성숙한 방어기제, 그리고 경계선적 성격특성의 관계오남경pp. 17-28정신질환을 가지고 있는 대학생들에 대한 대학 내 서비스와 상담전략에 대한 제언: 정신재활서비스의 적용을 중심으로안성희pp. 29-48장애아 어머니의 스트레스 대처자원 척도 개발김미혜, 이동혁pp. 49-75우울한 어머니와 아동의 문제행동 관계에서 아동의 의도적 통제 조절 효과송현주, 김현지pp. 77-96
원문 보기