본문 바로가기
KERD
논문KCI 등재

기능손상 척도(Disability Scale)의 개발: 대학생 집단을 대상으로 한 예비 연구

Development of the Disability Scale: A Preliminary Study in University Students

윤혜영|권정혜|김소정
한국임상심리학회 (Korean Clinical Psychology Association)|2019.05|Korean Journal of Clinical Psychology|제38권 제2호|pp. 199-214

2

조회

0

다운로드

0

인용

0

참고문헌

키워드

신뢰도reliabilityvalidity타당도기능손상 척도(Disability ScaleDS)척도 개발Disability Scale (DS)scale development
주제분류심리과학

초록

본 연구에서는 정신장애를 경험하는 개인들에서의 기능적 손상을 측정하기 위한 자기보고식 척도로서 기능손상 척도(Disability Scale, DS)를 개발하고 대학생 집단을 대상으로 예비적으로 타당화하고자 하였다. 연구 1에서는 대학생 집단(N=259)을 대상으로 탐색적 요인분석을 실시한 결과, 기능손상 척도의 최근 2주 시점 및 6개월 시점 문항 모두에서 ‘정서적 어려움’, ‘대인관계적 어려움’, ‘자기관리의 어려움’, ‘학업 및 직업적 어려움’ 및 ‘건강과 가족관련 어려움’의 총 5요인이 도출되었다. 연구 2에서는 기능손상 척도의 신뢰도와 타당도에 대한검증을 시행하였으며, 기능손상 척도가 적절한 내적 타당도와 더불어 검사-재검사 신뢰도를 갖추고 있는 것으로 확인되었다. 대학생 집단(N=286)과 임상 집단(N=29)을 대상으로 한 집단 차이 분석에서, 임상 집단은 대학생 집단에 비해 전체 점수가 유의미한 수준으로 더 높은 것으로 나타났다. 또한 기능손상 척도는 기능손상을 측정하는 척도 및 우울과 불안장애 관련 증상을 측정하는 척도들과의 정적인 상관을 보이고 있었다. 마지막으로, 최근 2주 시점과 6개월 시점의 문항들에 대해 각각 확인적 요인분석을 실시한 결과, 연구 1을 통해 도출된5요인 모형의 모형 적합도가 양호한 것으로 나타났다. 이같은 결과를 바탕으로 임상적 함의와 연구의 제한점에 대해 논하였다.

Abstract

This study aimed to develop the Disability Scale (DS), a scale for assessing functional impairment in individuals with mental disorders, and to preliminarily explore the psychometric properties of the DS in university students. In the first part of the study, exploratory factor analysis on DS in the university student group (N=259) yielded five factors: “mood problems,” “interpersonal problems,” “self-care problems,” “academic and occupational problems,” and “health and family problems,” for both items on the past 2 weeks and items on the past 6 months. In the second part of the study, analyses of reliability and validity of the DS were performed. The DS showed sound internal consistency, 3-week test-retest reliability, and construct validity. In addition, DS scores were significantly higher in the clinical group with anxiety and depressive disorders (N=29), when compared with the university student group (N=286). The DS showed positive associations with the scales for assessing functional impairment and psychological symptoms including depression and anxiety. Confirmatory factor analyses on the five-factor model of the DS resulted in favorable goodness of fit indices for both items on the past 2 weeks and items on the past 6 months. Clinical implications and limitations of this study are also discussed.

참고문헌 (73)

  1. American Psychiatric Association., "Diagnostic and statistical manual of mental disorders (DSM-5®)" (2013), American Psychiatric Association Publishing
  2. Abramowitz, J. S., "Psychometric properties and construct validity of the Obsessive–Compulsive Inventory—Revised : Replication and extension with a clinical sample", Journal of Anxiety Disorders, 20, pp.1016~1035 (2006)
  3. 배정규, "정신장애인 기능평가척도 단축형(FAS-S)의 개발과 타당화 연구", Korean Journal of Clinical Psychology, 28(4), pp.1025~1047 (2009), 한국임상심리학회[DOI]
  4. Browne, M. W., "Alternative ways of assessing model fit", Sociological Methods & Research, 21, pp.230~258 (1992)
  5. Canino, G. J., "Assessing child impairment in functioning in different contexts : Implications for use of services and the classification of psychiatric disorders", Open Journal of Medical Psychology, 2, pp.29~34 (2013)
  6. Carlozzi, N. E., "Validity of the 12-item World Health Organization disability assessment schedule 2. 0(WHODAS 2. 0)in individuals with Huntington disease(HD)", Quality of Life Research, 24, pp.1963~1971 (2015)
  7. Choi, B. H., "Cognitive Behavior Group Therapy (CBGT) for social phobia" (2007), Sigma Press
  8. Chon, K. K., "Integrated adaptation of CES-D in Korea", Korean Journal of Health Psychology, 6, pp.59~76 (2001)
  9. Clark, A., "Quality of life measurements in patients with malignant disease : A review", Journal of the Royal Society of Medicine, 79, pp.165~169 (1986)
  10. Cooper, J. A., "Cognitive impairment in early, untreated Parkinson’s disease and its relationship to motor disability", Brain, 114, pp.2095~2122 (1991)
  11. Cornelius, J. R., "Major depression associated with earlier alcohol relapse in treated teens with AUD", Addictive Behaviors, 29, pp.1035~1038 (2004)
  12. 은헌정, "한국판 사건충격척도 수정판의 신뢰도 및 타당도 연구", 신경정신의학, 44(3), pp.303~310 (2005), 대한신경정신의학회
  13. Ferrari, A. J., "Burden of depressive disorders by country, sex, age, and year: Findings from the global burden of disease study 2010", PLoS Medicine, 10, pp.e1001547~ (2013)
  14. First, M. B., "Structured clinical interview for DSM-IV Axis I disorders (SCID-I), clinician version, administration booklet" (2012), American Psychiatric Association Publishing
  15. Floyd, F. J., "Factor analysis in the development and refinement of clinical assessment instruments", Psychological Assessment, 7, pp.286~299 (1995)
  16. Foa, E. B., "The Obsessive-Compulsive Inventory : Development and validation of a short version", Psychological Assessment, 14, pp.485~ (2002)
  17. Foa, E. B., "The validation of a new obsessive–compulsive disorder scale : The Obsessive–Compulsive Inventory", Psychological Assessment, 10, pp.206~214 (1998)
  18. Goering, P., "Psychiatric disability in Ontario", Canadian Journal of Psychiatry, 41, pp.564~571 (1996)
  19. Gold, L. H., "DSM-5 and the assessment of functioning: The World Health Organization Disability Assessment Schedule 2.0(WHODAS 2.0)", Journal of the American Academy of Psychiatry and the Law, 42, pp.173~181 (2014)
  20. Hahn, O. S., "Development of Korean version of structured clinical interview schedule for DSM-IV axis I disorder : Interrater reliability", Journal of Korean Neuropsychiatric Association, 39, pp.362~372 (2000)
  21. Hair, J. F., "Multivariate data analysis (Vol. 6)" (2006), Pearson Education Inc
  22. Ham, L. S., "College students and problematic drinking : A review of the literature", Clinical Psychology Review, 23, pp.719~759 (2003)
  23. Han, O. S., "Structured clinical interview schedule for DSM-IV axis I disorder: SCID-I" (2000), Hanampc
  24. Hambrick, J. P., "Psychometric properties of disability measures among patients with social anxiety disorder", Anxiety Disorders, 18, pp.825~839 (2004)
  25. Hollifield, M., "Panic disorder and quality of life : Variables predictive of functional impairment", American Journal of Psychiatry, 154, pp.766~772 (1997)
  26. Horowitz, M., "Impact of Event Scale : A measure of subjective stress", Psychosomatic Medicine, 41, pp.209~218 (1979)
  27. Houck, P. R., "Reliability of the self-report version of the panic disorder severity scale", Depression and Anxiety, 15, pp.183~185 (2002)
  28. Hutcheson, G. D., "The multivariate social scientist: Introductory statistics using generalized linear models" (1999), Sage
  29. Kessler, R. C., "Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication", Archives of General Psychiatry, 62, pp.593~602 (2005)
  30. Kessler, R. C., "Lifetime co-occurrence of DSMIII-R alcohol abuse and dependence with other psychiatric disorders in the National Comorbidity Survey", Archives of General Psychiatry, 54, pp.313~321 (1997)
  31. Kim, H. S., "Memory bias in subtypes of social phobia", Master’s, pp.2001
  32. Kim, S., "The relationship between social anxiety and alcohol related problems: Effects of drinking motives and emotion regulation", Doctor’s, pp.2017
  33. 김소정, "일상생활에서의 정서경험과 게임동기가 인터넷게임행동에 미치는 영향: 생태순간평가 연구", Korean Journal of Clinical Psychology, 37(4), pp.573~589 (2018), 한국임상심리학회[DOI]
  34. 김소희, "성장기 도박에 대한 노출, BAS", BIS 및 비합리적 도박신념과 대학생의 도박중독 간의 관계, 2016, pp.23(3), 439~460[DOI]
  35. Kline, R. B., "Principals and practice of structural equation modeling" (1998), Guilford Press
  36. Nationwide Mass Survey of Gambling Use Conditions, "Korea Racing Authority.", Korea University Research and Business Foundation, ~ (2009)
  37. Kroenke, K., "Anxiety disorders in primary care : Prevalence, impairment, comorbidity, and detection", Annals of Internal Medicine, 146, pp.317~325 (2007)
  38. Kuntsche, E., "Why do young people drink? A review of drinking motives", Clinical Psychology Review, 25, pp.841~861 (2005)
  39. Kuyken, W., "Quality of life assessment across cultures", International Journal of Mental Health, 23, pp.5~27 (1994)
  40. 권복순, "한국 대학생의 도박참여 실태와 도박중독 유병률 조사", 정신건강과 사회복지, (39), pp.5~28 (2011), 한국정신건강사회복지학회
  41. Lee, E. H., "Reliability and validity of the self‐report version of the Panic Disorder Severity Scale in Korea", Depression and Anxiety, 26, pp.E120~E123 (2009)
  42. 이현행, "Is WHODAS 2.0 Useful for Colorectal Cancer Survivors?", Annals of Rehabilitation Medicine, 41(4), pp.667~676 (2017), 대한재활의학회
  43. 이준영, "총괄기능평가척도(Global Assessment of Functioning Scale)와 사회적, 직업적 기능평가척도(Social and Occupational Functioning Scale)", 대한정신약물학회지, 17(2), pp.122~127 (2006), 대한정신약물학회
  44. Magistrale, G., "Validation of the World Health Organization Disability Assessment Schedule II(WHODAS-II)in patients with multiple sclerosis", Multiple Sclerosis Journal, 21, pp.448~456 (2015)
  45. Mattick, R. P., "Development and validation of measures of social phobia scrutiny fear and social interaction anxiety", Behaviour Research and Therapy, 36, pp.455~470 (1998)
  46. Min, S. K., "Development of Korean version of Life Scale(WHOQOL)", Journal of Korean Neuropsychiatric Association, 39, pp.78~88 (2000)
  47. The survey on internet overdependence, "National Information Society Agency.", Ministry of Science and ICT, ~ (2016)
  48. Olfson, M., "Mental disorders and disability among patients in a primary care group practice", American Journal of Psychiatry, 154, pp.1734~1740 (1997)
  49. 박병선, "정신장애인을 위한 전반적 사회기능 척도(General Social Functioning Scale)의 개발", 사회과학연구, 25(4), pp.3~26 (2014), 사회과학연구소[DOI]
  50. 박준영, "한국판 Sheehan Disability Scale의 신뢰도와 타당도 연구", Korean Journal of Clinical Psychology, 29(1), pp.73~81 (2010), 한국임상심리학회[DOI]
  51. Pyne, J. M., "Assessment of the quality of life of patients with major depression", Psychiatric Services, 48, pp.224~230 (1997)
  52. Radloff, L. S., "The CES-D scale : A self-report depression scale for research in the general population", Applied Psychological Measurement, 1, pp.385~401 (1977)
  53. Rapaport, M. H., "Qualityof-life impairment in depressive and anxiety disorders", American Journal of Psychiatry, 162, pp.1171~1178 (2005)
  54. Rubin, H. C., "Quality of well-being in panic disorder : The assessment of psychiatric and general disability", Journal of Affective Disorders, 57, pp.217~221 (2000)
  55. Safren, S. A., "Quality of life in social phobia", Depression and a-Anxiety, 4, pp.126~133 (1996)
  56. Schneier, F., "Functional impairment in social phobia", Journal of Clinical Psychiatry, 55, pp.322~331 (1994)
  57. Shaffer, H. J., "Estimating the prevalence of disordered gambling behavior in the United States and Canada : A research synthesis", American Journal of Public Health, 89, pp.1369~1376 (1999)
  58. Shear, M. K., "Multicenter collaborative panic disorder severity scale", American Journal of Psychiatry, 154, pp.1571~1575 (1997)
  59. Shear, M. K., "Reliability and validity of the Panic Disorder Severity Scale : Replication and extension", Journal of Psychiatric Research, 35, pp.293~296 (2001)
  60. Sheehan, D. V., "The Anxiety Disease" (1983), Charles Scribner and Sons
  61. Skodol, A. E., "Functional impairment in patients with schizotypal, borderline, avoidant, or obsessive-compulsive personality disorder", American Journal of Psychiatry, 159, pp.276~283 (2002)
  62. Son, M. J., "Functional assessment : Diagnostic in psychiatric rehabilitation", Korean Journal of Clinical Psychology, 15, pp.235~254 (1996)
  63. Son, M. J., "A study on the development of Functional Assessment Scale for persons with psychiatric disability", Korean Journal of Clinical Psychology, 20, pp.731~749 (2001)
  64. Sundin, E. C., "Impact of Event Scale : Psychometric properties", The British Journal of Psychiatry, 180, pp.205~209 (2002)
  65. Von Korff, M., "The conceptual evolution of DSM-5", pp.163~188 (2011), American Psychiatric Publishing, Inc
  66. Weiss, D. S., "Assessing Psychological Trauma and PTSD", pp.399~411 (1997), Guilford Press
  67. Williams, A., "Alcohol consumption in university students : the role of reasons for drinking, coping strategies, expectancies, and personality traits", Addictive Behaviors, 23, pp.371~378 (1998)
  68. Winters, K. C., "Assessing alcohol problems: A guide for clinicians and researchers" (2003), NIAAA
  69. Woo, C. W., "The Obsessive-Compulsive Inventory-Revised(OCI-R) : Psychometric properties of the Korean version and the order, gender, and cultural effects", Journal of Behavior Therapy and Experimental Psychiatry, 41, pp.220~227 (2010)
  70. Yi, J. S., "Reliability and validity of the Korean version of Global Assessment of Functioning scale", Korean Journal of Schizophrenia Research, 6, pp.118~124 (2003)
  71. 윤진상, "지역사회거주 노인에서 한국어판 세계보건기구 장애평가조사표의 개발", 신경정신의학, 43(1), pp.86~92 (2004), 대한신경정신의학회
  72. Zhao, H. P., "Activity limitation and participation restrictions of breast cancer patients receiving chemotherapy: Psychometric properties and validation of the Chinese version of the WHODAS 2.0", Quality of Life Research, 22, pp.897~906 (2013)
  73. Zilberman, M., "Gender similarities and differences : The prevalence and course of alcohol and other substance—related disorders", Journal of Addictive Diseases, 22, pp.61~74 (2004)

관련 논문AI추천

정신장애인 기능평가척도 단축형(FAS-S)의 개발과 타당화 연구배정규한국임상심리학회 · Korean Journal of Clinical Psychology2009 · 제28권 제4호한국형 역기능 우울 척도의 문항개발 및 문항분석김종남, 서동기, 이순묵, 조철현, 채정민, 최승원, 최윤경한국건강심리학회 · 한국심리학회지: 건강2017 · 제22권 제4호한국판 Sheehan Disability Scale의 신뢰도와 타당도 연구김지혜, 박준영한국임상심리학회 · Korean Journal of Clinical Psychology2010 · 제29권 제1호단축형 심리검사 개발의 측정학적 방법과 타당화: 한국형 역기능우울척도를 중심으로김명기, 김종남, 서동기, 이순묵, 정선호, 조성경, 채정민, 최승원, Chad Ebesutani한국심리학회 · 한국심리학회지:일반2019 · 제38권 제1호한국판 고통 감내력 부족 척도의 타당화 연구: 한국 대학생 집단을 대상으로권석만, 서장원한국임상심리학회 · Korean Journal of Clinical Psychology2014 · 제33권 제4호역기능적 자기초점 속성 척도의 개발 및 타당화김환, 이훈진한국임상심리학회 · Korean Journal of Clinical Psychology2012 · 제31권 제2호

이 간행물의 다른 논문 (9건)

경북지역 지진 생존자들의 외상후 스트레스 및 우울 증상에 대한 심리적 예측 요인박수현, 권하린pp. 127-144우울성향 대학생의 미래에 대한 긍정적 생각과 자살사고의 관계박승진, 이훈진pp. 145-156미래에 대한 심상적 처리가 즐거움 경험 및 무쾌감성 우울에 미치는 영향민혜원, 이슬아, 권석만pp. 157-170수면이 노인 우울에 미치는 영향이슬아, 최승원pp. 171-181감사개입이 대학생의 취업스트레스 및 정신건강변인들에 미치는 효과 및 매개변인으로서 삶의 의미권혁우, 조용래pp. 182-198
원문 보기