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치료효과 평가도구로서의 한국판 도박회복추적척도(GFS-K) 타당화

Validation of the Gambling Follow-up Scale-Korean Version: An Outcome Measure in the Treatment of Gambling Disorder

박은경|전영민|이정임
한국임상심리학회 (Korean Clinical Psychology Association)|2018.05|Korean Journal of Clinical Psychology|제37권 제2호|pp. 225-235

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참고문헌

키워드

평가중독addiction도박장애회복추적치료효과gambling disorderrecoveryfollow-uptreatment outcomemeasure
주제분류심리과학

초록

본 연구의 목적은 Gambling Follow-up Scale(GFS)을 번안한 한국판 도박회복추적척도(GFS-K)의 타당화 연구다. 이 척도는 도박빈도, 가족생활, 직업생활, 가족생활, 여가생활 및 GA참여에 대한 5개 질문으로 구성되어 있다. 연구 대상은 치료와 연구에 동의하고 DSM-5에 따라 모두 도박장애로 진단되었다. 2,478명의 도박장애자(남성 97.1%)가 치료등록 시점에 치료와 연구에 동의하고 GFS-K를 완성하였다. 정규치료를 마친 608명이 다시 평가를 받았다. 연구 결과 GFS-K(문항 5번 제외)는 적정한 내적 일관성 신뢰도, 수렴타당도와 구성타당도를보였고, 양호한변별타당도와변화민감도를보였다. 생활의회복을구분하는절단점 17점의민감도는 77%, 특이도는 75%였다. GFS-K는치료를받고있는도박내담자에대한신뢰로운추적자료를제공하고치료효과를검증하는데적합한것으로나타났다.

Abstract

The purpose of the present study was to validate the Gambling Follow up Scale-Korean version (GFS-K), which was based on the Gambling Follow-up Scale, a 5-item scale designed to assess gambling frequency/time, work status, family relationship, leisure, and enrolment in Gambling Anonymous in individuals diagnosed with gambling disorder according to the DSM-5 criteria. Two thousand four hundred seventy eight individuals with gambling disorder (97.1% male) seeking treatment completed the GFS-K. A total of 608 clients who completed the treatment were reassessed. The GFS-K showed moderate internal consistency. Confirmatory factor analysis (CFA) confirmed that the one factor solution (except item 5) fitted the data most effectively. There was a moderate convergence between the GFS-K and reference scales. The GFS-K scores showed excellent sensitivity to change, and good ability to distinguish recovered from unrecovered patients after treatment. A cutoff score of 17 was found to have 77% sensitivity and 75% specificity for recovery from gambling. The GFS-K is suited to providing a reliable follow-up of gamblers under treatment and assessing the efficacy of their treatment.

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