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임상용 도박인지척도(GRCS-12)의 개발과 타당화: 임상표본

Development and Validation of the Clinical Version of the Gambling Related Cognitions Scale-12 in a Korean Clinical Sample

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초록

본 연구는 도박인지척도(Gambling Related Cognitions Scale, GRCS)의 문항을 기반으로 임상표본에 최적화된 임상용 도박인지척도를 구성하여 그 타당도를 검증하는 데 목적이 있다. 연구대상자는 도박중독 치료를 받으러 온 2,420명(남성 97.1%)이었다. 이들을 무선적으로 두집단으로 나누어, 임상표본 1(1,237명)의 자료에 대해서는 단축형 도박인지척도 구성을 위하여 원형척도를 번안한 GRCS에 대한 문항분석과 탐색적 요인분석으로 단축형 도박인지척도를 구성하였고, 임상표본 2(1,183명)의 자료에 대해서는 단축형 도박인지척도에 대한 확인적요인분석 및 타당도 검증을 하였다. 임상표본 1의 자료에 대한 문항분석과 탐색적 요인분석을 통해 4요인(예측/해석, 도박기대, 통제착각, 도박중단무능) 12문항의 단축형 도박인지척도 GRCS 12를 구성하였다. 4개 요인은 전체 변량의 67.06%를 설명하였다. 임상표본 2를 대상으로 GRCS 12의 신뢰도와 타당도를 검증하였다. 확인적 요인분석 결과 12문항의 4요인구조는 전반적인 적합도가 양호하였으며, 각 하위척도의 내적 신뢰도는 .68–.72, 전체 문항의 신뢰도는 .80이었다. 또한 수렴 및 변별 타당도, 준거관련 및 예측 타당도와 변화민감도를 확인하였다. 끝으로 본 연구 결과를 토대로 연구의 의의와 제한점에 대해 논의하였다.

Abstract

The purpose of this study is to construct the clinical version of the Gambling Related Cognition Scale (GRCS-12), which is based on Gambling Related Cognitions Scale (GRCS) and confirm its optimal validity for Korean clinical sample. A total of 2,420 problem/pathological gamblers (male 97.1%) seeking treatment for gambling disorder completed the GRCS. They were randomly divided into two groups. Item analysis and explanatory factor analysis (EFA) were performed on the data of group 1(1,237) to construct GRCS-12 and confirmatory factor analysis (CFA) was performed on the data of group 2 (1,183) and the validity of GRCS-12 was confirmed. Based on the results of item analysis and EFA on the data of group 1, GRCS-12 consisting of four factors (prediction/interpretation, gambling-related expectancies, illusion of control, and perceived inability to stop gambling) and twelve items was constructed for group 1. The four factors accounted for 67.06% of the total variance. Reliability and validity were confirmed using group 2. The CFA results indicated that the four factors had internal consistency ranging from 0.68 to 0.72, while the reliability of all twelve items was 0.80. Thus, GRCS-12 showed good convergent validity, discriminant validity, criterion-related and predictive validity, and sensitivity to change. The implications and limitations of the present study along with suggestions for future research have also been discussed.

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