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한국판 시각-운동 통합 검사 6판(VMI-6)의 구인 타당도: 지적 장애, 자폐스펙트럼장애, 및 ADHD 아동을 대상으로

Construct Validity of Developmental Test of Visual-Motor Integration Korean Version: Focused on Children with Intellectual Disability, Autism Spectrum Disorder, and ADHD

김지혜|황순택|홍상황|한혜련
한국임상심리학회 (Korean Clinical Psychology Association)|2016.02|Korean Journal of Clinical Psychology|제35권 제1호|pp. 81-99|DOI 10.15842/kjcp.2016.35.1.005

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참고문헌

키워드

ADHDautism spectrum disorderVMI-6구인타당도지적 장애자폐스펙트럼장애임상적 유용성construct validityintellectual disabilityclinical utility
주제분류심리과학

초록

본 연구의 목적은 한국판 시각-운동 통합 검사(VMI-6)의 구인타당도와 임상적 유용성을 검증하는 것이다. 이를 위해 자폐스펙트럼장애, 지적 장애, 주의력결핍 과잉행동장애를 진단받은 만 6세에서 16세까지의 아동․청소년 91명과 일반아동 91명, 총 182명을 대상으로 한국판 시각-운동 통합 검사(VMI-6)와 한국판 웩슬러 아동지능검사 제 4판(K-WISC-IV)을 실시하였다. 분석결과는 다음과 같다. 첫째, 지적 장애, 자폐스펙트럼장애, ADHD 집단에서 VMI-6 시각-운동 통합 검사, 시지각 보충검사, 운동협응 보충검사와 K-WISC-IV의 10개의 주요 소검사들 간에 유의한 정적 상관을 보였다. 특히 VMI-6의 세 소검사는 K-WISC-IV의 전체 IQ(FSIQ), 지각추론지표, 작업기억지표, 토막짜기 소검사, 행렬 추리 소검사, 숫자 소검사와 강한 정적 상관을 나타냈다. 둘째, VMI-6의 시각-운동 통합 검사, 시지각 보충검사, 운동협응 보충검사에서 정상 집단이 세 장애 집단보다 높은 점수를 보여 VMI-6 수행에 따라 각 장애 집단과 정상 집단을 변별할 수 있었다. 본 연구의 결과, VMI-6는 이 검사가 측정하고자 하는 구성개념을 평가하는데 유용한 것으로 판단되며, 선행 연구들에서 시사된 것처럼 지적 장애, 자폐스펙트럼장애, ADHD 아동의 신경학적 결함을 변별하는데 유용한 것으로 나타났다. 마지막으로 본 연구의 의의 및 제한점과 향후 연구방향을 논의하였다.

Abstract

The purpose of this study was to examine the construct validity and clinical utility of the VMI-6. For this purpose, 91 children and adolescents with autism spectrum disorder, intellectual disability, and ADHD and 91 general children from 6 to 16 years-of-age were tested using VMI-6 and K-WISC-IV. The results are as follows: First, between Visual-Motor Integration Test, Visual Perception Supplementary Test, Motor Coordination Supplementary Test of VMI-6 and 10 subtests of K-WISC-IV, the results proved to be statistically significant in the group of intellectual disability, autism spectrum disorder, and ADHD. In particular, three subtests of VMI-6 scores showed a high correlation with Full Scale IQ, Perceptual Reasoning Index, Working Memory Index, Block Design, Matrix Reasoning, and Digit Span of K-WISC-IV. Second, each disorder group and general children were classified as per performance Visual-Motor Integration Test, Visual Perception Supplementary Test, and Motor Coordination Supplementary Test. These results showed that construct validity of VMI-6 is useful for examining constructs and for children with intellectual disability, autism spectrum disorder, and ADHD, VMI-6 was useful in classifying neurological deficits. Finally, the meaning and limitation of this study and suggestions for further study are discussed.

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