내재화 장애 청소년과 외현화 장애 청소년의 문제행동에 대한 부모 보고와 청소년 보고의 양상
Patterns Related to Parent and Adolescent Reports of Problem Behavior in Adolescents with Internalization and Externalization Disorders
2
조회
0
다운로드
26
인용
0
참고문헌
키워드
초록
본 연구에서는 내재화 장애 청소년과 외현화 장애 청소년의 문제행동에 대한 부모 보고와 청소년 보고가 어떤 양상으로 나타나는 지 알아보고자 하였다. 내재화 장애가 있는 청소년 29명(내재화 장애 집단)과 외현화 장애가 있는 청소년 37명(외현화 장애 집단)에게 한국판 청소년 자기행동 평가 척도(Korean Youth Self-Report: K-YSR)를 실시하였고, 부모 66명에게는 한국판 아동 청소년 행동평가 척도(Korean Child Behavior Checklist: K-CBCL)를 실시하였다. 자료분석을 위해 두 집단의 K-CBCL과 K-YSR 11개 증상척도에 대해 t검증 하였고, 진단구분에 영향을 미치는 척도들을 알아보기 위해 판별분석하였다. 아울러 내재화 장애 집단과 외현화 장애 집단 각각에서 문제행동에 대한 부모-청소년 보고 간의 일치도를 알아보기 위해 적률상관 분석을 하였다. 또한 청소년의 문제행동에 대한 부모 보고와 청소년 보고의 상대적 심각도가 청소년의 장애 유형(즉 내재화 장애와 외현화 장애)과 유관성이 있는 지 알아보기 위해 χ2 검증하였다. 그 결과, 비행, 내재화 문제 및 외현화 문제 증상척도는 부모 보고와 청소년 보고 둘 다에서 내재화 장애 집단과 외현화 장애 집단의 문제행동을 잘 반영해주고 있었다. 청소년의 문제행동에 대한 부모와 청소년 보고 간의 일치도는 낮았다. 청소년의 장애 유형과 부모와 청소년의 문제행동 보고에서의 상대적 심각도는 유의한 관련성이 없었다. 이러한 결과는 본 연구대상의 인구통계학적 및 임상적 특징의 영향일 수도 있다. 그러나 청소년의 문제행동에 대한 정보제공자간의 일치여부나 문제행동의 상대적 심각도를 평가하는 것을 넘어서서, 부모-청소년 간의 상호작용 혹은 심각도에 대한 정보제공자의 지각을 고려해 볼 필요가 있음을 시사한다. 본 연구의 제한점과 향후 연구방향이 논의되었다.
Abstract
The purpose of this study was to examine patterns related to parent and adolescent reports of problem behaviors in adolescents with internalization and externalization disorders. The Korean Youth Self-Report (K-YSR) was administered to 29 adolescents with internalization disorders (i.e., the internalization disorder group) and 37 adolescents with externalization disorders (i.e., the externalization disorder group). The Korean Child Behavior Checklist (K-CBCL) was administered to 66 parents. A t-test was used on 11 symptom scales of the K-CBCL and K-YSR to identify differences between the two groups. In addition, a discriminant function analysis was conducted to identify symptom scales which affected the diagnostic classification decisions. Additionally, agreement between parent and adolescent reports in the two groups was analyzed using Pearson's Product Moment Correlation. Further, a Chi-test was used to identify contingencies in the relative severity of parent and adolescent reports of problem behaviors depending on the type of adolescent's disorder (i.e., internalization or externalization disorder). Delinquent behavior, internalization and externalization symptom scales well reflected the problem behaviors both of the internalization and externalization disorder groups with respect to the parent and adolescent reports. Agreement between parent and adolescent reports of problem behaviors in adolescents were low. Further, the type of adolescent disorder and the relative severity of the problem behaviors as indicated by the parent and adolescent reports were not significantly related. These results may have been influenced by the demographic and/or clinical characteristics of the subjects. However, beyond assessing the agreement between informants or severity on behavior problems, these results suggest the need to consider the parent-adolescent interaction or the informant's perception regarding the severity of behavior problems. Finally, the limitations of this study as well as suggestions for future research have been discussed.
참고문헌 (46)
- 고은정, "어머니와 청소년의 우울증상에 따른 청소년의 정서 및 행동문제에 대한 평가 일치도", 한국심리학회지 임상, 27(1), pp.103~116 (2008), 한국임상심리학회
- 오경자, "K- CBCL 아동․청소년 행동평가 척도" (1997), 중앙적성 출판사
- 오경자, "K- YSR 청소년 자기행동 평가 척도" (2001), 중앙적성 출판사
- 송혜향, "메타분석법" (1992), 자유아카데미
- Achenbach, T. M., "Manual for the Youth Self-Report and 1991 profiles" (1991), University of Vermont Department of Psychiatry
- Achenbach, T. M., "for the Child Behavior Checklist and 1991 child behavior profile" (1991), University of Vermont Department of Psychiatry
- Achenbach, T. M., "Ten-year comparisons of problems and competencies for national samples youth : Self, parent, and teacher reports", Journal of Emotional Behavioral Disorder, 10, pp.194~203 (2002)
- Achenbach, T. M., "DSM-oriented and empirically based approaches to constructing scales from the same item pools", Journal of Clinical Child and Adolescent Psychology, 32, pp.328~340 (2003)
- Achenbach, T. M., "The classification of child psychopathology: A review and analysis of empirical efforts", Psychological Bulletin, 85(6), pp.1275~1301 (1978)
- Achenbach, T. M., "Manual for the Child Behavior Checklist and revised behavior profile" (1983), University of Vermont Department of Psychiatry
- Achenbach, T. M., "Manual for the Teacher's Report Form and 1991 profile" (1991), University of Vermont Department of Psychiatry
- Achenbach, T. M., "Empirically based assessment of child and adolescent psychopathology: Practical applications" (1997), Sage
- Achenbach, T. M., "Child", adolescent behavioral and emotional problems: Implications of cross-informant correlations for situational specificity, 1987, pp.101(2), 213~232
- Albayrak-Kaymak, D., "Internalizing or externalizing: Screening for both problem youth", International Journal for the Advancement of Counselling, 21, pp.125~137 (1999)
- American Psychiatric Association, "Diagnostic and statistical manual of mental disorders(4th ed.)" (1994), American Psychiatric Association
- Barker, E. T., "Adolescent-mother agreement about adolescent problem behaviors: Direction and predictors of disagreement", Journal of Youth and Adolescence, 36, pp.950~962 (2007)
- Berg-Nielsen, T. S., "When adolescents disagree with their mothers: CBCL-YSR discrepancies related to maternal depression and adolescent self-esteem", Child: Care, Health and Development, 29(3), pp.207~213 (2003)
- Burns, R. B., "Discriminant analysis. in: Business Research Methods and Statistics using SPSS", pp.549~608 (2008), Sage
- Caspi, A., "Temperamental origins of child and adolescent behavior problems: From age three to fifteen", Child development, 66(1), pp.55~68 (1995)
- Cohen, P., "An epidemiological study of disorders in late childhood and adolescence. I. Age and gender-specific prevalence", Journal of Child Psychology and Psychiatry, 34, pp.851~867 (1993)
- Edelbrock, C., "Parent-child agreement on child psychoatric symptoms assessed via structured interview", Journal of Child Psychology and Psychiatry and Allied Disciplines, 27, pp.181~190 (1986)
- Edelbrock, C., "Convergence between statistically derived behavior problem syndromes and child psychiatric diagnoses", Journal of Abnormal Child Psychology, 16, pp.219~231 (1988)
- Ferdinand, R. F., "Validity of the CBCL", YSR DSM-Ⅳ scales anxiety problems and affective problems, 2008, pp.22, 126~134
- Ferdinand, R. F., "Prognostic value of parent- adolescent disagreement in a referred sample", European Child and Adolescent Psychiatry, 15, pp.156~162 (2006)
- Ferdinand, R. F., "Parent-teacher disagreement regarding behavioral and emotional problems in referred children is not a risk factor for poor outcome", European Child and Adolescent Psychiatry, 16, pp.121~127 (2007)
- Ferdinand, R. F., "Improving estimation of the prognosis of childhood psychopathology: combination of DSM-Ⅲ-R", DISC diagnoses and CBCL scores, 2004, pp.45(3), 599~608
- Frick, P. J., "Standardized rating scales in the assessment of children's behavioral and emotional problems. in: Handbook of clinical child psychology(3rd ed.)", pp.190~204 (2001), John Wiley & Sons
- Holmbeck, G. N., "Collecting and managing multisource and multimethod data in studies of pediatric populations", Journal of Pediatric Psychology, 27, pp.5~18 (2002)
- Huselid, R. F., "Gender role as mediators of sex differences in expression of pathology", Journal of Abnormal Psychology, 103, pp.595~603 (1994)
- Kasius, M. C., "Associations between different diagnostic approaches for child and adolescent psychopathology", Journal of Child Psychology and Psychiatry, 38(6), pp.625~632 (1997)
- Kazdin, A. E., "Informant variability in the assessment of childhood depression. in: Handbook of depression in children and adolescent: Issues in clinical child psychology", pp.249~271 (1994), Plenum Press
- Krol, N. P. C. M., "From CBCL to DSM: A comparison of two methods to screen for DSM-IV diagnoses using CBCL data", Journal of Clinical Child and Adolescent Psychology, 35(1), pp.127~135 (2006)
- Krol, N. P. C. M., "Computerized screening for DSM classifications using CBCL", YSR extended checklists: A clinical try-out, 2001, pp.17, 315~337
- Mitsis, E. M., "Parent-teacher concordance for DSM-IV attention deficit", hyperactivity disorder in a clinic-referred sample, 2000, pp.39, 308~313
- Monck, E., "Patterns of confiding relationships among adolescent girls", Journal of Child Psychology and Psychiatry, 32, pp.333~346 (1991)
- clinical psychiatry(9th ed.). Philadelphia, PA: Lippincott Williams & Wilkins, "Synopsis of psychiatry:Behavioral sciences", pp.2003, Sadock, B. J.
- Seiffge-Krenki, I., "Discrepancies between mothers' and fathers' perceptions of sons and daughters' problem behavior: A longitudinal analysis of parent -adolescent agreement on internalising and externalising problem behavior", Journal of Child Psychology and Psychiatry, 39, pp.687~697 (1998)
- Sourander, A., "Parent-adolescent agreement on emotional and behavioral problems", Social Psychiatry and Psychiatric Epidemiology, 34, pp.657~663 (1999)
- Stanger, C., "Assessment among parents, teachers, and children on internalizing and externalizing behavior problems", Journal of Clinical Child Psychology, 22, pp.107~115 (1993)
- Theunissen, N. C. M., "The Proxy problem: Child report versus parent report in health-related quality of life research", Quality of Life Research, 7, pp.387~397 (1998)
- Thurber, S., "Comparisons of parent and adolescent perspectives on deviance", Journal of Genetic Psychology, 154, pp.25~32 (1993)
- Thurber, S., "Assessment of adolescent psychopathology: Comparison of mother and daughter perspectives", Journal of Clinical Child Psychology, 19, pp.249~253 (1990)
- Agreement between adolescent self- report and parent reports of health and well-being, "Waters, E.", Results of an epidemiological, ~ (2003)
- tudy., "Child: Care", Health and Development, (29)통권 : 6, pp.501~509
- World Health Organization., "International statistical classification of diseases and related health problems tenth revision(ICD-10)" (1992), World Health Organization Press
- Yeh, M., "Why are we here at the clinic? Parent-child (dis)agreement on referral problems", Journal of Consulting and Clinical Psychology, 69, pp.1018~1025 (2001)