한국 고교생 대상 자기 보고식 집행 기능 척도 개발 예비 연구
Development of a Self-Reported Executive Function Rating Scale for the Korean High School Students: A Preliminary Study
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초록
본 연구는 한국 고교생 대상 자기보고식 집행기능 평가 척도를 위한 문항을 선별하려는 목적에서 시행되었다. 총 281명(남 136명, 여 145명)의 고등학생을 대상으로 하였다. 일차 문항 89문항을 선정하여 요인 추출을 위한 분석 과정을 수행하였고 추출된 요인 구조의 적합성을 평가하기 위해 적합도 지수를 산출하였다. 추출된 문항들의 임상적 유용성을 검증하기 위해 ROC Curve's AUC(Area Under the Curve)를 산출하였다. 이 분석에는 한국에서 표준화된 정신적 문제 위험집단을 선별해 내는 도구인 Esendorf Schizophrenia Index (절단점 29점)가 사용되었다. 연구 결과, 총 69문항이 추출되었고 이들 문항들은 5개 요인으로 구성되었으며 이들 요인들에 대한 내적 일치도는 매우 양호하였고 모형 적합도 지수는 양호 혹은 보통 수준에 해당되었으며 AUC를 통한 임상적 유용성 역시 매우 양호한 것으로 나타났다. 결론적으로 본 연구에서 제안한 69문항/5요인으로 구성된 자기 보고식 집행기능 척도는 임상적으로 신뢰롭고 타당한 도구일 가능성이 시사되었다. 본 연구 결과는 일차적인 것으로써 충분한 집단 크기가 확보된 후속 연구를 통하여 검증되고 확장되어야 할 것이다.
Abstract
This study was performed to select preliminary items for self- reported executive function inventory designed for Korean high school students and to evaluate the reliability and the validity. A total of 281 high school students (male 136, 48.4%) were included in this study. The factor analysis was done for the preliminary 89 items and the model fit index was calculated to evaluate the appropriateness of a model. Also, in order to confirm the clinical validity of items, ROC curve's AUC(Area Under the Curve) was produced. In this analysis the Korean version of the Esendorf Schizophrenia Index (ESI)(cutoff point=29) which is the screening scale for the mental problematic high risk group was used. In the results, the 69 items extracted by the factor analysis were composed of five factors. Their internal consistency was excellent and the model fit index was ranged from average to fair. Additionally, the clinical utility through the ROC curve's AUC was proved to be valid. In conclusion, it was suggested that the self-reported executive function inventory of five factors among 69 items as proposed in this study could be a reliable and valid assessment tool. However, the results of this study are preliminary and as such future studies should focus on the verification and expansion of current results, utilizing larger sample sizes.
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