한국판 HCL-32의 타당화
Reliability and Validity of the Hypomania Symptom Checklist-32 in Korea
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초록
Hypomania Symptom Checklist-32(HCL-32)는 양극성 장애 환자를 선별하기 위해 개발된 자기보고식 검사이다. 본 연구는 한국판 HCL-32의 신뢰도와 타당도를 평가하고, 임상적 유용성을 검증하고자 하였다. 신뢰도 분석 결과, Cronbach's alpha가 .88로 상당히 높은 내적 일관성을 보였다. 타당도 분석 결과, MDQ와 유의미한 상관을 보이고 있었으며(r=.49, p<.01, n=200), 양극성 장애 집단과 주요 우울장애 집단을 통계적으로 유의미하게 변별해주고 있었다. 탐색적 요인 분석 결과, 고조된 기분/에너지의 증가, 과민성/충동성의 2요인 구조로 나타났다. Receiver Operating Characteristic(ROC) 곡선 분석 결과, 절단점을 12점으로 했을 때 민감도가 80%, 특이도가 55%로 나타나 양극성 장애 환자를 선별하는 검사로서 유용한 검사임을 시사하였다.
Abstract
The Hypomania Symptom Checklist-32 (HCL-32) has been developed in several European countries to detect and diagnose present or past hypomanic episodes. The purpose of this study was to develop a Korean version of the HCL-32 scale and validate its psychometric properties. The participation in our study were 200 patients with a principal DSM-IV diagnosis of type I (N=55) or type II (N=37) bipolar disorder or unipolar major depression (N=108). All underwent a formal, structured diagnostic assessment. The internal consistency of the Korean version of the HCL-32 was found to be 0.88. We analysed the best cut-off point by means of a ROC curve analysis and, for 12 affirmative responses, obtained a sensitivity of 0.80 and a specificity of 0.55. It has suggested that the Korean version has two main factors as found in previous studies. The Korean version of the HCL-32 has good psychometric properties and sufficient sensitivity and specificity. While it is expected that this scale will be helpful in clinical settings and research protocols in Korea, further studies are needed with larger samples of bipolar patients.
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