지역사회 유아 ADHD 선별에서 CBCL 1.5-5 유아용 행동평가척도의 유용성
The Diagnostic Utility of the CBCL 1.5-5 for ADHD Preschoolers
2
조회
0
다운로드
5
인용
0
참고문헌
키워드
초록
본 연구에서는 부모가 유아의 행동을 평가하는 CBCL 1.5-5 유아용 행동평가척도를 활용하여 지역사회에서 유아 ADHD를 선별할 때 그 유용성을 검증하고자 하였다. 연구대상은 충청북도 지역에 있는 유치원, 어린이집의 만 4세와 5세(남아 196명, 여아 165명)등 총 361명이었다. 사용된 척도는 CBCL 1.5-5 유아용 행동평가척도(Korean Child Behavior Checklist Preschool), 단축형 코너스 부모 평가척도(Abbreviated Conners`s Parent Rating Scale), 주의력 결핍 장애 평가척도-가정판(Attention Deficit Disorder Evaluation Scale-Home Version: ADDES-HV), 가정 상황 질문지(Home Situations Questionaire: HSQ), C-TRF 1.5-5 교사용 행동평가척도(Korean Caregiver-Teacher Report Form 1.5-5)였다. CBCL 1.5-5 유아용 행동평가척도의 공인타당도를 알아보기 위해 ADHD 평가척도들(코너스 부모 평가척도, ADDES-HV, HSQ)과 상관관계를 알아본 결과 CBCL 1.5-5 유아용 행동평가척도의 주의집중, 공격성, 외현화 문제, 총문제행동 척도와 ADHD 평가척도들은 대부분의 측정치에서 유의미한 상관관계를 나타내었다. 변별타당도를 알아보기 위해 ADHD 평가척도들(코너스 부모 평가척도, ADDES-HV, HSQ)의 절단점을 기준으로 ADHD 집단과 일반집단을 구분한 뒤 주의집중, 공격성, 외현화 문제, 총문제행동 척도의 차이를 비교한 결과 ADHD 집단이 일반집단에 비해 유의하게 높았다. 지역사회 ADHD 선별에서 CBCL 1.5-5 유아용 행동평가척도의 민감성(sensitivity)과 특수성(specificity)을 검토한 결과 상위 90%tile인 주의집중 척도 4점, 공격성 척도 15점이 최적의 절단점으로 확인되었다. 이러한 결과들을 토대로 본 연구의 시사점과 제한점, 후속연구에 대한 제언 등을 논의하였다.
Abstract
This study was performed to verify the diagnostic utility of the CBCL 1.5-5 in screening of ADHD preschoolers. The subjects were the 4-5 year old children who were enrolled in the kindergartens and day-cares in the Choong-Chung-Do region, and 361 parents participated in evaluating their children. The parents evaluated their children with various scales; the Korean Child Behavior Checklist Preschool: CBCL 1.5-5, the Abbreviated Conner's Parent Rating Scale, the Attention Deficit Disorder Evaluation Scale-Home Version: ADDES-HV, the Home Situation Questionnaire: HSQ, and the Caregiver-Teacher Report Form 1.5-5: C-TRF 1.5-5. The results were as follows; First, the correlations among the well known ADHD scales(Corner's Parent Rating Scale, ADDES-HV, HSQ) and the CBCL 1.5-5 showed that most scales(CBCL 1.5-5`s, Internalizing Problems, Externalizing Problems, Total Behavior Problems and ADHD scales) had meaningful positives correlations. In order to examine the concurrent validity of the CBCL 1.5-5, the correlations between the CBCL 1.5-5 and C-TRF 1.5-5, which teachers and caregivers use to evaluate their students, were somewhat low. Second, on the results for the discriminant validity of the CBCL 1.5-5, the ADHD group had significantly high scores than the normal group for Attention Problems, Aggressive Behavior, Externalizing Problems and Total Behavior Problems. Third, in screening ADHD with using the CBCL 1.5-5, the sensitivity and specificity were examined, and when raw score of 4 for the Attention Problems and the raw score of 15 for the Aggressive Behavior were set as the 90th percentile, the sensitivity and specificity were shown to be meaningful.
참고문헌 (38)
- 김미경, "학습 문제를 동반한 주의력결핍-과잉행동장애(ADHD)아동의 특성 분석", 정신건강연구, 15, pp.122~133 (1996)
- 김영아, "한국 유아용 문제행동 척도(CBCL preschool)의 표준화를 위한 예비연구", 20005년 한국심리학회 연차대회 발표논문집 (2005)
- 김지혜, "주의력․과잉운동장애(ADHD)아동의 진단도구로서 부모용 행동 평가지의 타당도 연구:한국유아인성검사와 유아․청소년 행동평가척도를 중심으로", 소아․청소년정신의학, 11(2), pp.282~289 (2000)
- 김하정, "아동의 문제행동에 대한 부모와 교사간의 평정 일치도", 석사, pp.1998
- 박형배, "한국판 주의력 결핍 장애 평가척도 가정판:신뢰도 및 타당도 연구", 신경정신의학, 35(6), pp.1319~1329 (1996)
- 소유경, "한국어판 부모, 교사 ADHD 평가 척도의 신뢰도와 타당도 연구", 신경정신의학, 41(2), pp.283~289 (2002), 대한신경정신의학회
- 송수미, "ADHD 및 우울", 불안장애 아동의 문제행동에 대한 부모-교사간 평정 일치도, 2002, pp.21(4), 859~869[DOI]
- 오경자, "C-TRF 1.5-5 교사용 행동평가척도(Korean Caregiver-Teacher Report Form 1.5-5세)", ~ (2005)
- 오경자, "주의력 결핍 과잉 활동증 평가도구로서의 단축형 Conners 평가척도의 활용", 한국심리학회:임상, 8(1), pp.135~142 (1989)
- 오경자, "오경자" (1997), 중앙적성출판사
- 오경자, "유아 행동평가척도–부모용" (2008), (주) 휴노컨설팅
- 이수진, "ROC 분석을 통한 주의력결핍 과잉행동장애 아동의 변별: K-CBCL 소척도를 기준으로", 한국심리학회지 임상, 27(1), pp.191~207 (2008), 한국임상심리학회
- 정이은, "유아 행동문제에 대한 어머니와 교사의 평가일치도-어머니의 우울과 불안을 중심으로", 석사, pp.2006
- Achenbach T.M, "Manual for the Child Behavior Checklist", 4-18 and 1991 Profiles, 1991
- Achenbach T.M, "Manual for the Child Behavior Checklist", 2-3 and 1992 Profiles, 1992
- Achenbach, T. M., "Manual for the ASEBA Preschool Forms & Profiles", Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families., ~ (2000)
- Achenbach, T. M., "Manual for the ASEBA school age Forms & Profiles", Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families., ~ (2001)
- Achenbach, T. M., "Manual for the ASEBA Adult Forms & Profiles", Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families., ~ (2003)
- American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" (1994), Washington, DC: American Psychiatric press.
- Barkley,R.A, "Attention-deficit hyperactivity disorder" (1987), New York: The Guilford Press.
- Barkley,R.A, "ADHD and the Nature of Self-Control" (1997), New York:The Guilford Press
- Barkley,R.A, "Attention-deficit hyperactivity disorder" (2006), New York: The Guilford Press.
- Barkley, R. A., "Comprehensive evaluation of attention deficit disorder with and without hyperactivity as defined by research criteria", Journal of Consulting and Clinical Psychology, 58, pp.775~789 (1990)
- Chen, W. J., "Biagnostic accuracy of the Child Behavior Checklist scales for attention-deficit hyperactivity disorder: a receiver-operating characteristic analysis", Journal of Consulting and clinical Psychology, 62, pp.1017~1025 (1994)
- Conners,C.K, "A teacher rating scale for use in drug studies", Journal American Academic Child Psychiatry, 16, pp.353~411 (1969)
- Derks, M. E., "The relations between DISC-Ⅳ DSM diagnoses of ADHD and multi-informant CBCL-AP syndrome scores", Comprehensive Psychiatry, 47, pp.116~122 (2006)
- Dupaul, D. J., "Attention-deficit hyperactivity disorder", pp.115~143 (1991), New York: Pergamon Press
- Edelbrock, C., "Convergence between statistically derived behavior problem syndromes and child psychiatric diagnoses", Journal of Abnormal Child Psychology, 16, pp.219~231 (1988)
- Goyette, C. H., "Normative data on revised Conners Parent and Teacher Rating Scale", Journal of Abnormal Child Psychology, 6, pp.221~236 (1978)
- Hudziak, J. J., "Screening for DSM-Ⅳ externalizing disorders with the Child Behavior Checklist: a receiver-operating characteristic analysis", Journal of Child Psychology and Psychiatry, 45, pp.1299~1307 (2004)
- Kazdin, A. E., "Convergence of clinically derived diagnoses and parent checklists among inpatient children", Journal of Abnormal Child Psychology, 16, pp.421~435 (1984)
- Kroes, M., "A longitudinal community study: Do psychosocial risk factors and Child Behavior Checklist scores at 5 years of age predict psychiatric diagnoses at a later age?", Journal of American Academy of Child and Adolescent Psychiatry, 41, pp.955~963 (2002)
- Kuipietz, S., "A behavior rating scale for assessing improvement in behaviorally deviant children: A preliminary investigation", American Journal Psychiatry, 128, pp.1432~1436 (1972)
- Loeber, R., "development sequences in the age of onset of dissruptive child behaviors", Journal of Child and Family Studies, 1, pp.21~41 (1992)
- McCarney,S.B, "The manual of attention deficit disorder evaluation scale-Home version" (1989), Columbia, MO: Hawthorne Educational Service Inc.
- Ostrander, R., "Diagnosing attention deficit disorders with the Behavioral Assessment System for Children and the Child Behavior Checklist: test and construct validity analyses using optimal discriminant classification trees", Journal of Consulting and Clinical Psychology, 66, pp.660~672 (1998)
- Steingard, R., "Psychiatric comorbidity in attention deficit disorder: impact on the interpretation of Child Behavior Checklist results", Journal of the American Academy of Child and Adolescent Psychiatry, 31, pp.449~454 (1992)
- Weisz, J. R., "Thai and American perspectives on over and under controlled child behavior problems: Exploring the threshold model among parents, teachers, and psychologists", Journal of Consulting and Chinical Psychology, 56, pp.601~609 (1988)