아동 및 청소년 환자군의 정신증적 장애 진단에 있어서 Rorschach검사의 PTI(Perceptual-Thinking Index)와 SCZI(Schizophrenia Index)의 진단적 유용성 비교연구
Diagnostic efficiency comparison of PTI(perceptual-Thinking Index) with SCZI(Schizophrenia Index) of the Rorschach test in identifying psychotic disorder among children and adolescent patient groups
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초록
Rorschach 검사의 Perceptual-Thinking Index(PTI; Exner, 2000)의 진단적 효용성을 Schizophrenia Index (SCZI; Exner, 1993)와 비교하여 살펴보았다. 연구대상은 아동 및 청소년 환자군으로, 정신증적 장애 집단 25명, 우울증 집단 27명, 품행장애 집단 17명으로 이루어졌다. 연구 결과 PTI에서 세 집단간 유의미한 점수차가 있었으며, 정신증적 장애 집단이 비교 집단보다 유의미하게 큰 PTI점수를 보였다. PTI는 3점을 임계치로 했을 때 임상진단에 비교된 진단정확률이 83%로 가장 높았다. SCZI와 비교 하였을때, PTI는 오부정율에서는 차이를 보이지 않았으나, 오긍정율은 SCZI보다 낮았다. 끝으로 이 결과들이 가지는 시사점과 제한점에 대해 논의하였다.
Abstract
The present study was to examine the diagnostic efficiency of the Rorschach Perceptual-Thinking Index(PTI; Exner, 2000) as compared to Schizophrenia Index(SCZI; Exner, 1993). Participants were 69 children and adolescents psychiatric patients; 25 with psychotic disorder, 27 with depression, 17 with conduct disorder. The results showed significant difference among three groups on PTI and psychotic disorder patients showed a higher level of PTI than comparison groups. The cutoff score of 3 for PTI resulted in the greatest diagnostic hit rate, 83%. As compared with SCZI, PTI had no difference on false negative rate, whereas produced lower false positive rate than SCZI. Implications and limitations of this study were discussed.
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