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CBCL 일반정신병리와 조절곤란 프로파일의 요인구조: 아동복지시설 심리장애 아동을 대상으로

Factor Structure of General Psychopathology and CBCL-Dysregulation Profile: A Focus on Children with Mental Disorder(s) in Child Welfare Facilities

하은혜|김은영
한국임상심리학회 (Korean Clinical Psychology Association)|2021.02|Korean Journal of Clinical Psychology|제40권 제1호|pp. 43-59|DOI http://doi.org/10.15842/KJCP.PUB.40.1.43

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키워드

bifactor model확인적 요인분석confirmatory factor analysis아동복지시설일반정신병리조절곤란 프로파일이중요인모형child welfare facilitiesgeneral psychopathologyCBCL-dysregulation profile
주제분류심리과학

초록

본 연구는 아동복지시설 아동의 임상표본에서 일반정신병리(General Psychopathology)와 조절곤란 프로파일(CBCL-Dysregulation Profile) 의 요인구조 검증을 위해, 선행연구에 근거한 8가지 경쟁모형을 확인적 요인분석을 통해 비교, 분석하였다. 그 결과 단일요인, 2요인, 3요인모형에서 모형의 적합도 수준이 크게 나빠졌으며, 이중요인(Bifactor)모형에서 적합도 수준이 가장 높게 나타났다. 최종모형으로 선택된 이중요인모형에서 GP와 DP의 특정요인과 일반요인이 아동의 부정적인 심리 변인을 유의하게 예측하는지 확인한 결과, GP와 DP는 아동복지시설 심리장애 아동의 주의력, 공격성, 충동성, 우울, 불안과 더 밀접하게 관련되어 있었으며, GP와 DP의 특정요인의 영향력은 아동의 부정적인 심리 변인에 따라 다르게 나타났다. 특히 DP에만 포함된 주의력 문제는 GP의 이중요인모형과 차별화되는 특정요인으로 아동의 부적응과 밀접한 관련을 보였으며, GP 보다 DP가 아동의 부적응을 더 크고 다양하게 예측하고 있어, DP가 아동 정신병리를 예측하는데 보다 효율적인 진단적 지표를 제공할 수 있을 것으로 보인다. 이러한 연구결과를 바탕으로 본 연구의 의의와 한계점, 후속 연구 방향에대해 논의하였다.

Abstract

In this study, 8 competing general psychopathology factor models from previous studies were compared and analyzed using the confirmatory factor analysis method in order to test the factor structure of general psychopathology and The Child Behavior Checklist-dysregulation profile for children from child welfare facilities. The general psychopathology factor models were limited to one-factor, 2-factor, and 3-factor models. The goodness-of-fit levels for each of these models was significantly lowered; however, among them, the bifactor model showed the best goodness-of-fit. When examining whether the specific and general factors of general psychopathology (GP) and dysregulation profile (DP) in the selected bifactor models may significantly predict the negative psychological factors among children, it was found that GP and DP were more closely related to attention, hostility, impulsivity, depression, and anxiety in children with mental disorder(s) in child welfare facilities. Further, the level of influence of the specific factors of GP and DP varied with the child's negative psychological factors. The attention problem, which was included only in DP, showed a particularly close relationship with maladaptation for children. Since DP predicted children’s maladaptation more significantly and diversely than GP, DP may be regarded as an efficient diagnostic indicator for predicting child psychopathology. Based on the above results, the purpose and limitations of this study, as well as the direction for future studies, are discussed within the manuscript.

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