한국어판 바클리 집행기능결핍척도-단축형의 신뢰도 및 타당도 연구
Validation of the Korean Version of Barkley Deficits in Executive Functioning Scale Short-Form
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초록
한국어판 바클리 집행기능결핍척도(Korean version of Barkley Deficits in Executive Functioning)는 성인 ADHD (Attention-deficit/hyperactivity Disorder) 환자들에게서 나타나는 집행기능의 결함을 포괄적으로 평가하는 도구이다. 바클리 집행기능결핍척도는 양호한 심리 측정적 속성을 가지는 것으로 확인되었으며, 국내에서 일반 성인 집단을 대상으로 한 연구에서도 원판과 동일한 요인구조 및 신뢰도와타당도가 검증된 바 있다. 본 연구는 한국어판 K-BDEFS 단축형(K-BDEFS-SF)의 신뢰도와 타당도를 확인하였다. 서울, 경기, 청주, 진주 등지역사회에 거주하는 일반 성인 1,016명을 대상으로 연구를 진행하였다. 신뢰도 검증 결과, K-BDEFS-SF의 내적 합치도는 .90으로 나타났다. 타당도 검증을 위해 K-ASRS, K-BDI-II, K-BAI와의 상관관계를 분석한 결과, 수렴 및 변별 타당도가 적절한 수준인 것으로 확인되었다. 구성 타당도를 확인하기 위해 확인적 요인분석을 실시한 결과, 한국어판 바클리 집행기능결핍척도와 동일한 5요인 구조모형의 적합도가양호한 것으로 나타났다. 본 연구 결과는 K-BDEFS-SF이 일반 성인 집단에서 집행기능 결함을 측정하는 신뢰로운 도구임을 확인하였으며, 임상 현장에서 성인 ADHD를 진단하는 데 있어 보다 간편하고 유용하게 활용될 수 있을 것으로 기대한다.
Abstract
The Korean Version of Barkley Deficits in Executive Functioning Scale (K-BDEFS) was designed to evaluate daily executive functioning in adults with attention-deficit/hyperactivity disorder. The original Barkley Deficit in Executive Functioning Scale (BDEFS) and the K-BDEFS have demonstrated satisfactory reliability and validity. This study examined the reliability and validity of the K-BDEFS Short-Form (K-BDEFS-SF) in South Korea. A total of 1,016 community-dwelling general adults in 4-four different areas in South Korea participated. The internal consistency and the item-total correlations were favorable. The Korean version of Adult ADHD Self-Report Scale, Korean version of the Beck Depression Inventory, Korean version of Beck Anxiety Inventory were used to assess the concurrent and discriminant validity. The K-BDEFS-SF demonstrated successful reliability and validity. A confirmatory factor analysis supported the five factor model of the K-BDEFS-SF as presented in the original version of the BDEFS-SF. Overall, this study supports the use of the K-BDEFS-SF to assess deficits in executive functioning in community-dwelling populations of Korean adults.
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