한국판 정신적 오염 척도의 타당화
Validation of the Korean Version of the Vancouver Obsessive Compulsive Inventory-Mental Contamination Scale
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본 연구는 정신적 오염 척도(Vancouver Obsessive Compulsive Inventory-Mental Contamination)의 한국판 타당화를 목적으로 실시되었다. 정신적 오염은 오염물질과 신체적 접촉 없이도 더러움을 느끼는 심리적 현상으로, 강박장애(obsessive-compulsive disorder)의 다양한 증상과 관련되어 있으며 증상의 심각도와 치료 효과에 영향을 미친다. 정신적 오염 척도는 Rachman(2004)의 이론에 기반하여 정신적 오염 현상을 평가하고 이해할 수 있도록 개발된 척도이다. 본 연구에서는 번역-역번역 방법을 통해 한국어판 정신적 오염 척도를 번안하였고, 만 16세 이상의 한국인 550명을 대상으로 척도의 신뢰도와 타당도를 검증하였다. 탐색적 요인분석을 통해 단일 구조를 확인하였고 확인적 요인분석 결과 척도의 단일 요인 구조가 타당하다는 것을 확인하였다. 척도의 내적 일관성이 양호하였으며 수렴 타당도는 정신적 오염과 강박장애 증상의 상관관계 분석을 통해 지지되었다. 또한 강박장애 상위, 하위 집단 간 정신적 오염 수준의 차이가 있는 것으로 나타나 척도의 변별 타당도가 지지되었다. 마지막으로 본 연구의 함의와 후속 연구에 대한 제언을 논의하였다.
Abstract
This study aimed to validate the Korean version of the Vancouver Obsessive Compulsive Inventory-Mental Contamination Scale (VOCI-MC). Mental contamination is a psychological phenomenon of feeling dirty without physical contact with a contaminant. It is associated with various symptoms of obsessive-compulsive disorder (OCD) and influences the severity of symptoms and treatment outcomes. We developed a Korean version of VOCI-MC through a translation-back translation method and tested its reliability and validity with 550 Korean adults aged 16 or older. Exploratory factor analysis confirmed a single-factor structure, and confirmatory factor analysis validated the scale’s single-factor structure. The scale demonstrated good internal consistency, and convergent validity was supported by correlations between mental contamination and OCD symptoms. Additionally, discriminant validity was established by the differences in mental contamination levels between upper and lower groups of OCD symptoms. The implications of this study and directions for future studies were discussed.
참고문헌 (55)
- 강혜림, "불확실성에 대한 인내력 부족이 강박증상에 미치는 영향 : 경험 회피의 매개효과와 책임신념의 조절효과", 석사, pp.2019
- 김명숙, "자기결정성이론에 근거한 초등학교 저학년용영어학습동기검사 개발 및 타당화 연구", 교육과정평가연구, 16(1), pp.185~210 (2013)
- 김윤희, "완벽주의에 대한 고찰 : 평가와 치료", 한국심리학회지 : 상담 및 심리치료, 20(3), pp.581~613 (2008)
- "불안한 2030세대… ‘강박장애’ 시달린다" (2014)[URL]
- 박정희, "청소년의 자아 정체성, 불안", 우울 및 강박증과 진로미결정 : 자기 통제력과 사회적 지원의 매개역할, 2008, pp.20(1), 103~123
- "스트레스 사회...강박장애 진료 4년새 23%↑20대 환자 가장 많아" (2021)[URL]
- 서원진, "탐색적 요인분석 연구의 현황과 제언", 사회과학연구, 29(1), pp.177~193 (2018)
- 성형모, "한국어판 백 우울 설문지 2판의 신뢰도 및 타당도 연구", 생물치료정신의학, 14(2), pp.201~212 (2008)
- 이영준, "요인분석의 이해" (2002), 석정
- 이유나, "도덕성 수준과 정신적 오염이 정화욕구 증가에 미치는 영향", 한국자료분석학회, 17(6), pp.3297~3308 (2015)
- 이은영, "중년기 위기감 척도의 개발 및 타당화 연구", 한국심리학회지 : 상담 및 심리치료, 29(2), pp.481~503 (2017)
- 임준석, "한국어판 단축형 강박증상목록(OCI-R-K)의 비임상군에서의 신뢰도와 타당도", 석사, pp.2007
- 홍세희, "구조 방정식 모형의 적합도 지수 선정 기준과 그 근거", 한국심리학회지 : 임상, 19(1), pp.43~55 (2000)
- 홍진표, "강박장애 및 아임상형 강박장애의 평생 유병률과 병발성", 대한불안의학회지, 5(1), pp.29~35 (2009)
- Abramowitz, J. S., "The psychological treatment of obsessive—compulsive disorder", The Canadian Journal of Psychiatry, 51(7), pp.407~416 (2006)
- Abramowitz, J. S., "Obsessive-compulsive disorder with comorbid major depression : What is the role of cognitive factors?", Behaviour Research and Therapy, 45(10), pp.2257~2267 (2007)
- American Psychiatric Association., "Diagnostic and statistical manual of mental disorders-5" (2013), American Psychiatric Publishing
- Blakey, S. M., "The polluted mind : Understanding mental contamination as a transdiagnostic phenomenon", Journal of Obsessive-Compulsive and Related Disorders, 17, pp.1~2 (2018)
- Brislin, R. W., "Back-translation for cross-cultural research", Journal of Cross-Cultural Psychology, 1(3), pp.185~216 (1970)
- Clauss, K., "The interactive effect of mental contamination and cognitive fusion on anxiety", Journal of Clinical Psychology, 78(4), pp.517~525 (2022)
- Costello, A. B., "Best practices in exploratory factor analysis: Four recommendations for getting the most from your analysis", Practical Assessment, Research, and Evaluation, 10(7), pp.1~9 (2005)
- Coughtrey, A., "Mental contamination : Relationship with psychopathology and transdiagnostic processes", Journal of Obsessive-Compulsive and Related Disorders, 17, pp.39~45 (2018)
- Coughtrey, A. E., "Mental contamination in obsessive-compulsive disorder", Journal of Obsessive-Compulsive and Related Disorders, 1(4), pp.244~250 (2012)
- Coughtrey, A. E., "It’s the feeling inside my head : A qualitative analysis of mental contamination in obsessive-compulsive disorder", Behavioural and Cognitive Psychotherapy, 40(2), pp.163~173 (2012)
- Coughtrey, A. E., "The treatment of mental contamination : A case series", Cognitive and Behavioral Practice, 20(2), pp.221~231 (2013)
- Coughtrey, A. E., "The spontaneous decay and persistence of mental contamination : An experimental analysis", Journal of Behavior Therapy and Experimental Psychiatry, 45(1), pp.90~96 (2014)
- Fairbrother, N., "Mental pollution : Feelings of dirtiness without physical contact", Behaviour Research and Therapy, 43(1), pp.121~130 (2005)
- Fairbrother, N., "Feelings of mental pollution subsequent to sexual assault", Behaviour Research and Therapy, 42(2), pp.173~189 (2004)
- Fisher, P. L., "How effective are cognitive and behavioral treatments for obsessive-compulsive disorder? A clinical significance analysis", Behaviour Research and Therapy, 43(12), pp.1543~1558 (2005)
- Foa, E. B., "The obsessive-compulsive inventory : Development and validation of a short version", Psychological Assessment, 14(4), pp.485~496 (2002)
- Foa, E. B., "DSM-IV field trial : Obsessive-compulsive disorder", The American Journal of Psychiatry, 152(1), pp.90~96 (1995)
- Foa, E. B., "Randomised, placebo-controlled trial of exposure and ritual prevention, clomipramine, and their combination in the treatment of obsessive-compulsive disorder", American Journal of Psychiatry, 162(1), pp.151~161 (2005)
- Hair, J. F., "Multivariate data analysis" (1995), Prentice Hall
- Herba, J. K., "Vulnerability to mental contamination", Behaviour Research and Therapy, 45(11), pp.2804~2812 (2007)
- Inozu, M., "The relationship between obsessive compulsive disorder and mental contamination(mc) : Psychometric properties of Vancouver obsessive compulsiveinventory-MC scale and thought-action fusion-contamination scale", Dusunen Adam : Journal of Psychiatry & Neurological Sciences, 29(4), pp.335~348 (2016)
- Jacoby, R. J., "Mental contamination obsessions : An examination across the obsessive-compulsive symptom dimensions", Journal of Obsessive-\Compulsive and Related Disorders, 17, pp.9~15 (2018)
- Kang, H., "A guide on the use of factor analysis in the assessment of construct validity", Journal of Korean Academy of Nursing, 43(5), pp.587~594 (2013)
- Kline, R. B., "Principles and practice of structural equation modeling" (2011), The Guilford Press
- Kline, T. J., "Psychological testing: A practical approach to design and evaluation" (2005), Sage Publications
- Krause, S., ""Was I asking for it?" : An experimental investigation of perceived responsibility, mental contamination and workplace sexual harassment", Journal of Behavior Therapy and Experimental Psychiatry, 71, pp.101633~ (2021)
- Krause, S., "An experimental investigation of moral self-violation and mental contamination", Cognitive Therapy and Research, 47(5), pp.823~833 (2023)
- Krause, S., "It’s not so much about what you touch : Mental contamination mediates the relationship between feared self-perceptions and contact contamination", Journal of Obsessive-Compulsive and Related Disorders, 25, pp.100507~ (2020)
- Lebrun, C., "Validation of a french version of the vancouver obsessional compulsive inventory-mental contamination scale(voci-mc)and the contamination thought-action fusion scale(ctaf)in non-clinical and clinical samples", Behavioural and Cognitive Psychotherapy, 51(4), pp.349~361 (2023)
- Mathes, B. M., "Mental contamination in obsessive-compulsive disorder : Associations with contamination symptoms and treatment response", Behavior Therapy, 50(1), pp.15~24 (2019)
- Melli, G., "Disgust propensity and contamination-related OCD symptoms : The mediating role of mental contamination", Journal of Obsessive-Compulsive and Related Disorders, 3(2), pp.77~82 (2014)
- Melli, G., "Factor structure and temporal stability of the vancouver obsessional compulsive inventory-mental contamination scale(VOCI-MC)and psychometric properties of its italian version", Comprehensive Psychiatry, 58, pp.198~204 (2015)
- Nunnally, J. C., "Psychometric theory" (1994), McGraw-Hill
- Penzel, F., "Obsessive compulsive disorder: Phenomenology, pathophysiology, and treatment", pp.11~22 (2017), Oxford University Press
- Rachman, S., "Fear of contamination", Behaviour Research and Therapy, 42(11), pp.1227~1255 (2004)
- Rachman, S., "Fear of contamination: Assessment and treatment (cognitive behaviour therapy: science and practice)" (2006), Oxford University Press
- Rachman, S., "Oxford guide to the treatment of mental contamination" (2014), Oxford University Press
- Radomsky, A. S., "Abnormal and normal mental contamination", Journal of Obsessive-Compulsive and Related Disorders, 17, pp.46~51 (2018)
- Radomsky, A. S., "The nature and assessment of mental contamination : A psychometric analysis", Journal of Obsessive-Compulsive and Related Disorders, 3(2), pp.181~187 (2014)
- Rasmussen, S., "The epidemiology and clinical features of OCD", Psychiatric Clinics of North America, 15(4), pp.743~758 (1992)
- Ruscio, A. M., "The epidemiology of obsessive-compulsive disorder in the national comorbidity survey replication", Molecular Psychiatry, 15(1), pp.53~63 (2010)
