알코올 의존 환자에서의 12단계 척도의 신뢰도와 타당도 연구
The Reliability and Validity Study of Twelve Step Scale in Patients with Alcohol Dependence
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Objectives：This study is aimed to assess the reliability and validity of the Twelve Step Scale which are newly developed to observe the direct effect of the twelve step facilitation therapy that has been widely used for the treatment of patients with alcohol dependence. Methods：110 patients who were diagnosed with alcohol dependence by psychiatrists using DSM-TR criteria agreed to participate in the study. Subjects were assessed by questionnaires including demographic data and alcohol related clinical rating scales such as Twelve Step Scale, Korean version of Alcohol Use Disorders Identification Test, Alcohol Dependence Scale, Hanil Alcohol Insight Scale when informed consents were acquired. Four weeks later after initial assessment, Twelve Step Scale was reassessed for subjects who were treated over 3 months at the same hospital without recent admission or discharge for a month. Results：The average of the Twelve Step Scale was higher in female patients than in male. In addition, there is positive correlation between HAIS and Twelve Step Scale. According to factor analysis, Twelve Step Scale has two factors. The results showed significant internal consistency reliability(Cronbach’s α=0.92) but did not show reasonable test-retest reliability. Conclusion：This study showed that the Twelve Step Scale had reasonable reliability and validity except test-retest reliability. Thus the Twelve Step Scale can be used to assess the direct effects of twelve step facilitation therapy, which in turn might contribute to enhance twelve step facilitation therapy in the future.
Abstract
Objectives：This study is aimed to assess the reliability and validity of the Twelve Step Scale which are newly developed to observe the direct effect of the twelve step facilitation therapy that has been widely used for the treatment of patients with alcohol dependence. Methods：110 patients who were diagnosed with alcohol dependence by psychiatrists using DSM-TR criteria agreed to participate in the study. Subjects were assessed by questionnaires including demographic data and alcohol related clinical rating scales such as Twelve Step Scale, Korean version of Alcohol Use Disorders Identification Test, Alcohol Dependence Scale, Hanil Alcohol Insight Scale when informed consents were acquired. Four weeks later after initial assessment, Twelve Step Scale was reassessed for subjects who were treated over 3 months at the same hospital without recent admission or discharge for a month. Results：The average of the Twelve Step Scale was higher in female patients than in male. In addition, there is positive correlation between HAIS and Twelve Step Scale. According to factor analysis, Twelve Step Scale has two factors. The results showed significant internal consistency reliability(Cronbach’s α=0.92) but did not show reasonable test-retest reliability. Conclusion：This study showed that the Twelve Step Scale had reasonable reliability and validity except test-retest reliability. Thus the Twelve Step Scale can be used to assess the direct effects of twelve step facilitation therapy, which in turn might contribute to enhance twelve step facilitation therapy in the future.
참고문헌 (23)
- "보건복지부 학술연구 용역사업 보고서: 2011년 정신질환실태 역학조사" (2011), 조맹제[URL]
- "The Global Burden Of Disease" (2004)[URL]
- 한국중독정신의학회, "중독정신의학", pp.25~405 (2009), 엠엘커뮤니케이션
- Project MATCH research group, "Project MATCH secondary a priori hypotheses", Addiction, 92, pp.1671~1698 (1997)
- Kim JW, "The Effectiveness of Continuing Group Psychotherapy for Outpatients with Alcohol Dependence : 77-Month Outcomes", Alcohol Clin Exp Res, 36, pp.686~692 (2012)
- 최성빈, "알코올리즘 입원치료프로그램 참가자들의 퇴원 후 경과에 대한 연구", 중독정신의학, 10, pp.44~50 (2006)
- 문요한, "알코올리즘 치료프로그램 입원환자들의 퇴원후 경과에 대한 연구", 중독정신의학, 2, pp.227~235 (1998)
- "알코올사용장애 환자, 퇴원 후 단주유지를 위한 외래관리가 중요 2013"[URL]
- Galanter M, "The American psychiatric publishing textbook of substance abuse treatment", pp.491~524 (2008), Psychiatric Publishing, Inc
- A.A 연합단체 한국지부, "12단계와 12전통", pp.7~12 (2002), A.A 연합단체 한국지부
- 이덕기, "알코올 의존 환자에서의 한국어판 알코올의존 척도의 신뢰도와 타당도 연구", 중독정신의학, 4, pp.30~37 (2000)
- 김종성, "HAIS(Hanil Alcohol Insight Scale)를 이용한 알코올의존 환자들의 병식 평가", 중독정신의학, 2, pp.126~133 (1998)
- Rea LM, "Designing and conducting survey research: A comprehensive guide", pp.220~229 (2005), Jossey-Bass
- Nunnally JC, "Psychometric Theory", pp.92~113 (1978), McGraw-Hill
- Clinical Psychiatry, "Kaplan & Sadock’s synopsis of psychiatry: Behavioral Sciences", pp.2007, Sadock BJ
- Nowinski J, "The twelve-step facilitation handbook", pp.7~16 (1992), Lexington Books
- 성상경, "알코올중독 입원 치료프로그램의 효과성에 관한 연구(Ι)-병식의 변화와 만족도를 중심으로-", 중독정신의학, 6, pp.20~29 (2002)
- 이병욱, "한국어판 알코올 사용장애 진단 검사(AUDIT : Alcohol Use Disorders Identification Test)의 개발 : 신뢰도 및 타당도 검사", 중독정신의학, 4, pp.83~92 (2000)
- 임조영, "알코올 의존 환자의 변화의 과정 및 준비도 척도의 신뢰도와 타당도 연구", 중독정신의학, 3, pp.107~117 (1999)
- Krentzman AR, "Gender and extroversion as moderators of the association between Alcoholics Anonymous and sobriety", J Stud Alcohol Drugs, 73, pp.44~52 (2012)
- 김종성, "술 문제를 어떻게 다룰 것인가?-새로운 약물 치료 및 외래 상담-", 가정의학회지, 21, pp.54~61 (2000)
- Schenker MD, "A clinician’s guide to 12-step recovery", pp.30~32 (2009), W.W. Norton & Company, Inc
- Tavakol M, "Making sense of Cronbach’s alpha", International Journal of Medical Education, 2, pp.53~55 (2011)