본문 바로가기
KERD
논문KCI 등재

한국판 정신화 불균형 척도 타당화

Validation of the Korean Version of the Mentalization Imbalances Scale

김은석
한국발달지원학회 (The Korean Society for Applied Developmental Psychology)|2023.04|발달지원연구 (The Korean Journal of Applied Developmental Psychoology)|제12권 제1호|pp. 71-93|DOI 10.22839/adp.2023.12.1.71

2

조회

0

다운로드

1

인용

0

참고문헌

키워드

scale validation척도 타당화애착attachment성격장애personality disorder정신화mentalization정신화 차원dimensions of mentalization

초록

본 연구의 목적은 Gagliardini, Gullo, Caverzasi, Boldrini, Blasi와 Colli(2018)에 의해 개발된 정신화 불균형 척도(Mentalization Imbalances Scale)를 한국판으로 타당화하는 것이다. 정신화 불균형 척도는 정신화의 차원 분류에 대한 최근의 합의에 기초하여 다차원적 평가를 가능케 한다. 또한 임상가가 내담자의 정신화 체계를 평정하는 방식으로 실시하여 기존 척도들의 자기보고식 평가 방법이 갖는 한계점을 보완할 수 있다. 이를 위해 상담자를 대상으로 정신화 불균형 척도와 성격장애 질문지를 활용하여 자신의 내담자에 대해 평정하게 한 응답자료 총 292부를 수집하였으며, 이 중 대상자 조건 일부를 충족시키지 않는 자료를 제외한 254명의 자료를 분석에 사용하였다. 평정 시 내담자는 성격장애가 있거나 임상적으로 의미 있는 성격 문제를 가지고 있으나 최근 6개월 사이에 정신증적 증상을 보이지 않았으며 최소 5회기 이상 상담을 받았으나 상담 기간이 최대 18개월을 넘지 않은 18세 이상 내담자로 한정하였다. 문항-총점 상관이 낮은 1개 문항을 제외한 21개 문항에 대해 확인적 요인분석을 실시한 결과 원척도와 동일하게 자기에 치우친 불균형, 타인에 치우친 불균형, 인지적 불균형, 정서적 불균형, 외부적 불균형, 자동적 불균형의 6요인으로 구성되는 것으로 확인되었다. 한국판 정신화 불균형 척도의 전체 신뢰도는 .88이고, 하위척도별 신뢰도는 .55-.80로 나타났다. 준거관련타당도를 살피기 위해 각 하위요인과 경계선 성격장애 증상 및 자기애성 성격장애 증상 간의 관계를 포아송 회귀분석을 통해 확인하였다.

Abstract

The aim of this study was to validate the Mentalization Imbalance Scale(Gagliardini, Gullo, Caverzasi, Boldrini, Blasi, & Colli, 2018) as a Korean version. The MIS enables a multidimensional assessment based on recent consensus on the dimensional classification of mentalization. In addition, it is possible to supplement the limitations of the existing self-reporting scales by conducting it in a way that the clinician evaluates the client’s mentalization. For this purpose, a total of 292 responses of counselors evaluating their client with the mentalization imbalance scale and the personality disorder questionnaire were collected and 254 data excluding which did not satisfy some of the subject conditions were used for the analysis. The condition of client was who had a personality disorder or clinically meaningful personality problem, but did not show any psychological symptoms in the past six months, and was liited to those aged 18 or older who received at least five sessions of counseling. As a result of confirmatory factor analysis on 21 items except for one item with a low item-total score correlation, K-MIS was confirmed to consist of 6 factors consistent with the original scale: imbalance toward self, imbalance toward others, cognitive imbalance, affective imbalance, automatic imbalance, external imbalance. The overall reliability of the K-MIS was .88 and the reliability of each subscale was .55-.80. To examine criterion-related validity the relationship between each factor and the symptoms of borderline personality disorder and narcissistic personality disorder was verified through Poisson regression analysis.

참고문헌 (82)

  1. 김수영, "구조방정식 모형의 기본과 확장:MPLUS 예제와 함께" (2016), 학지사
  2. 김아영, "정의적 척도 개발", 한국교육&심리연구소 2020년 동계 심리검사 워크숍 자료 (2020)
  3. 김흥주, "한국판 청소년 성찰기능척도 타당화", 한국심리학회지: 상담 및 심리치료, 30(2), pp.297~316 (2018), 한국상담심리학회[DOI]
  4. 김흥주, "공유된 의식, 표상의 현실 대 현실의 표상: 정신화의 이론적, 경험적, 임상적 함의와 한국적 적용을 중심으로", 한국심리학회지:일반, 39(4), pp.633~666 (2020), 한국심리학회[DOI]
  5. 박민경, "한국 청소년 대상 성찰기능 일차선별 질문지 타당화", 정서·행동장애연구, 34(2), pp.115~131 (2018), 한국정서행동장애학회[DOI]
  6. 박세미, "자기보고식 심리화 척도의 개발과 타당화", 한국심리학회지: 상담 및 심리치료, 31(3), pp.929~965 (2019), 한국상담심리학회[DOI]
  7. 배병렬, "구조방정식 모델 이해와 활용" (2000), 대경
  8. 송현주, "16-17세 한국 청소년의 정신화 척도 요인구조 탐색", Korean Journal of Clinical Psychology, 36(3), pp.391~401 (2017), 한국임상심리학회[DOI]
  9. 이수림, "한국판 정신화 척도(Korean Version of The Mentalization Scale)의 타당화", 상담학연구, 19(5), pp.117~135 (2018), 한국상담학회[DOI]
  10. 이수진, "정신화 기반 치료의 연구 동향과 추후 과제", 사회과학연구논총, 37(2), pp.135~181 (2021), 이화사회과학원[DOI]
  11. 이순묵, "탐색적 요인분석: 어떻게 달라지나?", 한국심리학회지:일반, 35(1), pp.217~255 (2016), 한국심리학회[DOI]
  12. 임경민, "요인분석에서 목표회전의 적용 가능성 탐색", 한국심리학회지:일반, 38(3), pp.377~400 (2019), 한국심리학회[DOI]
  13. 차혜명, "한국형 성찰기능척도의 타당화 연구: 초기방임과 경계선 성격성향 간의 관계에서 유기도식과 정신화의 역할을 중심으로", 박사, pp.2018
  14. Allen, J. G., "애착 정신화하기: 인간중심의상담" (2019), 학지사
  15. Allen, J. G., "Mentalizing in Clinical Practic" (2008), American Psychiatric Publishing
  16. Bateman, A. W., "Mentalization-based treatment of BPD", Journal of Personality Disorders, 18(1), pp.36~51 (2004)
  17. Bateman, A. W., "Mentalization-Based Treatment for Borderline Personality Disorder" (2006), Oxford University Press
  18. Bateman, A. W., "Mentalizing and borderline personality disorder", Journal of Mental Health, 16(1), pp.83~101 (2007)
  19. Bateman, A. W., "Mentalization-Based Treatment for Personality Disorders: A Practical Guide" (2016), Oxford University Press
  20. Bateman, A. W., "Handbook of Mentalizing in Mental Health Practice" (2019), American Psychiatric Association Publishing
  21. Betan, E., "Countertransference phenomena and personality pathology in clinical practice : An empirical investigation", American Journal of Psychiatry, 162, pp.890~898 (2005)
  22. Blais, M., "A psychometric evaluation of the DSM-Ⅳ personality disorder criteria", Journal of Personality Disorders, 11, pp.168~176 (1997)
  23. Boomsma, A., "Reporting analyses of covariance structures", Structural Equation Modeling : A Multidisciplinary Journal, 7, pp.461~481 (2000)
  24. Bradley, R., "Transference patterns in the psychotherapy of personality disorders : empirical investigation", British Journal of Psychiatry, 186, pp.342~349 (2005)
  25. Browne, M. W., "Oblique rotation to a partially specified target", British Journal of Mathematical and Statistical Psychology, 25, pp.207~212 (1972)
  26. Browne, M. W., "An overview of analytic rotation in exploratory factor analysis", Multivariate Behavioral Research, 36(1), pp.111~150 (2001)
  27. Browne, M. W., "Testing Structural Equation Models", pp.136~162 (1993), Sage
  28. Byrne, B. M., "Structural Equation Modeling with Mplus: Basic concepts, applications, and programming" (2012), Taylor & Francis Group
  29. Cattell, R. B., "The scree test for the number of factors", Multivariate Behavioral Research, 1, pp.245~276 (1966)
  30. Cerny, B. A., "A study of a measure of sampling adequacy for factor-analytic correlation matrices", The Journal of Multivariate Behaviroal Research, 12, pp.43~47 (1977)
  31. Choi-Kain, L. W., "Mentalization : Ontogeny, assessment and application in the treatment of borderline personality disorder", American Journal of Psychiatry, 165(9), pp.1127~1135 (2008)
  32. Choi-Kain, L. W., "A mentalizing approach for narcissistic personality disorder : Moving from"Me-Mode"to"We-Mode"", The American Journal of Psychotherapy, 75(1), pp.38~43 (2022)
  33. Chow, C., "Reflective functioning and adolescent psychological adaptation : The validity of the Reflective Functioning Scale-Adolescent Version", Psychoanalytic Psychology, 34(4), pp.404~413 (2017)
  34. Chow, C., "Scoring Manual for the Reflective Function Scale-Adolescent" (2014), University College London
  35. Comrey, A. L., "A First Course in Factor Analysis" (1992), McGraw-Hill
  36. Davidson, K. M., "Patient and clinician agreement on personality using the SWAP-200", Journal of Personality Disorders, 17(3), pp.208~218 (2003)
  37. Devellis, "Scale Development : Theory and Applications" (2012), Sage
  38. Dimitrijević, A., "The Mentalization Scale(Ments) : A self-report measure for the assessment of mentalizing capacity", Journal of Personality Assessment, 100, pp.268~280 (2017)
  39. Fonagy, P., "Thinking about thinking : Some clinical and theoretical considerations in the treatment of a borderline patient", International Journal of Psychoanalysis, 72(4), pp.639~656 (1991)
  40. Fonagy, P., "Bad blood revisited : Attachment and psychoanalysis", British Journal of Psychotherapy, 31(2), pp.229~250 (2015)
  41. Fonagy, P., "A developmental, mentalization-based approach to the understanding and treatment of borderline personality disorder", Development and Psychopathology, 21, pp.1355~1381 (2009)
  42. Peter Fonagy, "Development and Validation of a Self-Report Measure of Mentalizing: The Reflective Functioning Questionnaire", PLOS ONE, 11(7), pp.e0158678~ (2016), Public Library of Science (PLoS)[DOI]
  43. Fonagy, P., "Borderline personality disorder, mentalization, and the neurobiology of attachment", Infant Mental Health Journal, 32(1), pp.47~69 (2011)
  44. Fonagy, P., "Attachment and theory of mind : Overlapping constructs", Association of Child Psychology and Psychiatry Occasional Papers, 14, pp.31~40 (1997)
  45. Fonagy, P., "Attachment and reflective function : Their role in self-organization", Development and Psychopathology, 9, pp.679~700 (1997)
  46. Fonagy, P., "Maternal representations of attachment during pregnanacy predict the organization of infant-mother attachment at one year of age", Child Development, 62(5), pp.891~905 (1991)
  47. Fonagy, P., "Reflective function manual for application to adult attachment interviews" (1997), University College London
  48. Fonagy, P., "Attachment and reflective function : Their role in self-organization", Development and Psychopathology, 9(4), pp.679~700 (1997)
  49. Gagliardini, G., "Assessing mentalization in psychotherpy : First validation of the Mentalization Imbalances Scale", Psychopathology, 21, pp.164~177 (2018)
  50. Gagliardini, G., "Personality and mentalization: A latent profile analaysis of mentalizing problematics in adult patients", Journal of Clinical Psychology, pp.1~17 (2022)
  51. Giulia Gagliardini, "Mentalizing Subtypes in Eating Disorders: A Latent Profile Analysis", Frontiers in Psychology, 11 (2020), Frontiers Media SA[DOI]
  52. George, C., "The Berkeley Adult Attachment Interview", ~ (1996)
  53. Costello, A., "Best practices in exploratory factor analysis: four recommendations for getting the most fromyour analysis", Practical Assessment, Research & Evaluation, 10(7), pp.1~9 (2005)
  54. Crocker, L., "Introduction to Modern and Classical Test Theory" (1986), Brace Jovanovich
  55. Gorsuch, R. L., "Factor Analysis" (1983), Lawrence Erlbaum
  56. Chen, J., "A comparison of maximum likelihood and expected a posteriori estimation for polychoric correlation using Monte Carlo simulation", Journal of Modern Applied Statistical Methods, 8, pp.337~354 (2009)
  57. Guilford, J. P., "Psychometric methods" (1956), McGraw-Hill
  58. Gullestad, F. S., "Change in reflective functioning during psychotherapy : a single-case study", Psychotherapy Research, 21(1), pp.97~111 (2011)
  59. Hair, J. F., "Multivariate Data Analysis" (2010), Prentice Hall
  60. Anderson, R. E., "Multivariate Data Analysis" (2010), Prentice Hall
  61. Hausberg, M. C., "Is a self-rated instrument appropropriate to assess mentalization in patients with mental disorder? Development and first validation of the entalization Questionnaire(MZQ)", Psychotherapy Research, 22(6), pp.699~709 (2012)
  62. Huprich, S. K., "Self-report methodology is insufficient for improving the assessment and classification of axis Ⅱ personality disorders", Journal of Personality Disorders, 25(5), pp.557~570 (2011)
  63. Kaiser, H. F., "An index of factorial simplicity", Psychometrika, 39(1), pp.31~36 (1974)
  64. Kline, R. B., "Principles and Practice of Sructural Equation Modeling" (2011), The Guilford Press
  65. Lee, C., "Ordinary least squares estimation of parameters in exploratory factor analysis with ordinal data", Multivariate Behavioral Research, 47, pp.314~339 (2012)
  66. Lieberman, M. D., "Social cognitive neuroscience : a review of core processes", Annual Review of Psychology, 58, pp.259~289 (2007)
  67. Lorenzo-Seva, U., "FACTOR 10.3", University of Rovira I Virgili, ~ (2015)
  68. Luyten, P., "The neurobiology of mentalizing", Personality Disorders: Theory, Research, and Treatment, 6(4), pp.366~379 (2015)
  69. Luyten, P., "Handbook of Mentalizing in Mental Health Practice", pp.43~65 (2012), American Psychiatric Publishing
  70. Luyten, P., "Handbook of Mentalizing in Mental Health Practice", pp.37~62 (2019), John Wiley & Sons
  71. Luyten, P., "Handbook of Mentalizing in Mental Health Pracice" (2019), American Psychiatric Association Publishing
  72. MacCallum, R. C., "Power analysis and determination of sample size for covariance structure modeling", Psychological Methods, 1, pp.130~149 (1996)
  73. McDonald, R. P., "Principles and practice in reporting structural equation analyses", Psychological Methods, 7(1), pp.64~82 (2002)
  74. Leslie C Morey, "Borderline features are associated with inaccurate trait self-estimations", Borderline Personality Disorder and Emotion Dysregulation, 1(4) (2014), Springer Science and Business Media LLC[DOI]
  75. Stevens, J., "Applied multivariate statistics for the social sciences" (1996), Lawrence Erlbaum Associates
  76. Tak, J. K., "Psychological testing: An dunderstanding of development and evaluation method" (2007), Hakjisa Publisher
  77. Target, M., "The child reflective functioning coding manual", University College London, ~ (2001)
  78. ten Berge, J. M., "A numerical approach to the approximate and the exact minimum rank of a covariance matrix", Psychometrika, 56, pp.309~315 (1991)
  79. West, S. G., "Handbook of Structural Equation Modeling", pp.209~231 (2012), The Guildford Press
  80. "Attachment Questionnaire (AQ) Manual" (2005)[URL]
  81. Western, D., "Clinical assessment of attachment patterns and personality disorder in adolescents and adults", Journal of Consulting and Clinical Psychology, 74(6), pp.1065~1085 (2006)
  82. Western, D., "Personality diagnoses in adolescence : DSM-Ⅳ axis Ⅱ diagnoses and an empirically derived alternative", American Journal of Psychiatry, 160, pp.952~966 (2003)

관련 논문AI추천

한국판 상담자용 정신상태 확신 척도(K-CAMSQ) 타당화 연구송지원, 조한익한국건강심리학회 · 한국심리학회지: 건강2026 · 제31권 제1호자기보고식 심리화 척도의 개발과 타당화박세미, 정남운한국상담심리학회 · 한국심리학회지: 상담 및 심리치료2019 · 제31권 제3호한국 성인대상 정신화 척도(Mentalization Questionnaire, MZQ) 타당화강재정, 송현주한국심리치료학회 · 한국심리치료학회지2024 · 제16권 제2호한국판 정신화된 정서성 척도(K-MAS)의 타당화 연구안명희, 정유선한국상담심리학회 · 한국심리학회지: 상담 및 심리치료2023 · 제35권 제2호한국판 청소년 성찰기능척도 타당화김은영, 김흥주한국상담심리학회 · 한국심리학회지: 상담 및 심리치료2018 · 제30권 제2호정신화 측정도구의 신뢰도 메타분석김진숙, 조소영한국상담학회 · 상담학연구2024 · 제25권 제3호

이 간행물의 다른 논문 (3건)

긍정 정서 기질이 우울에 미치는 영향: 부정 긴급성과 마음챙김의 조절된 매개효과최은실, 양아름pp. 1-19도농복합지역 가정 및 학교 밖 청소년의 위기 경험에 대한 현상학적 연구최재광, 이유경, 송원영, 한지현pp. 21-50부모소명 예측요인 탐색: 어머니의 내적 특성과 관계적 변인을 중심으로양수진, 송은빈, 황지민pp. 51-69
원문 보기