알코올 의존 환자에서 한국어판 알코올 충동 척도 (Korean Alcohol Urge Questionnaire; AUQ-K)의 신뢰도와 타당도 연구
The Study on Reliability and Validity of Korean Alcohol Urge Questionnaire (AUQ-K) for Alcohol Dependence
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참고문헌
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초록
연구목적 : Alcohol Urge Questionnaire (AUQ)는 알코올 의존의 치료와 연구에서 음주 갈망 정도를 측정하는 도구로서 임상적으로 유용하다. 본 연구는 AUQ를 한국어로 번안한 Korean Alcohol Urge Questionnaire (AUQ-K)를 개발하고자 하였다. 방법 : AUQ를 한국어로 번안한 뒤, 알코올 의존으로 입원중인 환자 104명을 대상으로 AUQ-K, Obsessive Compulsive Drinking Scale과 Visual Analogue Scale에 응답하게 하여 AUQ-K의 신뢰도 및 타당도를 검증하였다. 결과 : AUQ-K의 8개 문항에 대한 내적 일치도를 분석한 결과 Cronbach's α는 0.78로 나타났다. 아울러, AUQ-K를 1일 간격을 두고 측정한 검사-재검사 신뢰도도 높게 나타났다(p<0.01). OCDS와 VAS의 상관분석 결과 두 척도 모두 AUQ-K와 유의한 상관성을 보였다(p<0.01). 결론 : AUQ-K는 자가 보고 음주 갈망 척도로서 신뢰성 있으면서 타당한 간편 척도이다. 이 척도는 알코올 의존 환자의 치료와 연구에서 음주 갈망 척도로 기존에 사용되던 단일 항목 척도보다 더 유용하게 사용될 수 있을 것이다.
Abstract
Objectives : The Alcohol Urge Questionnaire (AUQ) has been used in alcohol dependence treatment and research. The goal of this study is development of the Korean Alcohol Urge Questionnaire (AUQ-K). Method : To examine the AUQ-K's psychometric properties, responses from 104 patients admitted in alcohol dependence treatment facility was investigated. Results : The internal consistency of the 8-item AUQ-K, measured by coefficient α, was high (Cronbach's α= 0.78). AUQ-K scores showed significant correlation when the retest interval was 1 day (p<0.01). The AUQ-K's validity was investigated using correlational analyses with two other craving scales [the Obsessive Compulsive Drinking Scale (OCDS) and the Visual Analogue Scale (VAS)]. The high correlations obtained between total AUQ-K scores and total OCDS scores, and between total AUQ-K scores and the VAS scores(p<0.01, respectively). Conclusion : The AUQ-K is a reliable and valid short scale for measurement of self-reported alcohol craving. This scale may offer significant advantages over existing single-item measures of alcohol craving in the fields of alcohol dependence treatment and research.
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