보호관찰 청소년의 CBCL 조절곤란 프로파일(Dysregulation Profile) 특성
Characteristics of the CBCL Dysregulation Profile of Juvenile Probationers
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초록
본 연구는 잠재 프로파일 분석을 통해 우리나라 보호관찰 청소년 집단의 이질적 CBCL 프로파일을 분류하고 CBCL 조절곤란 프로파일(Dysregulation Profile: CBCL-DP)을 확인하고자 하였다. CBCL-DP란 정서(불안, 우울), 행동(공격행동), 그리고 인지(주의집중 문제)에서의 조절곤란을 나타내는 프로파일로, 넓은 범위의 조절곤란 증후군으로 개념화될 수 있으며 다양한 정신병리와 부적응 문제를 예측할 수 있는 지표로 알려져 있다. 본 연구의 대상은 2016년 7월부터 2017년 3월까지 서울보호관찰소에 신규 접수된 보호관찰대상 청소년 171명이었다. 성별에 따라 보호관찰 집단이 규준 집단에 비해 CBCL 문제행동 증후군 척도에서 차이를 보이는지 알아보고자 이원변량분석을 실시한 결과, 위축/우울, 사회적 미성숙, 사고문제, 주의집중, 규칙위반 척도에서 보호관찰 집단의 여자 청소년이 남자 청소년보다 유의하게 더 높은 점수를 기록했다. 보호관찰 집단에서 잠재 프로파일 분석을 통해 CBCL 프로파일을 분류한 결과, 규칙위반 집단(남 71명, 여 13명), 외현화 문제 집단(남 45명, 여 15명), 혼합문제 집단(남 17명, 여 10명)의 3가지 프로파일 집단을 확인할 수 있었다. 이 중 혼합문제 집단은 다른 두 집단보다 여자 청소년의 비율(37.04%)이 높았으며, CBCL DSM 척도와 부모가 평정한 DSM-5 증상 평가 대부분에서도 유의하게 높은 점수를 기록하여 CBCL-DP의 특성을 보였다. 본 연구의 결과는 보호관찰 청소년들의 이질성을 구성하는 CBCL–DP의 특성을 보여주며, 향후 이들에 대한 차별적인 개입이 요구됨을 시사하였다.
Abstract
The purpose of this study was to classify latent profiles of CBCL and to identify the Dysregulation Profile in CBCL(CBCL-DP) in juvenile probationers. The CBCL-DP is conceptualized as a broad syndrome of dysregulation, indicating regulation problems in affective(Anxious/Depressed), behavioral(Aggressive Behavior), and cognitive(Attentional Problem) aspects and can be characterized as an indicator of a variety of psychiatric disorders and functional impairment. A total of 171 juvenile offenders newly reported on probation at Probation and Parole Offices participated in the study. Two-way ANOVAs showed that scores of female juvenile probationers were significantly higher than the normative group in Withdrawn/Depressive, Social Problems, Thought Problems, Attention Problems, and Rule-breaking Behavior Scales in CBCL. A latent profile analysis(LPA) was executed resulting in three latent classes: “rule-breaking behaviors,” “externalizing behaviors,” “mixed behaviors.” The mixed class showed higher scores in DSM scales of CBCL as well as parent-reported DSM-5 symptoms. This study demonstrated the distinctive characteristics of the CBCL-DP in juvenile probationers and emphasized the need for interventions programs specifically designed for those with the CBCL-DP.
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