한국어판 부모, 교사 ADHD 평가 척도의 신뢰도와 타당도 연구

소유경,노주선,김영신,고선규,고윤주 대한신경정신의학회 2002 신경정신의학 Vol.41 No.2

연구목적: ADHD 아동을 조기에 선별하여 치료적 서비스를 제공하는 것은 ADHD로 인한 이차적인 학업 및 정 서문제를 예방하기 위해서 중요하다. 본 연구에서는 한국어판 부모, 교사 ADHD 평가 척도의 신뢰도 와 타당도를 살펴보고자 한다. 방 법: 안양지역의 두 초등학교에 재학중인 1학년에서 6학년 아동들이 본 연구의 연구대상이 되었다. 아동 들의 교사 및 부모는 ADHD 평가 척도를 완성하였으며, 부모들은 추가로 K-CBCL과 Conners 척도 를 완성하였다. 통계방법으로는 기술적 통계, 상관분석 및 t 검증과 변량분석을 사용하였다. 결 과: 총 1044명의 아동들이 본 연구에 참여하였다. 부모, 교사 ADHD 평가 척도의 평정자간 신뢰도는 유 의미한 것으로 나타났으며, 연령별 내적 일치도 또한 유의미하게 높은 것으로 나타났다. ADHD 평가 척도와 K-CBCL, Conners 척도의 상관관계는 유의미한 수준으로 본 척도의 공존 타당도는 유의미 한 것으로 나타났다. 결 론: 한국어판 부모, 교사 ADHD 평가 척도는 ADHD 아동들의 문제행동을 평가하는데 유의미한 신뢰도 와 타당도를 가지고 있는 도구로 ADHD의 평가 및 진단에 유용하게 사용될 수 있을 것으로 보인다. 추 후 임상군과의 비교를 통한 연구가 필요할 것이다 Objective:It is important to identify and treat ADHD children early to prevent secondary academial and emotional problem. The Purpose of this study is to investigate the reliability and validity of Korean parent and teacher ADHD Rating Scale. Method:First to sixth graders in two elementary schools in Anyang City participated in this study. Teachers and parents completed ADHD Rating Scale. Additionally parents completed K-CBCL and Conners scale. Descriptive statistics, correlation, t-test and analysis of variance were performed. Result:A total of 1044 students participated in this study. Correlation of rater reliabilities between parent and teacher was significantly close. And Internal consistency by age was high. As correlations among ARS, K-CBCL, Conners scale were high, the ARS scores can be validated. Conclusion:Korean parent and teacher ADHD Rating Scale has high reliability and validity. This scale will be a useful tool for ADHD evaluations and diagnosis. A study of comparing clinical groups is suggested.

성인진입기 대학생의 학업적 실패내성과 삶 만족도의 관계에서 그릿(Grit)과 진로적응성의 매개효과

소유경,양수진 한국청소년학회 2021 청소년학연구 Vol.28 No.4

The purpose of the present study was to analyze the mediating effects of grit and career adaptability in the relationship between failure tolerance and life satisfaction among university students in emerging adulthood. For this purpose, data was collected using self-reported questionnaires from 255 university students, and the SPSS PROCESS macro program was used to test the mediating effects. The results showed that grit and career adaptability was significant as a mediator. In addition, failure tolerance has a directive positive effect on life satisfaction, and the serial multiple mediation of grit and career adaptability in the relationship between failure tolerance and life satisfaction was found. The findings of this study are meaningful in that it structurally confirms the importance of a growing experience of failure for university students who are struggling with various challenges for career exploration and employment. 본 연구는 성인진입기 대학생의 실패내성과 삶 만족도의 관계에서 그릿과 진로적응성의 매개효과를 검증하고자 하였다. 연구를 위해 대학생 255명으로부터 자기보고식 설문을 수집하였으며 PROCESS macro를 사용하여 이중매개효과를 검증하였다. 분석 결과, 실패내성과 삶 만족도의 관계에서 그릿과 진로적응성 각각의 단순매개 및 순차적 이중매개효과가 모두 유의하였다. 즉, 실패에 대한 건설적인 대처경향인 실패내성은 삶 만족도를 직접적으로 예측할 수 있으며, 그릿과 진로적응성이라는 비인지적 심리자원의 발달을 촉진함으로써 삶 만족도를 향상시킬 수 있는 것으로 나타났다. 본 연구 결과는, 진로 탐색과 취업을 위해 다양한 도전을 지속하는 시기를 보내는 대학생들에게 실패에 대한 성장적 경험의 중요성을 구조적으로 확인하였다는 점에서 의의가 있다.

한국어판 부모 및 교사용 ADHD 평가 척도(K-ARS)의 규준연구

김영신,소유경,노주선,최낙경,김세주,고윤주 대한신경정신의학회 2003 신경정신의학 Vol.42 No.3

Objectives:Identifying children with Attention-Deficit/Hyperactivity Disorder (ADHD) and providing early therapeutic interventions for them are important to prevent secondary problems in academic achievement and emotional disturbances. The aims of the study is to examine the characteristics of K-ARS for parents and teachers, a screening questionnaire to identify children with ADHD, by age and sex of the children, to examine its clinical validity, and to provide norm data of K-ARS for school-aged children which will facilitate the use of K-ARS in clinical practice and research. Methods:Randomly selected 1st to 6th graders of the two elementary schools (N=1044) in Anyang City participated in this study. Twenty three children diagnosed with ADHD at the child and adolescent clinic at the Hallym University Sacred Heart Hospital were included in this study for the analysis of validity. Parents and teachers completed K-ARS. Descriptive statistics, t-test and analysis of variance were performed. Results:K-ARS scores showed significant difference according to the gender, with boys having higher scores than girls. There was no significant difference of the scores by ages. Validity analysis showed that K-ARS distinguishes children with ADHD from children without ADHD well. The normative data were presented by age and sex. Conclusion:K-ARS for parents and teachers has an excellent clinical validity to discriminate children with ADHD from children without ADHD. Different normative data of K-ARS need to be used due to the gender difference. K-ARS is a useful tool for screening and identifying children with ADHD. Future studies are required to include larger samples with adolescents in various geographic areas

주의력결핍/과잉운동장애(ADHD) 아동의 진단도구로서 부모용 행동 평가지의 타당도 연구 : 한국아동인성검사와 아동ㆍ청소년 행동평가척도를 중심으로

김지혜,소유경,정유숙,이임순,홍성도 대한소아청소년정신의학회 2000 소아청소년정신의학 Vol.11 No.2

본 연구에서는 현재 주의력-결핍 및 과잉운동장애(Attention Deficit/Hyperactivity Disorder, 이하 ADHD)의 주요한 평가척도 중의 하나로서 이용되고 있는 한국아동인성검사(Korean Personality Inventory for Children, K-PIC)와 아동ㆍ청소년 행동평가척도(Korean Child Behavior Checklist K-CBCL)의 임상적 타당도에 대해 살펴보고자 하였다. 피검자들은 ADHD의 하위 유형 중 주의력-결핍 우세형(ADHD-I)으로 진단된 환아 11명과 과잉 행동-충동 우세형 및 복합형(ADHD-H)로 진단된 환아 23명, 우울, 불안 등 정서적 문제로 진단(신경증 집단 ; N) 받은 정신과 외래 환아 16명, 정상아동 15명 등 총 65명이었다. 먼저 각 집단별로 분산분석을 실시하였고, 각각 행동 평정 척도의 변별력을 측정하기 위하여 판별분석을 실시하였다. 이 집단들의 K-PIC와 K-CBCL 결과들에 대한 전체(omnibus) F-검증 결과, K-PIC의 과잉행동(HPR) 척도와 K-CBCL의 주의집중문제(Attention Problems, 이하 AP) 척도들은 분산분석결과 유의한 차이를 보였다. 하지만 사후검증 결과, ADHD-I 집단과 ADHD-H 집단 그리고 신경증 집단 사이에 유의한 차이를 보이지 않는 반면, 그 세 집단은 모두 정상집단과 .05 유의도 수준 하에서 유의한 차이를 나타내었다. 이러한 결과는 K-PIC의 과잉행동(HPR) 척도와 K-CBCL의 주의집중문제(Attention Problems) 척도의 경우, 기본적으로 임상군과 정상군을 구별하는데는 유용하지만 임상군내에서의 세부 진단을 위해 사용하는 데는 한계가 있음을 시사해준다. 또한 본 연구 결과 상대적으로 HPR 척도는 ADHD-H type을 감별하는 데 더 유용한 반면, K-CBCL의 AP 척도는 ADHD-I type을 감별하는 데 더 큰 강점을 갖는 것으로 보이나, HPR 척도와 AP 척도 중 어느 하나만을 사용하는 것보다는 병행하여 사용하는 것이 더 바람직한 것으로 보인다. 특히 cut-off score면에서 두 척도 중 어느 하나에서 T점수 65점 이상 상승할 때 ADHD로 진단내리는 경우, 가장 효과적으로 정분류율(true positive rate : sensitivity)과 정배제율(true negative rate : specificity)을 조화시킬 수 있는 결정규칙이 되는 것으로 나타났다. 중심 단어 : 주의력결핍/과잉운동장애 한국아동인성검사ㆍ아동ㆍ청소년 행동평가척도. This study was designed to examine the validity of HPR subscale in Korean Personality Inventory for Children(KPI-C) and Attention Problems subscale in Korean Child Behavior Checklist(K-CBCL) as diagnostic tool for Attention-Deficit/Hyperactivity Disorder(ADHD). Nineteen ADHD-1 type, twenty-three ADHD-H type, sixteen Neurosis, and fifteen normal children with the age from 6 to12 were selected based on DSM-IV, and their responses of the KPI-C and CBCL were analyzed. Omnibus F-test results showed that there were significant differences in the F scores of HPR and Attention Problems T scores(p<.05). But in Post-hoc analysis, the HPR and AP scores in three clinical groups were significantly higher than in normal group, but there was no group difference among three clinical groups(p<.05). These results shows that HPR subscale and Attention Problems subscale may be useful tools for screening clinical groups(vs normal group) but there was a limit to the clinical validity of two subscales as diagnostic tools for the subtypes of ADHD. KEY WORDS : ADHDㆍKPI-CㆍK-CBCLㆍHPRㆍAttention problems.

한국 남녀 대학생 집단에서 자아해석이 심리적 안녕감에 미치는 영향

김현미,방희정,소유경,옥정,김은경 한국여성심리학회 2006 한국심리학회지 여성 Vol.11 No.4

The purpose of present study is to investigate the influence of self-construals on psychological well-beings. Participants were 158 university males, 150 university females in Korea. First, gender difference was not significant on relational-interdependent self-construal, independent self-constual, self-esteem. and psychological well-being. But in the case of males, independent self-construal was positively correlated with relational- interdependent self-constual. The present study proposes that the independent and that relational- interdependent self-construals are predictors of psychological well-being, and that the effect of an independent self-construal on psychological well-being is mediated through self-esteem. We examined the influence of self-construals on psychological well-being and also analyzed the results according to gender differences through the multi-sample analysis based on the structural equation modeling. As a result, the goodness of fitness of the proposed model was acceptable. Comparing parameter estimates, we found the effect of an independent self-construal on psychological well-being as mediated through self-esteem in both groups. The results also showed that the influence of independent self-constual on psychological well-being was significant in males, whereas the influence of relational-independent self-constual on psychological well-being was significant in females.

뚜렛 장애 남아에서 틱 억제시 대뇌 피질 정보 전달

홍현주,차민호,최강,황선희,소유경,주민경,남궁기,정재승 大韓神經精神醫學會 2007 신경정신의학 Vol.46 No.1

Objectives : Tourette's Disorder (TD) is a chronic neuropsychiathc disorder characterized by multiple motor and vocal tics with onset in childhood. The aim of this study was to ascertain the increased cortical information transmission in frontal area during tic suppression in drug naive boys with TD using new nonlinear analysis of EEGs, be called Transfer Entropy (TE) which can detect the directed exchange of information between two systems. Methods : Subjects were 11 drug naive boys with DSM-IV diagnosis of TD and 10 control boys. Clinical assessments were performed, and EEGs were recorded from 19 scalp loci of the international 10-20 systems. TE was estimated by EEG time-series data after noise reduction. TE difference between TD and control during resting state and between tic suppression and resting state in TD were investigated. Rcsults : Elevated TE was found in extensive channels, including frontal, central and temporal channels (F7, Fz, F8,Cz, C3, P3, T3, and T4) in resting state ofTourette's disorder compared to normal controls. Duhng tic suppression elevated TE was found in more extensive and asymmetrical channels especially prefrontal area (Fpl, Fp2, F3, Fz, F7, F8, Cz, C4, C5, T3, and T4). Conclusion : These findings suggest that pathogenesis of Tourette's disorder involve impaired cortical neuronal modulation in subcortical neural circuits. EEG analysis of TE may be a useful tool to investigation of cortical mechanism of psychiatric illness.

한국어판 Conners 부모 및 교사용 평가 척도의 신뢰도와 타당도에 대한 예비적 연구

박은희(Eun Hee Park),소유경(Yu Kyoung So),김영신(Young Shin Kim),최낙경(Nak Kyung Choi),김세주(Se Joo Kim),노주선(Joo Sun Noh),고윤주(Yun-Joo Ko) 대한소아청소년정신의학회 2003 소아청소년정신의학 Vol.14 No.2

유방암을 진단받은 시점에서 우울증상을 동반한 환자의 심리적 특성: 예비분석결과

김재호,석정호,전덕인,홍현주,홍나래,김수진,소유경,김이수 한국유방암학회 2008 Journal of breast cancer Vol.11 No.2

Purpose: Patients with breast cancer may exhibit signs of psychological distress upon initial diagnosis of cancer. Previous studies have reported that depressive symptoms in the patients with breast cancer may have a harmful effect on their prognosis. Psychological characteristics of patients with depressive symptoms were investigated, comparing them to those of patients without depressive symptoms. Methods: Thirty-eight patients initially diagnosed with breast cancer were recruited from the Department of Breast and Endocrine Surgery, Hallym University Sacred Heart Hospital. The psychological symptoms of the patients were assessed using the Beck Depression Inventory (BDI), the Montgomery-Asberg Depression Rating Scale (MADRS), the State-Trait Anxiety Inventory (STAI) and the Self-Awareness Scale. Their mental coping was assessed using the Korean Mental Adjustment to Cancer scale (KMAC) and their health-related quality of life was assessed with the Short Form 36-item Health Survey (SF-36). The cut-off points of BDI and MADRS of the depressed subgroup were 13 and 10, respectively. Psychological characteristics of depressed patients were compared with non-depressed patients. Statistical analyses were performed using SPSS 13.0 packages. Results: Sociocultural variables, including age, education year and cancer stage, were not different between the two patient groups. The depressed group showed significantly higher state-anxiety and lower trait-anxiety and positive self-awareness scores compared to the non-depressed group. In the SF-36 Health Survey, the depressed group showed a significantly lower mental health component score of fighting-spirit factor, in addition to a higher score of anxious-preoccupation factor in the K-MAC compared to those of the non-depressed group. Conclusion: When patients were diagnosed with breast cancer, depressed patients may suffer from a poorer quality of mental health and more psychological suffering. This suffering can lead to maladaptive compliance in following treatment. Therefore, depressive symptoms need to be investigated and managed at the initial step of breast cancer.

The Reliability and Validity of Kiddie-Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Version-Korean Version (K-SADS-PL-K)

김영신,천근아,김붕년,장순아,유희정,김재원,조수철,서동향,배명옥,소유경,노주선,고윤주,Keith McBurnett,Bennett Leventhal 연세대학교의과대학 2004 Yonsei medical journal Vol.45 No.1

In order to develop a structured and objective diagnostic instrument, authors completed: (1) the translation and back translation of the Korean version of the Kiddie-Schedule for Affective Disorders and Schizophrenia - Present and Lifetime Version (K-SADS-PL) and (2) the examination of its validity and reliability of the K-SADS-PL-Korean version (K-SADS- PL) when used with Korean children. A total of 91 study subjects were recruited from child and adolescent psychiatry outpatient clinics. Clinical diagnoses were used as a gold standard for the examination of validity of K-SADS-PL-K. Consensual validity of threshold and sub-threshold diagnoses were good to excellent for attention-deficit/hyperactivity disorder (ADHD), fair for tic and oppositional defiant disorders, and poor to fair for anxiety and depressive disorders. Inter-rater and test-retest reliabilities were fair to excellent for ADHD and tic disorder. The significant correlations between the K-SADS-PL-K and Korean Child Behavior Checklist (K-CBCL) were found, which provided additional support for the concurrent validity of the K-SADS-PL-K. Sensitivities varied according to the diagnostic categories, but specificities remained high over all diagnoses, suggesting that the K-SADS-PL-K is a desirable confirmatory diagnostic tool. The results of this study suggest that the K-SADS-PL-K is an effective instrument for diagnosing major child psychiatric disorders, including ADHD, behavioral disorders and tic disorders in Korean children. Future studies will examine the validity and reliability of the K-SADS-PL-K in larger samples, including adolescents and community samples on a variety of child and adolescent psychiatric disorders.