한국형 아동 섭취행동 질문지(K-CEBQ)의 표준화 연구 = A Psychometric Evaluation of The Korean Version Children’s Eating Behaviour Questionnaire

국문 초록 (Abstract)

본 연구에서는 Wardle 등(2001)의 아동 섭취행동 질문지(Children’s Eating Behaviour Questionnaire: CEBQ)를 한국어로 번안하고 이에 대한 요인구조 및 신뢰도와 타당도를 살펴 한국 실정에 맞게 표준화하고자 하였다. 이를 위하여 만 2-9세 정상발달 아동의 부모(N=687)를 대상으로 번안된 CEBQ와 K-CEBI 및 K-CBCL을 실시하였으며, 신뢰도를 검증하기 위하여 이들 중 일부에게 재검사(N=45)를 실시하였다. 또한 발달장애아동의 양육자 70명과 연령과 성별을 짝 맞춘 정상 아동의 양육자 70명을 대상으로 CEBQ를 실시하여 변별타당도를 검증하였다. 요인분석 결과, 한국형 아동 섭취행동 질문지(K-CEBQ)는 최종적으로 8요인 구조가 적합한 것으로 나타났다(음식 즐기기, 포만감에 대한 반응, 까다로움, 음식에 대한 반응, 감정적 과식, 감정적 소식, 느린 식사 속도, 음료 욕구). K-CEBQ는 유의한 수준의 내적 합치도와 검사-재검사 신뢰도를 보고하였으며, K-CEBI, K-CBCL과의 상관분석 및 발달장애 아동 집단과 정상 아동 집단 간의 차이를 살펴본 결과 아동의 섭취 행동을 측정하기에 신뢰롭고 타당한 도구인 것으로 나타났다. t 검증 결과 성별에 대한 차이는 없었으며, 변량분석 결과 연령에 따른 섭취행동의 유의한 차이가 드러나 이를 반영하여 규준을 제시하였다. 마지막으로 본 연구의 연구적, 임상적 함의와 한계점에 대해 논의하였다.

다국어 초록 (Multilingual Abstract)

The purpose of the present study was to develop and standardize the Korean version of the Children’s Eating Behavior Questionnarie (K-CEBQ). The parents of preschool and elementary school children (N=687) ranging in age from 2 to 9 years and parents of children with developmental disorders (N=71) completed the CEBQ. A subset of these participants were retested for reliability and also completed the Children's Eating Behavior Inventory-Korean Version (K-CEBI) and Child Behavior Checklist-Korean Version (K-CBCL) to examine the validity of the scores. Based on exploratory and confirmatory factor analyses, a theoretically-supported 8-factor structure fit the data best, comprising the following factors: Enjoyment of Food, Satiety Responsiveness, Food Fussiness, Food Responsiveness, Emotional Overeating, Emotional Undereating, Slowness in Eating, and Desire to drink. Reliability was supported by high internal consistency and test-retest reliability estimates. Validity was also supported as evidenced by positive andsignificant correlations between the K-CEBI and K-CBCL and differences in K-CEBQ scores between the developmental disordered and normal (school-based) samples of youth. T-test results showed no significant differences in K-CEBQ scores between gender, and a one-way ANOVA revealed significant differences across ages. Clinical and research implications and limitations are discussed.

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