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K-WAIS-IV 단축형의 타당도 연구: 임상 집단을 중심으로

The Validity of K-WAIS-IV Short Form: Clinical Sample

초록

본 연구는 임상 집단에 적합한 K-WAIS-IV의 단축형을 살펴보고, 그 타당도를 검증하고자 하였다. 이를 위해 경기도 소재 내 종합병원에서 종합심리평가가 의뢰되어 진단된 274명의 환자들의 K-WAIS-IV 결과를 연구자료로 활용하였다. 수집된 자료로 확인적 요인분석을 실시하여, g요인 부하량이 높은 4가지 소검사(어휘, 퍼즐, 산수, 기호쓰기)를 채택하였다. 채택한 소검사들로 회귀추정식을 사용하여 추정 IQ를 산출하였고, 4개 소검사(상식, 행렬추론, 산수, 기호쓰기)의 회귀추정방식 및 비례추정방식의 추정 IQ를 산출하였다. 전체 IQ와 3가지의 추정된 IQ간 상관, 평균 간 차이와 수준 범주별 차이를 살펴보아, 추정된 IQ의 타당도를 검증하였다. 또한 추정된 IQ가 평균 미만 집단(전체 IQ 89점 이하)과 평균 이상 집단(전체 IQ 90점 이상)을 적절히 분별하는지 살펴보았다. 그 결과, 전체 추정 IQ와 본 연구의 4개 소검사형 단축형 간 높은 정적 상관이 나타났고, 평균 간 차이는 유의미하지 않은 반면, 수준 범주별 일치율은 높지 않았다. 더불어 추정된 IQ가 평균 하 집단과 평균 집단을 적절히 분별할 수 있어, 스크리닝용 목적이나 지적 평가가 주된 목적이 아닌 경우, 또는 시간적 효율성이 중요한 상황에서 적절히 활용될 수 있겠다. 마지막으로 임상 집단에서 단축형 지능검사 타당도 연구에 있어, 그 한계와 추후 연구에 대한 제언을 논하였다.

keywords
K-WAIS-IV, Clinical Samples, Four-subtest Short Form, Estimated IQ, Validity, 한국판 웩슬러 지능검사 4판(K-WAIS-IV), 임상 집단, 4개 소검사 단축형, 추정 IQ, 타당도

Abstract

This study aimed to investigate the short form of K-WAIS-IV, whether it is suitable for clinical sample, and its validity. Using factor analysis, four subtests were selected: Vocabulary, Visual Puzzles, Arithmetic, and Coding. Estimated IQ was calculated using regression equations. To test the validity of the estimated IQ, we observed the correlation between Full Scale IQ and the estimated IQ, as well as mean and, classification differences. A highly significant correlation was found between Full Scale and the estimated IQ. The mean difference between Full Scale and estimated IQ was not statistically significant, but the classification of the two IQ types did not differ. Estimated IQ distinguished between low average level(below Full Scale IQ 89) and average level(above Full Scale IQ 90). In conclusion, the short form of K-WAIS-IV can be credibly used in clinical settings when the exact full scale IQ is not needed or when time shortage is an issue. And also, implications and limitations of this study were discussed.

keywords
K-WAIS-IV, Clinical Samples, Four-subtest Short Form, Estimated IQ, Validity, 한국판 웩슬러 지능검사 4판(K-WAIS-IV), 임상 집단, 4개 소검사 단축형, 추정 IQ, 타당도

참고문헌

1.

고승희, 신민섭, 홍강의 (1996). KEDI-WISC와 TOVA를 이용한 소아 정신과 장애별 주의력 문제와 인지적 특성에 관한 연구. Korean Journal of Clinical Psychology, 15(1), 165-178.

2.

김중술, 김영환 (1974). K-WAIS의 단축형에 관한 연구-Doppelt형. 장병림 교수 회갑기념 논총, 1-11

3.

김경의, 김교헌, 오상우 (2005). K-WAIS 단축형 (WARD 7형)의 타당도 연구. Korean Journal of Clinical Psychology, 24(2), 379-396.

4.

서은란, 백용매 (2007). 상담일반: 한국판 웩슬러 지능검사 (K-WAIS)의 단축형 유형에 따른 신뢰도와 타당도 비교. 상담학연구, 8(4), 1323-1337.

5.

신민섭, 오경자, 홍강의 (1990). 주의력결핍과잉활동장애 아동의 인지적 특성. 소아․청소년정신의학, 1(1), 55-64.

6.

엄태호, 박영숙, 오경자, 김정규, 이영호 (1992). K-WAIS 실시요강. 서울: 한국가이던스.

7.

이준석 (2012). 구조방정식모형을 활용한 K-WAIS-IV 보충소검사 대체가능성 검증. 발달장애연구, 16, 29-52.

8.

임영란, 이우경, 이원혜, 박종원 (2000). 한국 웩슬러 지능검사(KWIS) 단축형의 정확성 및 타당도에 관한 연구. Korean Journal of Clinical Psychology, 19(3), 563-574.

9.

정다희, 고승희, 김종훈, 강승걸, 배승민, 강재명 (2017). 뇌외상 환자에서 K-WAIS-IV 단축형 활용의 타당도. 한국심리학회지: 임상심리 연구와 실제, 3(1), 23-45.

10.

정선녀, 정승아 (2009). ADHD 로 진단된 아동의 ADS 및 KEDI-WISC 의 반응 특성. Korean Journal of Clinical Psychology, 28(1), 137-151.

11.

최아영, 황순택, 김지혜, 박광배, 최진영, 홍상황 (2014). K-WAIS-IV 단축형의 타당도. Korean Journal of Clinical Psychology, 33(2), 413-428.

12.

황순택, 김지혜, 박광배, 최진영, 홍상황 (2012). K-WAIS-IV 한국판 웩슬러 성인용 지능검사 4판. 대구: 한국심리주식회사, 11-24.

13.

Axelrod, B. N. (2001). Administration duration for the Wechsler Adult Intelligence Scale-III and Wechsler Memory Scale-III. Archives of Clinical Neuropsychology, 16(3), 293-301.

14.

Benson, N., Hulac, D. M., & Kranzler, J. H. (2010). Independent examination of the Wechsler Adult Intelligence Scale-Fourth Edition (WAIS-IV): what does the WAIS-IV measure?. Psychological Assessment, 22(1), 121.

15.

Blyler, C. R., Gold, J. M., Iannone, V. N., & Buchanan, R. W. (2000). Short form of the WAIS-III for use with patients with schizophrenia. Schizophrenia Research, 46(2-3), 209-215.

16.

Bulzacka, E., Meyers, J. E., Boyer, L., Le Gloahec, T., Fond, G., Szöke, A., & Schürhoff, F. (2016). WAIS-IV seven-subtest short form: validity and clinical use in schizophrenia. Archives of Clinical Neuropsychology, 31(8), 915-925.

17.

Canivez, G. L., & Watkins, M. W. (2010). Investigation of the factor structure of the Wechsler Adult Intelligence Scale-Fourth Edition (WAIS–IV): Exploratory and higher order factor analyses. Psychological Assessment, 22(4), 827.

18.

Cohen, J. (1988). Statistical power analysis for the behavioural sciences(2nd ed). Routledge.

19.

Crawford, J. R., Allan, K. M., & Jack, A. M. (1992). Short‐forms of the UK WAIS—R: Regression equations and their predictive validity in a general population sample. British Journal of Clinical Psychology, 31(2), 191-202.

20.

Crawford, J. R., Allum, S., & Kinion, J. E. (2008). An index‐based short form of the WAIS‐III with accompanying analysis of reliability and abnormality of differences. British Journal of Clinical Psychology, 47(2), 215-237.

21.

Dobbins, C., & Russell, E. W. (1990). Left temporal lobe brain damage pattern on the Wechsler Adult Intelligence Scale. Journal of clinical psychology, 46(6), 863-868.

22.

Donnell, A. J., Pliskin, N., Holdnack, J., Axelrod, B., & Randolph, C. (2007). Rapidly- administered short forms of the Wechsler Adult Intelligence Scale-3rd edition. Archives of Clinical Neuropsychology, 22(8), 917-924.

23.

Doppelt, J. E. (1956). Estimating the full scale score on the Wechsler Adult Intelligence Scale from scores on four subjects. Journal of Consulting Psychology, 20(1), 63.

24.

Fallows, R. R., & Hilsabeck, R. C. (2012). WAIS-IV visual puzzles in a mixed clinical sample. The Clinical Neuropsychologist, 26(6), 942-950.

25.

Flanagan, D. P., & Kaufman, S. (2009). Essentials of Assessment with WISC-IV (2nd ed.). Hoboken, NJ: John Wiley & Sons.

26.

Girard, T. A., & Christensen, B. K. (2008). Clarifying problems and offering solutions for correlated error when assessing the validity of selected-subtest short forms. Psychological Assessment, 20(1), 76.

27.

Kaufman, A. S., & Lichtenberger, E. O. (2005). Assessing adolescent and adult intelligence. John Wiley & Sons.

28.

Kaufman, A. S., McLean, J. E., & Reynolds, C. R. (1988). Sex, race, residence, region, and education differences on the 11 WAIS-R subtests. Journal of Clinical Psychology, 44(2), 231-248.

29.

Levy, P. (1968). Short-form tests: A methodological review. Psychological Bulletin, 69(6), 410.

30.

Linn, M. C., & Petersen, A. C. (1985). Emergence and characterization of sex differences in spatial ability: A meta-analysis. Child Development, 1479-1498.

31.

Matarazzo, J. D., Daniel, M. H., Prifitera, A., & Herman, D. O. (1988). Inter‐subtest scatter in the WAIS‐R standardization sample. Journal of Clinical Psychology, 44(6), 940-950.

32.

McCrea, S. M., & Robinson, T. P. (2011). Visual puzzles, figure weights, and cancellation: Some preliminary hypotheses on the functional and neural substrates of these three new WAIS-IV subtests. ISRN Neurology.

33.

Meyers, J. E., Zellinger, M. M., Kockler, T., Wagner, M., & Miller, R. M. (2013). A validated seven-subtest short form for the WAIS-IV. Applied Neuropsychology: Adult, 20(4), 249-256.

34.

Mosier, C. I. (1943). On the reliability of a weighted composite. Psychometrika, 8(3), 161- 168.

35.

Reitan, R. M., & Wolfson, D. (1993). The Halstead-Reitan neuropsychological test battery: Theory and Clinical Applications.

36.

Resnick, R. J., & Entin, A. D. (1971). Is an abbreviated form of the WISC valid for Afro-American children?. Journal of Consulting and Clinical Psychology, 36(1), 97.

37.

Reynolds, C. R., Willson, V. L., & Clark, P. L. (1983). A four-subtest short form of the WAIS-R for clinical screening. Clinical Neuropsychology, 5, 111-116

38.

Rolfhus, E., & Zhu IV, J. J. (2003). WISC-IV technical and interpretive manual. San Antonio: The Psychological Corporation, 77.

39.

Ryan, J. J. (1983). Clinical utility of a WAIS-R short form. Journal of Clinical Psychology, 39(2), 261-262.

40.

Ryan, J. J., Lopez, S. J., & Werth, T. R. (1998). Administration time estimates for WAIS-III subtests, scales, and short forms in a clinical sample. Journal of Psychoeducational Assessment, 16(4), 315-323.

41.

Ryan, J. J., & Rosenberg, S. J. (1984). Administration time estimates for WAIS-R subtests and short forms in a clinical sample. Journal of Psychoeducational Assessment, 2(2), 125-129.

42.

Sattler, J. M. (2008). Assessment of children: Cognitive functions(5th ed.). San Diego, CA: Author.

43.

Sattler, J. M., & Ryan, J. J. (1999). Assessment of children: revised and updated third edition: WAIS-III Supplement. JM Sattler.

44.

Schopp, L. H., Herrman, T. D., Johnstone, B., Callahan, C. D., & Roudebush, I. S. (2001). Two abbreviated versions of the Wechsler Adult Intelligence Scale-III: Validation among persons with traumatic brain injury. Rehabilitation Psychology, 46(3), 279.

45.

Schwartz, L., & Levitt, E. E. (1960). Shortforms of the Wechsler Intelligence Scale for Children in the educable, non-institutionalized mentally retarded. Journal of Educational Psychology, 51(4), 187.

46.

Silverstein, A. B. (1982). Two-and four-subtest short forms of the Wechsler Adult Intelligence Scale-Revised. Journal of Consulting and Clinical Psychology, 50(3), 415.

47.

Voyer, D., Voyer, S., & Bryden, M. P. (1995). Magnitude of sex differences in spatial abilities: a meta-analysis and consideration of critical variables. Psychological Bulletin, 117(2), 250.

48.

Ward, L. C. (1990). Prediction of verbal, performance, and full scale IQs from seven subtests of the wais-r. Journal of Clinical Psychology, 46(4), 436-440.

49.

Wechsler, D. (2008). Wechsler adult intelligence Scale–Fourth Edition Bloomington, MN: Person.

50.

Wechsler, D. (2011). Wechsler Abbreviated Scale of Intelligence-Second Edition. Bloomington, MN: Pearson.

51.

Weiss, L. G., Keith, T. Z., Zhu, J., & Chen, H. (2013). WAIS-IV and clinical validation of the four-and five-factor interpretative approaches. Journal of Psychoeducational Assessment, 31(2), 94-113.

52.

Wymer, J. H., Rayls, K., & Wagner, M. T. (2003). Utility of a clinically derived abbreviated form of the WAIS-III. Archives of Clinical Neuropsychology, 18(8), 917-927.

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