본 연구는 사회불안장애의 특징인 응시불안 및 응시회피를 측정하는 응시불안평가척도(Gaze Anxiety Rating Scale)를 번역하여 신뢰도와 타당도를 검증하였다. 이를 위해 본 연구는 대학생333명을 대상으로 응시불안평가척도와 사회불안을 측정하는 질문지를 함께 실시하였다. 요인분석결과, 응시불안 하위척도는 3요인이었으며 응시회피 하위척도는 4요인으로, 주로 다수에게 주목을받는 상황에서 응시불안을 느끼며 자신의 의견을 말하거나 평가 받는 상황에서 응시회피를 느끼는 것으로 나타났다. 응시불안평가척도의 전체 문항 및 하위 척도 모두 높은 수준의 내적일치도와 검사-재검사 신뢰도를 보였으며 사회불안과 관련된 다른 척도와도 높은 수렴타당도를 보이는것으로 나타났다. 응시불안평가척도의 문항변별도와 응답자 특성을 추정하기 위해 다분문항반응이론에 의한 문항분석으로 문항변별도와 경계특성곡선 위치의 유사성을 분석한 결과, 모든 문항이 높은 변별력을 보여 제거할 문항은 없는 것으로 나타났다. 이러한 결과는 다양한 치료적, 연구적 장면에서 객관적인 관찰방법에 국한되어 측정되던 응시불안 및 응시회피가 한국판 응시불안평가 척도를 통해 그 주관적 보고 또한 신뢰롭게 평가될 수 있음을 시사한다.
This study investigated the psychometric properties of the Korean version of Gaze Anxiety Rating Scale (K-GARS) with factor analysis and polytomous item response theory(polytomous IRT). A total 333 university student were asked to respond to K-GARS and questionnaires to measure social anxiety tendency. Exploratory factor analysis revealed four factor structures in gaze avoidance dimension and gaze anxiety dimension, consisting of three factor structure with a high internal consistency and convergent validity. People mainly reported gaze avoidance in the public speaking or evaluative situation. They felt gaze anxiety when they were engaged in public attention. Polytomous IRT revealed that all items had appropriate discrimination to measure the trait of gaze avoidance and gaze anxiety accurately. Therefore, no item was eliminated from the original GARS. This suggested that Korean version of GARS could be extended from the restricted study field of gaze avoidance and gaze anxiety where empirical data are mostly studied. It could also be practically used in clinical context with a high reliability.
구훈정, 양은주, 권정혜 (2012). 사회불안 상황과 관련된미묘한 회피 빈도 검증 척도(SAFE)의 한국판 타당화 연구: 일반 대학생을 대상으로. 한국심리학회지:임상. 31(3), 693-712.
김명식, 이임순, 이창선 (2007). 한국판 BDI-II의 타당화연구 I: 여대생을 대상으로. 한국심리학회지: 임상. 26(4), 997-1014.
김은정 (1999). 사회공포증집단의 사회적 자기처리 및안전행동. 미발표 박사학위논문, 서울대학교.
김정택, 신동균 (1978). STAI 한국 표준화에 관한 연구. 최신의학, 21, 69-75.
김향숙 (2001). 사회공포증 하위유형의 기억편향. 서울대학교 석사학위 논문
성태제 (1998). 다분문항반응이론(등급반응모형)에 의한학구적 실패내성척도의 문항분석과 참여자 특성추정. 교육심리연구, 12(2), 203-218.
성태제 (2001). 문항 반응이론의 이해와 적용. 파주: 교육과학사
유은승, 안창일, 박기환 (2007). 한국판 Liebowitz 사회불안척도(LSAS)의 요인구조 및 진단적 유용성 – 대학생 집단과 사회공포증환자 집단을 중심으로. 한국심리학회지: 임상, 26(1), 251-270.
이지영, 권석만 (2009). 사회불안과 자기초점적 주의 성향의 관계. 인지행동치료, 9(1), 39-55.
이지영, 권석만 (2009). 자기초점적 주의 성향 척도의개발: 사회적 상황을 중심으로. 한국심리학회지: 임상, 24(2) 451-464.
임은영, 박장희, 권일, 송규림, 허선 (2004). 고전검사이론과 문항반응이론에 따른 의사국가시험 문항 분석. 보건의료교육평가, 1(1), 67-76.
최정훈, 이정윤 (1994). 사회적 불안에서의 비합리적 신념과 상황요인. 한국심리학회지: 상담과 심리치료, 6(1), 21-47.
Cho, H., & Matheny, K. B. (2008). The use of Korean version of the Beck depression inventory with adolescents: An item response theory analysis. The Korea Journal of Counseling, 9(2), 583-600.
Baker, F. B. (1992). Item response theory: Parameter estimation techniques. New York: Marcel Dekker, Inc.
Baker, S. L., Heinrichs, N., Kim, H. J., Hofmann, S. G. (2002). The Liebowitz social anxiety scale as a self-report instrument: A preliminary psychometric analysis. Behaviour Research and Therapy, 40(6), 701-715.
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck Depression Inventory (2nd Manual). San Antonio, TX: The Psychological Corporation.
Clark, D. M. (1999). Anxiety disorders: Why they persist and how to treat them. Behaviour Research and Therapy, 37, S5-S27.
Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. In R. Heimberg, M. Liebowitz, D. A. Hope, & F. Scheiner (Eds.), Social phobia:Diagnosis, assessment, and treatment (pp. 69-93). New York: Guilford Press.
Doherty-Sneddon, G., & Phelps, F. G. (2005). Gaze aversion: A response to cognitive or social difficulty? Memory & Cognition, 33(4), 727-733.
Farabee, D. J., Holcom, M. L., Ramsey, S. L., & Cole, S. G. (1993). Social anxiety and speaker gaze in a persuasive atmosphere. Journal of Research in Personality, 27(4), 365-376.
Greist, J. H. (1995). The diagnosis of social phobia, Journal of Clinical Psychiatry, 55(Suppl.5), 5-12.
Greist, J. H., Kobak, K. A., Jefferson, W., Katzlenick, D. J., & Chene, R. L. (1995). The clinical interview. In R. G. Heimberg, M. R. Liebowitz, D. A. Hope, & F. R. Schneider (Eds.), Social Phobia: Diagnosis, assessment and treatment (pp. 69-93). New York: Guilford Press.
Horley, K., Williams, L. M., Gonsalvez, C., & Gordon, E. (2003). Social phobics do not see eye to eye:A visual scanpath study of emotional expression processing. Anxiety Disorders, 17, 33-44.
Öhman, A. (1986). Face the beast and fear the animal: animal and social fears as prototypes for evolutionary analysis of emotion. Psychophysiology, 23(2), 123-145.
Öhman, A., Lundquist. D., & Esteves, F. (2001). The face in the crowd revisited: A threat advantage with schematic stimuli. Journal of Personality and Social Psychology, 80(3), 381-396.
Kessler, R. C., Stein, M. B., & Berglund, P. (1998). Social phobia subtypes in the national comorbidity survey. American Journal of Psychiatry, 155, 613-619.
Kim, E. J. (2005). The effect of the decreased safety behaviors on anxiety and negative thoughts in social phobics. Journal of Anxiety Disorder, 19, 69-86.
Knappe, S., Beesdo-Baum, K., Fehm, L., Stein, M. B., Lieb, R., & Wittchen, H. U. (2011). Social fear and social phobia types among community youth:Differential clinical features and vulnerability factors. Journal of Psychiatric Research, 45(1), 111-120.
Larsen, R. J., & Shackelford, T. K. (1996). Gaze avoidance: Personality and social judgments of people who avoid direct face-to-face contact. Personality and Individual Differences, 21(6), 907-917.
Liebowitz, M. R. (1987). Social Phobia. Modern Problems of Pharmacopsychiatry, 22, 141-173.
Mattick, R. P., & Clarke, J. C. (1998). Development and validation of measures of social phobia scrutiny and social interaction anxiety. Behaviour Research and Therapy, 36, 455-470.
Mogg, K., Bradley, B. P., De Bono, J., Painter, M. (1998). Time course of attentional bias for threat information in non-clinical anxiety. Behaviour Research and Therapy, 35, 297-303.
Moukheiber, A., Rautureau, G., Perez-Diaz, F., Soussignan, R., Dubal, S., Jouvent, R., & Pelissolo, A. (2010). Gaze avoidance in social phobia: Objective measure and correlates. Behaviour Research and Therapy, 48, 147-151.
Plasencia, M. L., Alden, L. E., & Taylor, C. T. (2011). Differential effects of safety bahavior subtypes in social anxiety disorder. Behaviour Research and Therapy, 49, 665-675.
Rapee, R. M., & Heimberg, R. G. (1997). A cognitive-behavioral model of anxiety in social phobia. Behaviour Research and Therapy, 35, 741-756.
Safren, S. A., Heimberg, R. G., Horner, K. J., Juster, H. R., Schneier, F. R., Liebowitz, M. R. (1999). Factor structure of social fears: The Liebowitz Social Anxiety Scale. Journal of Anxiety Disorder, 13(3), 253-270.
Salkovskis, P. M. (1991). The importance of behaviour in the maintenance of anxiety and panic: A cognitive account. Behavioural Psychotherapy, 19, 6-19.
Schneier, F. R., Rodebaugh, T. L., Blanco, C., Lewin, H., & Liebowitz, M. R. (2011). Fear and avoidance of eye contact in social anxiety disorder. Comprehensive Psychiatry, 52, 81-87.
Spielberger, C. D., Gorsuch R. L., & Lushene, R. E. (1970). The State-Trait Anxiety Inventory (STAI): Test manual. Palo Alto, CA: Consulting Psychologists Press.
Tedesch, R., & Calhoun, I. G., (1996). Posttraumatic growth inventory: Measuring the positive legacy of trauma. Journal of Traumatic Stress, 9, 455-472.
Walters, K. S., & Hope, D. A. (1998). Analysis of social behavior in individuals with social phobia and nonanxious participants using a psychological model. Behavior Therapy, 29, 387-407.
Watson, D., & Friend, R. (1969). Measurement of social-evaluative anxiety. Journal of Consulting and Clinical Psychology, 33, 448-457.
Weeks, J. W., Heimberg, R. G., & Rodebaugh, T. L.(2008). The fear of positive evaluation scale:Assessing a proposed cognitive component of social anxiety. Journal of Anxiety Disorders, 22, 44-55.
Weeks. J. W., Heimberg, R. G., & Heuer, R. (2011). Exploring the role of behavioral submissiveness in social anxiety. Journal of Social and Clinical Psychology, 30(3), 217-249.
Wells, A., Clark, D. M., Salkovskis, P., Ludgate, J., Hackmann, A., & Gelder, M. (1995). Social Phobia: The role of in-situation safety behaviors in maintaining anxiety and negative beliefs. Behavior Therapy, 26, 153-161.
Wieser, M. J., Pauli, P., Aplers, G. W., Mühlberger, A. (2008). Is eye contact really threatening and avoided in social anxiety? An eye-tracking and psychophysiology study. Journal of Anxiety Disorder, 23(1), 93-103.