한국판 단축형 전념행동 질문지(KCAQ-8) 타당화 연구
Validation of Korean Version of a Shortened Committed Action Questionnaire(KCAQ-8)
진병주 (충남대학교)
김영훈 (가톨릭대학교)
김도완 (김찬병원)
조성근 (충남대학교)
- 다운로드 수
- 조회수
초록
본 연구에서는 만성통증 환자의 전념행동을 측정하기 위해 단축형 전념행동 질문지(A shortened Committed Action Questionnaire: CAQ-8)를 한국어로 번안하여 요인구조, 신뢰도, 타당도를 검증했다. 이를 위해 수도권 소재 대학병원 통증센터를 방문하여 치료 중인 외래환자 99명을 대상으로 연구를 진행했다. 한국판 단축형 전념행동 질문지(KCAQ-8)의 문항에 대해 탐색적 요인분석을한 결과, 8문항으로 구성된 2요인 구조가 최종적으로 제안되었고, 요인명은 ‘긍정경험’과 ‘부정경험’으로 명명되었다. 신뢰도 분석을 한 결과, KCAQ-8의 총점과 하위 요인들은 적절한 내적 일치도를 보였다. 또한 타당도 분석을 한 결과, KCAQ-8의 총점은 불안, 우울, 통증수용, 신체기능 및정신기능과 유의한 상관관계를 나타내었다. 이러한 결과들은 KCAQ-8이 만성통증 환자들의 전념행동을 측정하기에 신뢰롭고 타당한 도구임을 시사한다. 끝으로 본 연구의 제한점과 연구적, 임상적 함의에 대해 논의했다.
- keywords
- Korean version of a shortened Committed Action Questionnaire, Committed Action, Chronic pain, Validation, 한국판 단축형 전념행동 질문지, 전념행동, 만성통증, 타당화
Abstract
The purpose of this study was to examine the factor structure, reliability, and validity of shortened Committed Action Questionnaire(CAQ-8) for measuring the committed action of patients with chronic pain in Korea. The data were collected from 99 chronic pain patients who visited the pain center of University Hospital in a metropolitan area, Korea. Results of exploratory factor analysis for a Korean version of CAQ(KCAQ-8) showed that an 8-item and 2-factor structure(“positive” and “negative“) were appropriate to describe the inventory. The KCAQ-8 showed that the 2 factor and the total scores had good internal consistency. Also, the KCAQ-8 showed significant correlation with anxiety, depression, acceptance of pain, physical function, and mental function. These results suggested that the KCAQ-8 is a reliable and valid questionnaire for measurement of committed action in a Korea patient sample with chronic pain. Finally, clinical and research implications as well as limitations of this study were discussed.
- keywords
- Korean version of a shortened Committed Action Questionnaire, Committed Action, Chronic pain, Validation, 한국판 단축형 전념행동 질문지, 전념행동, 만성통증, 타당화
참고문헌
고상백, 장세진, 강명근, 차봉석, 박종구 (1997). 직장인들의 건강수준 평가를 위한 측정도구의 신뢰도와타당도 분석. 예방의학회지, 30(2), 15
국민건강보험공단 (2014a). 질병소분류별 다빈도 상병 급여현황(2013년_계)[데이터 파일].
국민건강보험공단 (2014b). 질병소분류별 다빈도 상병 급여현황(2013년_한방)[데이터 파일].
박세란, 이훈진 (2012). ACT 기반 가치탐색 집단 프로그램의 효과연구. 인지행동치료, 12(1), 1-20.
박휴정 (2013). 노년내과 심포지엄 노인의 흔한 문제:만성통증의 관리. 대한내과학회 추계 학술발표논문집, 2013(2), 206-207.
이선영 (2009). 수용-전념 치료에서 과정변인이 불안에미치는 매개효과. 고려대학교 대학원 박사학위 청구논문.
오세만, 민경준, 박두병 (1999). 병원 불안-우울 척도에관한표준화 연구. 대한신경정신의학학회지, 38(2), 289-296.
정경미, 이수진 (2014). 경험논문: 한국형 부모의 식사중 행동척도 (K-PMAS) 의 표준화 연구. 한국심리학회지: 건강, 19(3), 711-731.
헬스조선 (2011, 12, 15). 아픈 것, 참지 마세요 만성통증 올 가이드. http://health.chosun.com에서 2016, 5, 1 자료 얻음.
Antcliff, D., Keeley, P., Campbell, M., Oldham, J., & Woby, S. (2013). The development of an activity pacing questionnaire for chronic pain and/or fatigue: a Delphi technique. Physiotherapy, 99(3), 241-246.
Brown, C. A. (2002). Occupational therapists' beliefs regarding treatment options for people with chronic pain. The British Journal of Occupational Therapy, 65(9), 398-404.
Brunstein, J. C. (1993). Personal goals and subjective well-being: A longitudinal study. Journal of personality and social psychology, 65(5), 1061.
Cho, S., Heiby, E. M., McCracken, L. M., Moon, D. E., & Lee, J. H. (2012). Psychometric properties of a Korean version of the Chronic Pain Acceptance Questionnaire in chronic pain patients. Quality of Life Research, 21(6), 1059-1064.
Gatchel, R. J., Peng, Y. B., Peters, M. L., Fuchs, P. N., & Turk, D. C. (2007). The biopsychosocial approach to chronic pain: scientific advances and future directions. Psychological bulletin, 133(4), 581.
Hasenbring, M. I., & Verbunt, J. A. (2010). Fear-avoidance and endurance-related responses to pain: new models of behavior and their consequences for clinical practice. The Clinical journal of pain, 26(9), 747-753.
Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford Press.
Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour research and therapy, 44(1), 1-25.
Hayes, S. C., Strosahl, K. D., Bunting. K., Twohig, M., & Wilson. K. G., (2004) What Is Acceptance and Commitment Therapy? In S. C. Hayes, K. D. Strosahl (Eds.), A Practical Guide to Acceptance and Commitment Therapy. New York: Springer.
Karsdorp, P. A., & Vlaeyen, J. W. (2009). Active avoidance but not activity pacing is associated with disability in fibromyalgia. Pain, 147(1), 29-35.
Kindermans, H. P., Roelofs, J., Goossens, M. E., Huijnen, I. P., Verbunt, J. A., & Vlaeyen, J. W. (2011). Activity patterns in chronic pain:underlying dimensions and associations with disability and depressed mood. The Journal of Pain, 12(10), 1049-1058.
McCracken, L. M. (2013). Committed action: an application of the psychological flexibility model to activity patterns in chronic pain. The Journal of Pain, 14(8), 828-835.
McCracken, L. M., & Gutiérrez-Martínez, O. (2011). Processes of change in psychological flexibility in an interdisciplinary group-based treatment for chronic pain based on Acceptance and Commitment Therapy. Behaviour research and therapy, 49(4), 267-274.
McCracken, L. M., & Samuel, V. M. (2007). The role of avoidance, pacing, and other activity patterns in chronic pain. Pain, 130(1), 119-125.
McCracken, L. M., Chilcot, J., & Norton, S. (2015). Further development in the assessment of psychological flexibility: A shortened Committed Action Questionnaire (CAQ-8). European Journal of Pain, 19(5), 677-685.
McCracken, L. M., Vowles, K. E., & Eccleston, C. (2004). Acceptance of chronic pain: component analysis and a revised assessment method. Pain, 107(1), 159-166.
Merskey, H., & Bogduk, N. (1994). Classification of Chronic Pain: Descriptions of Chronic Pain Syndromes and Definitions of Pain Terms. Seattle: IASP Press.
Nielson, W. R., Jensen, M. P., & Hill, M. L. (2001). An activity pacing scale for the chronic pain coping inventory: development in a sample of patients with fibromyalgia syndrome. Pain, 89(2), 111-115.
Nielson, W. R., Jensen, M. P., Karsdorp, P. A., & Vlaeyen, J. W. (2013). Activity pacing in chronic pain: concepts, evidence, and future directions. The Clinical journal of pain, 29(5), 461-468.
Sheldon, K. M., & Houser-Marko, L. (2001). Self-concordance, goal attainment, and the pursuit of happiness: Can there be an upward spiral?. Journal of personality and social psychology, 80(1), 152.
Singh, M. K., Patel, J., & Gallagher, M. R. (2015). Chronic Pain Syndrome. Retrieved from http://emedicine.medscape.com/article/310834-overview#showall
Trompetter, H. R., Ten Klooster, P. M., Schreurs, K. M., Fledderus, M., Westerhof, G. J., & Bohlmeijer, E. T. (2013). Measuring values and committed action with the Engaged Living Scale (ELS): Psychometric evaluation in a nonclinical sample and a chronic pain sample. Psychological assessment, 25(4), 1235.
Vlaeyen, J. W., & Linton, S. J. (2000). Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Pain, 85(3), 317-332.
Ware, J. E., & Gandek, B. (1998). Methods for testing data quality, scaling assumptions, and reliability: the IQOLA Project approach. Journal of clinical epidemiology, 51(11), 945-952.
Ware Jr, J. E., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36):I. Conceptual framework and item selection. Medical care, 473-483.
Ware Jr, J. E., Kosinski, M., & Keller, S. D. (1996). A 12-Item Short-Form Health Survey:construction of scales and preliminary tests of reliability and validity. Medical care, 34(3), 220-233.
Wicksell, R. K., Olsson, G. L., & Hayes, S. C. (2010). Psychological flexibility as a mediator of improvement in Acceptance and Commitment Therapy for patients with chronic pain following whiplash. European Journal of Pain, 14(10), 1059-e1.
Wong, W. S., McCracken, L., Wong, S., Chen, P. P., Chow, Y. F., & Fielding, R. (2015). The Chinese Version of the 8-Item Committed Action Questionnaire (ChCAQ-8): A Preliminary Analysis of the Factorial and Criterion Validity. Psychological Assessment. doi:10.1037/pas0000187
Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta psychiatr scand, 67(6), 361-370.
- 다운로드 수
- 조회수
- 0KCI 피인용수
- 0WOS 피인용수