한국판 고통 감내력 부족 척도의 타당도 연구: 문제음주자를 대상으로
Validation of the Korean-Distress Intolerance Index in Heavy Drinkers
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초록
고통 감내력은 문제음주 행동을 유발하고 유지시키는 중요한 요인으로 주목받아 왔다. 고통 감내력을 측정하는 대표적인 도구 중 하나는 고통 감내력 부족 척도(Distress Intolerance Index: DII) 이다. 이 척도는 기존의 고통 감내력 척도들에 대한 요인분석을 통해 고통 감내력 요인을 가장잘 반영하는 문항 10개를 추려내어 개발된 도구로, 문제음주자의 고통 감내력을 효과적으로 측정할 수 있는 유력한 도구이다. 하지만 문제음주자를 대상으로 한국판 DII의 타당도를 확인한 연구는 현재까지 진행되지 않았다. 따라서 본 연구에서는 문제음주자 100명을 대상으로 한국판 DII의타당도를 확인하고자 했다. 참여자들은 실험실에 방문하여 한국판 DII와 알코올 사용장애 진단검사(Alcohol Use Disorders Identification Test)를 작성하였으며, 고통 감내력을 측정하는 다른 과제들을 수행하였다. 수집된 자료를 이용해 한국판 DII의 요인구조를 분석하였으며, 성별 및 연령의 효과를 분석하고, 내적 일치도와 준거타당도를 확인하였다. 분석 결과, 한국판 DII는 원판 DII 와 동일한 1요인 구조를 나타내었으며, 내적 일치도가 양호한 것으로 확인되었다. 한국판 DII 점수에 대한 성별과 연령의 효과는 유의미하지 않은 것으로 확인되었다. 고통 감내력을 측정하는행동과제 및 자기 보고형 측정도구와의 관계를 분석한 결과, 준거 타당도가 적절한 것으로 나타났다. 이러한 결과들은 한국판 DII가 문제 음주자의 고통 감내력을 타당하게 평가하는 도구임을시사한다.
- keywords
- 고통 감내력, 고통 감내력 부족 척도, 문제음주, 타당도, distress tolerance, Distress Intolerance Index, heavy drinking, validity
Abstract
Distress tolerance(DT) is considered an important variable related to the development and maintenance of problematic alcohol use. One of the most widely-used measures of DT is the Distress Intolerance Index(DII). The DII was developed by evaluating the latent factor structure of existing measures of DT. It consists of 10 items that best capture the core DT construct. This study examined validity of the Korean version of the DII(K-DII), and assessed the psychometric properties of the measure, in 100 heavy drinkers. Participants completed the K-DII, the Alcohol Use Identification Test, and the two instruments that assess two types of DT. Results of confirmatory factor analysis supported a single-factor latent structure of the K-DII. The effects of gender and age on K-DII were not significant. The internal consistency and the criterion validity of the K-DII were good. These findings suggest that the K-DII is a reliable and valid measure to assess DT in heavy drinkers.
- keywords
- 고통 감내력, 고통 감내력 부족 척도, 문제음주, 타당도, distress tolerance, Distress Intolerance Index, heavy drinking, validity
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