도박장애에 대한 DSM-5 진단기준의 신뢰도, 타당도 및 분류 정확성: DSM-IV와 비교
Reliability, Validity, and Classification Accuracy of the DSM-5 Diagnostic Criteria for Gambling Disorder: Comparison to DSM-IV
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초록
본 연구는 DSM-5 도박장애 진단 기준에 대한 신뢰도, 타당도, 분류 정확성을 확인하고 DSM-5 도박장애 진단 기준의 심리측정적 특징을 DSM-IV의 병적 도박 진단 기준의 심리측정적 특징과 진단 분류의 정확성을 비교 검증하기 위해서 수행되었다. 참여자는 도박문제로 심리치료를 받고 있는 내담자 99명과 일반인 118명 이었다. 모든 참여자에게 표준화된 진단기준 질문지를 실시하였다. 신뢰도, 타당도 및 ROC분석을 실시한 결과, DSM-5 도박장애 진단기준은 만족할만한 신뢰도, 타당도 그리고 진단적 분류 정확성을 보였다. DSM-IV의 병적 도박 진단기준과 비교해 볼 때 DSM-5 도박 장애의 신뢰도, 타당도 그리고 진단적 분류의 민감도에서 비슷한 수준을 보였다. 그러나 거짓 양성 오류는 DSM-5가 다소 높았다. 마지막으로 본 연구의 제한점과 추후연구에 대해서 논의하였다.
- keywords
- DSM-IV PG, DSM-5 GD, reliability, validity, classification accuracy, ROC, DSM-IV 병적 도박, DSM-5 도박장애, 신뢰도, 타당도, 진단적 분류의 정확성, ROC
Abstract
The purpose of this study was to assess the reliability, validity and classification accuracy of the DSM-5 diagnostic criteria for Gambling Disorder and to compare the DSM-5 and DSM-IV in terms of reliability, validity, and classification accuracy. Participants were recruited from among clients receiving gambling treatment services to represent the group with a GD and from the community to represent the group without a GD (clients n=99, community n=118). All participants were administered a standardized measure of diagnostic criteria. As a result, the DSM-5 yielded satisfactory reliability, validity, and classification accuracy. On comparing the DSM-5 with the DSM-IV, most comparisons of reliability, validity and classification accuracy showed more similarities. There was evidence of modest deterioration in false positive errors for DSM-5 over DSM-IV. Finally, the limitations of this study and future research directions were discussed.
- keywords
- DSM-IV PG, DSM-5 GD, reliability, validity, classification accuracy, ROC, DSM-IV 병적 도박, DSM-5 도박장애, 신뢰도, 타당도, 진단적 분류의 정확성, ROC
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