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Korean Journal of Clinical Psychology

어머니와 청소년의 우울증상에 따른 청소년의 정서 및 행동문제에 대한 평가 일치도

The Cross-Informant Agreement on Behavior Problems between Mother and Adolescent Reports:according to Maternal and Adolescent Depression

초록

본 연구에서는 정서 및 행동문제에 대한 청소년 자신과 어머니간의 평가 일치도를 조사하고 어머니와 청소년의 우울여부에 따른 청소년 자신과 어머니간의 평가 일치도를 비교하였다. 지역사회에서 422명의 청소년(남자 193명, 여자 229명)과 어머니를 대상으로 청소년 자신이 평가하는 K-YSR과 부모가 평가하는 K-CBCL을 동시에 실시하여 평가자간의 일치도를 조사하고 인구학적 변인에 따른 일치도를 비교하였다. 또한 CES-D에 근거하여 우울 어머니와 청소년을 선정한 후, 일반집단과 평가 일치도를 비교하였다. 그 결과 정서 및 행동문제에 대한 청소년 자신과 어머니간의 평가 일치도는 총 문제행동 r=.34, 11개 하위척도의 평균 r=.28로 낮았다. 여자 청소년은 비행 척도에서 남자 청소년에 비해 평가 일치도가 높았고, 고소득층은 우울/불안 척도와 사고의 문제 척도에서 저소득층에 비해 평가 일치도가 높았다. 우울한 어머니는 우울/불안 척도와 사회적 미성숙 척도에서 비우울 어머니에 비해 평가 일치도가 높았고, 우울한 청소년은 외현화 문제 척도에서 비우울 청소년에 비해 평가 일치도가 낮았다. 이와 같은 결과에 대해 임상적 시사점과 본 연구의 제한점에 대해 논의하였다.

keywords
cross informant agreement, emotional and behavioral problems, adolescents' depression, maternal depression, cross informant agreement, emotional and behavioral problems, adolescents' depression, maternal depression, 평가 일치도, 정서 및 행동문제, 청소년의 우울증상, 어머니의 우울증상

Abstract

The purpose of this study was to determine the cross-informant agreement between mother and adolescent reports on behavioral emotional problems according to their depressive symptoms. The participants were 422 middle and high school students (193 boys and 229 girls) and their mothers. The adolescents assessed their own depressive symptoms by the CES-D as well as behavioral and emotional problems by the K-YSR. The mothers assessed their own depressive symptoms by the CES-D and their children's behavioral emotional problems by the K-CBCL. Depressed adolescents and their mothers were selected by 15th percentile scores of the CES-D. They were then compared for agreement with a normal group. The agreement between mothers and adolescents was analyzed with Fisher's z transformation by the T scores of the K-CBCL and K-YSR. The results showed a low agreement between the same subscales of the K-CBCL and the K-YSR with an average r=.28. Girls agreed more with their mothers than boys did on the delinquent behavior. The high SES group agreed more with their mothers than the low SES group did on the anxious/depressed and thought problems. Depressed mothers agreed more with adolescents than non-depressed mothers did on the anxious/depressed and social problems. Non-depressed adolescents agreed more with their mothers than adolescents did on the externalizing problems. These results demonstrated that it is important to integrate both the mothers and adolescent perceptions and to consider their depressive state.

keywords
cross informant agreement, emotional and behavioral problems, adolescents' depression, maternal depression, cross informant agreement, emotional and behavioral problems, adolescents' depression, maternal depression, 평가 일치도, 정서 및 행동문제, 청소년의 우울증상, 어머니의 우울증상

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Korean Journal of Clinical Psychology