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Korean Journal of Clinical Psychology

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E-ISSN : 2733-4538

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28권 1호

한국판 CBCL 1.5-5의 변별타당도 및 임상적 유용성

Discriminant Validity and Clinical Utility of the Korean Version of the Child Behavior Checklist for Ages 1.5-5

이진 ((주) 휴노컨설팅)
김영아 ((주) 휴노컨설팅)
오경자 (연세대학교)
Korean Journal of Clinical Psychology / Korean Journal of Clinical Psychology, (E)2733-4538
2009, v.28 no.1, pp.171-186
https://doi.org/10.15842/kjcp.2009.28.1.010
이진, 김영아, & 오경자. (2009). 한국판 CBCL 1.5-5의 변별타당도 및 임상적 유용성. Korean Journal of Clinical Psychology, 28(1), 171-186, https://doi.org/10.15842/kjcp.2009.28.1.010

초록

본 연구는 근래에 한국판으로 개발된 영유아 행동평가척도 부모용(CBCL 1.5-5)의 변별타당도를 검증하고 임상 장면에서의 유용성을 평가하기 위해 수행되었다. 이를 위해 종합병원 소아 정신과에 내원한 1.5~5세 영유아 228명의 임상집단과 이 집단의 성별․연령과 동일하게 대응시킨 228명의 정상집단을 규준산출을 위해 수집된 2,433명의 모집단에서 무선적으로 선별하여 분석을 실시하였다. ANOVA 분석 결과 한국판 CBCL 1.5-5의 모든 하위척도 평균 점수는 임상집단이 정상집단에 비해 높게 나타났다. 판별분석과 ROC 분석에서도 신체증상 및 수면문제 소척도를 제외한 모든 하위척도를 통한 임상집단과 정상집단 변별이 효과적으로 이루어질 수 있음이 확인되었고, 특히 DSM 전반적 발달장애 및 주의집중 하위척도의 변별력이 우수한 것으로 나타났다. 승산비(odds ratio) 분석을 통해 CBCL 1.5-5에서 임상범위의 판단기준으로 제시하고 있는 T점수로 임상집단과 정상집단을 예측해본 결과, 역시 신체증상 및 수면문제 척도를 제외한 모든 하위척도의 승산비가 유의하였고, 하나의 하위척도라도 임상범위 점수에 해당하는 경우를 임상집단으로 분류하는 기준으로 평가했을 때 승산비가 더욱 높아져 각 하위척도들의 임상적 변별력이 지지되었다. 마지막으로 본 연구에서 확인된 한국판 CBCL 1.5-5의 변별 타당도 및 임상적 유용성과 그에 대한 한계점이 논의되었다.

keywords
CBCL 1.5-5, 표준화, 임상군, 정상군, 변별타당도, 승산비, ROC curve 분석, 판별분석, CBCL 1.5-5, referred group, discriminant validity, odds ratio, ROC curve., CBCL 1.5-5, referred group, discriminant validity, odds ratio, ROC curve.

Abstract

The purpose of this study was to verify the validity and clinical utility of the Korean version of the Child Behavior Checklist for Ages 1.5-5 (CBCL 1.5-5) by demonstrating that the total and subscale scores of the checklist provide valid criteria for classifying referred and non-referred groups. The study participants were a referred group of 228 preschoolers (153 boys, 75 girls, age range 1.5-5 yrs, mean age 3.3 yrs) and a non-referred group which was demographically matched for sex and age (n=228, mean age 3.3 yrs). An ANOVA, ROC curve analysis, discriminant analysis, and odds ratio analysis were performed on the syndrome scale data obtained on the participants. The results supported the efficiency of the Korean version of the CBCL 1.5-5 in referral status screening and its clinical validity. The overall results showed that, with the exception of the somatic complaints and sleep problem scales, the sub-scales of the Korean version of CBCL 1.5-5 were effective in discriminating between clinical and non-clinical groups, and the DSM pervasive developmental problems and DSM attention deficit/hyperactivity problems scales were the most successful. The clinical cutoff-score-criteria adopted for the Korean version of CBCL 1.5-5 were shown to be statistically valid. Further studies with a larger clinical sample and more detailed diagnostic information will be necessary in order to clarify why some sub-scales were more successful than others in discriminating the referral status of the pre-schoolers. The implications of using the CBCL 1.5-5 in Korea as a clinical and research tool were discussed.

keywords
CBCL 1.5-5, 표준화, 임상군, 정상군, 변별타당도, 승산비, ROC curve 분석, 판별분석, CBCL 1.5-5, referred group, discriminant validity, odds ratio, ROC curve., CBCL 1.5-5, referred group, discriminant validity, odds ratio, ROC curve.

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