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유아기 내재화 및 외현화 문제의 안정성: 1년 추적연구

Stability of Internalizing and Externalizing Behavior Problems in Preschoolers: A One-Year Follow-up Study

초록

본 연구에서는 유아기 내재화 및 외현화 문제가 얼마나 안정적으로 지속되는지를 알아보고자 하였다. 이를 위해 만 3세-5세 유아 197명(남아 105명, 여아 92명)을 대상으로 한국판 유아행동평가척도(CBCL 1.5-5)를 사용하여 문제행동을 평가하고 1년 후에 추적 조사를 통하여 다시 한 번 문제행동을 측정하였다. 그 결과, 1년 간격을 두고 동일한 측정도구로 평가한 문제행동 점수의 상관관계 계수가 남아의 경우 내재화 문제 r=.71, 외현화 문제 r=.76, 총 문제행동 r=.77로 높게 나타났으며, 여아의 경우에도 내재화 문제 r=.73, 외현화 문제 r=.59, 총 문제행동 r=.67로 대체로 높게 나타났다. 또한, 1차 평가 시기의 문제행동점수가 임상 범위에 해당하는(T>64) 유아들이 1년 경과 후에도 심각한 문제행동을 지속적으로 나타내는지를 살펴본 결과에 의하면, 남아의 경우 외현화 문제가 높은 비율로 지속되는 반면에 여아의 경우에는 내재화문제가 높은 비율로 유지되는 것으로 나타났다. 특히 여아가 나타내는 심각한 수준의 외현화 문제는 시간 경과에 따른 안정성이 매우 낮은 것으로 나타났으며, 이러한 결과를 통해 유아기 문제행동의 지속 양상이 성별에 따라 차이가 있음을 알 수 있었다. 본 연구의 결과에 대한 임상적 시사점 및 본 연구의 의의와 제한점에 대해 논의하였다.

keywords
유아 문제행동, 내재화문제, 외현화문제, 안정성, 유아행동평가척도(CBCL1.5-5), preschool children, internalizing behavior problem, externalizing behavior problem, stability, CBCL1.5-5

Abstract

The aim of the present study was to investigate the one-year stability of internalizing and externalizing behavior problems in preschoolers. One hundred ninety-seven preschoolers aged 3-5 years (105 boys and 92 girls) who had been recruited from daycare centers in the metropolitan area of Seoul were assessed twice with the Korean version of the CBCL 1.5-5 at one year intervals. The one-year stability for internalizing, externalizing, and total behavior problems were r=0.71, 0.76, 0.77 for boys, and r=0.73, 0.59, 0.67 for girls, respectively. Seven of the 13 boys (53.8%) and 9 of the 14 girls (64.3%) with internalizing problems in the clinical range (T > 64) at Time 1 continued to be in the clinical range one year later. For externalizing problems, 14 of the 19 boys (73.7%) but none of the five girls remained in the clinical range at Time 2. The results suggested interesting gender differences in the stability of internalizing and externalizing problems of preschoolers.

keywords
유아 문제행동, 내재화문제, 외현화문제, 안정성, 유아행동평가척도(CBCL1.5-5), preschool children, internalizing behavior problem, externalizing behavior problem, stability, CBCL1.5-5

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