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E-ISSN : 2733-4538
본 연구의 목적은 한국판 기분 및 불안 증상 질문지(Mood and Anxiety Symptom Questionnaire; MASQ)의 요인구조, 신뢰도 및 타당도를 살펴보는 것이다. 이를 위해 일반 성인 553명(남자 113명, 여자 440명)에게 K-MASQ, BDI-Ⅱ, BAI 설문지를 실시하였다. 335명의 자료에 대해 탐색적 요인분석을 시행한 결과, 기존 연구와 동일한 3개의 하위요인을 가진 요인구조가 확인되었는데 각 요인을 “일반적 고통”, “신체적 불안”, “낮은 긍정정서” 요인으로 명명하였다. 설명력이 낮고 요인 간 변별력이 낮았던 문항들을 제외하여 최종적으로 총 77문항을 선택하였으며 최종 문항들에 대한 내적 합치도(cronbach's α)가 .92로 높게 나타났다. 218명의 자료를 대상으로 확인적 요인분석을 실시한 결과, 적합도 지수는 NNFI=.80, CFI=.80, RMSEA=.06으로 나타나 K-MASQ의 3요인 구조가 비교적 적절한 모델임이 입증되었다. 또한 K-MASQ는 BDI-Ⅱ와 BAI와 유의미한 상관을 보여 공존타당도가 양호한 것으로 나타났다. 이와 같은 결과에 기초하여 연구의 의의와 제한점이 논의되었다.
The current study examined the factor structure, reliability and validity of the Korean Version of the Mood and Anxiety Symptom Questionnaire(K-MASQ). K-MASQ, BDI-Ⅱ and BAI were administered to 553 adults in the general population. The results of explanatory factor analysis showed that a 3 factor model was adequately supported by omission of 13 items: “general distress”, “somatic anxiety” and “positive affect”. Based on the results, the goodness of fit-index of the confirmatory factor analysis is as follows: NNFI=.80, CFI=.80, RMSEA=.06. The reliability and validity of the K-MASQ was evaluated. Internal consistency was high, and the convergent and discriminant validity of the K-MASQ were acceptable. In conclusion, these results suggest that the K-MASQ is a reliable, valid tool for assessment of mood and anxiety symptoms. Finally, the implication and limitations of the current study and suggestions for the future research were discussed.
김계수 (2004). AMOS 구조방정식 모형분석. 서울: 데이터솔루션.
김명식, 이임순, 이창선 (2007). 한국판 BDI-Ⅱ의 타당화 연구 I: 여대생을 대상으로. 한국심리학회지, 임상, 26(4), 997-1014.
이슬아, 김근향, 조선미 (출판 중). A validation study of K-MASQ for adolescents in Korea. Psychiatry Investigation.
이영호, 이기련 (1998). 정동성과 스트레스 유형이 우울과 불안의 공통 증상과 특정 증상에 미치는 영향. 한국심리학회지: 임상, 17(2), 69-86.
조수철, 남 민 (1994). 소아와 청소년의 행동장애와 우울, 불안증상과의 상호관계. 대한신경정신의학회, 33(6), 1273-1283.
홍세희 (2000). 구조방정식의 모형의 적합도 지수 선정기 준과 그 근거. 한국심리학회지: 임상, 19(2), 161-178.
Barlow, D. H., & Campbell, L. A. (2000). Mixed anxiety-depression and its implications for models of mood and anxiety disorders. Comprehensive Psychiatry, 41, 55-60
Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1998). An Inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893-897.
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Beck Depression Inventory-Second Edition manual. San Antonio, TX: The Psychological Corporation.
Bedford, A. (1997). On Clark-Watson’s tripartite model of anxiety and depression. Psychological Reports, 80, 125-126.
Clark, L. A., & Watson, D. (1991). Tripartite model of anxiety and depression: Psychometric evidence and taxonomic implications. Journal of Abnormal Psychology, 100, 316-336.
Chorpita, B. F. (2002). Tripartite model and dimensions of anxiety and depression: an examination of structure in a large school sample. Journal of Abnormal Child Psychology, 30, 177-190.
Costello, E., Mustillo, S., Erkanli, S., Keeler, G., & Angold, A. (2003). Prevalence and development of psychiatric disorders in childhood and adolescence. Archives of General Psychiatry, 60(8), 837-844.
de Beurs, E., Hollander-Gijsman, M. E., Helmich, S., Zitman, F. G. (2007). The Tripartite model for assessing symptoms of anxiety and depression: psychometrics of the Dutch version of the mood and anxiety symptoms questionnaire. Behavior Research and Therapy 45, 1609-1617.
Fava, M., Rankin, M. A., Wrighy, E. C., Alpert, J. E., & Nierenberg, A. A., et al. (2000). Anxiety disorders in major depression. Comprehensive Psychiatry, 41, 97-102.
Gotlib, I. H. & Cane, D. B. (1989). Self-report assessment of depression and anxiety. In P. C. Kendall & D. Watson (Eds)., Anxiety and depression: Distinctive and overlapping features (pp.131-169). London: Academic.
Hamilton M. (1982). Symptoms and assessment of depression. In Handbook of Affective Disorders. Ed by Paykel E. S, New York: Guilford Press.
Hankin, B. L. (2008). Cognitive Vulnerability-Stress Model of Depression During Adolescence: Investigating Depressive Symptom Specificity in a Multi-Wave Prospective Study, Journal of Abnormal Child Psychology, 36, 999-1014.
Heinza, A. J., Kassela J. D., Berbaumb M., & Mermelstein R. (2010). Adolescents’ expectancies for smoking to regulate affect predict smoking behavior and nicotine dependence over time. Drug and Alcohol Dependence, 111, 128-135.
Joiner, T. E., Jr., Steer, R. A., Beck, A. T., Schmidt, N. B., Rudd, M. D., & Catanzaro, S. J. (1999). Physiological hyperarousal: Construct validity of a central aspect of the tripartite model of depression and anxiety. Journal of Abnormal Psychology, 108, 290-298.
Keogh, E., & Reidy, J. (2000). Exploring the factor structure of the mood and anxiety symptom questionnaire (MASQ). Journal of Personality Assessment, 74, 106-125.
Kwon, S (1992). Differential roles of dysfunctional attitudes and automanic thoughts in depression: An integrated cognitive model of depression. Unpublished doctoral dissertation, Queensland University, Australia.
Lumley, M. N., & Harkness, K. L., (2007). Early Maladaptive Schemas, and Symptom Profiles in Adolescent Depression. Cognitive Therapy and Research, 31, 639-657.
Marshall, G. N., Sherbourne, C. D., Meredith, L. S., Camp, P., & Hays, R. D. (2003). The tripartite model of anxiety and depression: Symptom structure in depressive and hypertensive patient groups. Journal of Personality Assessment, 80, 139-153.
Moras, K., & Barlows, D. H. (1991). Dimensional approaches to diagnosis and the problem of anxiety and depression. In A. Ehlers, W, Fiegenbaum, I. Florin, & J. Margarf. (Eds). Perspectives and promise of clinical psychology. New York: Plenum Press.
Roemer L, Medaglia E. Generalized anxiety disorder: a brief overview and guide to assessment. In: Antorny MM, Orsillo SM, Roemer L, editors. Practitioner’s guide to empirically based measures of anxiety. New York: Kluwer Academic Publisher; 2001. p.189-195.
Sarason, I. G., & Sarason. B. R(김은정, 김향구, 황은태 역, 2001). Abnormal Psychology. 서울: 학지사.
Watson, D., & Clark, L. A. (1991). The mood and anxiety symptoms questionnaire (MASQ). Unpublished manuscript. Iowa City: University of Iowa: Department of Psychology.
Watson, D., Clark, L. A., Weber, K., Assenheimer, J. S., Strauss, M. E., & McCormick, R. A. (1995). Testing a tripartite model: Ⅱ. Exploring the symptom structure of anxiety and depression in student, adult, and patient samples. Journal of Abnormal Psychology, 104, 15-25.
Watson, D., & Kendall, P. C. (1989a). Common and differentiating features of anxiety and depression: Current findings and future directions. In P. C. Kendall & D. Watson(Eds.), Anxiety and depression: Distinctive and overlapping features (pp.493-508). London: Academic.
Watson, D., & Kenddal, P. C. (1989b). Understanding anxiety and depression: Their relation to negative and positive affective states. In P. C. Kendall & D. Watson(Eds.), Anxiety and depression: Distinctive and overlapping features(pp.3-26). London: Academic.
Watson, D., Weber, K., Assenheimer, J. S., Clark, L. A., Strauss, M. E., & McCormick, R. A. (1995). Testing a tripartite model: I. Evaluating the convergent and discriminant validity of anxiety and depression symptom scales. Journal of Abnormal Psychology, 104, 3-14.