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아동과 청소년의 심리적 경직성: 한국판 아동 및 청소년용 회피-융합척도 단축형(K-AFQ-Y8)의 타당화

Psychological Inflexibility in Korean Children and Adolescents: Validation of the Korean Version of the Avoidance and Fusion Questionnaire for Youth-Eight Item Type (K-AFQ-Y8)

초록

심리적 경직성은 수용과 전념치료 모델에서 정신병리의 핵심기제로 가정되는 주요 구성개념이다. 본 연구에서는 아동과 청소년의 심리적경직성을 간편하게 평가하기 위해 Greco, Lambert와 Baer(2008)가 개발한 아동 및 청소년용 회피-융합척도의 단축형(Avoidance and Fusion Questionnaire for Youth-Eight item type: AFQ-Y8)을 우리나라 아동과 청소년에게 적용하여 타당화하였다. 이를 위해 초등학생 271 명과 중학생 461명에게 한국판 아동 및 청소년용 회피-융합척도 단축형(K-AFQ-Y8)과 아동발현 불안척도, 청소년 행동평가척도 자기보고용, 단축형 행복척도, 수용-행동 질문지, 사고억제 질문지를 실시하였다. 연구 결과, K-AFQ-Y8은 양호한 신뢰도를 보였고, 원 척도와 동일하게 일요인 구조를 갖는 것으로 나타났다. 또한, K-AFQ-Y8은 경험회피의 일종인 사고억제 및 불안, 우울, 신체증상, 규칙위반, 공격성 같은정신병리 증상과는 유의미한 정적상관을 보였고, 심리적 수용 및 주관적 행복과는 유의미한 부적상관을 보였다. 특히, K-AFQ-Y8은 수용전념치료 모델의 주요 개념인 수용과 사고억제의 효과를 제거한 후에도 증상 및 행복척도와의 유의미한 상관이 그대로 유지되었다. 이 결과들은 K-AFQ-Y8이 우리나라 아동과 청소년의 심리적 경직성을 간편하게 측정할 수 있는 신뢰롭고 타당한 척도일 뿐 아니라, 국내 아동과 청소년의 정신병리 및 삶의 질에 있어 심리적 경직성이 중요한 역할을 할 수 있음을 시사한다. 마지막으로, 연구의 의의와 제한점, 그리고향후 연구 방향을 논의하였다.

keywords
심리적 경직성, 수용과 전념치료, 아동과 청소년, 신뢰도, 타당도, psychological inflexibility, acceptance and commitment therapy, children and adolescents, reliability, validity

Abstract

Psychological inflexibility is an important construct that has gained much attention recently as a critical mechanism of psychopathology in Acceptance and Commitment Therapy (ACT). This current study aimed to validate the Korean version of the Avoidance and Fusion Questionnaire for Youth-Eight item type (AFQ-Y8; Greco, Lambert & Baer, 2008), which is a child-report measure of psychological inflexibility. Elementary and middle school students completed the K-AFQ-Y8, Revised Children’s Manifest Anxiety Scale (RCMAS), Youth Self-Report (YSR), Concise Measure of Subjective Well-Being (COMOSWB), Acceptance and Action Questionnaire (AAQ), and White Bear Suppression Inventory (WBSI). The K-AFQ-Y8 showed adequate reliability and was fitted for a one-factor measurement model. The K-AFQ-Y8 positively correlated with thought suppression, anxiety, depression, somatic complaint, and problem behavior, and negatively with acceptance and subjective well-being. Even after removing the effects of acceptance and thought suppression, the K-AFQ-Y8 correlated significantly, as expected, with all measures. These results support the convergent and construct validity of the K-AFQ-Y8. Overall, the results suggest that the K-AFQ-Y8 is a useful child-report measure of psychological inflexibility, and psychological inflexibility may be a critical factor of psychopathology and the quality of life in Korean children and adolescents. Finally, the implication and limitation of this study, as well as possible suggestions for future study were discussed.

keywords
심리적 경직성, 수용과 전념치료, 아동과 청소년, 신뢰도, 타당도, psychological inflexibility, acceptance and commitment therapy, children and adolescents, reliability, validity

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