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E-ISSN : 2733-4538
본 연구에서는 노인들의 인지, 행동, 심리적 문제와 같은 다각적인 영역을 평가하는 한국판 노인 행동평가척도(OABCL)의 임상적 타당도를 살펴보고자 하였다. 이를 위해 정신건강의학과에 내원한 60세 이상 244명의 환자 및 보호자들을 대상으로 실시한 OABCL, 한국판 간이정신상태검사(K-MMSE), 일상활동평가-복합(S-IADL), 한국판 치매임상평가척도(K-CDR), 노인 우울 척도(GDS), 신경정신행동 검사(CGA-NPI) 사이의 상관관계를 분석하였다. 또한, 치매로 진단된 59명과 우울장애로 진단된 48명을 대상으로 집단간 유의한 차가 나타난연령을 통제한 후, OABCL 결과 차이를 분석하기 위해 공분산분석을 실시하였다. 분석 결과, 연령, 교육년수를 통제한 편상관분석에서 타평가 도구들과 OABCL의 거의 모든 척도에서 유의한 상관관계를 보였고, 특히 문제행동증후군 척도의 기능적 손상, 불안/우울 척도와DSM 진단 척도의 치매문제, 우울 척도와 높은 상관을 보였다. 더불어, 치매와 우울장애 집단 사이에서 OABCL 문제증후군 척도의 걱정, 신체증상, 기능적 손상, DSM 진단 척도의 신체화 척도에서 유의한 차이를 보였다. 이를 통해 OABCL의 임상적 활용도 및 타당도를 확인할수 있었고, 이 같은 결과를 중심으로 본 연구의 의의 및 제한점에 대해 논의하였다.
The present study aimed to investigate the clinical validity of the Korean version of Older Adult Behavior Checklist (OABCL) which was developed to examine the diverse aspects of geriatric behavior problems. A total of 244 subjects, both patients who were older than 60 years and their caregivers, were included. The results of partial correlation between OABCL and Korean- Mini Mental State (K-MMSE), Seoul-Instrumental Activities of Daily Living (S-IADL), K-Clinical Dementia Rating (KCDR), Geriatric Depression Scale (GDS) and Caregiver-Administered NPI (CGA-NPI) showed that most of the inventories significantly correlated when age and the number of education years attained were statistically controlled. In particular, functional impairment, anxious/depressed scales of empirically base problem scales, and dementia, depressive problems of DSMoriented scales were highly correlated with others. Additionally, ANCOVA revealed that worries, somatic complaints, functional impairment of empirically base problem scales, and somatic problems of DSM-oriented scales were significantly different between those with dementia (n=59) and those with depressive disorder (n=48). The implications for clinical application and directions for future research were also discussed.
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