ISSN : 1229-067X
본 연구의 목적은 외상 후 심리적 증상과 관련된 자서전적 외상 기억 특성을 자기보고식으로 측정하기 위한 자서전적 외상 기억 질문지(Autobiographical Trauma Memory Questionnaire; ATMQ)를 개발하고 신뢰도와 타당도를 검토하는 것이다. 문헌 연구를 통해 확인된 외상 후 심리적 증상과 관련된 자서전적 외상 기억의 현상학적 특성인 비조직화, 신체감각적 경험, 침습적 회상으로 영역을 구성하고 각 영역에 포함되는 문항들을 개발하여 본 연구의 전문가 집단으로부터 내용타당도를 확보하였다. 이후 외상 경험이 있는 대학생 230명을 대상으로 예비 연구를 실시하여 문항 분석을 한 결과 18개의 예비 문항 중에 13개의 문항을 최종 ATMQ에 포함시켰으며 탐색적 요인분석을 통해 3요인 구조가 가장 타당함을 확인하였다. 본 연구에서는 외상 경험이 있는 278명의 대학생을 대상으로 ATMQ의 타당도와 신뢰도를 검증하였다. ATMQ의 구인 타당도를 검증하기 위해 실시한 확인적 요인분석 결과 3요인 구조가 가장 적합한 모형으로 확인되었으며 수렴, 공준, 그리고 증분 타당도를 지님을 확인할 수 있었다. ATMQ의 하위 척도는 높은 내적일치도를 보였으며 검사-재검사 신뢰도 또한 양호하였다. 본 연구의 결과를 토대로 연구의 의의와 ATMQ의 활용 제안, 본 연구의 제한점에 대해서도 함께 논의하였다.
The present study aimed to develop a self-report questionnaire (Autobiographical Trauma Memory Questionnaire (ATMQ)) for assessing characteristics of autobiographical trauma memory which is related with posttraumatic psychological symptoms, and to examine its validity and reliability. Following the literature reviews on posttraumatic psychological symptoms related with characteristics of autobiographical trauma memory, we generated 3 dimensions (e.g. disorganization, sensory motor experiences, and involuntary recall) and 18 items which were verified by a group of specialists. We conducted preliminary study of analyzing the items and conducting exploratory factor analysis of 230 undergraduate students who had experienced a traumatic experience. The results of item analysis and exploratory factor analysis suggested 13 items under three factors. Then we conducted the confirmatory factor analysis and calculated reliability of the ATMQ in 278 undergraduate students who had experienced a traumatic experience. Confirmatory factor analysis result supported the three factor structure of the ATMQ. The evidence of convergent, concurrent, and incremental validity of the ATMQ was obtained. The sub-scales of the ATMQ showed high internal consistency and good for test-retest reliability. Results are discussed in suggestion of using the ATMQ, and the restriction of this study was presented.
남보라, 권호인, 권정혜 (2010). 한국판 외상 후 스트레스 진단 척도의 신뢰도 및 타당도 연구. 한국심리학회지 임상, 29(1), 147- 167.
성형모, 김정범, 박영남, 배대석, 이선희, 안현의 (2008). 한국어판 백 우울 설문지 2판의 신뢰도 및 타당도 연구. 생물치료정신의학, 14(2), 201-212.
안현의, 주혜선 (2012). 외상 후 스트레스 장애와 관련된 자서전적 외상 기억의 조직화 특성. 한국심리학회지: 일반, 31(1), 197- 220.
안현의 (2005). 청소년의 심리적 외상에 관한 탐색적 연구: 외상 후 스트레스 증상과 성격 특성을 중심으로. 상담학 연구, 17, 217-231.
안현의, 주혜선 (2011). 단순 및 복합 외상 유형에 따른 PTSD의 증상 구조. 한국심리학회지: 일반, 30(3), 869-887.
조명숙, 이영호 (2011). 사건중심척도의 타당화 연구. 한국심리학회지: 일반, 30(3), 763- 774.
홍세희 (2000). 구조 방정식 모형의 적합도 지수 선정기준과 그 근거. 한국 심리학회지: 임상, 19(1), 161-177.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th rev.). Washington, DC: American Psychiatric Association.
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the BDI-Ⅱ. The psychological corporation. San Antonio, TX.
Berntsen, D., & Rubin, D. C. (2006). The Centrality of Event Scale: A measure of integrating a trauma into one’s identity and its relation to post-traumatic stress disorder symptoms. Behaviour Research and Therapy, 44(2), 219-231.
Berntsen, D., & Rubin, D. C. (2007). When a trauma becomes a key to identity: Enhanced integration of trauma memories predicts posttraumatic stress disorder symptoms. Applied Cognitive Psychology, 21(4), 417-431.
Berntsen, D., Willert, M., & Rubin, D. C. (2003). Splintered memory or vivid Land marks?: Qualities and organization of traumatic memories with and without PTSD. Applied Cognitive Psychology, 17(6), 675-693.
Brewin, C. R., Dalgleish, T., & Joseph, S. (1996). A dual representation theory of posttraumatic stress disorder. Psychological Review, 103(4), 670-686.
Conway, M. A. (2005). Memory and the self. Journal of Memory and Language, 53(4), 594-628.
Courtois, C. A., & Ford, J. D. (2009). Treating complex traumatic stress disorders: An evidence-based guide. (Eds.), New York: The Guilford Press.
Dunmore, E., Clark, D. M., & Ehlers, A. (1999). Cognitive factors involved in the onset and maintenance of posttraumatic stress disorder (PTSD) after physical or sexual assault. Behaviour Research and Therapy, 37(9), 809-829.
Ehlers, A., & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38(4), 319-345.
Ehlers, A., Hackmann, A., Steil, R., Clohessy, S., Wenniger, K., & Winter, H. (2002). The nature of intrusive memories after trauma: The warning signal hypothesis. Behaviour Research and Therapy, 40(9), 995-1002.
Fitzgerald, J. M. (1988). Vivid memories and the reminiscence phenomenon: The role of a self narrative. Human Development, 31, 261-273.
Foa, E. B., Cashman, L., Jaycox, L., & Perry, K. (1997). The validation of a self-report measure of posttraumatic stress disorder: The Posttraumatic Diagnostic Scale. Psychological Assessment, 9(4), 445-451.
Foa, E. B., Steketee, G., & Rothbaum, B. O. (1989). Behavioral cognitive conceptualization of post-traumatic stress disorder. Behavior Therapy, 20(2), 155-176.
Hackmann, A., Ehlers, A. Speckens, A., & Clark, D. M. (2004). Characteristics and content of intrusive memories in PTSD and their changes with treatment. Journal of Traumatic Stress, 17(3), 231-240.
Halligan, S., Tanja, M., Clark, D., & Ehlers, A. (2003). Posttraumatic stress disorder following assault. Journal of Consulting and Clinical Psychology, 71, 419-431.
Harvey, A. G., & Bryant, R. A. (1999). A qualitative investigation of the organization of traumatic memories. British Journal of Clinical Psychology, 38(4), 401-405.
Holmes, E. A., Grey, N., & Young, K. A. D. (2005). Intrusive images and “hotspots” of trauma memories in posttraumatic stress disorder: An exploratory investigation of emotions and cognitive themes. Journal of Behavior Therapy and Experimental Psychiatry, 36(1), 3-17.
Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternative. Structural Equation Modeling, 6(1), 1-55.
Jelinek, L., Randjbar, S., Seifert, D., Kellner, M., & Moritz, S. (2009). The organization of autobiographical and nonautobiographical memory in posttraumatic stress disorder (PTSD). Journal of Abnormal Psychology, 118(2), 288-298.
Jones, C., Harvey, A. G., & Brewin, C. R. (2007). The organization and content of trauma memories in survivors of road traffic accidents. Behaviour Research and Therapy, 45(1), 151-162.
Linton, M. (1986). Ways of searching and the contents of memory. In D. C. Rubin (Ed.), Autobiographical memory. (pp.50-67). New York: Cambridge University Press.
Michael, T., Ehlers, A., Halligan, S. L., & Clark, D. M. (2005). Unwanted memories of assault: What intrusion characteristics are associated with PTSD?. Behaviour Research and Therapy, 43(5), 613-628.
Murray, J., Ehlers, A., & Mayou, R. A. (2002). Dissociation and post-traumatic stress disorder: Two prospective studies of road traffic accident survivors. British Journal of Psychiatry, 180(4), 363-368.
Rothschild, B. (2003). The body remembers casebook. New York: W. W. Norton & Company.
Rubin, D. C., (2005). A basic-systems approach to autobiographical memory. Current Directions in Psychological Science, 14(2), 79-83.
Rubin, D. C., Berntsen, D., & Bohni. M. K. (2008). A memory-based model of posttraumatic stress disorder: Evaluating basic assumptions underlying the PTSD diagnosis. Psychological Review, 115(4), 985-1011.
Rubin, D. C., Boals, A., & Berntsen, D. (2008). Memory in posttraumatic stress disorder: Properties of voluntary and involuntary, traumatic and nontraumatic autobiographical memories in people with and without posttraumatic stress disorder symptoms. Journal of Experimental Psychology: General, 137(4), 591-614.
Rubin, D. C., Feldman, M. E., & Beckham, J. C. (2004). Reliving, emotions, and fragmentation in the autobiographical memories of veterans diagnosed with PTSD. Applied Cognitive Psychology, 18(1), 17-35.
Smeets, T., Giesbrecht, T., Raymaekers, L., Shaw, J., & Merckelbach, H. (2010). Autobiographical integration of trauma memories and repressive coping predict post-traumatic stress symptoms in undergraduate students. Clinical Psychology and Psychotherapy, 17(3), 211-218.
Speckens, A. E. M., Ehlers, A., Hackmann, A., Ruths, F. A., & Clark, D. M. (2007). Intrusive memories and rumination in patients with post-traumatic stress disorder: A phenomenological comparison. Memory, 15(3), 249-257.
van der Kolk, B. A., & Fisler, R. (1995). Dissociation and the fragmentary nature of traumatic memories: Overview and exploratory study. Journal of Traumatic Stress, 8(4), 505-525.
Wenzel, A., & Rubin, D. C. (2005). Cognitive methods and their application to clinical research. In D. C. Rubin (Ed.), Washington, D.C: American Psychological Association.
Yovell, Y., Bannett, Y., & Shalv, A. Y. (2003). Amnesia for traumatic events among recent survivors: Apilot study. CNS Spectrums, 8(9), 676-685.