정신보건시스템 내에서의 아동청소년 기능평가척도 개발을 위한 예비연구

다국어 초록 (Multilingual Abstract)

Objectives：The aim of this study was to develop an assessment tool for measurement of children’s functioning in the mental health service. We conducted a preliminary study to develop a sensitive and inclusive scale focused on the functional changes of children rather than just focusing on their symptoms or screening.
Methods：The Child and Adolescent Functional Assessment Scale and the Korean-Child Behavior Checklist (K-CBCL) were both administered to 134 parents of children with emotional or behavioral problems who participated in the Aizone program and also to 186 parents of elementary school children in the Seoul metropolitan area as a control group. SPSS version 12.0 was used for statistical analysis.
Results：Most of the reliability coefficients were over 0.70 except those of the conduct behavior items, which showed relatively high internal consistency. The corrected item-total correlations ranged from .411 to .758, except those of conduct behavior items and special measure items. In a concurrent validity test with K-CBCL, the total behavior problem score of K-CBCL was highly correlated with the total score of the Child and Adolescent Functional Assesment Scale (r=.610). For the construct validity, confirmatory factor analysis was performed for each of four areas, including behavior (at home/school), achievement, peer relationship, and emotion.
Conclusion：The results showed that the scale was statistically reliable and valid, except for conduct behavior items. This study was conducted only for parents with elementary children. An adolescents group should be included in future studies.

목차 (Table of Contents)

• 서론
• 방법
• 결과
• 고찰
• 결론
• References

참고문헌 (Reference)

1 허윤석, "아동용 문제 행동 선별검사의 개발" 대한신경정신의학회 42 (42): 724-735, 2003

2 김효진, "소아 청소년 정신건강 선별검사 및 치료 연계 효율성에 대한 연구：지역사회 중심 연구" 대한소아청소년 정신의학회 20 (20): 129-139, 2009

3 Murphy JM, "Validation of the Preschool and Early Childhood Functional Assessment Scale (PECFAS)" 8 : 343-356, 1999

4 Harnett PH, "The Health of the Nation Outcome Scales for Children and Adolescents in an adolescent in-patient sample" 39 : 129-135, 2005

5 Goodman R., "SDQ-Scores interpretation, broad classification based information"

6 Brann P, "Routine outcome measurement in a child and adolescent mental health service: an evaluation of HoNOSCA. The Health of the Nation Outcome Scales for Children and Adolescents" 35 : 370-376, 2001

7 Hodges K, "Outcomes for children with problematic behavior in school and at home served by public mental health" 12 : 109-119, 2004

8 Min SK, "Model development of school mental health service: 1. A school-based study on the emotional and behavioral problems of elementary students" 36 : 812-825, 1997

9 Achenbach TM., "Manual for the Child Behavior Checklist/4–18and 1991 Profile" University of Vermont, Department of Psychiatry 1991

10 Gowers SG, "Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA)" 174 : 428-431, 1999

11 Macgregor AC, "Family Life and Relationships in the Health of the Nation Outcome Scales for Children and Adolescents (HoNOSCA)" 30 : 216-219, 2006

12 American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders: DSM-IV" American Psychiatric Association 1994

13 Oh KJ, "Development of Korean version of Child Behavior Checklist (K-CBCL)" Korean Research Foundation Report 1990

14 National Mental Health Strategy, "Child & Adolescent All Service Settings" the NSW Institute of Psychiatry 2005

15 Kim CT, "A study on internet addiction counseling and the development of prevention programs" Korea Agency For Digital Opportunity And Promotion 2002