KISEP Original Articles J Korean Neuropsychiatr Assoc Vol 37, No 6 가족적응력및결속력평가척도한국어판 의 표준화예비연구 - 신뢰도및타당도 이종일 * 성덕규 * 이민규 ** A Preliminary St

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1 KISEP Original Articles J Korean Neuropsychiatr Assoc Vol 37, No 6 가족적응력및결속력평가척도한국어판 의 표준화예비연구 - 신뢰도및타당도 이종일 * 성덕규 * 이민규 ** A Preliminary Study on the Standardization of Korean Version of the Family Adaptability and Cohesion Evaluation Scale II-a Reliability and Validity 국문초록 Jong-Il Lee, M.D.,* Deock-Kyu Seong, M.D.,* Min-Kyu Rhee, M.D.** 연구목적 : 방법 : 결과 : 결론 : 중심단어 Department of General Psychiatry, Seoul National Mental Hospital, Seoul Department of Clinical Psychology, Seoul National Mental Hospital, Seoul Corresponding author 1246

2 서론 1. 연구대상 1) 1 차조사 연구대상및방법 2) 2차조사 1247

3 2. 연구도구 1) 1차조사 (1) 적응력 (adaptability) (2) 결속력 (cohesion) 2) 2차조사 3. 통계분석방법 1) 신뢰도검증 2) 타당도검증 1248

4 Table 1. Communalities and factor loading of K-FACES II items Factor Items h2 Factor 1 Factor 2 Factor 3 Factor 4 Factor 5 Factor 6 Factor 1 Ite m Item Item Item Item Item Factor 2 Item Item Item Item Item Factor 3 Item Item Item Item Factor 4 Item Item Item Ite m Item Factor 5 Item Item Item Factor 6 Item Item a Eigenvalue K-FACESKorean version of Family Adaptability and Cohesion Evaluation Scale Cronbach s alpha 3) 변별타당도검증 결과 1. 요인의추출 1249

5 Table 2. ReliabilityCronbach s alpha and corrected item-total correlation of the items of FACES II Subscale a Items Corrected item-total correlation S1.83 I 7.70 I 1.61 I18.56 I17.62 I 8.60 I10.50 S2.75 I 2.53 I 6.49 I23.50 I30.56 I25.54 S3.71 I21.56 I28.56 I27.50 I15 S4.75 I 4.56 I26.68 I 3.44 I 5.60 I24 S5.71 I13.57 I14.52 I22.52 FACESFamily Adaptability and Cohesion Evaluation Scale acronbach s alpha S1emotional bonding, S2acceptability and sharing, S3participation, S4negotiation and satisfaction, S5responsibility and expectation 1) 정서적유대 (emotional bonding) 2) 수용과공유 (acceptability and sharing) 3) 참여 (participation) 4) 타협과만족 (negotiation and satisfaction) 5) 책임과기대 (responsibility and expectation) 2. 문항-전체상관 (Corrected item-total correlation) 과내적일치도 (Internal consistency) 3. 변별타당도 1) 신뢰도 2) 하위척도들에대한집단간차이검증 1250

6 Table 3. Correlation matrix among K-FACES II items K-FACESKorean version of Family Adaptability and Cohesion Evaluation Scale

7 Table 4. Correlation coefficients of subscales of K-FACES II according to variables S1 S2 S3 S4 S5 Age.19** ** ** **.12 Education ** ** ** ** ** K-FACESKorean version of Family Adaptability and Cohesion Evaluation Scale S1emotional bonding, S2acceptability and sharing, S3participation, S4negotiation and satisfaction, S5responsibility and expectation **p0.01 Table 5. The comparison of the mean and reliabilitycronbach s alpha of subscales of K-FACES II among 2 groups Control Patient Subscale F1,118 P MeanSD Adj. Mean MeanSD Adj. Mean S S S S S K-FACESKorean version of Family Adaptability and Cohesion Evaluation Scale acronbach s alpha 1 patientn62family group with schizophrenic patient controln60members of normal families S1emotional bonding, S2acceptability and sharing, S3participation, S4negotiation and satisfaction, S5responsibility and expectation 고찰 1252

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9 참고문헌 1) Goldenberg I, Goldenberg H(1991):Family ther- 1254

10 apy;an Overview. 3rd ed, California, Brooks/Core, pp3-12 2) 배성일, 임효덕, 김영환 (1990): 정신과환자가족의스트레스지각및대응전략. 신경정신의학 24: ) 이선이 (1995) : 가족의위기. 여성한국사회연구회 (1995): 가족과한국사회. 서울, 경문사, pp ) Rolland JS, Walsh F(1994):Family Therapy. In: Textbook of Psychiatry. 2nd ed, Ed by Hales RE and Yudofsky SC and Talbott JA, Washington DC, American Psychiatric Press, pp ) Olson DH, Sprenkle DH, Russel CS(1979):Circumplex model of marital and family systems:cohesion and adaptability dimensions, family types, and clinical applications. Fam Process 18:3-28 6) Olson DH(1988):The Circumplex Model. New York, Haworth Press 7) Parker G, Johnston P, Hayward L(1988):Parental expressed emotion as a predictor of schizophrenic relapse. Arch Gen Psychiatry 45: ) Kantor D, Lehr W(1975):Inside the family. In: Family therapy;an Overview. 3rd ed, Ed by Goldenberg I and Goldenberg H(1991), California, Brooks /Core, pp ) Olson DH(1982):FACES II;Family adaptability and cohesion evaluation scales. Family Social Science, Minnesota, University of Minnesota Press 10) Reiss D(1981):The family's construction of reality. In:Family therapy;an Overview. 3rd ed, Ed by Goldenberg I and Goldenberg H(1991), California, Brooks/Core, pp ) Beavers WR(1981):A systems model of family for family therapists. Journal of Marital and Family Therapy 7: ) Epstein N, Bishop DS, Baldwin LM(1982):Mc- Master model of family functioning;a view of the normal family. In:Family therapy;an Overview. 3rd ed, Ed by Goldenberg I and Goldenberg H(1991), California, Brooks/Core, pp275 13) Moos RH(1974):Combind preliminary manual; Family, work, and group environment scales. In:Family therapy;an Overview. 3rd ed, Ed by Goldenberg I and Goldenberg H(1991), California, Brooks/Core, pp ) 오석환 (1963): 정신분열증환자의가정배경에관한고찰. 부산의대잡지 3: ) 강석헌 (1970): 정신분열증의가족에관한연구. 경북의대잡지부록 1: ) 고천석, 이형영 (1985): 정신과환자가족의불안에관한연구. 신경정신의학 24: ) 이정식, 김광일 (1991): 정신병환자가족의걱정에관한조사. 신경정신의학 30: ) American Psychiatric Association(1994):Diagnostic and Statistical Manual of Mental Disorder. 4th ed, Washington DC, American Psychiatric Association 19) Goldenberg I, Goldenberg H(1991):Family therapy:an Overview. 3rd ed, California, Brooks/Core, pp ) 김용식 (1974): 청소년정신분열증성격장애자및정상대조군의가족관계에관한비교고찰. 신경정신의학 12: ) Anthony EJ(1970):The impact of mental and physical illness on family life. Am J Psychiatry 127: ) Gibbons JS, Horn SH, Powell JM, Gibbons JL (1984):Schizophrenic patients and their families: Survey in a psychiatry service based on DGH unit. Br J Psychiatry 144: ) Cobb S(1976):Social support as a modulator of life stress. Psychom Med 38: ) 홍순원, 이병욱, 이수일 (1994): 정신병환자가족의심리적반응과대응전략에관한연구. 신경정신의학 33: ) 이효재 (1985): 분단시대의사회학. 여성한국사회연구회ᄑ1995): 한국가족문화의오늘과내일. 서울, 사회문화연구소출판부, pp ) 손승영 (1995): 한국사회의변화와가족. 여성한국사회연구회 (1995): 한국가족문화의오늘과내일. 서울, 사회문화연구소출판부, pp ) Barnes H, Olson DH(1985):Parent adolescent communication and the Circumplex Model. Child Development 56: ) Beavers WR, Voeller MN(1983):Comparing and contrasting the Olson Circumplex Model with the Beavers Systems Model. Family Precess 24:

11 ABSTRACT J Korean Neuropsychiatr Assoc Vol 37, No 6, November, 1998 A Preliminary Study on the Standardization of Korean Version of the Family Adaptability and Cohesion Evaluation Scale II-a Reliability and Validity Jong-Il Lee, M.D., Deock-Kyu Seong, M.D., Min-Kyu Rhee, M.D. Department of General Psychiatry, Seoul National Mental Hospital, Seoul ObjectivesFamily environment is important in treatment, course, relapse, and prognosis of psychiatric illnesses. Thus the evaluation of family structure and the family therapy is important in the investigation and treatment of psychopathology. This preliminary study was designed to attempt to verify the reliability and validity of a Korean version of Family Adaptability and Cohesion Evaluation Scale IIK-FACES II which evaluate the adaptability and cohesion of family structures. MethodThe translated FACES II which constructed a questionnaire composed of a total of 30 items was applied to 124 members from families with no psychiatric patient in Seoul and Pusan by random sampling. Then the authors extracted the factors which were able to compose the scale and evaluated the concurrent reliability. Also for the discriminative validity test, the authors selected 62 members, who have been no psychiatric history, of families with schizophrenic patient diagnosed with the criteria of DSM-IV who have been treated in Seoul National Mental Hospital and 60 members of families without schizophrenic patient in Seoul and Pusan for control. ResultThe results were as followsthe authors extracted 5 subscales of emotional bonding, acceptability and sharing, participation, negotiation and satisfaction, responsibility and expectation of Family Adaptability and Cohesion Evaluation Scalewhich constructed a questionnaire composed of a total of 23 items. Cronbach s alpha value of each subscale which show its internal consistency was.83,.75,.71,.75,.71 respectively. In the discriminative validity test, all subscales except responsibility and expectationsubscale significantly discriminated between family group with schizophrenic patient and control group. ConclusionThese findings confirmed the high reliability and validity of preliminary form of K- FACES II and suggest the possibility that K-FACES II could be a useful measure to evaluate the adaptability and cohesion of family structures. But we think that further study should be needed considering some limitations that 7 items were excluded and extracted factors could not be matched with FACES in factor analysis. KEY WORDSFamily structure FACES Reliability Validity Schizophrenia. 1256

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