- 연구대상및방법 1. 연구대상 - 2. 연구방법 1) 검사도구의선정 2) 검사대상

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1 KISEP Original Articles Korean J Child & Adol Psychiatr 12:218~224 청소년 ADHD 평가도구개발을위한예비연구- CASS(S) 의신뢰도및타당도연구 * A PRELIMINARY STUDY FOR THE DEVELOPMENT OF THE ASSESSMENT SCALE FOR ADHD IN ADOLESCENTS: RELIABILITY AND VALIDITY FOR CASSS 반건호 1) 신민섭 2) 조수철 2) 홍강의 3) Geon-Ho Bahn, M.D., 2) Min-Sup Shin, Ph.D., 2) Soo Churl Cho, M.D., 2) Kang-E Hong, M.D. 3) 요약 중심단어 서 론 Department of Neuropsychiatry, College of Medicine, KyungHee University, Seoul Division of Child & Adolescents Psychiatry, College of Medicine, Seoul National University, Children s Hospital, Seoul Department of Psychiatry, College of Medicine, Cheju National University, Cheju Corresponding author

2 - 연구대상및방법 1. 연구대상 - 2. 연구방법 1) 검사도구의선정 2) 검사대상

3 Table 1. Main subjects M1* M2 M3 H1** H2 H3 Sub Grade area B + G ++ B G B G B G B G B G total Seoul, north Seoul, south Osan Wonju Choongju Busan Kwangju Cheju Subtotal ,354 M1middle school, 1st grade +BBoy H1high school, 1st grade ++GGirl 3) 신뢰도평가 4) 타당도평가 3. 통계 Table 2. Test-retest reliability 결 1. 신뢰도 (Reliability) 1) 내적일관성 (Internal consistency) 2) 검사-재검사신뢰도 (Test-retest reliability) 과 2. 타당도 (Validity) 1) 공존타당도 (Concurrent validity) CASSS K-YSR Pearson CASSS ** correlation K-YSR.83** Significance CASSS tailed K-YSR.000. Number CASSS K-YSR Correlation is significant at the.01 level2-tailed 2) 구성타당도 (construct validity)

4 Table 3. Concurrent validity CASSS K-YSR Pearson CASSS ** correlation K-YSR.65** Significance CASSS tailed K-YSR.000. Number CASSS K-YSR Correlation is significant at the.01 level2-tailed Table 4. Principal axis factor analysis for CASSS No of questions Factor 1 Factor 2 Factor Table 5. Mean and standard deviation of CASSS for six groups AGE SEX MSD by sex B 경계점산출 고 찰 MSD, total Cut off score M1* G B M G B M G B H1** G B H G B H G M1middle school, 1st grade +BBoy H1high school, 1st grade ++GGirl

5 - References 1) American Psychiatric Association1980Diagnostic and Statistical Manual of Mental Disorders, Revised 3rd ed.dsm-Ⅲ, Washington DC 2) Costello EJ, Costello AJ, Edelbrock C, et al1988 Psychiatric disorders in pediatric primary care. Arch Gen Psychiatry ) Trites RL, Dugas E, Lynch J, Ferguson HB1979 Prevalence of hyperactivity. J Pediatr Psychology ) 조수철, 신윤오 1994 파탄적행동장애의유병율에대한연구. 소아청소년정신의학 ) 표경식, 박상학, 김상훈, 조용래, 김학렬, 문경래,

6 조수철2001도시지역초등학생에서주의력결핍과잉운동장애의유병율. 조선의대논문집출판중 6) Connell HM, Irvine L, Rodney J1982Psychiatric disorder in Queensland primary school chidren. Aust Paediatr J ) Offord DR, Boyle MH, Szatmari P, Rae-Gant N, et al 1987Ontario child health study Ⅱsix month of prevalence of disorfer and rates of service utilization. Arch Gen Psychiatry 44: ) American Psychiatric Association1987Diagnostic and Statistical Manul of Mental Disorders, Revised 3rd ed.(dsm-Ⅲ-r), Washington DC 9) Esser G, Schmidt MH, Woerner W1990Epidemiology and course of psychiatric disorders in schoolage childern-results of longitudinal study. J Child Psychol Psychiatry ) World Health Organization1992The ICD-10 classification of mental and behavioural disorders Clinical descriptions and diagnostic guidelines, WHO, Geneva 11) Rutter M, Tijard J, Whitmore K1970Education, Health and Behavior. London, Longsmans 12) Nicholas PL, Chen TC1980Minimal brain dysfunctiona prospective study. Hillsdale, NJ, Elbaum 13) Bird HR, Canino G, Rubio-Stipec M, et al1998 Estimate of the prevalence of childhood maladjustment in a community servey in Puerto RICO. Arch Gen Psychiatry ) Shekim WO, Kashani J, Beck N, et al1985the prevalence of attention deficit disorders in a rural midwestern community sample of nine-year children. J Am Acad Child Psychology 24: ) Wender PH1995Attention-deficit hyperactivity disorder in adults. New York, Oxford University Press 16) Weiss G, Hechtman L, Milroy T1985Psychiatric status of hyperactives as adualtsa controlled prospective 15-year follow-up of 63 hyperactive children. J Am Acad Child Psychiatry ) Mannuzza S, Gittelman-Klein R, Bonagura N1988 Hyperactive boys almost grown-upⅡstatus of subjects without a mental disorders. Arch Gen Psychiatry ) Mannuzza S, Gittelman-Klein R, Horowitz-Konig P 1989Criminality and its relationship to psychiatric status. Arch Gen Psyshiatry ) Klein RG1990Relationship between childhood hyperactivity and adult affective, antisocal and substance use disorders. Paper presented at 3rd Annual Research Conference of the New York State Office of Mental Health, Albany 20) Conners CK1997Conners Rating Scales-Revised Technical Manual. New York: Multi-Health Systems. 21) 오경자, 홍강의, 이혜련1997K-YSR 청소년자기행동평가척도. 중앙적성연구소 22) Duprey TR, Greenberg LM1993T.O.V.A. Manual. LA, U.A.D. 23) 신민섭, 조성준, 전선영, 홍강의2000전산화된주의력장애진단시스템의개발및표준화연구. 소아청소년정신의학 ) Merrell KW1999Behavioral, social, and emotional assessment of children & adolescents. Lawrence Erlbaum Associates, Inc., Publishers, Mahwah, NJ, pp ) Pruitt DB1999Your adolescent. HarperCollins Publishers Inc. New York, pp ) Lambert N, Hartbaugh C, Sasson D1987Persistence of hyperactivity symptoms from childhood to adolescence. Am J Orthopsychiatry ) Lambert N1988Adolescent outcomes of hyperactive children. Am Psychol ) Rucklidge J, Tannock R2000Apparent adolescent onset of ADHD--beware! J Am Acad Child Adolesc Psychiatry

7 ABSTRACT Korean J Child & Adol Psychiatr 12:218~224, 2001 A PRELIMINARY STUDY FOR THE DEVELOPMENT OF THE ASSESSMENT SCALE FOR ADHD IN ADOLESCENTS RELIABILITY AND VALIDITY FOR CASSS Geon-Ho Bahn, M.D., Min-Sup Shin, Ph.D., Soo Churl Cho, M.D., Kang-E Hong, M.D. Department of Neuropsychiatry, College of Medicine, KyungHee University, Seoul Although Attention Deficit Hyperactivity DisorderADHD has been considered as the disorder occurring during childhood, the prevalence is increasing among adolescents and adults. The prevalence rate varies from 2.0 to 14.3% due to the difference of diagnostic criteria, different assessment methods, or subjects age difference. Therefore, it needs to make age specifici.e., for children, for adolescents, and for adults assessment tools. Authors translated Conners-Wells Adolescents Self-Report Scalesshort form[casss] in to Korean to get validity and reliability as a way of development of assessment tool for adolescent with ADHD in Korea. CASSS was translated and corrtected by three psychiatrists and one clinical psychologist. To examine the concurrent validity and test-retest validity, CASSS was applied with K-YSR on one class of each grade in a middle school in Seoul with two week intervaltotal 115:male 58, female 57. To test validity, authors analysed and got Cronbach s as internal consistency. Construct validity was done by principal axis factor analysis on 4,354 students. As a result, Cronbach s alpha for internal consistency was.88, Pearson coefficient for test-retest reliability.83, and coefficient for concurrent validity.65. And in the factor analysis to examine construct validity, three factors were revealed as cognition, hyperactivity, and conduct. These results shows that CASSS may be useful tool for adolescents with ADHD, although there was a limit not to be done the comparison with clinical groups. KEY WORDS:ADHD Conners-Wells Self-Report Scaleshort form Adolescent Reliability Validity

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歯14.양돈규.hwp : The Korean Journal of Counseling and Psychotherapy 2003. Vol. 15, No. 3, 615-631. 1 2 3 1,410.,, ( ),., ( 69%),.,, ( ), ( ).,,.., ( ).,. :,,. :, (390-711) 21-1, : 043-649-1362 E-mail : ydk9498@hanmail.net