Korean Clinical Psychology Association
[ Brief Report ]
Korean Journal of Clinical Psychology - Vol. 39, No. 1, pp.78-85
ISSN: 1229-0335 (Print) 2733-4538 (Online)
Print publication date 28 Feb 2020
Received 03 Sep 2019 Revised 27 Nov 2019 Accepted 27 Nov 2019
DOI: https://doi.org/10.15842/kjcp.2020.39.1.008

한국어판 노인행동평가척도(OABCL)의 임상적 유용성에 대한 연구

조수빈 ; 이정애 ; 오강섭
강북삼성병원 정신건강의학과
A Clinical Utility Study on the Korean Version of the Older Adult Behavior Checklist
Subin Cho ; Jung-Ae Lee ; Kang-Seob Oh
Department of Psychiatry, Kangbuk Samsung Hospital, Seoul

Correspondence to: Jung-Ae Lee, Department of Psychiatry, Kangbuk Samsung Hospital, 29 Saemunan-ro, Jongno-gu, Seoul, Korea; E-mail: ljapsy@naver.com


© 2020 Korean Clinical Psychology Association

초록

본 연구에서는 60세 이상 노인들의 인지 및 정서적 문제를 다각적으로 평정하는 한국판 노인행동평가척도(Older Adult Behavior Checklist, OABCL)의 임상적 유용성을 살펴보고자 하였다. 본원 정신건강의학과에 내원한 60세 이상의 노인 환자 및 보호자들을 대상으로 간이정신상태검사 한국판(MMSE-K), Beck 불안척도(K-BAI), 노인 우울척도(GDS) 및 OABCL 간의 상관관계를 분석하였다. 또한, 참여자들을 주진단에 따라 우울집단과 불안집단, 치매집단으로 분류하여 OABCL 각 소척도 점수의 분산분석과 판별분석을 실시하였다. MMSE-K 점수는 OABCL의 문제행동증후군 척도 중 기능적 손상 소척도∙기억∙인지문제 소척도, DSM 진단척도 중 치매문제 소척도와 유의한 상관관계를 보였다. GDS와 K-BAI는 OABCL의 다수 소척도들에서 공통적으로 유의미한 정적 상관을 보였으나, DSM 불안문제 소척도의 경우에는 오직 K-BAI와만 유의한 상관을 나타냈다. 우울집단, 불안집단, 치매집단의 OABCL척도 점수를 비교한 분산분석 결과, 기능적 손상, 기억·인지문제, DSM 우울문제, DSM 치매문제, DSM 사고장애 문제에서 유의한 차이가 나타났다. 판별분석 결과, OABCL 점수를 포함하는 판별함수는 우울집단과 불안집단의 82.4%, 불안집단과 치매집단의 91.7%를 변별하는 것으로 나타났다. 이러한 결과를 바탕으로 본 연구의 의의 및 제한점에 대해 논의하였다.

Abstract

This study aimed to examine the clinical utility of the Korean version of the Older Adult Behavior Checklist (OABCL) focusing on depression, anxiety, and dementia, which are the most common mental health problems among elderly people. In total, 92 patients older than 60 years were included in the study. The neuropsychological evaluation included the following instruments: The Mini Mental Status Examination-Korean version (MMSE-K), the Korean-Beck Anxiety Inventory (K-BAI), and the Geriatric Depression Scale (GDS). One-way ANOVAs compared the depression (DP, n=56), anxiety (AN, n=18), and dementia (DM, n=18) groups regarding all OABCL subscales. Diagnostic groups differed significantly on several subscales, and post-hoc tests revealed that the AN group showed significantly lower scores than the DP and DM groups on Functional impairment, Memory/cognition, and DSM–dementia problems. Furthermore, the AN group presented a significantly lower score on DSM-depressive problems than the DP group. Discriminant analysis revealed that the discriminant function classified 82.4% of DP and AN, and also 91.7% of AN and DM correctly. Implications for clinical utility and suggestions for further research are also discussed.

Keywords:

older adult behavior checklist, depression, dementia, anxiety

키워드:

노인행동평가척도, 우울장애, 불안장애, 치매

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