Korean Clinical Psychology Association
[ Original Article ]
Korean Journal of Clinical Psychology - Vol. 35, No. 4, pp.831-842
ISSN: 1229-0335 (Print) 2733-4538 (Online)
Print publication date Nov 2016
Received 21 Jul 2016 Accepted 02 Sep 2016
DOI: https://doi.org/10.15842/kjcp.2016.35.4.011

인터넷 게임장애 구조적 면담검사(Structured Clinical Interview for Internet Gaming Disorder, SCI-IGD) 타당화 및 DSM-5 진단준거의 진단적 유용성 검증: 성인을 대상으로

조성훈 ; 권정혜
고려대학교 심리학과
The Validation of Structured Clinical Interview for Internet Gaming Disorder (SCI-IGD) and Evaluation of the DSM-5 Internet Gaming Disorder Criteria: Findings from a Community Sample of Adults
Sung Hoon Cho ; Jung-Hye Kwon
Department of Psychology, Korea University, Seoul, Korea

Correspondence to: Jung-Hye Kwon, Department of Psychology, Korea University, 145 Anam-ro, Sungbuk-gu, Seoul 02841, Korea; E-mail: junghye@korea.ac.kr


개정된 DSM-5에 인터넷 게임장애가 앞으로의 연구를 위해 포함되면서 이전에 비해 보다 합의된 명칭과 진단준거에 따른 진단 및 평가가 가능하게 되었지만, 여전히 진단준거의 적절성/타당성과 관련한 논의가 필요한 상태이다. 따라서 본 연구에서는 우선 DSM-5 진단준거에 맞춰 개발해 청소년을 대상으로 타당화를 거친 인터넷 게임장애 구조적 면담검사(SCI-IGD)를 성인을 대상으로 실시하여 타당화하고, 이어서 DSM-5에 제시된 9개 진단준거의 진단적 특성을 살펴보고자 하였다. 만 19세 이상 38세 미만의 성인 99명을 대상으로 개별면담을 통해 SCI-IGD를 실시하였고 스트레스 척도, 간이 증상평가 척도, 정서조절곤란 척도가 포함된 자기보고식 설문을 작성하게 하였다. 연구 결과, SCI-IGD가 적절한 수준의 구성타당도, 수렴타당도, 변별타당도를 갖추고 있는 것으로 확인되었다. 또한 DSM-5의 9개 진단준거는 모두 유의한 수준의 문항변별력을 갖고 있었지만, 사용시간 속임, 부정적 기분 조절이 상대적으로 변별력이 가장 낮았고 내성 진단문항의 충족률이 정상군 진단군 모두에서 가장 낮은 것으로 나타났다. 끝으로 이전 연구결과와 본 연구에서 얻어진 결과를 비교하고 그 의미를 논의하였다.


The inclusion of Internet Gaming Disorder (IGD) in the DSM-5 appendix has facilitated research on the development and validation of assessment tools of IGD. The purpose of this study was twofold. First, the validity of the Structured Clinical In-terview for IGD (SCI-IGD) was examined using a community sample of adults. Second, the diagnostic accuracy of the nine IGD criteria proposed in the DSM-5 was evaluated. A total of 99 adults participated in this study, and the administration of SCI-IGD was individually conducted, and self-report measures such as the Perceived Daily Stress Scale (on daily life and self), Brief Symptoms Inventory, and Difficulties in Emotion Regulation Scale were also carried out. The results were as follows: 1) Confirmatory factor analysis demonstrated that the SCI-IGD has good construct validity; and 2) 2PL-IRT showed that the “deception” and “escape” criteria have relatively low discrimination accuracy, and the probability of fulfilling “tolerance” crite-ria was lowest among the nine diagnostic criteria. Implications and suggestions for the future research were discussed.


Internet Gaming Disorder, DSM-5, internet addiction, validity, structured clinical interveiw, SCI-IGD


인터넷 게임 장애, DSM-5, 인터넷 중독, 척도 타당화, 타당도, 구조적 면담검사, SCI-IGD


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