정신신체의학 (Korean Journal of Psychosomatic Medicine)

한국정신신체의학회 (Korean Psychosomatic Society)
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한국판 섭식장애검사-자기보고형 6.0 (EDE-Q version 6.0) 및 한국판 임상손상평가(CIA)의 신뢰도와 타당도 연구

A Reliability and Validity Study of the Korean versions of the Eating Disorder Examination Questionnaire version 6.0 (EDE-Q version 6.0) and the Clinical Impairment Assessment Questionnaire (CIA)

  • 방은별 (인제대학교 섭식장애정신건강연구소) ;
  • 한초롱 (인제대학교 섭식장애정신건강연구소) ;
  • 김유리 (덕성여자대학교 심리학과) ;
  • 김미리혜 (덕성여자대학교 심리학과) ;
  • 이영호 (나눔정신건강의학과의원) ;
  • 허시영 (나눔정신건강의학과의원) ;
  • 김율리 (인제대학교 섭식장애정신건강연구소)
  • Bang, Eun Byul (Institute of Eating Disorders and Mental Health, Inje University) ;
  • Han, Cho Long (Institute of Eating Disorders and Mental Health, Inje University) ;
  • Kim, Yu Ri (Department of Psychology, Duksung Women's University) ;
  • Kim, Mirihae (Department of Psychology, Duksung Women's University) ;
  • Lee, Young Ho (Nanum Neuropsychiatric Clinic) ;
  • Heo, Si Young (Nanum Neuropsychiatric Clinic) ;
  • Kim, Youl-Ri (Institute of Eating Disorders and Mental Health, Inje University)
  • 투고 : 2018.09.30
  • 심사 : 2018.11.29
  • 발행 : 2018.12.31
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초록

연구목적 본 연구는 섭식장애 정신 병리의 주요 측면을 평가하는 한국판 섭식장애검사-자기보고형 6.0 (Eating Disorder Examination Questionnaire version 6.0, EDE-Q 6.0)과 이를 보완하는 도구로써 섭식장애로 인한 이차적인 기능손상 정도를 평가하는 한국판 임상손상평가(Clinical Impairment Assessment Questionnaire, CIA)를 국내에서 활용할 수 있도록 타당화하고자 진행되었다. 방 법 370명의 일반인군(여자 대학생) 및 49명의 섭식장애 환자군을 대상으로 한국판 EDE-Q 6.0, CIA, Body Shape Questionnaire (BSQ) 및 Weight Concern Scale (WCS)을 실시하였다. 결 과 EDE-Q 6.0의 Cronbach's ${\alpha}$는 0.92, CIA는 0.91로 높은 내적 신뢰도를 가지는 것으로 나타났다. CIA에 대한 탐색적 요인분석 결과 영문판과 동일하게 3요인이 추출되었으며, 각각 개인적 손상, 사회적 손상, 인지적 손상으로 명명되었다. EDE-Q 6.0, CIA는 BSQ 및 WCS와 유의한 정적 상관을 보여 수렴 타당도가 검증되었다. 섭식장애 환자군은 EDE-Q 6.0 및 CIA에서 일반인군에 비해 유의하게 높은 점수를 보여 해당 측정 도구가 좋은 판별 타당도를 가지는 것이 검증되었다. 결 론 본 연구를 통해 한국판 EDE-Q과 CIA가 타당하고 신뢰도가 높은 도구임을 확인하였다. 해당 도구는 향후 한국의 임상 장면 및 연구에서 섭식장애의 진단 및 개입에 유용하게 활용될 수 있을 것이다.

Objectives : The Eating Disorder Examination Questionnaire, version 6.0 (EDE-Q version 6.0) and the Clinical Impairment Assessment Questionnaire (CIA) measure attitudes and behavioral features of eating disorders and impairments secondary to eating disorders, respectively. The aims of this study were to examine the reliability and the validity of the Korean versions of the EDE-Q version 6.0 and the CIA. Methods : Four hundred nineteen participants (370 female university students and 49 women with eating disorders) completed the EDE-Q version 6.0, the CIA, the Body Shape Questionnaire (BSQ) and the Weight Concern Scale (WCS). Results : Excellent internal consistencies were obtained for the EDE-Q version 6.0 (Cronbach's ${\alpha}=0.92$) and the CIA (Cronbach's ${\alpha}=0.91$). Exploratory factor analysis of CIA extracted the 3 factors of personal, social, and cognitive impairments, as the original CIA had. The EDE-Q version 6.0 and the CIA were well correlated with the BSQ and the WCS, in respect to their contextually concordant variables. Patients with eating disorders had higher scores both in the EDE-Q 6.0 and the CIA than university women had, supporting good discriminant validity. Conclusions : The EDE-Q version 6.0 and the Korean versions of the CIA had adequate reliability and validity. These data will help clinicians and researchers to use the EDE-Q and the CIA in diagnosis, prevention and intervention of eating disorders in Korea.

키워드

Table 1. Demographic characteristics of the university students and the patients with eating disorders

JSSCBG_2018_v26n2_152_t0001.png 이미지

Table 2. Comparisons of reliability of the EDE-Q in female university students

JSSCBG_2018_v26n2_152_t0002.png 이미지

Table 3. Correlations between EDE-Q 6.0 or CIA and BSQ or WCS in female university students (n=370)

JSSCBG_2018_v26n2_152_t0003.png 이미지

Table 4. Comparisons of EDE-Q 6.0 and CIA among the female university students, patients with anorexia nervosa and patients with bulimia nervosa (n=419)

JSSCBG_2018_v26n2_152_t0004.png 이미지

Table 5. Exploratory Factor Analysis of CIA in female university students (n=370)

JSSCBG_2018_v26n2_152_t0005.png 이미지

참고문헌

  1. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Washington DC: American Psychiatric Association;2013.
  2. Korea Centers for Disease Control and Prevention. Korea youth risk behavior web-based survey. Seoul:Korea Centers for Disease and Control and Prevention;2011.
  3. Fairburn CG, Cooper Z, O'Connor M. Eating disorder examination (16.0D). In: Fairburn CG, editor. Cognitive behavior therapy and eating disorders. New York: Guilford Press;2008.
  4. Fairburn CG, Beglin SJ. Assessment of eating disorders: interview or self-report questionnaire? Int J Eat Disord 1994;16: 363-370.
  5. Wolk SL, Loeb K, Walsh BT. Assessment of patients with anorexia nervosa: interview versus self-report. Int J Eat Disord 2005;37;92-99. https://doi.org/10.1002/eat.20076
  6. Carter JC, Aime AA, Mills JS. Assessment of bulimia nervosa: a comparison of interview and self-report questionnaire methods. Int J Eat Disord 2001;30:187-192. https://doi.org/10.1002/eat.1071
  7. Mond JM, Hay PJ, Rodgers B, Owen C, Beumont PJ. Validity of the Eating Disorder Examination Questionnaire (EDE-Q) in screening for eating disorders in community samples. Behav Res Ther 2004;42:551-567. https://doi.org/10.1016/S0005-7967(03)00161-X
  8. Reas DL, Wisting L, Kapstad H, Lask B. Convergent validity of the eating disorder examination and the eating disorder examination-questionnaire among university women in Norway. Eur Eat Disord Rev 2011;19:357-361. https://doi.org/10.1002/erv.1068
  9. Nakai Y, Nin K, Fukushima M, Nakamura K, Noma S, Teramukai S, Taniguchi A, Wonderlich S. Eating Disorder Examination Questionnaire (EDE-Q): norms for Undergraduate Japanese Women. Eur Eat Disord Rev 2014;22:439-442. https://doi.org/10.1002/erv.2324
  10. Lim SJ, Lee YH, Heo SY, Rhee MK, Choi YM, Kim MS, Kim YR. Reliability and Factor Structure of The Korean version of Eating Disorder Examination Questionnaire. Korean J Health Psychol 2010;6:345-355.
  11. Fairburn CG, Beglin SJ. Eating disorder examination questionnaire (6.0). In: Fairburn CG, editors. Cognitive behavior therapy and eating disorders. New York:Guilford Press;2008.
  12. Bohn K, Doll HA, Cooper Z, O'Connor M, Palmer RL, Fairburn CG. The measurement of impairment due to eating disorder psychopathology. Behav Res Ther 2008;46:1105-1110. https://doi.org/10.1016/j.brat.2008.06.012
  13. Garratt AM, Ruta DA, Abdalla MI, Buckingham JK, Russell IT. The SF36 health survey questionnaire: an outcome measure suitable for routine use within the NHS? BMJ 1993; 306:1440-1444. https://doi.org/10.1136/bmj.306.6890.1440
  14. Calugi S, Sartirana M, Milanese C, El Ghoch M, Riolfi F, Dalle Grave R. The clinical impairment assessment questionnaire: validation in Italian patients with eating disorders. Eat Weight Disord 2018;23:685-694. https://doi.org/10.1007/s40519-018-0477-2
  15. Vannucci A, Kass AE, Sinton MM, Aspen V, Weisman H, Bailey JO, Wilfley DE, Taylor CB. An examination of the Clinical Impairment Assessment among women at high risk for eating disorder onset. Behav Res Ther 2012;50:407-414. https://doi.org/10.1016/j.brat.2012.02.009
  16. Jenkins PE. Psychometric validation of the Clinical Impairment Assessment in a UK eating disorder service. Eat Behav 2013;14:241-243. https://doi.org/10.1016/j.eatbeh.2012.12.001
  17. Bohn K, Fairburn CG. The Clinical Impairment Assessment Questionnaire (CIA 3.0). In Fairburn CG, editors. Cognitive Behavior Therapy and Eating Disorders. New York:Guilford Press;2008. p.309-313.
  18. Morgan JF, Reid F, Lacey JH. The SCOFF questionnaire: assessment of a new screening tool for eating disorders. BMJ 1999;319:1467-1468. https://doi.org/10.1136/bmj.319.7223.1467
  19. Cooper PJ, Taylor MJ, Cooper Z, Fairburn CG. The development and validation of the Body shape Questionnaire. Int J Eat Disord 1987;6:485-494. https://doi.org/10.1002/1098-108X(198707)6:4<485::AID-EAT2260060405>3.0.CO;2-O
  20. Noh YK, Kim BW. The Validation Study of the Body Shape Questionnaire (BSQ) in Female University Students Korean J Counsel 2005;6:1163-1174.
  21. Kim TS, Chee IK. The Reliability and Validity of the Korean version of the Body Shape Questionnaire. Anxiety and Mood 2017;14:36-43.
  22. Killen JD, Taylor CB, Hayward C, Wilson DM, Haydel KF, Hammer LD, Simmonds B, Robinson TN, Litt I, Varady A, Kraemer H. Pursuit of thinness and onset of eating disorder symptoms in a community sample of adolescent girls: a threeyear prospective analysis. Int J Eat Disord 1994;16:227-238. https://doi.org/10.1002/1098-108X(199411)16:3<227::AID-EAT2260160303>3.0.CO;2-L
  23. Seo WJ, Lee SM, Kim MRH, Kim YL, Kim KH, Ebesutani C, Kim DM, Hwang BI, Do HJ, Park YJ. A Validation Study of the Weight Concern Scale-Korean Version. Korean J Health Psychol 2018;23
  24. Isomaa R, Lukkarila IL, Ollila T, Nenonen H, Charpentier P, Sinikallio S, Karhunen L. Development and preliminary validation of a Finnish version of the Eating Disorder Examination Questionnaire (EDE-Q). Nord J Psychiatry 2016;70:542-546. https://doi.org/10.1080/08039488.2016.1179340
  25. Mond JM, Chen A, Kumar R. Eating-disordered behavior in Australian and Singaporean women: a comparative study. Int J Eat Disord 2010;43:717-723. https://doi.org/10.1002/eat.20771
  26. Welch E, Birgegard A, Parling T, Ghaderi A. Eating disorder examination questionnaire and clinical impairment assessment questionnaire: general population and clinical norms for young adult women in Sweden. Behav Res Ther 2011;49:85-91. https://doi.org/10.1016/j.brat.2010.10.010
  27. Dahlgren CL, Stedal K, Ro O. Eating Disorder Examination Questionnaire (EDE-Q) and Clinical Impairment Assessment (CIA): clinical norms and functional impairment in male and female adults with eating disorders. Nord J Psychiatry 2017; 71:256-261. https://doi.org/10.1080/08039488.2016.1271452