Lee Eun Sol, Ryu Vin, Choi Jungwon, Oh Yunhye, Yoon Jin Woong, Han Hyeree, Hong Hyeon, Son Hye Jung, Lee Ji Hyun, Park Subin
Division of Mental Health Research, Mental Health Research Institute, National Center for Mental Health, Seoul, Republic of Korea.
Department of Psychiatry, National Center for Mental Health, Seoul, Republic of Korea.
Psychiatry Investig. 2022 Nov;19(11):884-897. doi: 10.30773/pi.2022.0112. Epub 2022 Nov 23.
Disruptive behavior disorder (DBD) adversely impacts children and adolescents. However, a comprehensive and cost-effective scale to assess DBD is lacking in Korea. Therefore, this study translated the Disruptive Behavior Disorders Rating Scale (DBDRS) into Korean and analyzed its psychometric properties.
Parents and primary caregivers of non-clinical (n=429) and clinical (n=28) children and adolescents aged 6-15 years were included in the analysis. Confirmatory factor analysis was conducted; further, concurrent validity and internal consistency were investigated using correlation analysis and Cronbach's alpha, respectively. Furthermore, discriminative capacity was estimated using receiver operating characteristic curve analysis.
The four-factor model of K-DBDRS showed good model fit indices and factor loadings, which supported the construct validity of the scale. Strong correlations between K-DBDRS and related measurements were observed, and a robust level of Cronbach's alpha was confirmed (0.891-0.933). The discriminative capacity of the scale was good, based on the area under the curve values (0.933-0.953).
This study indicated that the K-DBDRS is an appropriate screening tool for Korean children and adolescents. Thus, this scale can be applied in clinical and community settings to identify children and adolescents with disruptive behavior disorders.
破坏性行为障碍（DBD）对儿童和青少年有不利影响。然而，韩国缺乏一种全面且具有成本效益的评估DBD的量表。因此，本研究将破坏性行为障碍评定量表（DBDRS）翻译成韩语，并分析其心理测量特性。
分析纳入了6至15岁非临床（n = 429）和临床（n = 28）儿童及青少年的父母和主要照顾者。进行了验证性因素分析；此外，分别使用相关分析和克朗巴哈系数来研究同时效度和内部一致性。此外，使用受试者工作特征曲线分析来估计区分能力。
K-DBDRS的四因素模型显示出良好的模型拟合指数和因素负荷，支持了该量表的结构效度。观察到K-DBDRS与相关测量之间有很强的相关性，并确认了较高水平的克朗巴哈系数（0.891 - 0.933）。根据曲线下面积值（0.933 - 0.953），该量表的区分能力良好。
本研究表明，K-DBDRS是适用于韩国儿童和青少年的筛查工具。因此，该量表可应用于临床和社区环境中，以识别有破坏性行为障碍的儿童和青少年。
