DOI QR코드

DOI QR Code

한국어판 축약형 순간 스트레스 측정 도구(Trier Inventory for Chronic Stress: TICS)의 타당도 및 신뢰도 평가

Validity and Reliability of a Korean Version of the Trier Inventory for Chronic Stress

  • 류기욱 (연세대학교 간호대학.김모임 간호학 연구소) ;
  • 양용숙 (연세대학교 간호대학.김모임 간호학 연구소) ;
  • 최모나 (연세대학교 간호대학.김모임 간호학 연구소)
  • Ryu, Gi Wook (College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University) ;
  • Yang, Yong Sook (College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University) ;
  • Choi, Mona (College of Nursing, Mo-Im Kim Nursing Research Institute, Yonsei University)
  • 투고 : 2020.07.13
  • 심사 : 2020.10.05
  • 발행 : 2020.10.31

초록

생태순간평가(Ecological momentary assessment)는 대상자의 현재 경험과 행동을 일상생활 환경에서 실시간으로 반복 측정하는 연구방법으로 수집된 자료를 통해 시간과 맥락에 따른 경험과 행동의 변화를 알 수 있다. Trier Inventory for Chronic Stress (TICS)는 순간 스트레스를 측정하기 위한 도구로써 대상자가 일상생활에서 경험하는 스트레스를 측정할 수 있다. 본 연구의 목적은 축약형 TICS를 한국판으로 번역 후 생태순간평가를 적용하여 수집된 자료로 타당도와 신뢰도를 검증하고자 함이다. 연구대상은 수도권 지역에 위치한 경찰서, 지구대에 근무하는 89명의 경찰 공무원으로 본 연구를 위해 개발된 순간 스트레스 측정 애플리케이션을 대상자 소지의 스마트폰에 설치하도록 하였다. 자료 수집은 1명의 대상자당 총 7일간 하루 4번 순간 스트레스 설문을 통해 수집하였고, 자료 분석은 수집된 총 1163회의 순간 설문 자료를 이용하여 분석하였다. 타당도 검증은 전문가 타당도 분석, 확인적 요인 분석, 한국인 직무 스트레스 점수와 상관관계 분석으로 하였고 신뢰도 검증은 Cronbach's α 값을 확인하였다. 연구 결과 순간 스트레스 측정 도구의 타당도와 내적 일관성 신뢰도는 도구로 활용하기 적합한 수준이었다(I-CVI=.83-1, RMSEA=.104, SRMR=.104, CFI=.948, TLI=.919, Cronbach's α =.839). 따라서 본 도구는 대상자의 순간 스트레스 측정에 유용하게 사용될 수 있을 것이다.

Ecological momentary assessment (EMA) is a method that captures the current experience and behavior of subjects in real time in a natural environment. The data collected by EMA reveals alterations according to the time and context of experience and action. The Trier Inventory for Chronic Stress (TICS) is a tool that measures momentary stress, and is capable of measuring stress experienced in real life. This study was undertaken to verify the validity and reliability after translating the short form TICS into a Korean version. Totally, 89 police officers working at the police station in the capital participated in this study. The mobile application developed for this study was installed on their smartphones, and data were collected four times a day for seven consecutive days. Confirmatory factor analysis and content validity index (CVI) was applied to test the validity, and concurrent validity was evaluated by correlating with the occupational stress score. The model was validated by confirmatory factor analysis, and we obtained good reliabilities (I-CVI=0.83-1, RMSEA=0.104, SRMR=0.104, CFI=0.948, TLI=0.919, Cronbach's alpha=0.839). Our findings indicate the reliability, and validate use of the Korean tool for measuring momentary stress.

키워드

참고문헌

  1. R. S. Lazarus, S. Folkman, "Stress, appraisal, and coping", Springer, New York, 1984.
  2. H. Selye, "Stress in health and disease", Butterworths, Boston, 2013.
  3. F. H. Y. Cesena, "Job stress and cardiovascular health: Is there a connection?", Arquivos Brasileiros de Cardiologia Vol. 112, No. 3, pp. 269-270, 2019. DOI: https://doi.org/10.5935/abc.20190030
  4. A. T. Ginty, T. E. Kraynak, J. P. Fisher, P. J. Gianaros, "Cardiovascular and autonomic reactivity to psychological stress: Neurophysiological substrates and links to cardiovascular disease", Autonomic Neuroscience Vol. 207, pp. 2-9, 2017. DOI: https://doi.org/10.1016/j.autneu.2017.03.003
  5. D. M. Kang, S.B. Ko, S. A. Kim, S. Y. Kim, Y.G.Kim et al., "Understanding of Work-related stress", Korean Medical Book Publishing Company, Seoul, 2016.
  6. S. Cohen, R. C. Kessler, L. U. Gordon, "Measuring stress: A guide for health and social scientists", Oxford University Press, New York, NY, US, 1997.
  7. G. W. Ryu, M. Choi, "Association of job stress and health promotion behaviors with quality of life among female riot police officers", Korean Journal of Occupational Health Nursing Vol 28, No .4, pp. 187-196, 2019. DOI: https://doi.org/10.5807/KJOHN.2019.28.4.187
  8. H. M. Kim, J. S. Choi, "The effect of depression, stress, and sociodemographic characteristics on quality of life in Seoul residents", Journal of Korean Association of Social Psychiatry Vol. 17, No. 1, pp. 18-24, 2012
  9. E. S. Epel, A. D. Crosswell, S. E. Mayer, A. A. Prather, G. M. Slavich, E. Puterman, W. B. Mendes, "More than a feeling: A unified view of stress measurement for population science", Front Neuroendocrinol Vol. 49, pp. 146-169, 2018. DOI: https://doi.org/10.1016/j.yfrne.2018.03.001
  10. H. C. Shin, "Measuring stress with questionnaires", Journal of the Korean Medical Association Vol. 56, No. 6, pp. 485-495, 2013. DOI: https://doi.org/10.5124/jkma.2013.56.6.485
  11. S. Shiffman, A. A. Stone, M. R. Hufford, "Ecological momentary assessment", Annual Review Clinical Psychology Vol. 4, pp. 1-32, 2008 https://doi.org/10.1146/annurev.clinpsy.3.022806.091415
  12. Y. S. Yang, G. W. Ryu, M. Choi, "Methodological strategies for ecological momentary assessment to evaluate mood and stress in adult patients using mobile phones: Systematic review", JMIR Mhealth Uhealth Vol. 7, No. 4, p. e11215, 2019. DOI: https://doi.org/10.2196/11215
  13. R. W. Carpenter, A. M. Wycoff, T. J. Trull, "Ambulatory assessment: New adventures in characterizing dynamic processes", Assessment Vol. 23, No. 4, pp. 414-424, 2016. DOI:https://doi.org/10.1177/1073191116632341
  14. Y. S. Yang, G. W. Ryu, C. G. Park, I. Yeom, K.W. Shim, M. Choi, "Mood and stress evaluation of adult patients with moyamoya disease in Korea: Ecological momentary assessment method using a mobile phone App", JMIR Mhealth Uhealth Vol. 8, No. 5, p. e17034, 2020. DOI: https://doi.org/10.2196/17034
  15. C. J. Cerrada, C. K. Ra, H. S. Shin, E. Dzubur, J. Huh, "Using ecological momentary assessment to identify common smoking situations among Korean American emerging adults", Prevention science : the official journal of the Society for Prevention Research Vol. 17, No. 7, pp. 892-902, 2016. DOI:https://doi.org/10.1007/s11121-016-0687-7
  16. Schulz. P, Schlotz. W, Becker. P, "[Trierer Inventar zum chronischen Stress (TICS)]", Hogrefe, Gottingen, 2004.
  17. D. J. H. Powell, C. Liossi, W. Schlotz, R. Moss-Morris, "Tracking daily fatigue fluctuations in multiple sclerosis: ecological momentary assessment provides unique insights", Journal of Behavioral Medicine Vol. 40, No. 5, pp. 772-783, 2017. DOI: https://doi.org/10.1007/s10865-017-9840-4
  18. K. Petrowski, S. Kliem, C. Albani, A. Hinz, E. Brahler, "Norm values and psychometric properties of the short version of the trier inventory for chronic stress (TICS) in a representative German sample", PLoS One Vol. 14, No. 11, p. e0222277, 2019. DOI:https://doi.org/10.1371/journal.pone.0222277
  19. M. Gerber, M. Kellmann, C. Elliot, T. Hartmann, S. Brand, E. Holsboer-Trachsler, U. Puhse, "Perceived fitness protects against stress-based mental health impairments among police officers who report good sleep", Journal of Occupational Health Vol. 55, No. 5, pp. 376-384, 2014 https://doi.org/10.1539/joh.13-0030-OA
  20. K. Petrowski, C. D. Bastianon, S. Buhrer, E. Brahler, "Air Quality and Chronic Stress: A Representative Study of Air Pollution (PM2.5, PM10) in Germany", Journal of Occupational Environmental Medicine Vol. 61, No. 2, pp. 144-147, 2019. DOI:https://doi.org/10.1097/jom.0000000000001502
  21. J. M. Violanti, L. E. Charles, E. McCanlies, T. A. Hartley, P. Baughman, M. E. Andrew, D. Fekedulegn, C. C. Ma, A. Mnatsakanova, C. M. Burchfiel, "Police stressors and health: A state-of-the-art review", Policing Vol. 40, No. 4, pp. 642-656, 2017. DOI:https://doi.org/10.1108/pijpsm-06-2016-0097
  22. G. W. Ryu, Y. S. Yang, M. Choi, "Mediating role of coping style on the relationship between job stress and subjective well-being among Korean police officers", BMC Public Health Vol. 20, No. 1, p. 470, 2020. DOI:https://doi.org/10.1186/s12889-020-08546-3
  23. S. Garbarino, G. Cuomo, C. Chiorri, N. Magnavita, "Association of work-related stress with mental health problems in a special police force unit", BMJ Open Vol. 3, No. 7, 2013. DOI:https://doi.org/10.1136/bmjopen-2013-002791
  24. Y. S. Moon, "The level and influencing factors of police officers' job stress ", Korean Journal of Local Government Studies Vol. 14, No. 4, pp. 41-60, 2010
  25. D. Acquadro Maran, A. Varetto, M. Zedda, V. Ieraci, "Occupational stress, anxiety and coping strategies in police officers", Occupational Medicine Vol. 65, No. 6, pp. 466-473, 2015. DOI:https://doi.org/10.1093/occmed/kqv060
  26. S. A. Habersaat, A. M. Geiger, S. Abdellaoui, J. M. Wolf, "Health in police officers: Role of risk factor clusters and police divisions", Social Science & Medicine Vol. 143, pp. 213-222, 2015. DOI:https://doi.org/10.1016/j.socscimed.2015.08.043
  27. S. Kula, "Occupational stress, supervisor support, job satisfaction, and work-related burnout: Perceptions of Turkish national police (TNP) members", Police Practice & Research: An International Journal Vol. 18, pp. 146-159, 2017. DOI: https://doi.org/https://doi.org/10.1080/15614263.201 6.1250630
  28. H. Yoo, W. D. Franke, "Sleep habits, mental health, and the metabolic syndrome in law enforcement officers", Journal of Occupational Environmental Medicine Vol. 55, No. 1, pp. 99-103, 2013. DOI:https://doi.org/10.1097/JOM.0b013e31826e294c
  29. G. W. Ryu, Y. S. Yang, M. Choi, "Evaluating real-time momentary stress and affect in police officers using a smartphone application", BMC Public Health Vol. 20, No. 1, p. 1154, 2020. DOI:https://doi.org/10.1186/s12889-020-09225-z
  30. E. O. Lee, N. Y. Im, H. A. Park, I. S. Lee, J. I. Kim, J. I. Bae, "Nursing research and statistical analysis", Soomoonsa, Paju, 2009.
  31. K. Petrowski, S. Paul, C. Albani, E. Brahler, "Factor structure and psychometric properties of the trier inventory for chronic stress (TICS) in a representative German sample", BMC Medical Research Methodology Vol. 12, p. 42, 2012. DOI: https://doi.org/10.1186/1471-2288-12-42
  32. D. J. Powell, W. Schlotz, "Daily life stress and the cortisol awakening response: testing the anticipation hypothesis", PLoS One Vol. 7, No. 12, p. e52067, 2012. DOI: https://doi.org/10.1371/journal.pone.0052067
  33. S. J. Chang, S. B. Koh, D. M. Kang, S. A. Kim, M. G. Kang et al., "Developing an occupational stress scale for Korean employees ", Annals of Occupational and Environmental Medicine Vol. 17, No. 4, pp. 297-317, 2005
  34. Y. S. Yang, G. W. Ryu, I. Han, S. Oh, M. Choi, "Ecological momentary assessment using smartphone-based mobile application for affect and stress assessment", Healthcare Informatics Research Vol. 24, No. 4, pp. 381-386, 2018. DOI: https://doi.org/10.4258/hir.2018.24.4.381
  35. L. Hoffman, "Longitudinal analysis: Modeling within-person fluctuation and change", Taylor & Francis, 2015.
  36. J. P. Woo, "Concept and understanding of structured equation model", Hannarae Academy, Seoul, 2012.
  37. D. F. Polit, C. T. Beck, S. V. Owen, "Is the CVI an acceptable indicator of content validity? Appraisal and recommendations", Research in Nursing & Health Vol. 30, No. 4, pp. 459-467, 2007. DOI: https://doi.org/10.1002/nur.20199
  38. J. A. Gliem, R. R. Gliem, "Calculating, interpreting, and reporting cronbach's alpha reliability coefficient for likert-type scales", Midwest Research-to-Practice Conference in Adult, Continuing, and Community Education, 2003.
  39. L. t. Hu, P. M. Bentler, "Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives", Structural Equation Modeling: A Multidisciplinary Journal Vol. 6, No. 1, pp. 1-55, 1999. DOI: https://doi.org/10.1080/10705519909540118
  40. J. D. Runyan, E. G. Steinke, "Virtues, ecological momentary assessment/intervention and smartphone technology", Frontiers in Psychology Vol. 6, No. 481, 2015. DOI: https://doi.org/10.3389/fpsyg.2015.00481
  41. T. J. Trull, U. W. Ebner-Priemer, "Using experience sampling methods/ecological momentary assessment (ESM/EMA) in clinical assessment and clinical research: introduction to the special section", Psychol Assess Vol. 21, No. 4, pp. 457-462, 2009. DOI:https://doi.org/10.1037/a0017653