Validation of the Korean Version of the Continuing Bonds Scale

한국판 지속 유대 척도의 타당화

  • Received : 2016.03.20
  • Accepted : 2016.05.19
  • Published : 2016.05.31

Abstract

The present study aimed at examining the factor structure, reliability and validity of the Korean version of the Continuing Bonds Scale (K-CBS). In study 1, exploratory factor analysis was administered to 293 bereaved adults who had experienced the death of a loved one, and it revealed a single factor structure with 10 items that explained 52.59% of the total variance. The K-CBS showed good internal consistency with Cronbach's alpha of .92. In study 2, confirmatory factor analysis in a different sample of 200 bereaved adults indicated satisfactory standardized regression weights of all items. However, one item had a squared multiple correlation less than .40, hence, this item was discarded, and 9 items remained for the final scale. The single factor model with 9 items displayed a good fit. The K-CBS had strong positive correlation with grief symptoms, and weak positive correlation with depression. After controlling for grief, however, the K-CBS was predictive of a decrease in depression. The K-CBS was positively associated with posttraumatic growth. In addition, significant differences in scores of the K-CBS were shown among groups based on the deceased's relation to the bereaved and expectedness of loss. These results suggest that the K-CBS is a reliable and valid instrument to measure continuing bonds. Finally, implications, limitations, and directions for future research were discussed.

본 연구는 지속 유대 척도(Continuing Bonds Scale: CBS)를 한국어로 번안하여 한국판 지속 유대 척도(이하 K-CBS)의 요인구조, 신뢰도 및 타당도를 평가하기 위하여 수행되었다. 연구 1에서 가족을 포함하여 친밀관계에 있던 사람과 사별한 경험이 있는 성인을 대상(293명)으로 탐색적 요인분석을 실시한 결과, 10개 문항의 단일 요인 구조가 도출되었으며, 전체 변량의 52.59%를 설명하였다. K-CBS의 내적 합치도는 .92로 양호하였다. 연구 2에서 동일한 조건의 새로운 표본(200명)을 대상으로 확인적 요인분석을 실시한 결과, 표준화 회귀계수 추정치는 모두 적절하였지만 다중상관자승치가 .40 미만인 한 문항이 있어서 이것을 제거하고 9문항을 최종 문항으로 결정하였다. 9문항 단일 요인에 대한 모형 적합도는 양호한 수준으로 나타났다. 관련 변인과의 관계를 보면, K-CBS는 애도반응과 정적 상관을 보이고, 우울과도 약한 정적 상관을 보였으나 애도반응을 통제했을 때, K-CBS는 오히려 우울감소를 예측하였다. 외상 후 성장과는 유의한 정적 상관을 나타냈다. 아울러 K-CBS 점수는 사별 대상과 상실 예상 여부에 따른 집단에서 차이가 유의하게 나타났다. 이러한 결과는 K-CBS가 지속 유대를 신뢰롭고 타당하게 측정하는 도구임을 보여준다. 끝으로 본 연구의 의의와 제한점, 추후 연구방향에 대해 논의하였다.

Keywords

Acknowledgement

이 논문은 2014년 정부(교육부)의 재원으로 한국연구재단의 지원을 받아 수행된 연구임 (NRF-2014S1A3A2044196).

References

  1. 송승훈, 이홍석, 박준호, 김교헌 (2009). 한국판 외상후 성장 척도의 타당도 및 신뢰도 연구. 한국심리학회지: 건강, 14(1). 193-214.
  2. 안영란 (2006). 배우자 사별 여성을 위한 개별적 사별 중재 프로그램의 개발과 효과. 가톨릭대학교 대학원 박사학위 논문.
  3. 전겸구, 이민규 (1992). 한국판 CES-D 개발 연구 1. 한국심리학회지: 임상, 11(1), 65-76.
  4. 홍세희 (2000). 구조방정식 모형의 적합도 지수 선정기준과 그 근거. 한국심리학회지: 임상, 19(1). 161-177.
  5. Baltes, M. M. & Carstensen, L. L. (1996). The process of successful ageing. Ageing and Society, 16(4), 397-422.
  6. Boelen, P., Stroebe, M., Schut, H., & Zijerveld, A. (2006). Continuing bonds and grief: A prospective analysis. Death Studies, 30, 767-776.
  7. Boerner, K. & Heckhausen, J. (2003). To have and have not: Adaptive bereavement by transforming mental ties to the deceased. Death Studies, 27, 199-226.
  8. Bonanno, G. A. & Kaltman, S. (1999). Toward an integrative perspective on bereavement. Psychological Bulletin, 125(6), 760-776.
  9. Bonanno, G. A., Notarius, C. I., Gunzerath, L., Keltner, D., & Horowitz, M. J. (1998). Interpersonal ambivalence, perceived relationship adjustment, and conjugal loss. Journal of Consulting and Clinical Psychology, 66(6), 1012-1022.
  10. Bowlby, J. (1980). Attachment and loss, Vol. 3. Loss: Sadness and depression. New York: Basic Books.
  11. Calhoun, L. G. & Tedeschi, R. G. (2001). Posttraumatic growth: The positive lessons of loss. In R. A. Neimeyer (Ed.), Meaning reconstruction and the experience of loss (pp. 157-172). Washington, DC: American Psychological Association.
  12. Currier, J. M., Irish, J. E. F., Neimeyer, R. A., & Foster, J. D. (2015). Attachment, continuing bonds, and complicated grief following violent loss: Testing a moderated model. Death Studies, 39, 201-210.
  13. Field, N. P. (2008). Whether to relinquish or maintain a bond with the deceased. In M. S. Stroebe, R. O. Hansson, H. Schut, & W. Stroebe (Eds.), Handbook of bereavement research and practice: Advances in theory and intervention (pp. 113-132). Washington, DC: American Psychological Association.
  14. Field, N. P. & Filanosky, C. (2010). Continuing bonds, risk factors for complicated grief, and adjustment to bereavement. Death Studies, 34, 1-29.
  15. Field, N. P. & Friedrichs, M. (2004). Continuing bonds in coping with the death of a husband. Death Studies, 28, 597-620.
  16. Field, N. P., Gal-Oz, E., & Bonanno, G. A. (2003). Continuing bonds and adjustment at 5 years after the death of a spouse. Journal of Consulting and Clinical Psychology, 71(1), 110-117.
  17. Field, N. P., Gao, B., & Paderna, P. A. (2005). Continuing Bonds in Bereavement: An attachment theory based perspective. Death Studies, 29, 277-299.
  18. Field, N. P., Nichols, C., Holen, A., & Horowitz, M. J. (1999). The relation of continuing attachment to adjustment in conjugal bereavement. Journal of Consulting and Clinical Psychology, 67(2), 212-218.
  19. Fraley, R. C. & Shaver, P. R. (1999). Loss and Bereavement: Attachment theory and recent controversies concerning "grief work" and the nature of detachment. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research, and clinical applications (pp. 735-759). New York: Guilford.
  20. Freud, S. (1917). Mourning and Melancholia. In J. Strachey (Ed. & Trans), The standard edition of the complete psychological works of Sigmund Freud, Vol. 14(1914-1916). On the history of the psychoanalytic movement, papers on metapsychology and other works (pp. 237-258). London: The Hogarth Press.
  21. Gaines, R. (1997). Detachment and continuity. Contemporary Psychoanalysis, 33(4), 549-571.
  22. Hagman, G. (1995). Death of a selfobject: Toward a self psychology of the mourning process. In A. Goldberg(Ed.), Progress in self psychology, Vol. 11. The impact of new ideas. (pp. 189-205). Hillsdale NJ: Analytic Press.
  23. Hagman, G. (2001). Beyond decathexis: Toward a new psychoanalytic understanding and treatment of mourning. In R. A. Neimeyer (Ed.), Meaning reconstruction and the experience of loss (pp. 13-31). Washington, DC: American Psychological Association.
  24. Horowitz, M. J., Siegel, B., Holen, A., Bonanno, G. A., Milbrath, C., & Stinson, C. H. (1997). Diagnostic criteria for complicated grief disorder. American Journal of psychiatry, 154(7), 904-910.
  25. Hu, L. T. & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives, Structural Equation Modeling: A multidisciplinary Journal, 6(1), 1-55.
  26. Kim, K. & Jacobs, S. (1991). Pathological grief and its relationship to other psychiatric disorders. Journal of Affective Disorders, 21(4), 257-263.
  27. Klass, D., Silverman, P. R., & Nickman, S. L. (Eds.). (1996). Continuing bonds: New understandings of grief. Washington, DC: Taylor & Francis.
  28. Klass, D. & Walter, T. (2001). Processes of grieving: How bonds are continued. In M. S. Stroebe, R. O. Hansson, W. Stroebe, & H. Schut (Eds.), Handbook of bereavement research: Consequences, coping, and care (pp. 431-448). Washington, DC: American Psychological Association.
  29. Kline, R. B. (2011). Principles and Practice of Structural Equation Modeling (3rd ed.). New York: The Guilford Press.
  30. Mikulincer, M. & Shaver, P. R. (2008). An attachment perspective on bereavement. In M. S. Stroebe, R. O. Hansson, H. Schut, & W. Stroebe (Eds.), Handbook of bereavement research and practice: Advances in theory and intervention (pp. 87-112). Washington, DC: American Psychological Association.
  31. Neimeyer, R. A., Baldwin, S. A., & Gillies, J. (2006). Continuing bonds and reconstructing meaning: Mitigating complications in bereavement. Death Studies, 30, 715-738.
  32. Neimeyer, R. A. & Hogan, N. (2001). Quantitative or qualitative? Measurement issues in the study of grief. In M. S. Stroebe, R. O. Hansson, W. Stroebe, & H. Schut (Eds.), Handbook of bereavement research: Consequences, coping, and care (pp. 89-118). Washington, DC: American Psychological Association.
  33. Parkes, C. M. (1993). Bereavement as a psycho-social transition: Processes of adaptation to change. In M. S. Stroebe, W. Stroebe, & R. O. Hansson (Eds.), Handbook of bereavement: Theory, research and intervention (pp. 91-101). New York: Cambridge University Press.
  34. Parkes, C. M. (1998). Recovery from bereavement (3rd ed.). Madison, CT: International Universities Press.
  35. Parkes, C. M. & Prigerson, H. G. (2010). Bereavement: Studies of grief in adult life (4th ed.). London: Penguin.
  36. Raphael, B. (1983). The anatomy of bereavement. New York: Basic Books.
  37. Rando, T. A. (1993). Treatment of complicated grief. Champaign, IL: Research Press.
  38. Root, B. L. & Exline, J. J. (2014). The role of continuing bonds in coping with grief: Overview and future directions. Death Studies, 38, 1-8.
  39. Rosenblatt, P. C. (2001). A social constructionist perspective on cultural differences in grief. In M. S. Stroebe, R. O. Hansson, W. Stroebe, & H. Schut (Eds.), Handbook of bereavement research: Consequences, coping, and care (pp. 285-300). Washington, DC: American Psychological Association.
  40. Sanders, C. M. (1989). Grief: The mourning after. New York: John Wiley & Sons.
  41. Schut, H. A. W., Stroebe, M., S., Boelen, P. A., & Zijerveld, A. M. (2006). Continuing relationships with the deceased: Disentangling bonds and grief. Death Studies, 30, 757-766.
  42. Shuchter, S. R. & Zisook, S. (1993). The course of normal grief. In M. S. Stroebe, W. Stroebe, & R. O. Hansson (Eds.), Handbook of bereavement: Theory, research and intervention (pp. 23-43). New York: Cambridge University Press.
  43. Silverman, P. R., Nickman, S., & Worden, J. W. (1992). Detachment revisited: The child's reconstruction of a dead parent. American Journal of Orthopsychiatry, 62(4), 494-503.
  44. Stroebe, M. S., Abakoumkin, G., Stroebe, W., & Schut, H. (2012). Continuing bonds in adjustment to bereavement: Impact of abrupt versus gradual separation. Personal Relationships, 19(2), 255-266.
  45. Stroebe, M. S. & Schut, H. (2005). To continue or relinquish bonds: A review of consequences for the bereaved. Death Studies, 29, 477-494.
  46. Stroebe, M., Schut, H., & Boerner, K. (2010). Continuing bonds in adaptation to bereavement: Toward theoretical integration. Clinical Psychology Review, 30(2), 259-268.
  47. Volkan, V. D. (1981). Linking objects and linking phenomena. New York: International Universities Press.
  48. Wortman, C. B. & Silver, R. C. (2001). The myths of coping with loss revisited. In M. S. Stroebe, R. O. Hansson, W. Stroebe, & H. Schut (Eds.), Handbook of bereavement research: Consequences, coping, and care (pp. 405-429). Washington, DC: American Psychological Association.
  49. Worden, J. W. (1982). Grief counseling and grief therapy: A handbook for the mental health practitioner. New York: Springer.
  50. Worden, J. W. (2003). Grief counseling and grief therapy: A handbook for the mental health practitioner (3rd ed.). Hove, New York: Brunner-Routledge.