한글판 행동활성화 척도의 신뢰도와 타당도
The Reliability and Validity of the Korean Version of Behavioral Activation for Depression Scale
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초록
Objectives The Behavioral Activation of Depression Scale (BADS) has been reported to be a valid tool for assessing the different behavioral aspects of depression, such as activation, rumination or avoidance, and functional impairment. The aim of this study was to assess the reliability and validity of the Korean version of BADS (K-BADS). Methods A sample of 196 outpatients completed the K-BADS and the data were analyzed for internal consistency and factor structures. An additional 51 outpatients re-filled the K-BADS after two weeks for the test-retest reliability. To test for the validity, the Hospital Anxiety and Depression Scale (HADS), Working Alliance Inventory (WAI), Drug Attitude Inventory-10 (DAI-10), and Mindfulness Attention Awareness Scale (MAAS) were administered. Results Internal consistency of K-BADS was good (Cronbach’s alpha=0.843) and principal component factor analysis revealed the four-factor structure. The K-BADS showed a reasonable test-retest reliability (r=0.863, p<0.001). The total score of K-BADS correlated significantly with the total scores of the HADS depression (r=-0.694) and HADS anxiety (r=-0.681). No correlations were found between the K-BADS and the K-WAI (r=0.170) and between the K-BADS and the K-DAI-10 (r=0.311). Conclusion The K-BADS is a reliable and valid instrument for measuring the behavioral activation for depression in Korean patients with depressive symptoms.
Abstract
Objectives The Behavioral Activation of Depression Scale (BADS) has been reported to be a valid tool for assessing the different behavioral aspects of depression, such as activation, rumination or avoidance, and functional impairment. The aim of this study was to assess the reliability and validity of the Korean version of BADS (K-BADS). Methods A sample of 196 outpatients completed the K-BADS and the data were analyzed for internal consistency and factor structures. An additional 51 outpatients re-filled the K-BADS after two weeks for the test-retest reliability. To test for the validity, the Hospital Anxiety and Depression Scale (HADS), Working Alliance Inventory (WAI), Drug Attitude Inventory-10 (DAI-10), and Mindfulness Attention Awareness Scale (MAAS) were administered. Results Internal consistency of K-BADS was good (Cronbach’s alpha=0.843) and principal component factor analysis revealed the four-factor structure. The K-BADS showed a reasonable test-retest reliability (r=0.863, p<0.001). The total score of K-BADS correlated significantly with the total scores of the HADS depression (r=-0.694) and HADS anxiety (r=-0.681). No correlations were found between the K-BADS and the K-WAI (r=0.170) and between the K-BADS and the K-DAI-10 (r=0.311). Conclusion The K-BADS is a reliable and valid instrument for measuring the behavioral activation for depression in Korean patients with depressive symptoms.
참고문헌 (47)
- Hopko DR, "Contemporary behavioral activation treatments for depression: procedures, principles, and progress", Clin Psychol Rev, 23, pp.699~717 (2003)
- Ferster CB, "A functional anlysis of depression", Am Psychol, 28, pp.857~870 (1973)
- Lewinsohn PM, "The psychology of depression: contemporary theory and research" (1974), Wiley
- Dimidjian S, "Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the acute treatment of adults with major depression", J Consult Clin Psychol, 74, pp.658~670 (2006)
- Dobson KS, "Randomized trial of behavioral activation, cognitive therapy, and antidepressant medication in the prevention of relapse and recurrence in major depression", J Consult Clin Psychol, 76, pp.468~477 (2008)
- O’Hara MW, "Self-monitoring, activity levels, and mood in the development and maintenance of depression", J Abnorm Psychol, 88, pp.450~453 (1979)
- Harmon TM, "Self-monitoring of mood versus activity by depressed clients", J Consult Clin Psychol, 48, pp.30~38 (1980)
- Snarski M, "The effects of behavioral activation therapy with inpatient geriatric psychiatry patients", Behav Ther, 42, pp.100~108 (2011)
- Takagaki K, "Behavioral activation for late adolescents with subthreshold depression: a randomized controlled trial", Eur Child Adolesc Psychiatry, 25, pp.1171~1182 (2016)
- Weinstock LM, "Adjunctive behavioral activation for the treatment of bipolar depression: a proof of concept trial", J Psychiatr Pract, 22, pp.149~158 (2016)
- Weinstock LM, "Behavioral activation for the treatment of atypical depression: a pilot open trial", Behav Modif, 35, pp.403~424 (2011)
- Parikh SV, "Canadian network for mood and anxiety treatments (CANMAT) 2016 Clinical Guidelines for the Management of Adults with Major Depressive Disorder: Section 2. Psychological Treatments", Can J Psychiatry, 61, pp.524~539 (2016)
- Porter JF, "Behavioral activation group therapy in public mental health settings: a pilot investigation", Prof Psychol, 35, pp.297~301 (2004)
- Jakupcak M, "A pilot study of behavioral activation for veterans with posttraumatic stress disorder", J Trauma Stress, 19, pp.387~391 (2006)
- Jakupcak M, "Behavioral activation as a primary care-based treatment for PTSD and depression among returning veterans", J Trauma Stress, 23, pp.491~495 (2010)
- Plagge JM, "Treatment of comorbid pain and PTSD in returning veterans: a collaborative approach utilizing behavioral activation", Pain Med, 14, pp.1164~1172 (2013)
- Ryba MM, "Behavioral activation for depressed breast cancer patients: the impact of therapeutic compliance and quantity of activities completed on symptom reduction", J Consult Clin Psychol, 82, pp.325~335 (2014)
- Samaan Z, "Behavioral activation group therapy for reducing depressive symptoms and improving quality of life: a feasibility study", Pilot Feasibility Stud, 2, pp.22~ (2016)
- Hopko DR, "Brief behavioral activation and problem-solving therapy for depressed breast cancer patients: randomized trial", J Consult Clin Psychol, 79, pp.834~849 (2011)
- Hopko DR, "Behavioral activation and the prevention of suicidal behaviors in patients with borderline personality disorder", J Pers Disord, 17, pp.460~478 (2003)
- Ottenbreit ND, "Avoidance and depression: the construction of the cognitive-behavioral avoidance scale", Behav Res Ther, 42, pp.293~313 (2004)
- Beck AT, "An inventory for measuring depression", Arch Gen Psychiatry, 4, pp.561~571 (1961)
- Hollon SD, "Cognitive self-statements in depression: development of an automatic thoughts questionnaire", Cognit Ther Res, 4, pp.383~395 (1980)
- MacPhillamy DJ, "The pleasant events schedule: studies on reliability, validity, and scale intercorrelation", J Consult Clin Psychol, 50, pp.363~380 (1982)
- Kanter JW, "The behavioral activation for depression scale (BADS): psychometric properties and factor structure", J Psychopathol Behav Assess, 29, pp.191~ (2006)
- Raes F, "The Dutch version of the Behavioral Activation for Depression Scale (BADS):psychometric properties and factor structure", J Behav Ther Exp Psychiatry, 41, pp.246~250 (2010)
- Teismann T, "The German version of the Behavioral Activation for Depression Scale (BADS): a psychometric and clinical investigation", Clin Psychol Psychother, 23, pp.217~225 (2016)
- Barraca J, "Avoidance and activation as keys to depression: adaptation of the Behavioral Activation for Depression Scale in a Spanish sample", Span J Psychol, 14, pp.998~1009 (2011)
- 이가영, "우울증을 위한 행동활성화 치료의 적용가능성: 사례연구", 인지행동치료, 16(3), pp.299~322 (2016), 한국인지행동치료학회
- Hogan TP, "A self-report scale predictive of drug compliance in schizophrenics: reliability and discriminative validity", Psychol Med, 13, pp.177~183 (1983)
- 윤보현, "한국판 약물태도 척도의 심리측정적 특성", 대한정신약물학회지, 16(6), pp.480~487 (2005), 대한정신약물학회
- Brown KW, "The benefits of being present: mindfulness and its role in psychological well-being", J Pers Soc Psychol, 84, pp.822~848 (2003)
- 전종희, "한국판 마음챙김 주의 자각 척도의 신뢰도 및 타당도 예비 연구", Korean Journal of Clinical Psychology, 26(1), pp.201~212 (2007), 한국임상심리학회[DOI]
- Kabat-Zinn J, "The clinical use of mindfulness meditation for the self-regulation of chronic pain", J Behav Med, 8, pp.163~190 (1985)
- Miller JJ, "Three-year follow-up and clinical implications of a mindfulness meditation-based stress reduction intervention in the treatment of anxiety disorders", Gen Hosp Psychiatry, 17, pp.192~200 (1995)
- Shapiro SL, "Effects of mindfulness-based stress reduction on medical and premedical students", J Behav Med, 21, pp.581~599 (1998)
- Horvath AO, "Development and validation of the Working Alliance Inventory", J Couns Psychol, 36, pp.223~233 (1989)
- Munder T, "Working Alliance Inventory-Short Revised (WAI-SR): psychometric properties in outpatients and inpatients", Clin Psychol Psychother, 17, pp.231~239 (2010)
- 유승훈, "한글판 치료협력 설문지 개발 및 신뢰도 분석", 대한물리치료학회지, 26(2), pp.90~96 (2014), 대한물리치료학회
- Zigmond AS, "The Hospital Anxiety and Depression Scale", Acta Psychiatr Scand, 67, pp.361~370 (1983)
- Min KJ, "A comparison of normal, depressed and anxious groups=a study on the standardization of the Hospital Anxiety and Depressed Scale for Koreans", J Korean Neuropsychiatr Assoc, 38, pp.289~296 (1999)
- Kim W, "Psychological testing" (1994), Yulkok
- Soleimani M, "A comparative study of group behavioral activation and cognitive therapy in reducing subsyndromal anxiety and depressive symptoms", Iran J Psychiatry, 10, pp.71~78 (2015)
- Chu BC, "Transdiagnostic group behavioral activation and exposure therapy for youth anxiety and depression: initial randomized controlled trial", Behav Res Ther, 76, pp.65~75 (2016)
- Buyck D, "Depression in context: strategies for guided action", Prim Care Companion J Clin Psychiatry, 4, pp.201~ (2002)
- Sae-Heon Jang, "The Symptom Frequency Characteristics of the Hamilton Depression Rating Scale and Possible Symptom Clusters of Depressive Disorders in Korea: The CRESCEND Study", PSYCHIATRY INVESTIGATION, 8(4), pp.312~319 (2011), 대한신경정신의학회
- Choi KH, "Motivational and behavioral activation as an adjunct to psychiatric rehabilitation for mild to moderate negative symptoms in individuals with schizophrenia: a proof-of-concept pilot study", Front Psychol, 7, pp.1759~ (2016)
