한국판 행동건강질문지-20(K-BHQ-20)의 신뢰도 및 타당도 연구
A reliability and validity study of the Korean Version of Behavioral Health Questionnaire 20 (K-BHQ-20)
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초록
정신건강이나 심리치료의 효과를 평가하는 자기 보고식 검사는 많다. 이런 검사의 대부분은 심리적 증상을 위주로 평가하고 있다. 그런데 정신건강의 평가는 증상의 유, 무뿐만 아니라 웰빙과 사회적/직업적 기능까지 고려하여야 한다. 본 연구에서는 이런 목적에 적합한 행동건강 질문지-20 (Behavioral Health Questionnaire-20: BHQ-20)을 소개하고, 이 검사 척도가 한국 대학생들의 정신건강을 진단하고 심리치료의 효과를 평가해주는 정신건강 측정도구로서 적합한지를 알아보기 위한 예비연구로 수행되었다. 대학생 집단 400명을 대상으로 먼저 한글판 BHQ-20(K-BHQ-20)의 요인구조를 탐색한 결과, 원판 BHQ-20과는 달리 4개의 요인, 즉 ‘학교생활의 웰빙’, ‘심리 증상’, ‘음주/섭식문제’ 및 ‘사회생활 기능’의 요인이 확인되었다. 내적 일치도로 살펴본 K-BHQ-20의 신뢰도는 양호하였으며, 대학생활 부적응 척도 및 BDI와의 상관관계를 통해 동시 타당도를 검증하였다. 마지막으로 K-BHQ-20을 정신건강 및 심리치료의 평가 척도로서 제안하기 위해 본 연구가 갖는 제한점을 논의하였다.
Abstract
Behavioral Health Questionnaire-20 is a self-report instrument assessing the status of mental health and the effects of psychotherapy. While most of the mental health assessments focus on psychological symptoms, BHQ-20 aims to monitor overall mental health over time(especially across psychotherapy sessions) by including scales of Well-Being and Life Functioning as well as a scale of Symptoms. The present study evaluated the psychometric properties of the Korean version of the Behavioral Health Questionnaire-20(K-BHQ-20). We gave the K-BHQ-20 to 400 college students in Pohang. The 4 constructs of the K-BHQ-20 investigated by factor-analyzing were 'Psychological Symptoms', 'Well-Being of School Life', 'Drinking/Eating Problem' and 'Social Life Functioning'. The K-BHQ-20's concurrent validity was supported by correlations with Mt and BDI. Support was also found for the reliability of internal consistency measure(Chronbach's alpha). The present study demonstrated that the K-BHQ-20, a relatively brief questionnaire, is a valid and reliable measure for assessing university students' mental health. To further prove the validity of the K-BHQ-20 as a measure assessing the effectiveness of psychotherapy, the future research needs to determine whether the K-BHQ-20 can detect responsiveness to psychotherapy or recovery across therapy sessions in university counseling service.
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