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)
김정기 (포항공과대학교)
- 다운로드 수
- 조회수
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.
- keywords
- 행동건강 척도, 심리치료의 효과, 대학생활 적응, 정신건강 측정도구, BHQ-20, K-BHQ-20, psychometric, Behavioral health scale, Mental health, BHQ-20.
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.
- keywords
- 행동건강 척도, 심리치료의 효과, 대학생활 적응, 정신건강 측정도구, BHQ-20, K-BHQ-20, psychometric, Behavioral health scale, Mental health, BHQ-20.
참고문헌
김정기, 강연욱, 최명식(1998). 대학생활 부적응 척도의 타당도 및 변별력에 관한 연구. 한국심리학회지: 건강, 3(1), 179-188.
이영호, 송종용(1991). BDI, SDS, MMPI-D 척도의 신뢰도 및 타당도에 대한 연구. 한국심리학회지: 임상, 10(1), 98-113.
Beck, A.T., Rush, A.J, Shaw, B.F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford Press.
Counseling Center, Johns Hopkins University. 2004-2005 Annual Report and Data Summarywww.jhu.edu/%7Eccenter/CC%20Report%202005.html, 2007, 01, 22.
Dergogatis, L. R. (1977). SCL-90-R: Administration. scoring, and procedures manual-I. Baltimore, MD: Clinical Psychometric Research.
Frisch, M. B., Cornell, J., Villanueva, M., & Retzlaff, P. J. (1992). Clinical validation of the Quality of Life Inventory: A measure of life satisfaction for use in treatment planning and outcome assessment. Psychological Assessment, 4(1), 92-101.
Green, J. L., Lowry, J. L., & Kopta, S. M. (2003). College students versus college counseling center clients: What are the differences? Journal of College Student Psychotherapy, 17(4), 25-37.
Horowitz, L. M., Rosenberg, S. E., Baer, A. A., Ureno, G., & Villasenor, V. S.(1988). Inventory of Interpersonal Problems: Psychometric properties and clinical applications. Journal of Consulting and Clinical Psychology, 56, 885-892.
Howard, K. I., Brill, P. L., Lueger, R. J., & O'Mahoney, M. T. (1992). Integra outpatient tracking assessment. Evaston, IL: Intergra, Inc.
Howard, K. I., Lueger, R. J., Maling, M. S., & Martinovich, Z. (1993). A phase model of psychotherapy outcome: Causal mediation of change. Journal of Consulting and Clinical Psychology, 61(4), 678-685.
Kleinmuntz, B. (1961). The college maladjustment scale(Mt): Norms and predictive validity. Educational and Psychological Measurement, 21, 1029-1033.
Kopta, S. M., & Lowry, J. L. (2002). Psychometric evaluation of the behavioral health questionnaire-20: A brief instrument for assessing global mental health and the three phases of psychotherapy outcome. Psychotherapy Research, 12(4), 413-426.
Lutz, W., Lowry, J. L., Kopta, S. M., Einstein, D., & Howard, K. I. (2001). Prediction of dose-response relations based on patient characteristics. Journal of Clinical Psychology, 57, 889-900.
Seeman, J. (1989). Toward a model of positive health. American Psychologist, 44, 1099-1109.
Spielberger, C. D., Gorsuch, R. L., & Luchene, R. E. (1970). Manual for the State-Trait Anxiety Inventory. Palo Alto, CA: Consulting Psychologists Press.
Taylor, S. E., & Brown, J. D. (1988). Illusion and well-being: A social psychological perspective on mental health. Psychological Bulletin, 103, 193-210.
Wolpe, J., & Lazarus, A. A. (1966). A behavior therapy techniques: A guide to the treatment of neuroses. New York: Pergamon Press.
World Health Organization (1992). Our planet, our health: Report on WHO commission on health and environment. Geneva, Switzerland: Author.
- 다운로드 수
- 조회수
- 0KCI 피인용수
- 0WOS 피인용수