open access
메뉴E-ISSN : 2733-4538
This study aimed to develop the Disability Scale (DS), a scale for assessing functional impairment in individuals with mental disorders, and to preliminarily explore the psychometric properties of the DS in university students. In the first part of the study, exploratory factor analysis on DS in the university student group (N=259) yielded five factors: “mood problems,” “interpersonal problems,” “self-care problems,” “academic and occupational problems,” and “health and family problems,” for both items on the past 2 weeks and items on the past 6 months. In the second part of the study, analyses of reliability and validity of the DS were performed. The DS showed sound internal consistency, 3-week test-retest reliability, and construct validity. In addition, DS scores were significantly higher in the clinical group with anxiety and depressive disorders (N=29), when compared with the university student group (N=286). The DS showed positive associations with the scales for assessing functional impairment and psychological symptoms including depression and anxiety. Confirmatory factor analyses on the five-factor model of the DS resulted in favorable goodness of fit indices for both items on the past 2 weeks and items on the past 6 months. Clinical implications and limitations of this study are also discussed.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). Washington, DC: American Psychiatric Association Publishing.
Abramowitz, J. S., & Deacon, B. J. (2006). Psychometric properties and construct validity of the Obsessive–Compulsive Inventory—Revised: Replication and extension with a clinical sample. Journal of Anxiety Disorders, 20, 1016-1035.
Bae, J. K. (2009). A validation study for a short-form functional assessment scale (FAS-S) for persons with psychiatric disabilities. Korean Journal of Clinical Psychology, 28, 1025-1047.
Browne, M. W., & Cudeck, R. (1992). Alternative ways of assessing model fit. Sociological Methods & Research, 21, 230-258.
Canino, G. J., Fisher, P. W., Alegria, M., & Bird, H. R. (2013). Assessing child impairment in functioning in different contexts:Implications for use of services and the classification of psychiatric disorders. Open Journal of Medical Psychology, 2, 29-34.
Carlozzi, N. E., Kratz, A. L., Downing, N. R., Goodnight, S., Miner, J. A., Migliore, N., & Paulsen, J. S. (2015). Validity of the 12-item World Health Organization disability assessment schedule 2.0(WHODAS 2.0) in individuals with Huntington disease (HD). Quality of Life Research, 24, 1963-1971.
Choi, B. H. (2007). Cognitive Behavior Group Therapy (CBGT) for social phobia. Seoul, Korea: Sigma Press.
Chon, K. K., Choi, S. C., & Yang, B. C. (2001). Integrated adaptation of CES-D in Korea. Korean Journal of Health Psychology, 6, 59-76.
Clark, A., & Fallowfield, L. J. (1986). Quality of life measurements in patients with malignant disease: A review. Journal of the Royal Society of Medicine, 79, 165-169.
Cooper, J. A., Sagar, H. J., Jordan, N., Harvey, N. S., & Sullivan, E. V. (1991). Cognitive impairment in early, untreated Parkinson’s disease and its relationship to motor disability. Brain, 114, 2095-2122.
Cornelius, J. R., Maisto, S. A., Martin, C. S., Bukstein, O. G., Salloum, I. M., Daley, D. C., . . . Clark, D. B. (2004). Major depression associated with earlier alcohol relapse in treated teens with AUD. Addictive Behaviors, 29, 1035-1038.
Eun, H. J., Kwon, T. W., Lee, S. M., Kim, T. H., Choi, M. R., & Cho, S. J. (2005). A study on reliability and validity of the Korean version of impact of event scale-revised. Journal of Korean Neuropsychiatric Association, 44, 303-310.
Ferrari, A. J., Charlson, F. J., Norman, R. E., Patten, S. B., Freedman, G., Murray, C. J., . . . Whiteford, H. A. (2013). Burden of depressive disorders by country, sex, age, and year: Findings from the global burden of disease study 2010. PLoS Medicine, 10, e1001547.
First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. (2012). Structured clinical interview for DSM-IV Axis I disorders (SCID-I), clinician version, administration booklet. Washington, DC: American Psychiatric Association Publishing.
Floyd, F. J., & Widaman, K. F. (1995). Factor analysis in the development and refinement of clinical assessment instruments. Psychological Assessment, 7, 286-299.
Foa, E. B., Huppert, J. D., Leiberg, S., Langner, R., Kichic, R., Hajcak, G., & Salkovskis, P. M. (2002). The Obsessive-Compulsive Inventory:Development and validation of a short version. Psychological Assessment, 14, 485.
Foa, E. B., Kozak, M. J., Salkovskis, P. M., Coles, M. E., & Amir, N. (1998). The validation of a new obsessive–compulsive disorder scale: The Obsessive–Compulsive Inventory. Psychological Assessment, 10, 206-214.
Goering, P., Lin, E., Campbell, D., Boyle, M. H., & Offord, D. R. (1996). Psychiatric disability in Ontario. Canadian Journal of Psychiatry, 41, 564-571.
Gold, L. H. (2014). DSM-5 and the assessment of functioning: The World Health Organization Disability Assessment Schedule 2.0(WHODAS 2.0). Journal of the American Academy of Psychiatry and the Law, 42, 173-181.
Hahn, O. S., Ahn, J. H., Song, S. H., Cho, M. J., Kim, J. K., Bae, J. N., . . . Hong, J. P. (2000). Development of Korean version of structured clinical interview schedule for DSM-IV axis I disorder: Interrater reliability. Journal of Korean Neuropsychiatric Association, 39, 362-372.
Hair, J. F., Black, W. C., Babin, B. J., Anderson, R. E., & Tatham, R. L. (2006). Multivariate data analysis (Vol. 6). Upper Saddle River, N.J.: Pearson Education Inc.
Ham, L. S., & Hope, D. A. (2003). College students and problematic drinking: A review of the literature. Clinical Psychology Review, 23, 719-759.
Han, O. S., & Hong, J. P. (2000). Structured clinical interview schedule for DSM-IV axis I disorder: SCID-I (Research Ed.). Seoul, Korea:Hanampc.
Hambrick, J. P., Turk, C. L., Heimberg, R. G., Schneier, F. R., & Liebowitz, M. R. (2004). Psychometric properties of disability measures among patients with social anxiety disorder. Anxiety Disorders, 18, 825-839.
Hollifield, M., Katon, W., Skipper, B., Chapman, T., Ballenger, J. C., Mannuzza, S., & Fyer, A. J. (1997). Panic disorder and quality of life: Variables predictive of functional impairment. American Journal of Psychiatry, 154, 766-772.
Horowitz, M., Wilner, N., & Alvarez, W. (1979). Impact of Event Scale: A measure of subjective stress. Psychosomatic Medicine, 41, 209-218.
Houck, P. R., Spiegel, D. A., Shear, M. K., & Rucci, P. (2002). Reliability of the self-report version of the panic disorder severity scale. Depression and Anxiety, 15, 183-185.
Hutcheson, G. D., & Sofroniou, N. (1999). The multivariate social scientist: Introductory statistics using generalized linear models. London, UK: Sage.
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 593-602.
Kessler, R. C., Crum, R. M., Warner, L. A., Nelson, C. B., Schulenberg, J., & Anthony, J. C. (1997). Lifetime co-occurrence of DSMIII-R alcohol abuse and dependence with other psychiatric disorders in the National Comorbidity Survey. Archives of General Psychiatry, 54, 313-321.
Kim, H. S. (2001). Memory bias in subtypes of social phobia (Master’s Degree). Seoul National University, Seoul, Korea.
Kim, S. (2017). The relationship between social anxiety and alcohol related problems: Effects of drinking motives and emotion regulation (Doctor’s Degree). Korea University, Seoul, Korea.
Kim, S., & Kwon, J. H. (2018). Effects of emotion experiences and gaming motivations on internet gaming behaviors in daily life:An ecological momentary assessment study. Korean Journal of Clinical Psychology, 37, 573-589.
Kim, S. H., & Suh, K. H. (2016). Relationships between gambling exposure during the childhood, BAS/BIS, Irrational gambling beliefs and gambling addiction among college students. Korean Journal of Youth Studies, 23, 439-460.
Kline, R. B. (1998). Principals and practice of structural equation modeling. New York, NY. Guilford Press.
Korea Racing Authority. (2009). Nationwide Mass Survey of Gambling Use Conditions. Korea University Research and Business Foundation. Seoul, Korea.
Kroenke, K., Spitzer, R. L., Williams, J. B. W., Monahan, P. O., & Löwe, B. (2007). Anxiety disorders in primary care: Prevalence, impairment, comorbidity, and detection. Annals of Internal Medicine, 146, 317-325.
Kuntsche, E., Knibbe, R., Gmel, G., & Engels, R. (2005). Why do young people drink? A review of drinking motives. Clinical Psychology Review, 25, 841-861.
Kuyken, W., Orley, J., Hudelson, P., & Sartorius, N. (1994). Quality of life assessment across cultures. International Journal of Mental Health, 23, 5-27.
Kwon, B. S., & Kim, Y. H. (2011). A study of gambling addiction and its actual conditions among university students in Korea. Mental Health & Social Work, 39, 5-28.
Lee, E. H., Kim, J. H., & Yu, B. H. (2009). Reliability and validity of the self‐report version of the Panic Disorder Severity Scale in Korea. Depression and Anxiety, 26, E120-E123.
Lee, H. H., Shin, E. K., Shin, H. I., & Yang, E. J. (2017). Is WHODAS 2.0 Useful for colorectal cancer survivors?. Annals of Rehabilitation Medicine, 41, 667-676.
Lee, J. Y., Cho, M. J., & Kwon, J. S. (2006). Global assessment of functioning scale and social and occupational functioning scale. The Korean Journal of Psychopharmacology, 17, 122-127.
Magistrale, G., Pisani, V., Argento, O., Incerti, C. C., Bozzali, M., Cadavid, D., . . . Nocentini, U. (2015). Validation of the World Health Organization Disability Assessment Schedule II (WHODAS-II) in patients with multiple sclerosis. Multiple Sclerosis Journal, 21, 448-456.
Mattick, R. P., & Clarke, J. C. (1998). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour Research and Therapy, 36, 455-470.
Min, S. K., Kim, K. I., Suh, S. Y., & Kim, D. K. (2000). Development of Korean version of Life Scale (WHOQOL). Journal of Korean Neuropsychiatric Association, 39, 78-88.
National Information Society Agency. (2016). The survey on internet overdependence. Gwacheon, Korea: Ministry of Science and ICT.
Olfson, M., Fireman, B., Weissman, M., Leon, A., Sheehan, D., Kathol, R. . . . Farber, L. (1997). Mental disorders and disability among patients in a primary care group practice. American Journal of Psychiatry, 154, 1734-1740.
Park, B. S., Kim, Y. Y., Hoe, M. S., Park, K. J., & Bae, S. W. (2014). Development of General Social Functioning Scales for persons with psychiatric disabilities. Journal of Social Science, 25, 3-26.
Park, J. Y., & Kim J. H. (2010). Korean version of the Sheehan Disability Scale (SDS): Reliability and validity. Korean Journal of Clinical Psychology, 29, 73-81.
Pyne, J. M., Patterson, T. L., Kaplan, R. M., Gillin, J. C., Koch, W. L., & Grant, I. (1997). Assessment of the quality of life of patients with major depression. Psychiatric Services, 48, 224-230.
Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385-401.
Rapaport, M. H., Clary, C., Fayyad, R., & Endicott, J. (2005). Qualityof-life impairment in depressive and anxiety disorders. American Journal of Psychiatry, 162, 1171-1178.
Rubin, H. C., Rapaport, M. H., Levine, B., Gladsjo, J. K., Rabin, A., Auerbach, M., . . . Kaplan, R. (2000). Quality of well-being in panic disorder: The assessment of psychiatric and general disability. Journal of Affective Disorders, 57, 217-221.
Safren, S. A., Heimberg, R. G., Brown, E. J., & Holle, C. (1996). Quality of life in social phobia. Depression and a-Anxiety, 4, 126-133.
Schneier, F., Heckelman, L., Garfinkel, R., Campeas, R., Fallon, B., Fallon, B. A., . . . Liebowitz, M. R. (1994). Functional impairment in social phobia. Journal of Clinical Psychiatry, 55, 322-331.
Shaffer, H. J., Hall, M. N., & Vander Bilt, J. (1999). Estimating the prevalence of disordered gambling behavior in the United States and Canada: A research synthesis. American Journal of Public Health, 89, 1369-1376.
Shear, M. K., Brown, T. A., Barlow, D. H., Money, R., Sholomskas, D. E., Woods, S. W., . . . Papp, L. A. (1997). Multicenter collaborative panic disorder severity scale. American Journal of Psychiatry, 154, 1571-1575.
Shear, M. K., Rucci, P., Williams, J., Frank, E., Grochocinski, V., Vander Bilt, J., . . . Wang, T. (2001). Reliability and validity of the Panic Disorder Severity Scale: Replication and extension. Journal of Psychiatric Research, 35, 293-296.
Sheehan, D.V. (1983). The Anxiety Disease. New York, NY: Charles Scribner and Sons.
Skodol, A. E., Gunderson, J. G., McGlashan, T. H., Dyck, I. R., Stout, R. L., Bender, D. S., . . . Oldham, J. A. (2002). Functional impairment in patients with schizotypal, borderline, avoidant, or obsessive-compulsive personality disorder. American Journal of Psychiatry, 159, 276-283.
Son, M. J. (1996). Functional assessment: Diagnostic in psychiatric rehabilitation. Korean Journal of Clinical Psychology, 15, 235-254.
Son, M. J., Park, D. G., Choi, Y. H., Lee, S. H., & Bae, J. K. (2001). A study on the development of Functional Assessment Scale for persons with psychiatric disability. Korean Journal of Clinical Psychology, 20, 731-749.
Sundin, E. C., & Horowitz, M. J. (2002). Impact of Event Scale: Psychometric properties. The British Journal of Psychiatry, 180, 205-209.
Von Korff, M., Andrews, G., & Delves, M. (2011). Assessing activity limitations and disability among adults. In D. A. Regier, W. E. Narrow, E. A. Kuhl, D. J. Kupfer (Ed). The conceptual evolution of DSM-5 (pp. 163-188). Arlington, VA: American Psychiatric Publishing, Inc.
Weiss, D. S., & Marmar, C. R. (1997) The Impact of Event Scale –Revised. In J. P. Wilson, & T. M. Keane (Eds.), Assessing Psychological Trauma and PTSD (pp. 399-411). New York: Guilford Press.
Williams, A., & Clark, D. (1998). Alcohol consumption in university students: the role of reasons for drinking, coping strategies, expectancies, and personality traits. Addictive Behaviors, 23, 371-378.
Winters, K. C. (2003). Assessment of alcohol and other drug use behaviors among adolescents, In: V. B. Wilson, & J. P. Allen. Assessing alcohol problems: A guide for clinicians and researchers 2nd ed. Bethesda, MD: NIAAA.
Woo, C. W., Kwon, S. M., Lim, Y. J., & Shin, M. S. (2010). The Obsessive-Compulsive Inventory-Revised (OCI-R): Psychometric properties of the Korean version and the order, gender, and cultural effects. Journal of Behavior Therapy and Experimental Psychiatry, 41, 220-227.
Yi, J. S., Chung, M. H., Lee, B. W., & Lee, S. I. (2003). Reliability and validity of the Korean version of Global Assessment of Functioning scale. Korean Journal of Schizophrenia Research, 6, 118-124.
Yoon, J. S., Kim, J. M., Shin, I. S., Yang, S. J., Zheng, T. J., & Lee, H. Y. (2004). Development of Korean version of World Health Organization Disability Assessment Schedule II (WHODAS II-K)in community dwelling elders. Journal of Korean Neuropsychiatric Association, 43, 86-92.
Zhao, H. P., Liu, Y., Li, H. L., Ma, L., Zhang, Y. J., & Wang, J. (2013). Activity limitation and participation restrictions of breast cancer patients receiving chemotherapy: Psychometric properties and validation of the Chinese version of the WHODAS 2.0. Quality of Life Research, 22, 897-906.
Zilberman, M., Tavares, H., & El-Guebaly, N. (2004). Gender similarities and differences: The prevalence and course of alcohol and other substance—related disorders. Journal of Addictive Diseases, 22, 61-74.