Korean Clinical Psychology Association

Current Issue

Korean Journal of Clinical Psychology - Vol. 40, No. 2

[ Original Article ]
Korean Journal of Clinical Psychology - Vol. 40, No. 2, pp.130-142
Abbreviation: KJCP
ISSN: 1229-0335 (Print) 2733-4538 (Online)
Print publication date 30 May 2021
Received 24 Oct 2020 Received 05 Jan 2021 Accepted 06 Jan 2021
DOI: https://doi.org/10.15842/kjcp.2021.40.2.002

우울증의 행동활성화 척도의 타당화: 대학생 표본을 대상으로
나미소 ; 조용래
한림대학교 심리학과

Validation of the Behavioral Activation for Depression Scale in Korean Samples of University Students
Miso Na ; Yongrae Cho
Department of Psychology, Hallym University, Chuncheon, Korea
Correspondence to : Yongrae Cho, Department of Psychology, Hallym University, 1 Hallimdaehak-gil, Chuncheon, Korea; E-mail: yrcho@hallym.ac.kr
This article has been produced in part from the master’s thesis of the first author, completed under supervision of the second author.


© 2021 Korean Clinical Psychology Association

초록

본 연구는 국내 행동활성화 치료에 관한 연구 및 실제적 적용에 기여하기 위해 대학생 표본을 대상으로 K-BADS를 타당화하고자 하였다. 연구 1에서 대학생 256명으로부터 수집된 자료에 대해 탐색적 요인분석을 적용한 결과, K-BADS는, Kanter 등(2006)의 원논문과 일치되게, ‘활성화’, ‘회피/반추’, ‘직업/학업에서의 기능손상’, ‘사회적 기능손상’의 4요인구조로 나타났다. K-BADS의 내적 일치도, 문항-총점 상관은 높았고, 검사-재검사 신뢰도는 양호하였다. 연구 2에서 독립적인 대학생 표본인 272명으로부터 수집된 자료에 대해 확인적 요인분석을 적용한 결과, 연구 1에서 보고된 한글판 BADS의 4요인구조가 반복 검증되었고, 수렴 및 변별타당도, 준거 관련 타당도, 증분 타당도 역시 양호하게 나타났다. 연구 3에서는 한글판 BADS가 실제 치료적 변화를 민감하게 탐지하는지 확인하기 위해 행동활성화 개입을 실시하였다. 그 결과, 행동활성화 개입 이후의 행동활성화 및 우울증상의 수준이 유의미하게 개선되었다. 즉, K-BADS가 치료적 변화에 민감한 도구임이 확인되었다. 이러한 결과들은 K-BADS가 우리나라 대학생들의 행동활성화 정도를 신뢰롭고 타당하게 측정하는 도구임을 시사하는 것이다.

Abstract

This article consists of three studies designed to validate the Korean version of the Activation for Depression Scale (K-BADS) among three samples of undergraduate students contribute to the study and practical application of behavioral activation treatment in Korea. In Study 1, with an undergraduate sample (n=256), exploratory factor analyses of the K-BADS revealed a four-factor solution: activation (AC), avoidance/rumination (AR), work/social impairment (WS), and social impairment (SI), consistently with the original version of the BADS. The K-BADS showed high internal consistency, corrected item-total correlations, and good test-retest reliability. In Study 2, confirmatory factor analyses indicated that the four-factor structure was replicated with an independent sample (n=272). Furthermore, the K-BADS showed good convergent, discrimination, criterion-related, and incremental validities. In Study 3, participants in the behavioral activation intervention (n=10) showed a significantly greater increase in behavioral activation levels as measured with the K-BADS total and subscales, and decreased depressive symptoms. This finding indicates that the K-BADS total and subscales are sensitive to assessing changes following behavioral activation intervention. Finally, the results of these studies suggest that the K-BADS is a reliable and valid instrument for measuring the behavioral activation level of undergraduate students in Korea.


Keywords: behavioral activation, Korean version of the BADS (K-BADS), factor structure, reliability, validity
키워드: 행동활성화, 한글판 우울증의 행동활성화 척도(K-BADS), 요인구조, 신뢰도, 타당도

Author contributions statement

Miso Na, a graduate student at Hallym University who designed the study, collected and analyzed data, and led manuscript preparation. Yongrae Cho, professor at Hallym University, supervised and guided on the research process. All authors provided critical feedback, participated in revision of the manuscript, and approved the final submission.


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