Revision and Validation of the Hwa-Byung Scale
Introduction Hwa-Byung is a cultural-related mental syndrome that reflects the cultural characteristics of Korean in DSM-IV. This syndrome is caused by anger or resentment towards unreasonable social violence and trauma. Objectives The purpose of this study is to revise and validate the ’Hwa-Byung...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822013931/type/journal_article |
| _version_ | 1797616415647203328 |
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| author | J. Kim S.-A. Park S. Lee Y. Kwan S.-W. Choi |
| author_facet | J. Kim S.-A. Park S. Lee Y. Kwan S.-W. Choi |
| author_sort | J. Kim |
| collection | DOAJ |
| description |
Introduction
Hwa-Byung is a cultural-related mental syndrome that reflects the cultural characteristics of Korean in DSM-IV. This syndrome is caused by anger or resentment towards unreasonable social violence and trauma.
Objectives
The purpose of this study is to revise and validate the ’Hwa-Byung scale’, which can be used to diagnose Hwa-Byung and evaluate the severity of its symptoms.
Methods
To begin with, the factors of the Hwa-Byung scale were set based on the previous studies. Additionally, the respective subfactors were generated by the semi-structured interviews with these patients. Based on these factors and previous studies, a 142-item pool was developed and verified by six Oriental Neuropsychiatrists. A pilot study was conducted on 50 patients with Hwa-Byung and the main study for the validation was conducted on 200 Hwa-Byung patients. Item analysis, internal consistency, and exploratory/confirmatory factor analysis were performed. Lastly, this study analyzed the ROC curve to present the diagnostic cut-off score of the scale.
Results
As a result of analyzing the content validity of the item pool, we constructed a preliminary scale. We excluded the inadequate questions from the pilot study results. In the main study, The Hwa-Byung scale showed high internal consistency and its items were suitable for the factor structure. Finally, we suggest an optimal cut-off score of the symptoms sub-scale for screening Hwa-Byung.
Conclusions
Overall, the results of this study indicated the reliability and validity of the Hwa-Byung Scale. Based on these results, we discussed several values and limitations of this study and provided suggestions for further research.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:40:42Z |
| format | Article |
| id | doaj.art-0fe3dc1fbc7c4002b49af98ce8a1275f |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:40:42Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-0fe3dc1fbc7c4002b49af98ce8a1275f2023-11-17T05:08:28ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S544S54410.1192/j.eurpsy.2022.1393Revision and Validation of the Hwa-Byung ScaleJ. Kim0S.-A. Park1S. Lee2Y. Kwan3S.-W. Choi4Duksung Women’s University, Clinical Psychology Lab, Dobong-gu, Seoul, Republic of KoreaDuksung Women’s University, Clinical Psychology Lab, Dobong-gu, Seoul, Republic of KoreaDuksung Women’s University, Clinical Psychology Lab, Dobong-gu, Seoul, Republic of KoreaDuksung Women’s University, Clinical Psychology Lab, Dobong-gu, Seoul, Republic of Korea Yonsei University Wonju College of Medicine, Psychiatry, Wonju, Korea, Republic ofDuksung Women’s University, Clinical Psychology Lab, Dobong-gu, Seoul, Republic of Korea Introduction Hwa-Byung is a cultural-related mental syndrome that reflects the cultural characteristics of Korean in DSM-IV. This syndrome is caused by anger or resentment towards unreasonable social violence and trauma. Objectives The purpose of this study is to revise and validate the ’Hwa-Byung scale’, which can be used to diagnose Hwa-Byung and evaluate the severity of its symptoms. Methods To begin with, the factors of the Hwa-Byung scale were set based on the previous studies. Additionally, the respective subfactors were generated by the semi-structured interviews with these patients. Based on these factors and previous studies, a 142-item pool was developed and verified by six Oriental Neuropsychiatrists. A pilot study was conducted on 50 patients with Hwa-Byung and the main study for the validation was conducted on 200 Hwa-Byung patients. Item analysis, internal consistency, and exploratory/confirmatory factor analysis were performed. Lastly, this study analyzed the ROC curve to present the diagnostic cut-off score of the scale. Results As a result of analyzing the content validity of the item pool, we constructed a preliminary scale. We excluded the inadequate questions from the pilot study results. In the main study, The Hwa-Byung scale showed high internal consistency and its items were suitable for the factor structure. Finally, we suggest an optimal cut-off score of the symptoms sub-scale for screening Hwa-Byung. Conclusions Overall, the results of this study indicated the reliability and validity of the Hwa-Byung Scale. Based on these results, we discussed several values and limitations of this study and provided suggestions for further research. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822013931/type/journal_articleHwa-Byung scale revisionAngercultural-related syndrome |
| spellingShingle | J. Kim S.-A. Park S. Lee Y. Kwan S.-W. Choi Revision and Validation of the Hwa-Byung Scale European Psychiatry Hwa-Byung scale revision Anger cultural-related syndrome |
| title | Revision and Validation of the Hwa-Byung Scale |
| title_full | Revision and Validation of the Hwa-Byung Scale |
| title_fullStr | Revision and Validation of the Hwa-Byung Scale |
| title_full_unstemmed | Revision and Validation of the Hwa-Byung Scale |
| title_short | Revision and Validation of the Hwa-Byung Scale |
| title_sort | revision and validation of the hwa byung scale |
| topic | Hwa-Byung scale revision Anger cultural-related syndrome |
| url | https://www.cambridge.org/core/product/identifier/S0924933822013931/type/journal_article |
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