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Revision and Validation of the Hwa-Byung Scale

Published online by Cambridge University Press:  01 September 2022

J. Kim*
Affiliation:
Duksung Women’s University, Clinical Psychology Lab, Dobong-gu, Seoul, Republic of Korea
S.-A. Park
Affiliation:
Duksung Women’s University, Clinical Psychology Lab, Dobong-gu, Seoul, Republic of Korea
S. Lee
Affiliation:
Duksung Women’s University, Clinical Psychology Lab, Dobong-gu, Seoul, Republic of Korea
Y. Kwan
Affiliation:
Duksung Women’s University, Clinical Psychology Lab, Dobong-gu, Seoul, Republic of Korea Yonsei University Wonju College of Medicine, Psychiatry, Wonju, Korea, Republic of
S.-W. Choi
Affiliation:
Duksung Women’s University, Clinical Psychology Lab, Dobong-gu, Seoul, Republic of Korea
*
*Corresponding author.

Abstract

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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.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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