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Revision and Validation of the Hwa-Byung Scale

Published online by Cambridge University Press:  01 September 2022

J. Kim ,
S.-A. Park ,
S. Lee ,
Y. Kwan  and
S.-W. Choi
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.

Keywords

Hwa-Byungscale revisionAngercultural-related syndrome
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S544
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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