한국판 행동건강질문지-20(K-BHQ-20)의 신뢰도 및 타당도 연구 = A reliability and validity study of the Korean Version of Behavioral Health Questionnaire 20 (K-BHQ-20)

다국어 초록 (Multilingual Abstract)

Behavioral Health Questionnaire-20 is a self-report instrument assessing the status of mental health and the effects of psychotherapy. While most of the mental health assessments focus on psychological symptoms, BHQ-20 aims to monitor overall mental health over time(especially across psychotherapy sessions) by including scales of Well-Being and Life Functioning as well as a scale of Symptoms. The present study evaluated the psychometric properties of the Korean version of the Behavioral Health Questionnaire-20(K-BHQ-20). We gave the K-BHQ-20 to 400 college students in Pohang. The 4 constructs of the K-BHQ-20 investigated by factor-analyzing were 'Psychological Symptoms', 'Well-Being of School Life', 'Drinking/Eating Problem' and 'Social Life Functioning'. The K-BHQ-20's concurrent validity was supported by correlations with Mt and BDI. Support was also found for the reliability of internal consistency measure(Chronbach's alpha). The present study demonstrated that the K-BHQ-20, a relatively brief questionnaire, is a valid and reliable measure for assessing university students' mental health. To further prove the validity of the K-BHQ-20 as a measure assessing the effectiveness of psychotherapy, the future research needs to determine whether the K-BHQ-20 can detect responsiveness to psychotherapy or recovery across therapy sessions in university counseling service.

국문 초록 (Abstract)

정신건강이나 심리치료의 효과를 평가하는 자기 보고식 검사는 많다. 이런 검사의 대부분은 심리적 증상을 위주로 평가하고 있다. 그런데 정신건강의 평가는 증상의 유, 무뿐만 아니라 웰빙과 사회적/직업적 기능까지 고려하여야 한다. 본 연구에서는 이런 목적에 적합한 행동건강 질문지-20 (Behavioral Health Questionnaire-20: BHQ-20)을 소개하고, 이 검사 척도가 한국 대학생들의 정신건강을 진단하고 심리치료의 효과를 평가해주는 정신건강 측정도구로서 적합한지를 알아보기 위한 예비연구로 수행되었다. 대학생 집단 400명을 대상으로 먼저 한글판 BHQ-20(K-BHQ-20)의 요인구조를 탐색한 결과, 원판 BHQ-20과는 달리 4개의 요인, 즉 ‘학교생활의 웰빙’, ‘심리 증상’, ‘음주/섭식문제’ 및 ‘사회생활 기능’의 요인이 확인되었다. 내적 일치도로 살펴본 K-BHQ-20의 신뢰도는 양호하였으며, 대학생활 부적응 척도 및 BDI와의 상관관계를 통해 동시 타당도를 검증하였다. 마지막으로 K-BHQ-20을 정신건강 및 심리치료의 평가 척도로서 제안하기 위해 본 연구가 갖는 제한점을 논의하였다.

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