Psychometric Evaluation of the Mental Health Continuum-Short Form (MHC-SF) in South Koreans

정신적 웰빙 척도(MHC-SF)의 한국어판 타당화 연구

  • Published : 2012.06.25

Abstract

A continuous assessment and a categorical diagnosis of the presence of mental well-being, characterized as flourishing, and the absence of mental well-being, described as languishing, are applied to a random sample of 1,000 South Korean adults. The aim here is to examine the factorial structure, reliability, and convergent/discriminant validity of a Korean version of the Mental Health Continuum short form (K-MHC-SF). Confirmatory factor analysis (CFA) confirmed the 3-factor structure in emotional, social, and psychological well-being. The internal consistency of the overall K-MHC-SF was .93 and its test-retest reliability was .72. The total score on the K-MHC-SF correlated .54 with a measure of psychosocial functioning, showing convergent validity. In addition, criteria for the categorical diagnosis were applied, and findings revealed that 8.1% were flourishing, 72.8% were moderately mentally healthy, and 19.1% were languishing. Another CFA supported the hypothesized two-continua model of mental health and mental illness, showing discriminant validity. The results of the present study suggest that the K-MHC-SF is a psychometrically sound instrument for measuring the three dimensions of mental well-being.

본 연구에서는 서구에서 개발된 정신적 웰빙 척도(Mental Health Continuum Short Form: MHC-SF; Keyes et al., 2008) 14문항을 번역 역번역 절차를 통해 한국판을 구성하고, 일반인 1000명(남 495, 여 505)에게 실시하여 한국판 정신적 웰빙 척도(K-MHC-SF)의 요인구조, 신뢰도와 수렴 및 변별타당도를 경험적으로 검증하고자 하였다. K-MHC-SF의 요인구조를 알아보기 위하여, 확인적 요인분석을 실시한 결과, 선행 연구와 일치되게, 정서적 웰빙, 사회적 웰빙, 그리고 심리적 웰빙으로 구성된 상관 3요인 모형이 지지되었다. K-MHC-SF의 내적 합치도는 .93으로 양호하였고, 검사 재검사 신뢰도는 .72로서 기준에 부합하였다. K-MHC-SF 척도와 여러 타당도 지표간의 상관분석을 실시한 결과, 척도의 수렴 변별 타당도가 확립되었다. 정신적 웰빙의 진단 기준을 적용하여 참가자들을 분류한 결과, 8.1%가 번영 단계, 19.1%가 쇠약 단계, 그리고 나머지 대다수의 참여자들은 양호 단계에 해당하였다. 이에 더해, 정신적 웰빙과 정신장애의 관계를 규명하기 위하여 확인적 요인분석을 수행한 결과, 상관 2요인 모형이 가장 적합한 것으로 밝혀졌다. 결론적으로, 이 결과들은 K-MHC-SF가 정신적 웰빙의 세 차원들을 매우 신뢰롭고 타당하게 측정하는 도구임을 시사한다. 끝으로, 연구의 의의와 제한점 및 추후 연구 과제에 대해 논의하였다.

Keywords

References

  1. 임낭연, 이화령, 서은국 (2010). 한국에서의 Diener의 삶의 만족 척도 사용 연구 개관. 한국심리학회지: 일반 29(1), 21-47.
  2. 임영진, 고영건, 신희천, 조용래 (2010). 한국인의 정신건강. 2010 한국심리학회 연차학술대회 논문집, 233-257.
  3. 신선인 (2001). 한국판 일반정신건강척도 (KGHQ)의 개발에 관한 연구 I: KGHQ-20과 KGHQ-30을 중심으로 한국사회복지학, 9, 210-235.
  4. American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.
  5. Bentler, P. M. (1990). Comparative Fit Indexes in Structural Models. Psychological Bulletin, 107(2), 238-246. https://doi.org/10.1037/0033-2909.107.2.238
  6. Cho, M., Chang, S., Lee, Y., Bae, A, Ahn, J. Son, J., Hong, J., Bae, J., Lee, D., Cho, S., Park, J., Lee, J., Kim, J., Jeon, H., Sohn, J., & Kim, B. (2010). Prevalence of DSM-IV major mental disorders among Korean adults: A 2006 National Epidemiologic Survey (KECA-R). Asian Journal of Psychiatry, 3, 26-30. https://doi.org/10.1016/j.ajp.2010.01.009
  7. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed). Hillsdale, NJ: Lawrence Earlbaum Associates.
  8. Diener, E. (1984). Subjective well-being. Psychological Bulletin, 95, 542-575. https://doi.org/10.1037/0033-2909.95.3.542
  9. Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49, 71-75. https://doi.org/10.1207/s15327752jpa4901_13
  10. Goldberg, D. P., & Hillier, V. F. (1979). A scaled version of the General Health Questionnaire. Psychological Medicine, 9(1), 139-145. https://doi.org/10.1017/S0033291700021644
  11. Kessler, R. C., Chiu, W. T., Demler, O., Merikangas, K. R, & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 617-627. https://doi.org/10.1001/archpsyc.62.6.617
  12. Keyes, C. L. M. (1998). Social well-being. Social Psychology Quarterly, 61(2), 121-140. https://doi.org/10.2307/2787065
  13. Keyes, C. L. M. (2002). The mental health continuum: From languishing to flourishing in life. Journal of Health and Social Behavior, 43, 207-222. https://doi.org/10.2307/3090197
  14. Keyes, C. L. M. (2003). Complete mental health: An agenda for the 21st century. In C. L. M. Keyes & J. Haidt (Eds.), Flourishing: Positive Psychology and the Life Well-Lived (pp. 293-312). Washington, DC: American Psychological Association Press.
  15. Keyes, C. L. M. (2005). Mental health and/or mental illness? Investigating axioms of the complete state model of health. Journal of Consulting and Clinical Psychology, 73, 539-548. https://doi.org/10.1037/0022-006X.73.3.539
  16. Keyes, C. L. M., & Annas, J. (2009). Feeling good and functioning well: distinctive concepts in ancient philosophy and contemporary science. The Journal of Positive Psychology, 4(3), 197-201. https://doi.org/10.1080/17439760902844228
  17. Keyes, C. L. M., & Lopez, S. J. (2002). Toward a science of mental health: Positive directions in diagnosis and interventions. In C. R. Snyder & S. J. Lopez (Eds.), Handbook of positive psychology (pp. 45-59). New York: Oxford University Press.
  18. Keyes, C. L. M., Wissing, M., Potgieter, J., Temane, M., Kruger, A., & van Rooy, S. (2008). Evaluation of the Mental Health Continuum - Short Form (MHC-SF) in Swetsana-speaking South Africans. Clinical Psychology and Psychotherapy, 15(3), 181-192. https://doi.org/10.1002/cpp.572
  19. Lamers, S. M. A., Westerhof, G. J., Bohlmeijer, E. T., ten Klooster, P. M, & Keyes, C. L. M. (2010). Evaluaring the psychometric properties of the Mental Health Continuum - Short Form (MHC-SF). Journal of Clinical Psychology, 67(1), 99-110.
  20. Lim, Y-J., Go, Y-G., Shin, H-C., & Cho, Y-R (in press). Prevalence and correlates of complete mental health in the South Korean adult population. In C. Keyes (Eds.), Mental well-being: International contributions to the study of positive mental health. New York: Springer.
  21. Meng, X. L., Rosenthal, R, Rubin, D. B. (1992). Comparing correlation coefficients. Psychological Bulletin, 111(1), 172-175. https://doi.org/10.1037/0033-2909.111.1.172
  22. Muthen, L. K., & Muthen, B. O. (2002). Mplus 2.02 [Computer software). Los Angeles: Author.
  23. Nunnally, J., & Bernstein, I. (1994). Psychometric theory. New York: McGraw-Hill.
  24. Robitschek, C., & Keyes, C. L. M. (2009). The structure of Keyes' model of mental health and the role of personal growth initiative as a parsimonious predictor. Journal of Counseling Psychology, 56, 321-329. https://doi.org/10.1037/a0013954
  25. Ryff, C. D. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology, 57(6), 1069-1081. https://doi.org/10.1037/0022-3514.57.6.1069
  26. Ryff, C. D., & Keyes, C. L. M. (1995). The structure of psychological well-being revisited. Journal of Personality and Social Psychology, 69(4), 719-727. https://doi.org/10.1037/0022-3514.69.4.719
  27. Sreiger, J. H. (1990). Structural model evaluation and modification: An interval estimation approach. Multivariate Behavioral Research, 25(2), 173-180. https://doi.org/10.1207/s15327906mbr2502_4
  28. Tucker, L. R, & Lewis, C. (1973). A reliability coefficient for maximum likelihood factor analysis. Psychometrika, 38(1), 1-10. https://doi.org/10.1007/BF02291170
  29. Watson, D., Clark, L., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063-1070. https://doi.org/10.1037/0022-3514.54.6.1063