한국판 기분상태척도(K-POMS)의 표준화와 신뢰도와 타당도 평가

Standardization and Reliability and Validity of the Korean Edition of Profile of Mood States(K-POMS)

POMS의 우수한 효용성을 국내에서도 활용하기 위해 K-POMS를 제작하여 그 신뢰도와 타당도를 점검하였고 만족할 만한 수준의 신뢰도와 타당도를 확보하였다. K-POMS의 요인 특성은 POMS와 비교하여 놀랄 만큼 유사한 특징을 보여준다. 단지 혼란-당황의 요소가 확실하지 않고 그 항목들이 여러 감정 요인에 나뉘어 부하되는 요인 분석 결과는 한국인의 정서와 그 표현이 영어권과 다를 가능성을 시사한다. 임상적으로 다양한 집단과 다양한 연령에 대한 자료를 보완하면 정신측정학적으로 훨씬 용이하게 사용할 수 있을 것이다. 나아가 이 연구에 나타난 제한점을 넘어서 한국인의 정서에 맞는 척도 항목을 개발하고 이 연구에서 나타난 '무기력과 불확실성' 요인이 일관성 있는 특성인지를 확인하는 작업이 필요할 것으로 생각한다.

Objectives: The Profile of Mood States (POMS) has been used broadly and frequently in various medical studies with various subjects. For the development and application of the Korean edition of POMS, called K-POMS, we translated POMS into Korean and then evaluated the reliability and validity of K-POMS. Methods: The subjects were 161 male students with a mean age of 18.1 years (15-30) and 244 female students with a mean age of 16.6 years (14-23). They were requested to perform K-POMS and SCL-90-R (Korean version) at the same time. Means, reliability coefficients, and test-retest correlations of K-POMS were calculated. Content validities, correlations with SCL-90-R, and discrimination validities in comparison with 76 depressive patients were obtained, and factor analyses were carried out. Results: Mean scores of Total Mood Disturbance (TMD) and some subscales (T, F, C, V factor) showed a significant difference between male and female students. The internal consistency coefficient ($\alpha$) of the total 65 items was 0.93, and ranged from 0.67 to 0.90 for subscales. Test-retest correlations of 43 subjects ranged from 0.27 to 0.63. Seven psychiatrists rated the properness of the content of each item as more than moderate degree (mean scale points=2.66, in the range of 0 to 4). Every subscale of KPOMS exhibited significant correlation with the matching subscale of SCL-90-R. Mean scores of K-POMS of the total 405 subjects were significantly different from those of the 76 depressive subjects after age correction. Six factors were extracted, accounting for 51.2% of total variance. Factor 6 consisted of 6 items which came from various subscales of POMS and represented "uncertainty and helplessness," which may be somewhat different to depression or sadness proper. Conclusion: The validity and reliability of K-POMS could be confirmed. The significant difference in K-POMS scores between depressive subjects and normal subjects suggests that K-POMS can be used clinically for the evaluation and screening of depression. The main structure of K-POMS is very similar to that of POMS, except the Confusion-Bewilderment factor which shows weak factor consistency in K-POMS. This may reflect some emotional characteristic of Koreans such as an undifferentiated aspect of cognitive efficiency. The sixth factor newly extracted from K-POMS also may be indicative of an unique emotional aspect of young Koreans.