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Reliability and Validity of the Korean Version of the Recovery Assessment Scale(RAS) for Psychiatric Patients

정신과 환자를 위한 한국판 회복평가척도(Recovery Assessment Scale)의 신뢰도 및 타당도 연구

  • 임경민 (연세대학교 일반대학원 작업치료학과) ;
  • 신은식 (국립나주병원) ;
  • 심선화 (연세대학교 일반대학원 작업치료학과) ;
  • 정윤주 (충청남도광역치매센터)
  • Received : 2014.07.08
  • Accepted : 2014.08.27
  • Published : 2014.10.28

Abstract

The aim of this study was to explore the reliability and validity of the Korean version of the Recovery Assessment Scale in psychiatric patients. The original RAS was translated into Korean and the content was verified through back-translation procedures. This study included 142 patients who had chronic mental illness and were aged 18 or older. The subjects were assessed by using RAS-K, the 12-item Dispositional Hope Scale(DHS), the 28-item Mental Health Recovery Measure(MHRM), the 32-item Behavior and Symptom Identification Scale (BASIS-32). In the reliability test, Crobach's a coefficient and test-retest reliabilities were 0.92 and 0.79, respectively, indicating that the RAS-K has good internal consistency. In the analysis of the concurrent validity of the RAS-K, there were significant correlations between the RAS-K and DHS(r=.675, p<0.01), and between the RAS-K and MHRM(r=.816, p<0.01), but lower correlations with symptoms and clinician-related measures of psychiatric functioning. Factor analysis resulted in a five factor solution accounting for 62.476% of the common variance. Our study indicates that the RAS-K is an appropriate instrument to assess recovery in Korean psychiatric patients.

본 연구는 정신과 환자에게 한국판 회복평가척도(RAS-K)의 신뢰도와 타당도를 검사하기 위해 실시하였다. 회복평가척도의 원본을 가지고 번안, 역번안을 실시하여 한국판 회복평가척도를 만들었다. 이 연구는 만성적인 정신과적 문제를 가지고 있는 18세 이상의 142명의 대상자에게 실시하였다. 평가도구는 한국판 회복평가척도, 한국판 희망척도, 정신건강회복척도, 행동 및 증상 평가 척도를 사용하였다. 신뢰도 검사에서 내적일치도는 .92, 검사-재검사 신뢰도는 .79로 높은 내적일치도를 지니고 있음을 알 수 있었다. RAS-K와의 동시타당도는 한국판 희망평가척도(r=.675, p<0.01), 정신건강회복척도(r=.816, p<0.01)와는 유의미한 관계를 나타내었으나, 행동 및 증상 평가척도와는 관계는 낮았다. 요인분석 결과는 요인이 5개로 추출되었으며 전체 설명 비율이 62.476%였다. 이 연구는 RAS-K는 한국의 정신과적인 문제를 가진 사람들에게 회복을 평가하기에 적절한 도구라는 것을 보여준다.

Keywords

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