Reliability and Validity of the North Korean Version of Center for Epidemiologic Studies Depression Scale (CES-D-NK)

북한어판 CES-D(Center for Epidemiologic Studies Depression Scale-North Korea ; CES-D-NK)의 신뢰도와 타당도

  • Park, Sung-Jin (Department of Psychology, Seoul National University) ;
  • Lee, So Hee (Department of Psychiatry, National Medical Center) ;
  • Jun, Jin Yong (Department of Psychiatry, Seoul National Hospital) ;
  • Lee, Taeyeop (Department of Psychiatry, Asan Medical Center, College of Medicine, University of Ulsan) ;
  • Han, Jeong Mee (Settlement Support Center for Dislocated North Koreans, Ministry of Unification) ;
  • Ahn, Myung Hee (Department of Psychiatry, Seoul National Hospital) ;
  • Hong, Jin Pyo (Department of Psychiatry, Sungkyunkwan University School of Medicine, Samsung Medical Center)
  • 박승진 (서울대학교 심리학과) ;
  • 이소희 (국립중앙의료원 정신건강의학과) ;
  • 전진용 (국립서울병원 정신건강의학과) ;
  • 이태엽 (울산대학교 의과대학 서울아산병원 정신건강의학교실) ;
  • 한정미 (통일부 북한이탈주민정착지원사무소) ;
  • 안명희 (국립서울병원 정신건강의학과) ;
  • 홍진표 (성균관대학교 의과대학 삼성서울병원 정신과학교실)
  • Received : 2015.03.25
  • Accepted : 2015.04.16
  • Published : 2015.04.30

Abstract

Objective : To translate Center for Epidemiologic Studies Depression Scale (CES-D) into North Korean language and to examine its reliability and validity Methods : North Korean defectors (n=207) recruited from the call center for North Korean defectors participated. Psychiatrists and psychiatric residents interviewed the participants and made the psychiatric diagnoses. Subsequently, the participants completed the CES-D, Impact of Event-Scale-Revised-North Korea (IES-R-NK), Alcohol Use Disorders Identification Test-North Korea (AUDIT-NK), and Brief Psychological State Inventory for North Korean Refugees (BPSI-NKR) questionnaires. Of the original participants, 143 subjects participated in test-retest reliability study after one week. Results : Cronbach's alpha coefficient of CES-D-NK was superior in both males (0.91) and females (0.93). The test-retest correlation coefficient was high (males, 0.64 ; femals, 0.79). Good convergent validity was evident by significant correlations with IER-R-NK, BPSI-NKR-Depression and BPSI-NKR-PTSD, respectively. CES-D-NK had no or weak correlations with AUDIT-NK and BPSI-NKR-Alcohol, showing its discriminant validity. Conclusion : CES-D-NK could be a reliable and valid tool for screening and assessing depressive symptoms of North Korean defectors.

Keywords

Acknowledgement

Supported by : 보건복지부

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