The Reliability and Validity of the Korean Version of Behavioral Activation for Depression Scale

Ji-Hye Oh; Na-Ri Hwang; Yun-Ji Cha; Eun-Byeol Lee; Kee-Hong Choi; Ho-Jun Seo

doi:10.4306/jknpa.2017.56.2.89

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Oh, Hwang, Cha, Lee, Choi, and Seo: The Reliability and Validity of the Korean Version of Behavioral Activation for Depression Scale

Original Article

Journal of Korean Neuropsychiatric Association 2017; 56(2): 89-97.

Published online: 30 May 2017

DOI: https://doi.org/10.4306/jknpa.2017.56.2.89

The Reliability and Validity of the Korean Version of Behavioral Activation for Depression Scale

Ji-Hye Oh, MD¹, Na-Ri Hwang, MA¹, Yun-Ji Cha, BA², Eun-Byeol Lee, BA², Kee-Hong Choi, PhD², Ho-Jun Seo, MD, PhD¹

¹Department of Psychiatry, College of Medicine, The Catholic University of Korea, Seoul, Korea.

²Department of Psychology, Korea University, Seoul, Korea

Address for correspondence: Ho-Jun Seo, MD, PhD. Department of Psychiatry, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, 93 Jungbu-daero, Paldal-gu, Suwon 16247, Korea. Tel +82-31-249-8038, Fax +82-31-248-6758, healm@catholic.ac.kr

Received 9 March 2017 Revised 3 April 2017 Accepted 14 April 2017

Abstract

Objectives

The Behavioral Activation of Depression Scale (BADS) has been reported to be a valid tool for assessing the different behavioral aspects of depression, such as activation, rumination or avoidance, and functional impairment. The aim of this study was to assess the reliability and validity of the Korean version of BADS (K-BADS).

Methods

A sample of 196 outpatients completed the K-BADS and the data were analyzed for internal consistency and factor structures. An additional 51 outpatients re-filled the K-BADS after two weeks for the test-retest reliability. To test for the validity, the Hospital Anxiety and Depression Scale (HADS), Working Alliance Inventory (WAI), Drug Attitude Inventory-10 (DAI-10), and Mindfulness Attention Awareness Scale (MAAS) were administered.

Results

Internal consistency of K-BADS was good (Cronbach's alpha=0.843) and principal component factor analysis revealed the four-factor structure. The K-BADS showed a reasonable test-retest reliability (r=0.863, p<0.001). The total score of K-BADS correlated significantly with the total scores of the HADS depression (r=−0.694) and HADS anxiety (r=−0.681). No correlations were found between the K-BADS and the K-WAI (r=0.170) and between the K-BADS and the K-DAI-10 (r=0.311).

Conclusion

The K-BADS is a reliable and valid instrument for measuring the behavioral activation for depression in Korean patients with depressive symptoms.

Keywords: Korean version of Behavioral Activation for Depression Scale (K-BADS), Behavioral activation, Reliability, Validity

Figures and Tables

Table 1

Demographic characteristics of subjects (n=196)

Table 2

Pearson's correlations between Korean version of HADS and other questionnaires

^* : p<0.01. HADS : Hospital Anxiety and Depression Scale, HADS-D : HADS-depression, HADS-A : HADS-anxiety, WAI : Working Alliance Inventory, DAI-10 : Drug Attitude Inventory-10, MAAS : Mindfulness Attention Awareness Scale

Table 3

Factor loadings for each item of Korean version of Behavioral Activation for Depression Scale

^* : Only the values ≥0.5 were described, ^† : All correlation tests showed statistical significance with p<0.001

Appendix

Korean version of Behavioral Activation for Depression Scale

Notes

^{Conflicts of Interest} The authors have no financial conflicts of interest.

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