Kyeong-Han Kim, Sang-Chul Lee, Young-Bae Park, Young-Jae Park
Department of Human Informatics of Korean Medicine, Interdisciplinary Programs, Kyung Hee University, Seoul 02447, Korea.
Department of Business Administration, Korea Christian University, Seoul 07661, Korea.
J Tradit Chin Med. 2017 Oct;37(5):702-709.
To culturally translate the cardiff acne disability index (CADI) into Korean, and to examine its relationship with clinical acne severity, pathological patterns, and general quality of life (QoL).
The CADI was culturally and lin- guistically translated into Korean via translation, back-translation, and face validity test process. Two hundred and fifty-four Korean adolescents were asked to complete the Korean version of the CADI (K-CADI), the Phlegm Pattern, the Cold-Heat Pattern, and the Korean version of the General Health Questionnaires. A clinician estimated acne severity for the adolescents, using the Korean Acne Grading System. Finally, reliability and validity of the K-CADI was examined, and the relationships between acne severity, Phlegm, Cold, and Heat patterns, and QoL level were examined via pathway analysis.
The K-CADI had satisfactory internal con- sistency (α = 0.827). The examination of construct validity indicated that the K-CADI had one factor (explaining 59.6% of the total variance). Pathway analysis showed satisfactory model fit (normal fit index = 0.960 and comparative fit index = 0.983), and acne-related QoL was determinant to Phlegm, Heat, and Cold patterns (0.13-0.27 of β), and Phlegm and Heat patterns lowered one's QoL level (0.17-0.34 of β).
The K-CADI is a valid and reliable instrument. Phlegm and Heat patterns should be managed when treating acne since they have a moderating effect on general QoL aggravation.
将加的夫痤疮残疾指数（CADI）进行文化调适并翻译成韩语，并研究其与临床痤疮严重程度、病理模式及总体生活质量（QoL）之间的关系。
通过翻译、回译及表面效度测试过程，将CADI进行文化和语言调适并翻译成韩语。254名韩国青少年被要求完成韩语版的CADI（K-CADI）、痰湿证型、寒热证型及韩语版的一般健康问卷。一名临床医生使用韩国痤疮分级系统评估青少年的痤疮严重程度。最后，检验K-CADI的信效度，并通过路径分析研究痤疮严重程度、痰湿、寒热证型与生活质量水平之间的关系。
K-CADI具有令人满意的内部一致性（α = 0.827）。结构效度检验表明K-CADI有一个因子（解释总方差的59.6%）。路径分析显示模型拟合良好（正态拟合指数 = 0.960，比较拟合指数 = 0.983），且痤疮相关生活质量是痰湿、热、寒证型的决定因素（β值为0.13 - 0.27），痰湿和热证型会降低生活质量水平（β值为0.17 - 0.34）。
K-CADI是一种有效且可靠的工具。治疗痤疮时应处理痰湿和热证型，因为它们对总体生活质量恶化有调节作用。
