Kim Eun Soo, Kim Yun Tae, Oh Kang-Seob, Shin Young Chul, Jeon Sang-Won, Shin Dong-Won, Cho Sung Joon, Slavich George M, Kim Junhyung
Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul 03181, Republic of Korea.
Division of Biostatistics, Kangbuk Samsung Hospital, Seoul 03181, Republic of Korea.
Brain Sci. 2024 Dec 30;15(1):32. doi: 10.3390/brainsci15010032.
BACKGROUND/OBJECTIVES: Stressors occurring across the life course are considered to have a cumulative impact on health, but there is no instrument for assessing lifetime stressor exposure in Korea. Therefore, we validated the Stress and Adversity Inventory (Adult STRAIN) in Korean.
We translated the Adult STRAIN into Korean and examined its concurrent, predictive, and comparative predictive validity in 218 Korean adults (79 men, 139 women; = 29.5; 19-50 years old) recruited from a psychiatric setting. We assessed concurrent validity using Pearson's correlations, predictive validity using multiple regression models, and comparative predictive validity using multivariate logistic regression to identify participants with lifetime psychiatric diagnoses.
The Korean STRAIN exhibited sufficient usability and acceptability; good concurrent validity with other measures of early adversity, life events, and perceived stress (s = 0.48-0.61); and strong predictive validity in relation to anxiety and depressive symptoms (β = 0.08-0.47; ΔR2 = 0.11-0.21). Each domain of Korean-style stress, based on the timing, type, life domain, and sociopsychological characteristics of stress exposure, showed a different distribution of lifetime psychiatric diagnosis probabilities (odds ratios = 1.20-4.85). Finally, the test-retest reliability for total lifetime stressor count and severity over four weeks was high.
The Korean STRAIN is a practical, valid, and reliable instrument for researchers and clinicians to efficiently assess lifetime stressor exposure.
背景/目的：人们认为一生中所经历的压力源会对健康产生累积影响，但在韩国尚无评估一生压力源暴露情况的工具。因此，我们对韩国版的压力与逆境量表（成人版）进行了验证。
我们将成人版压力与逆境量表翻译成韩语，并在从精神科环境招募的218名韩国成年人（79名男性，139名女性；平均年龄29.5岁；年龄在19 - 50岁之间）中检验其同时效度、预测效度和比较预测效度。我们使用皮尔逊相关性评估同时效度，使用多元回归模型评估预测效度，使用多变量逻辑回归评估比较预测效度，以识别有终生精神科诊断的参与者。
韩国版压力与逆境量表表现出足够的可用性和可接受性；与其他早期逆境、生活事件和感知压力测量方法具有良好的同时效度（r = 0.48 - 0.61）；与焦虑和抑郁症状具有较强的预测效度（β = 0.08 - 0.47；ΔR² = 0.11 - 0.21）。基于压力暴露的时间、类型、生活领域和社会心理特征的韩式压力的每个领域，终生精神科诊断概率分布不同（优势比 = 1.20 - 4.85）。最后，四周内终生压力源总数和严重程度的重测信度较高。
韩国版压力与逆境量表是研究人员和临床医生有效评估一生压力源暴露的实用、有效且可靠的工具。
