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Transcultural Psychiatry
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Development of a Scale to Assess Hwa-Byung, a Korean Culture-bound Syndrome, Using the Korean MMPI-2

Miguel E. Roberts

Duke University Medical School

Kyunghee Han

Central Michigan University

Nathan C. Weed

Central Michigan University

This study documents the development of an MMPI-2 scale designed to assess features of the Korean culture-bound syndrome, Hwa-Byung (HB). An American research team and psychiatric practitioners in Korea created an 18-item HB scale via rational item selection and psycho-metric refinement. Principal components analysis of scale items revealed four components, reflecting content domains of general health, gastrointestinal symptoms, hopelessness, and anger. This four-component solution applied well to both Korean men and women, but not to an American sample. Although some findings were encouraging, future studies employing clinical samples are needed to provide further validation of this scale.

Key Words: culture-bound syndrome • Hwa-Byung • Korean MMPI-2 • personality assessment • scale development

Transcultural Psychiatry, Vol. 43, No. 3, 383-400 (2006)
DOI: 10.1177/1363461506067715
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