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Study for revision of Hwa-Byung Scale: The Delphi Method

Published online by Cambridge University Press:  01 September 2022

S. Lee ,
J. Kim ,
S.-A. Park ,
Y. Kwan  and
S.-W. Choi
S. Lee
Affiliation:
Duksung Women’s University, Clinical Psychology, Soul, Korea, Republic of
J. Kim*
Affiliation:
Duksung Women’s University, Clinical Psychology, Soul, Korea, Republic of
S.-A. Park
Affiliation:
Duksung Women’s University, Clinical Psychology, Soul, Korea, Republic of
Y. Kwan
Affiliation:
Duksung Women’s University, Clinical Psychology, Soul, Korea, Republic of Yonsei University Wonju College of Medicine, Psychiatry, Wonju, Korea, Republic of
S.-W. Choi
Affiliation:
Duksung Women’s University, Clinical Psychology, Soul, Korea, Republic of
*
*Corresponding author.

Abstract

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Introduction

Hwa-Byung is a mental syndrome classified as a “cultural-related syndrome” which reflects the cultural characteristics of Korea in DSM-IV. Hwa-Byung is caused by anger, which is characterized by feelings of anger or resent about unreasonable social violence and trauma. Kwon et al (2008) had developed self-report measure to assess severity of Hwa-Byung but it has several limitations to use in current clinical settings. Therefore, we investigated opinions of experts who have professionality in giving treatment of Hwa-Byung patients in the clinical settings.

Objectives

The present study aimed to reach consent of oriental neuropsychiatrists’ opinions about the direction of revision of the Hwa-Byung scale.

Methods

The Delphi method is a survey method that induces people to freely present their opinions without face-to-face processes and reaches consent through continuous feedback of survey results while ensuring anonymity. The Consensus Panel consists of 16 experts who are Oriental neuropsychiatrists and have experience in diagnosing patients with Hwa-Byung. A total of four surveys were conducted as consensus was reached on the fourth round. Each questionnaire was distributed by mail to a panel of experts and was asked to submit a response after receiving the questionnaire.

Results

The results of the study are as follows. First, common factors for Hwa-Byung include anger, resent/blame, modify memory bias and attention bias for anger events. Second, characteristics of young Hwa-Byung patients include stress caused by social factors and excessive immersion in certain things such as drinking or smoking.

Conclusions

Therefore, when revising the Hwa-Byung scale, it would be necessary to include these factors.

Disclosure

No significant relationships.

Keywords

Oriental neuropsychiatryDelphi methodHwa-Byungscale revision
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S548 - S549
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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