Journal of the Korean Academy of Child and Adolescent Psychiatry

Korean Academy of Child and Adolescent Psychiatry (대한소아청소년정신의학회)
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Exploratory Factor Analysis of the Adolescent Version of the General Behavior Inventory in Korean Youth

  • Lee, Han-Sung (Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kwon, Yejin (Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Shon, Seung-Hyun (Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Park, Kee Jeong (Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Hyo-Won (Department of Psychiatry, Asan Medical Center, University of Ulsan College of Medicine)
  • Received : 2019.06.14
  • Accepted : 2019.08.13
  • Published : 2019.10.01
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Abstract

Objectives: We examined the factor structure of the Adolescent version of the General Behavior Inventory (A-GBI) for Koreans. Methods: We retrospectively reviewed the medical records of 220 adolescents (age, 12-18 years) who completed the A-GBI through the Department of Psychiatry at Asan Medical Center, Seoul, Korea, from October 2011 to December 2018. Caregivers of the study participants completed the Parent version of the GBI (P-GBI) 10-item Mania Scale. The adolescents were evaluated based on the A-GBI, Children's Depression Inventory (CDI), and Revised-Children's Manifest Anxiety Scale (RCMAS). Subsequently, an exploratory factor analysis (EFA) using the maximum likelihood method with direct oblimin rotation and correlation analyses with other scales were performed. Results: The EFA identified a two-factor structure as having the best fit: factor I included depressive symptoms and factor II included hypomanic/biphasic symptoms. Factor I was very strongly correlated with the A-GBI depressive subscale (r=0.990, p<0.001) and strongly correlated with CDI (r=0.764, p<0.001) and RCMAS (r=0.666, p<0.001). Factor II was also very strongly correlated with the A-GBI hypomanic/biphasic subscale (r=0.877, p<0.001) and weakly correlated with CDI (r=0.274, p<0.001) and RCMAS (r=0.332, p<0.001). Conclusion: The above findings support a two-dimensional model of mood symptoms in Korean youth.

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References

  1. Kazdin AE. Childhood depression. J Child Psychol Psychiatry 1990;31:121-160. https://doi.org/10.1111/j.1469-7610.1990.tb02276.x
  2. Merikangas KR, He JP, Burstein M, Swanson SA, Avenevoli S, Cui L, et al. Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication--Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry 2010;49:980-989. https://doi.org/10.1016/j.jaac.2010.05.017
  3. Ministry of Gender Equality and Family. The white paper on youth in Korea. Sejong: Ministry of Gender Equality and Family;2016.
  4. Geller B, Tillman R, Craney JL, Bolhofner K. Four-year prospective outcome and natural history of mania in children with a prepubertal and early adolescent bipolar disorder phenotype. Arch Gen Psychiatry 2004;61:459-467. https://doi.org/10.1001/archpsyc.61.5.459
  5. Kowatch RA, Youngstrom EA, Danielyan A, Findling RL. Review and meta-analysis of the phenomenology and clinical characteristics of mania in children and adolescents. Bipolar Disord 2005;7:483-496. https://doi.org/10.1111/j.1399-5618.2005.00261.x
  6. Coyle JT, Pine DS, Charney DS, Lewis L, Nemeroff CB, Carlson GA, et al. Depression and bipolar support alliance consensus statement on the unmet needs in diagnosis and treatment of mood disorders in children and adolescents. J Am Acad Child Adolesc Psychiatry 2003;42:1494-1503. https://doi.org/10.1097/00004583-200312000-00017
  7. Goldstein TR, Birmaher B, Axelson D, Ryan ND, Strober MA, Gill MK, et al. History of suicide attempts in pediatric bipolar disorder: factors associated with increased risk. Bipolar Disord 2005;7:525-535. https://doi.org/10.1111/j.1399-5618.2005.00263.x
  8. Rudolph KD, Lambert SF. Child and adolescent depression. In: Mash EJ, Barkley RA, editors. Assessment of childhood disorders. New York: Guilford Press;2007. p.213-252.
  9. Depue RA, Krauss S, Spoont MR, Arbisi P. General behavior inventory identification of unipolar and bipolar affective conditions in a nonclinical university population. J Abnorm Psychol 1989;98:117-126. https://doi.org/10.1037/0021-843X.98.2.117
  10. Youngstrom EA. Pediatric bipolar disorder. In: Mash EJ, Barkley RA, editors. Assessment of childhood disorders. New York: Guilford Press;2007. p.253-304.
  11. Lee HJ, Joo Y, Youngstrom EA, Yum SY, Findling RL, Kim HW. Diagnostic validity and reliability of a Korean version of the parent and adolescent general behavior inventories. Compr Psychiatry 2014;55:1730-1737. https://doi.org/10.1016/j.comppsych.2014.05.008
  12. Danielson CK, Youngstrom EA, Findling RL, Calabrese JR. Discriminative validity of the general behavior inventory using youth report. J Abnorm Child Psychol 2003;31:29-39. https://doi.org/10.1023/A:1021717231272
  13. Youngstrom EA, Frazier TW, Demeter C, Calabrese JR, Findling RL. Developing a 10-item mania scale from the parent general behavior inventory for children and adolescents. J Clin Psychiatry 2008;69:831-839. https://doi.org/10.4088/JCP.v69n0517
  14. Reynolds CR, Richmond BO. What I think and feel: a revised measure of children's manifest anxiety. J Abnorm Child Psychol 1978;6:271-280. https://doi.org/10.1007/BF00919131
  15. Choi JS, Cho SC. Assessment of anxiety in children: reliability and validity of revised children's manifest anxiety scale. J Korean Neuropsychiatr Assoc 1990;29:691-702.
  16. Kovacs M, Beck AT. An empirical-clinical approach toward a definition of childhood depression. Depression in childhood: diagnosis, treatment, and conceptual models. New York: Raven Press;1977.
  17. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961;4:561-571. https://doi.org/10.1001/archpsyc.1961.01710120031004
  18. Cho SC, Lee YS. Development of the Korean form of the Kovacs' children's depression inventory. J Korean Neuropsychiatr Assoc 1990;29:943-956.
  19. Youngstrom EA, Findling RL, Danielson CK, Calabrese JR. Discriminative validity of parent report of hypomanic and depressive symptoms on the general behavior inventory. Psychol Assess 2001;13:267-276. https://doi.org/10.1037/1040-3590.13.2.267
  20. Kirmayer LJ, Groleau D. Affective disorders in cultural context. Psychiatr Clin North Am 2001;24:465-478, vii. https://doi.org/10.1016/S0193-953X(05)70241-0
  21. Kleinman AM. Depression, somatization and the "new cross-cultural psychiatry." Soc Sci Med 1977;11:3-9. https://doi.org/10.1016/0037-7856(77)90138-X
  22. Ryder AG, Yang J, Zhu X, Yao S, Yi J, Heine SJ, et al. The cultural shaping of depression: somatic symptoms in China, psychological symptoms in North America? J Abnorm Psychol 2008;117:300-313. https://doi.org/10.1037/0021-843X.117.2.300
  23. Mackin P, Targum SD, Kalali A, Rom D, Young AH. Culture and assessment of manic symptoms. Br J Psychiatry 2006;189:379-380. https://doi.org/10.1192/bjp.bp.105.013920
  24. Chang SM, Hahm BJ, Lee JY, Shin MS, Jeon HJ, Hong JP, et al. Cross-national difference in the prevalence of depression caused by the diagnostic threshold. J Affect Disord 2008;106:159-167. https://doi.org/10.1016/j.jad.2007.07.023
  25. Soutullo CA, Chang KD, Diez-Suarez A, Figueroa-Quintana A, Escamilla-Canales I, Rapado-Castro M, et al. Bipolar disorder in children and adolescents: international perspective on epidemiology and phenomenology. Bipolar Disord 2005;7:497-506. https://doi.org/10.1111/j.1399-5618.2005.00262.x
  26. Martin A, Volkmar FR, Lewis M. Lewis's child and adolescent psychiatry: a comprehensive textbook. Philadelphia: Lippincott Williams & Wilkins;2007.