Reliability and Validity of the Korean Version of the Recovery Assessment Scale(RAS) for Psychiatric Patients

정신과 환자를 위한 한국판 회복평가척도(Recovery Assessment Scale)의 신뢰도 및 타당도 연구

  • 임경민 (연세대학교 일반대학원 작업치료학과) ;
  • 신은식 (국립나주병원) ;
  • 심선화 (연세대학교 일반대학원 작업치료학과) ;
  • 정윤주 (충청남도광역치매센터)
  • Received : 2014.07.08
  • Accepted : 2014.08.27
  • Published : 2014.10.28


The aim of this study was to explore the reliability and validity of the Korean version of the Recovery Assessment Scale in psychiatric patients. The original RAS was translated into Korean and the content was verified through back-translation procedures. This study included 142 patients who had chronic mental illness and were aged 18 or older. The subjects were assessed by using RAS-K, the 12-item Dispositional Hope Scale(DHS), the 28-item Mental Health Recovery Measure(MHRM), the 32-item Behavior and Symptom Identification Scale (BASIS-32). In the reliability test, Crobach's a coefficient and test-retest reliabilities were 0.92 and 0.79, respectively, indicating that the RAS-K has good internal consistency. In the analysis of the concurrent validity of the RAS-K, there were significant correlations between the RAS-K and DHS(r=.675, p<0.01), and between the RAS-K and MHRM(r=.816, p<0.01), but lower correlations with symptoms and clinician-related measures of psychiatric functioning. Factor analysis resulted in a five factor solution accounting for 62.476% of the common variance. Our study indicates that the RAS-K is an appropriate instrument to assess recovery in Korean psychiatric patients.


Recovery Assessment Scale;Reliability;Validity;Psychiatric Patients


  1. R. P. Liberman and A. Kopelowicz, "Recovery from schizophrenia: a concept in search of research," Psychiatric Services, Vol.56, No.6, pp.735-742, 2005.
  2. G. Roberts and P. Wolfson, "The rediscovery of recovery: open to all," Advances in Psychiatric Treatment, Vol.10, No.1, pp.37-48, 2004.
  3. L. Davidson, J. Tondora, M. J. O'Connell, T. Kirk Jr, P. Rockholz, and A. C. Evans, "Creating a recovery-oriented system of behavioral health care: moving from concept to reality," Psychiatric Rehabilitation Journal, Vol.31, No.1, pp.23-31, 2007.
  4. W. A. Anthony, "Recovery from mental illness: The guiding vision of the mental health service system in the 1990s," Psychosocial Rehabilitation Journal, Vol.16, pp.11-13, 1993.
  5. P. E. Deegan, "Recovery: The lived experience of rehabilitatio," Psychosocial Rehabilitation Journal, Vol.11, No.4, pp.11-19, 1988.
  6. B. Schrank and M. Slade, "Recovery in psychiatry," Psychiatric Bulletin, Vol.31, No.9, pp.321-325, 2007.
  7. S. Mead and M. E. Copeland, "What recovery means to us: consumers' perspectives," Community mental health journal, Vol.36, No.3, pp.315-328, 2000.
  8. R. Andresen, L. Oades, and P. Caputi, "The experience of recovery from schizophrenia: towards an empirically validated stage model," Australasian Psychiatry, Vol.37, No.5, pp.586-594, 2003.
  9. 심경순, 송순인, "정신보건전문가들이 인식하는 정신장애인의 회복에 관한 연구", 정신보건과 사회사업, 제32권, pp.78-105, 2009.
  10. C. R. Snyder, C. Harris, J. R Anderson, S. A. Holleran, L. M. Irving, S. T. Sigmon, and P. Harney, "The will and the ways: development and validation of an individual-differences measure of hope," Journal of Personality and Social Psychology, Vol.60, No.4, pp.570-585, 1991.
  11. C. Gagne, W. White, and W. A. Anthony, "Recovery: A common vision for the fields of mental health and addictions," Psychiatric Rehabilitation Journal, Vol.31, No.1, pp.32-37, 2007.
  12. M. Cavelti, S. Kvrgic, E. M. Beck, J. Kossowsky, and R. Vauth, "Assessing recovery from schizophrenia as an individual process. A review of self-report instruments," European psychiatry, Vol.27, No.1, pp.19-32, 2012.
  13. D. Giffort, A. Schmook, C. Woody, C. Vollendorf, and M. Gervain, Construction of a scale to measure consumer recovery, Illinois Office of Mental Health, 1995.
  14. P. W. Corrigan, M. Salzer, R. O. Ralph, Y. Sangster, and L. Keck, "Examining the factor structure of the recovery assessment scale," Schizophrenia bulletin, Vol.30, No.4, pp.1035-1041, 2004.
  15. 정영선, 만성정신분열병 환자가 지각하는 가족의 지지 및 표출정서가 회복평가에 미치는 영향, 동의대학교 석사논문, 2010.
  16. 김나라, 김명식, 권정혜, "만성정신분열병의 회복과 관련된 변인에 대한 연구", 한국심리학회지:임상, 제24권, 제4호, pp739-754, 2005.
  17. R. Chiba, Y. Miyamoto, and N. Kawakami, "Reliability and validity of the Japanese version of the Recovery Assessment Scale (RAS) for people with chronic mental illness: scale development," International journal of nursing studies, Vol.47, No.3, pp.314-322, 2010.
  18. M. McNaught, P. Caputi, L. G. Oades, and F. P. Deane, "Testing the validity of the Recovery Assessment Scale using an Australian sample," The Australian and New Zealand journal of psychiatry, Vol.41, No.5, pp.450-457, 2007.
  19. 최유희, 이희경, 이동귀, "Snyder의 희망척도 한국번역판의 타당화 연구", 한국심리학회지, 제22권, 제2호, pp.1-16, 2008.
  20. C. R Synder, "Conceptualizing, measuring, and nurturing hope," Journal of Counseling and Development, Vol.73, pp.355-360, 1995.
  21. S. L. Young and D. Ending, "Exploring recovery from the perspective of people with psychiatric disabilities," Psychiatric Rehabilitation Journal, Vol.22, pp.219-231, 1999.
  22. 송경옥, 한국어판 정신건강회복척도(MHRM-K)의 신뢰도와 타당도 평가, 정신보건과 사회사업, 제34권, 제4호, pp.154-188, 2010.
  23. S. V. Eisen, D. L. Dill, and M. C. Grob, "Reliability and validity of a brief patient-report instrument for psychiatric outcome evaluation," Spital & community psychiatry, Vol.45, No.3, pp.242-247, 1994.
  24. 배안, 홍창희, 신정, "행동 및 증상 평가척도의 타당화 연구", 한국심리학회지:임상, 제30권, 제4호, pp.929-941, 2011.
  25. R. J. Fehring, "Methods to validate nursing diagnoses," Heart & Lung, Vol.16, No.6, pp.1-9, 1987.
  26. G. Roberts and P. Wolfson, "The rediscovery of recovery: open to all," Advances in Psychiatric Treatment, Vol.10, No.1, pp.37-48, 2004.
  27. 김미량, 이연주, 황선환, "여가만족척도(LSSShort form)의 타당도 검증과 적용", 한국컨텐츠학회논문지, 제10권, 제11호, pp.435-445, 2010.