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KMID : 1118520240210030242
Psychiatry Investigation
2024 Volume.21 No. 3 p.242 ~ p.254
Development and Validation of the Mental Health Scale for Maltreated Children
Kim Bin-Na

Jo Hye-Seon
Kang Su-Hyeon
Kim Soo-Yeon
Park Ha-Young
Park Jung-Kyu
Kang Hyo-Shin
Abstract
Objective This study aimed to develop and validate a comprehensive self-report questionnaire to assess emotional and behavioral problems and psychological trauma in maltreated children.

Methods The Mental Health Scale for Maltreated Children (MHS-MC) was constructed to encompass five major symptoms (depression, anxiety, inattention/hyperactivity/impulsivity, aggression/defiance, and psychological trauma) prevalent in maltreated children. Critical items and ego-resilience subscale were also devised to increase clinical utility. After informed consent, 205 children (maltreated children, n=157, 76.6%) were recruited nationwide, and they answered a package of self-report measures, including the MHS-MC. Reliability, construct validity, concurrent validity, and criterion-related validity were examined to explore the psychometric properties.

Results The reliability was good to excellent. Confirmatory factor analysis yielded a five-factorial solution for the symptom subscales supporting construct validity. In logistic regression, the total scores of the MHS-MC predicted membership in the maltreated group. Criterion-related validity was generally satisfactory in that all subscales of the MHS-MC showed significant correlations with relevant measures in the expected direction.

Conclusion This is the first attempt to develop a comprehensive psychological scale based on nationwide data collected from maltreated Korean children. We hope that the continued standardization of this scale will contribute to evidence-based clinical and policy decisionmaking for maltreated children.
KEYWORD
Child maltreatment, Self report, Psychometrics, Mental health
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