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Cardiff acne disability index： cross-cultural translation in Korean and its relationship with clinical acne severity, pathological patterns, and general quality of life

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Journal of traditional Chinese Medicine 2017年第5期37卷 702-709页

作者： Kyeong-Han Kim Sang-Chul Lee Young-Bae Park Young-Jae Park Department of Human Informatics of Korean Medicine Interdisciplinary Programs Kyung Hee University Seoul02447 Korea Department of Business Administration Korea Christian University Seoul07661 Korea Department of Biofunctional Medicine and Diagnostics College of Korean MedicineKyung Hee University Seoul02447 Korea Department of Diagnosis and Biofunctional Medicine Kyung Hee University Hospital at Gangdong Seoul 05278 Korea

OBJECTIVE: To culturally translate the cardiff acne disability index(CADI) into Korean, and to examine its relationship with clinical acne severity,pathological patterns, and general quality of life(Qo L).METHODS: The CADI was culturally and lin-guistically translated into Korean via translation,back-translation, and face validity test process. Two hundred and fifty-four Korean adolescents were asked to complete the Korean version of the CADI(K-CADI), the Phlegm Pattern, the Cold-Heat Pattern, and the Korean version of the General Health Questionnaires. A clinician estimated acne severity for the adolescents, using the Korean Acne Grading System. Finally, reliability and validity of the K-CADI was examined, and the relationships between acne severity, Phlegm, Cold, and Heat patterns, and Qo L level were examined via pathway ***: The K-CADI had satisfactory internal consistency(α = 0.827). The examination of construct validity indicated that the K-CADI had one factor(explaining 59.6% of the total variance). Pathway analysis showed satisfactory model fit(normal fit index = 0.960 and comparative fit index = 0.983),and acne-related Qo L was determinant to Phlegm,Heat, and Cold patterns(0.13-0.27 of β), and Phlegm and Heat patterns lowered one's Qo L level(0.17-0.34 of β).CONCLUSION: The K-CADI is a valid and reliable instrument. Phlegm and Heat patterns should be managed when treating acne since they have a moderating effect on general Qo L aggravation.

关键词： Acne vulgaris Quality of life Medicine east asian traditional psychology adolescent Causality Cardiff acne disability index

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