{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T18:46:34Z","timestamp":1793213194005,"version":"4.5.0"},"reference-count":82,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,11,18]],"date-time":"2024-11-18T00:00:00Z","timestamp":1731888000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Vitality is a construct based on traditional vitalism, and is a concept similar to energy (Qi), passion, and motivation as the essential power possessed by organisms. Recently, various methods and tools have been designed to evaluate vitality as a health indicator. This study aimed to develop and validate an Integrative Vitality Scale (IVS) based on traditional Eastern medicine and modern psychology.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted two online surveys and one pre-post comparison with Korean adults. Descriptive statistics and factor analysis were performed for scale development, and correlation and regression analysis were performed for validation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Exploratory (<jats:italic>n<\/jats:italic>\u2009=\u2009348) and confirmatory (<jats:italic>n<\/jats:italic>\u2009=\u2009349) factor analyses showed that two subfactors (physical and psychological vitality) best represented integrative vitality. The IVS-total and subscales had good internal consistency (<jats:italic>\u03b1<\/jats:italic>\u2009=\u20090.89\u2013.094) and test-retest reliability (<jats:italic>r<\/jats:italic>\u2009=\u20090.71\u20130.80). Ten health-related experts (e.g., doctors, clinical psychologists, and counselors) evaluated the IVS as having excellent content validity. The IVS-total and subscales had a high correlation with existing vitality-related scales but a low correlation with pathological symptoms such as hypomania, suggesting convergent and discriminant validity. The IVS-total and subscales were negatively correlated with depression and fatigue but positively correlated with well-being and quality of life, suggesting criterion validity. The IVS had additional predictive power for depression, fatigue, and well-being even after controlling for existing vitality-related scales, suggesting incremental validity. Finally, after 16 weeks of mindfulness training (<jats:italic>n<\/jats:italic>\u2009=\u200928), IVS-total and subscales significantly increased.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>These findings suggested that the IVS is a valid and reliable tool for assessing physical and psychological vitality. Furthermore, the IVS could be used as a clinical indicator to predict symptoms related to low energy, such as depression and fatigue, and as an indicator of sustainable well-being.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2024.1452068","type":"journal-article","created":{"date-parts":[[2024,11,18]],"date-time":"2024-11-18T05:10:25Z","timestamp":1731906625000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":10,"title":["Development and validation of the Integrative Vitality Scale"],"prefix":"10.3389","volume":"12","author":[{"given":"Seok In","family":"Yoon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui Yeong","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sun Yong","family":"Chung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jong Woo","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,11,18]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1016\/j.maturitas.2020.05.018","article-title":"The World Health Organization (WHO) approach to healthy ageing","volume":"139","author":"Rudnicka","year":"2020","journal-title":"Maturitas"},{"key":"ref2","volume-title":"World report on ageing and health","year":"2015"},{"key":"ref3","volume-title":"Report of consortium meeting. 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