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Yıl:2015; Cilt: 16; Sayı: 3>> Özet
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Anadolu Psikiyatri Dergisi; 2015;16(3):205-211
Üreme dönemindeki kadınlarda premenstrüel belirtilerin değerlendirilmesinde Adet Öncesi Yakınmalar Etki Ölçeği (Premenstrual Symptoms Impact Survey™) Türkçe sürümünün geçerliliği
ÖT Güler, T Ataçağ, E Yaycı, A Çetin, M Çetin
Pamukkale University, Denizli
Amaç: Adet Öncesi Yakınmalar Etki Ölçeği (Premenstrual Symptoms Impact Survey™ [PMSIS™]) Türkçe sürümünün geçerlilik ve güvenilirliğinin araştırılması amaçlandı. Bu ölçek, altı soru ile premenstrüel sendromun (PMS), bireyin işlevsel sağlık ve iyilik durumu üzerine etkisini ölçümleyebilmektedir. Yöntem: İngilizce olan PMSIS™ ölçeğinin Türkçeye bağımsız olarak çevrildikten sonra geri-çeviri yöntemi ile adaptasyonu yapıldı. Yıllık sağlıklı kadın jinekolojik muayenesi ile sağlıklı bulunan ve üreme döneminde olan 63 kadın üzerinden ölçeğin geçerliliği ve güvenilirliği incelendi. Türkçe bir ölçek olan Premenstrüel Sendrom Ölçeği (PMSÖ), PMSIS™ ölçeğinin eşzamanlı geçerliliğini belirlemek için kullanıldı. Ölçek verilerinin analizinde içerik geçerliliği, test-tekrar test güvenilirliği, Cronbach alfa, eşzamanlı geçerlilik ve yapı geçerliliği testleri uygulandı. Bulgular: Ölçeğin içerik geçerliliği yüksek (%91) bulundu. Güvenilirlik analizleri sonucunda, PMSIS™ ölçeğinin birinci ve ikinci uygulamalarının puanları arasında sınıf-içi korelasyon değeri 0.70 bulundu ve ölçeğin test ve tekrar-test sonuçları iyi uyumlu olarak yorumlandı; ayrıca Cronbach alfa değeri 0.89 bulundu ve iç tutarlılığı yeterli ve yüksek olarak yorumlandı. Eşzamanlı geçerlilik analizleri sonucunda, PMSIS™’nin birinci uygulaması ve PMSÖ ölçeği uygulaması puanlarının Pearson korelasyon katsayısı 0.70 olarak bulundu. Yapı geçerliliği analizi için yapılan faktör analizi, özgün ölçekte olduğu gibi tüm maddelerin tek boyutta toplandığını, faktör yüklerinin 0.74-0.84 arasında değiştiğini ve toplam varyansın %65.1 olduğunu gösterdi. PMSIS™’nin eşzamanlı ve yapısal geçerlilikleri iyi olarak yorumlandı. Sonuçlar: PMSIS™ ölçeğinin Türkçe sürümü, iyi geçerlilik ve güvenilirlik özelliklerine sahiptir. Ölçek güvenilir, tutarlı ve geçerli bir ölçek olarak üreme dönemindeki kadınlarda PMS durumunu ve PMS tedavisinin sonuçlarını Türk toplumunda değerlendirebilir.
Validation of Turkish Version of Premenstrual Symptoms Impact Survey™ (PMSIS™) for assessing status of premenstrual syndrome in women of reproductive age
Objective: We aimed to evaluate the reliability and validity of a Turkish adaptation of the Premenstrual Symptoms Impact Survey™ (PMSIS™), a six-question health survey that measures the impact of symptoms of premenstrual syndrome (PMS) on an individual’s functional health and well-being. Methods: The PMSIS™ was independently translated into Turkish and its adaptation to Turkish language was performed via back-translation. The reliability and validity of the PMSIS™ were examined with 63 women of reproductive age, found healthy during annual well-woman gynecologic examination. Premenstrual Syndrome Scale (PMSS), a Turkish questionnaire, was administered to assess the concurrent validity of the PMSIS™. For the assessment of survey data, the content validity, test-retest reliability, Cronbach’s alpha, concurrent validity, and construct validity tests were used. Results: The content validity index of the Turkish version of PMSIS™ was found as high (91%). After reliability analyses, the intra-class correlation coefficient between the PMSIS™ scores at the first and second assessments was 0.70, showing a good agreement between test and retest values; and the Cronbach’s alpha coefficient was 0.89, indicating adequate and high internal consistency. Regarding the concurrent validity, the Pearson's correlation coefficient between the PMSIS™ (first assessment) and PMSS scores was 0.70 (p=0.001). Regarding the construct validity, factor analysis revealed that one dimension was found; and factor loading of items ranged from 0.74 t0 0.84 and total variant of scale was expressed as 65.1%. The PMSIS™ had a good concurrent and construct validities. Conclusions: The Turkish version of PMSIS™ has good reliability and validity properties. It is a reliable, consistent, and valid instrument to assess the status of PMS in women of reproductive age and the outcome of PMS treatment in Turkish population.

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