Dergi Ara >>
Yıl:2016; Cilt: 27; Sayı: 2>> Özet
TAM METİN
Türk Psikiyatri Dergisi; 2016;27(2):119-127
İşitsel Varsanı ve Sanrıların Değerlendirilmesi: Psikotik Belirti Değerlendirme Ölçeklerinin (PSYRATS) Türkçe Formunun Güvenilirliği ve Geçerliği
OM Sevi, ST Sütcü, B Güneş
Surp Pırgiç Ermeni Hastanesi, İstanbul
Amaç: Bu çalışmada PSYRATS İşitsel Varsanı ve Sanrı Ölçekleri’nin Türkçe formunun güvenilirlik ve geçerliğinin incelenmesi amaçlanmıştır. Yöntem: Çalışmaya DSM-IV-TR’ye göre şizofreni tanısı almış ve antipsikotik ilaç kullanmakta olan, organik mental bozukluk, mental retardasyon ya da çalışmaya katılmaya engel olacak bir fiziksel kusuru bulunmayan, madde ve alkol kötüye kullanımı ya da bağımlılığı olmayan, ayaktan veya yatarak tedavi gören 18-65 yaşlar arasındaki 85 hasta dahil edilmiştir. Ölçeğin çeviri ve dil düzeltmeleri yazarlar tarafından yapılmıştır. PSYRATS ölçekleri 1 hafta arayla 57 hastaya uygulanmış ve test-tekrar test güvenilirliği incelenmiştir. Ölçüt bağıntılı geçerliğinin incelenmesi için 85 hastaya PANSS, 71 hastaya SAPS uygulanmıştır. Bulgular: İşitsel Varsanılar Ölçeği için Cronbach Alpha iç tutarlılık katsayısı .79, Sanrılar Ölçeği için .80 olup madde toplam puan korelasyonları sırasıyla .59 - .98 ve .66 - .93 arasında değişmektedir. Test-tekrar test güvenilirliği varsanılar için .68 - .89, sanrılar için .61 - .76 arasında değişmektedir (p<0.01). Ölçüt bağıntılı geçerliği destekler şekilde, PANSS ve SAPS ile arasında oldukça yüksek ve anlamlı bir ilişki bulunmuştur (p<0.01). Her iki ölçek için de 3 faktörlü yapı varyansın %90’ından fazlasını açıklamaktadır. Bulgular orijinal çalışma ile uyumludur. Sonuç: PSYRATS Ölçekleri’nin Türkiye’deki şizofreni hastalarının psikotik belirtilerini değerlendirmede geçerli ve güvenilir araçlar olduğu bulunmuştur.
The Assessment of the Auditory Hallucinations and Delusions: The Reliability and the Validity of Turkish Version of the Psychotic Symptom Rating Scales (PSYRATS)
Objective: The aim of this study is to examine the reliability and validity of Turkish version of PSYRATS Auditory Hallucinations Scales (AHS) and Delusion Scales (DS).Method: 85 schizophrenic outpatients or inpatients aged between 18 and 65 years were the subjects of this study. The patients diagnosed by using the DSM-IV-TR and who have psychosis with alcohol or drug dependence, organic, mental and physical deficit were not included to the study. PSYRATS scales were translated and corrected by the authors. PSYRATS were applied for two times per week to 57 patients to determine test-retest reliability. 85 patients were applied PANSS and 71 of them were applied SAPS to determine the concurrent validity. Results: Cronbach Alpha coefficient was calculated as .79 for AHS and .80 for DS. For the AHS each item correlated between .59 and .98; for the DS each correlated between .66 and .93. For the test-retest reliability, item correlation coefficient of AHS is determined between .68 and .89, DS is .61 and .76 (p<0.01). Supporting the concurrent validity, a significant correlation was found between PANSS and SAPS (p<0.01). Three factor groups for AHS and also DH were revealed and examined more than 90 % of the variance. The results were supported by the original study findings. Conclusion: PSYRATS Auditory Hallucination and Delusion Scales were found to be reliable and valid measures to assess the dimensions of psychotic symptoms in Turkish schizophrenia patients.

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