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Yıl:2016; Cilt: 27; Sayı: 4>> Özet
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Türk Psikiyatri Dergisi; 2016;27(4):266-274
Çocukluk Otizmi Derecelendirme Ölçeği Türkçe Formunun Geçerlik ve Güvenilirlik Çalışması
Sİ Gassaloğlu, B Baykara, S Avcil, Y Demiral
Dörtçelik Çocuk Hastanesi, Bursa
Amaç: Bu çalışmanın amacı, Sucuoğlu ve arkadaşları tarafından kısıtlı sayıda örneklem grubunda iç tutarlılık, kapsam geçerliği ve örneklem grubunun uç grupları için ayırt ediciliği incelenen Türkçe Çocukluk Otizmi Derecelendirme Ölçeği’nin (ÇODÖ) geçerlik ve güvenilirlik analizini genişletmektir. Yöntem: Çalışmaya 4-18 yaş arasında, DSM-IV-TR ölçütlerine göre yaygın gelişimsel bozukluk (YGB) tanısını karşılayan 48, zihinsel yetersizlik (ZY) ve gelişim geriliği tanısını karşılayan 48 çocuk ve ergen alınmıştır. Ölçeğin Türkçe formunun güvenilirlik analizi için iç tutarlılık göstergesi olarak Cronbach alfa değerleri, değerlendirmeciler arası tutarlılık ve test-tekrar test güvenilirliği hesaplanmıştır. Faktörlerin belirlenmesi için ana bileşenler yöntemi ve Varimax rotasyonu kullanılmıştır. Ölçeğin Otizm Davranış Kontrol Listesi ve Klinik Global İzlenim-Hastalık Şiddeti Ölçeği ile karşılaştırılması yapılmıştır. ROC analizi yapılarak Türkçe ÇODÖ için en uygun kesme puanı belirlenmiştir. Bulgular: Ana bileşenler yöntemi ve bunu izleyen Varimax rotasyonu sonucunda tek bileşenli faktör elde edilmiştir. ÇODÖ ve diğer ölçekler arasındaki korelasyonlar istatistiksel olarak anlamlı bulunmuştur. Ölçeğin toplam puanının Cronbach alfa değeri 0,95 olarak bulunmuştur. Ölçeğin toplam puanı için test-tekrar test güvenilirliği (r=0,98, p<0,01), değerlendirmeciler arası güvenilirlik (r=0,97, p<0,01) olarak saptanmıştır. Ölçeğin kesme puanı 29,5 olarak belirlenmiştir. Sonuç: Tüm bu bulgular Türkçe’ye kazandırılan ölçeğin geçerli ve güvenilir bir ölçüm aracı olduğunu desteklemektedir.
Validity and Reliability Analysis of Turkish Version of Childhood Autism Rating Scale
Objective: The purpose of this study is to expand validity and reliability analysis of Turkish Version of Childhood Autism Rating Scale (CARS), whose internal consistency,content validity and discriminant validity for a limited size of sample group were examined by Sucuoglu et al. Method: 96 children and adolescents aged between 4-18, (48 diagnosed with pervasive developmental disorder (PDD) and 48 diagnosed with mental disability (MD) and developmental delay based on DSM-IV-TR criteria,) were included in the study. Regarding reliability analysis of Turkish Version of the scale; Cronbach’s alpha values as internal consistency indicator, inter-rater reliability, and test-retest reliability were calculated. Principal components analysis and Varimax rotation were used in order to determine factors. The scale was compared with Autism Behavior Checklist and Clinical Global Impression-Severity of Illness. The most appropriate cut-off point was determined for CARS by conducting ROC analysis. Results: As a result of principal components analysis and Varimax rotation, one component factor was obtained. Correlations between CARS and the other scales were statistically significant. The Cronbach’s alpha value of total score of the scale was determined as 0,95. Test-retest reliability (r=0,98, p<0,01), and inter-rater reliability (r=0,98, p<0,01) were determined for total score of the scale. The cut-off point of the scale was 29,5. Conclusion: All of these results support that the scale adapted into Turkish is a valid and reliable assessment instrument.

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