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Yıl:2017; Cilt: 18; Sayı: Ek 2>> Özet
TAM METİN
Anadolu Psikiyatri Dergisi; 2017;18(Ek 2):13-17
DSM-5 Panik Bozukluğu Ölçeği Türkçe Formunun geçerliliği ve güvenilirliği
K Balıkçı, A Herdem, Ö Aydemir, DSM-5 Ölçek Çalışma Grubu
Manisa Ruh Sağlığı ve Hastalıkları Hastanesi, Manisa
Amaç: Bu çalışmanın amacı, DSM-5 ölçütlerine göre panik bozukluğunun şiddetini ölçmek amacıyla geliştirilen Panik Bozukluğu Ölçeği Türkçe Formunun güvenilirlik ve geçerliliğini çalışmaktır. Yöntem: Araştırma Celal Bayar Üniversitesi Tıp Fakültesi Psikiyatri Yataklı veya Ayaktan Klinikleri’nde tedavi görmekte olan ve DSM-5 ölçütlerine göre herhangi bir anksiyete bozukluğu tanı ölçütlerini karşılayan hastalar ile yapılmıştır. Anksiyete bozukluğu dışında herhangi bir ruhsal veya bedensel hastalığı olanlar alınmamıştır. Buna göre 50 anksiyete bozukluğu hastası çalışmaya alınmıştır. Tanı dağılımı 14 hastada panik bozukluğu, 10 hastada yaygın anksiyete bozukluğu, dörder hastada agorafobi ve obsesif-kompulsif bozukluk, bir hastada travma sonrası stres bozukluğu ve 18 hastada BTA anksiyete bozukluğu biçimindedir. Herhangi bir ruhsal veya bedensel hastalığı bulunmayan 103 gönüllü sağlıklı kontrol grubunu oluşturmuştur. Panik Bozukluğu Ölçeği dışında en yaygın kullanılan özbildirim ölçeği olan Spielberger Sürekli Kaygı Ölçeği birlikte geçerlilik için kullanılmıştır. Güvenilirlik analizlerinde içsel tutarlılık katsayısı ve madde-toplam puan korelasyon analizi, geçerlilik analizlerinde açıklayıcı faktör analizi, birlikte geçerlilik için ise Spearman Korelasyon Analizi ile korelasyon analizi yapılmıştır. Bulgular: Araştırma grubunun yaş ortalaması 29.0±11.8 yıl ve örneklem grubunun %60.1’i (s=92) kadındır. Grubun %66.0’sı yüksekokul, %19.0’u ilkokul, %15.0’i lise mezunudur. Anksiyete bozukluğu grubunun hastalık süresi 17.1±9.7 yıldır. Panik Bozukluğu Ölçeğinin içsel tutarlılığı 0.96, madde-toplam puan korelasyon katsayıları 0.68-0.88 arasında bulunmuştur. Panik Bozukluğu Ölçe- ğinin açıklayıcı faktör analizinde örneklem yeterliliği için Kaiser-Meier-Olkin (KMO) katsayısı 0.92, Bartlett katsayısı 1.57 olarak bulunmuştur. Tek faktörlü çözüm elde edilmiştir ve özdeğeri 7.38’dir, varyansın toplam %73.8’ini açıklamaktadır. Ölçek maddelerinin faktör yükleri 0.73-0.91 arasında bulunmuştur. SKÖ ile korelasyon analizinde katsayı r=0.32 olarak hesaplanmıştır. Sonuç: Bu bulgularla Panik Bozukluğu Ölçeğinin Türkçe sürümünün güvenilir ve geçerli olduğu gösterilmiştir
Reliability and validity of Turkish Form of Panic Disorder Scale
Objective: This study is to demonstrate the reliability and validity of the Turkish form of Panic Disorder Scale developed according to DSM-5 criteria to measure the severity of panic disorder. Methods: This study was carried out with patients with a diagnosis of any anxiety disorder according to DSM-5 criteria who are under treatment in Celal Bayar University Faculty of Medicine Psychiatry Inpatient or Outpatient Clinics. Patients with any mental or physical disease except for anxiety disorders were excluded. Accordingly, 50 patients with anxiety disorder were included in the study and these were distributed as panic disorder in 14 patients, generalized anxiety disorder in 10 patients, agoraphobia and obsessive-compulsive disorder in four patients, post-traumatic stress disorder in one patient and not otherwise specified anxiety disorder in 18 patients. As the healthy control group 103 volunteers without any mental or physical disease were included. Beside Panic Disorder Scale the most widely used self-rated scale, Spielberger’s State-Trait Anxiety Inventory was used for concurrent validity. In reliability analysis internal consistency coefficient and item-total correlation analysis; in validity analyses factor analysis and correlation analysis with the Spearman Correlation Analysis (SCA) was performed for validation. Results: The mean age of the study group was 29.0±11.8 years and 60.1% of the sample group (n=92) were female. 66.0% of the group were college graduates, 19.0% primary school graduates, 15.0% is also high school graduates. Disease duration of anxiety disorder group was 17.1±9.7 years. The internal consistency coefficient of the Panic Disorder Scale was 0.96 and, item-total correlation coefficients of the Panic Disorder Scale were between 0.68 and 0.88.In the exploratory factor analysis, for sample adequacy Kaiser-Meier-Olkin (KMO) coefficient was calculated as 0.92 and Bartlett coefficient was 1.57. Single-factor solution was obtained and the eigenvalue was 7.38, explaining 73.8% of the total variance. Factor loadings of the items were between 0.73 and 0.91. Coefficient of correlation analysis with SCA was calculated as r=0.32. Conclusion: These findings have been shown that the Panic Disorder Scale is reliable and valid for Turkish.

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