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Yıl:2017; Cilt: 18; Sayı: Ek 2>> Özet
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Anadolu Psikiyatri Dergisi; 2017;18(Ek 2):18-23
DSM-5 Yineleyici Düşünceler ve Davranışlar Ölçeği Türkçe Formunun geçerliliği ve güvenilirliği
K Aşçıbaşı, S Öztekin, Ö Aydemir, DSM-5 Ölçek Çalışma Grubu
Tepecik Eğitim ve Araştırma Hastanesi, İzmir
Amaç: Bu çalışmanın amacı, DSM-5 ölçütlerine göre obsesif-kompulsif bozukluğun (OKB) şiddetini ölçmek amacıyla geliştirilen Yineleyici Düşünceler ve Davranışlar Ölçeğinin (YDDÖ) Türkçe Formunun güvenilirlik ve geçerlilik çalışmasını yapmaktır. Yöntem: Araştırma Celal Bayar Üniversitesi Tıp Fakültesi Psikiyatri Anabilim Dalı Klinikleri’nde (yataklı veya ayaktan) tedavi görmekte olan ve DSM-5’e göre OKB tanı ölçütlerini karşılayan 30 hasta ile yapılmıştır. Herhangi bir ruhsal veya bedensel hastalığı bulunmayan 30 gönüllü de sağlıklı kontrol grubunu oluşturmuştur. YDDÖ dışında en yaygın kullanılan özbildirim ölçeği olan Maudsley Obsesyon ve Kompulsiyon Soru Listesi (MOKSL) birlikte geçerlilik için kullanılmıştır. Güvenilirlik analizlerinde iç tutarlılık katsayısı ve madde-toplam puan korelasyon analizi, geçerlilik analizlerinde açıklayıcı faktör analizi, birlikte geçerlilik için MOKSL ile korelasyon analizi yapılmıştır. Ölçeğin özgüllük ve duyarlılığını saptamak amacıyla ROC analizi yapılmıştır. Bulgular: Araştırma grubunun yaş ortalaması 31.2±9.7 yıl ve örneklem grubunun %65.0’i (s=39) kadındır. Grubun %56.7’si yüksekokul mezunu, %25.0’i lise mezunu, %18.3’ü ilkokul mezunudur. OKB grubunun hastalık süresi 7.5±6.1 yıldır. YDDÖ’nün iç tutarlılık katsayısı 0.97, madde-toplam puan korelasyon katsayıları 0.86-0.95 arasında bulunmuştur. YDDÖ’- nün açıklayıcı faktör analizinde örneklem yeterliliği için KMO katsayısı 0.87 ve Bartlett katsayısı 436.89 olarak bulunmuştur. Tek faktörlü çözüm elde edilmiştir ve özdeğeri 4.50’dir, toplam varyansın %90.1’ini açıklamaktadır. Ölçek maddelerinin faktör yükleri 0.91-0.97 arasında bulunmuştur. MOKSL ile korelasyon katsayısı 0.71 olarak hesaplanmıştır. ROC analizi sonucunda eğrinin altında kalan alan 0.93 olarak belirlenmiştir. Sonuç: Bu bulgularla YDDÖ’nün Türkçe Formunun güvenilir ve geçerli olduğu gösterilmiştir.
Reliability and validity of Turkish Form of Repetitive Thoughts and Behaviors Scale
Objective: This study demonstrates the reliability and validity of the Turkish form of Repetitive Thoughts and Behaviors Scale (RTBS) which is developed according to DSM-5 criteria to measure the severity of obsessive- compulsive disorders (OCD). Methods: This research was carried out with 30 patients who fulfilled the criteria of obsessive compulsive disorders according to DSM-5 criterion in inpatient and outpatient psychiatric clinics of Celal Bayar University, School of Medicine. As the control group, 30 volunteers without any mental or physical diseases were invited. Besides RTBS, Maudsley Obsessive Compulsive Questionnaire (MOCQ) which is the most commonly used self-report scale was used for concurrent validity. In reliability analyses, internal consistency coefficient and item-total correlation coefficients were calculated. In validity analyses, factor analysis and correlation analysis with MOCQ were performed as well as ROC analysis. Results: The mean age of the study group was 31.2±9.7 years, and 65% of the sample group (n=39) were female. 56.7% of the group were college graduates, 25% high school graduates, 18.3% primary school graduates. Disease duration in the obsessive-compulsive disorder group was 7.5±6.1 years. The internal consistency of the RTBS 0.97 and, item-total correlation coefficients of the RTBS between 0.86 and 0.95 was obtained. For the exploratory factor analysis, sample adequacy was tested, Kaiser-MeierOlkin (KMO) coefficient was 0.87 and Bartlett’s coefficient was 436.89. Single-factor solution was obtained and the eigenvalue was 4.50, representing 90.1% of the total variance. Factor loadings of the items were between 0.91- 0.97. The coefficient of correlation analysis with MOCQ was calculated as r=0.71. The area under the curve in ROC analysis was 0.93. Conclusion: With these findings, it is shown that RTBS is reliable and valid for Turkish Form.

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