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Yıl:2017; Cilt: 18; Sayı: Ek 2>> Özet
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Anadolu Psikiyatri Dergisi; 2017;18(Ek 2):73-78
DSM-5 Mani Ölçeği Türkçe Formunun geçerliliği ve güvenilirliliği
S Öztekin, D Alçı, Ö Aydemir, DSM-5 Ölçek Çalışma Grubu
Viranşehir Devlet Hastanesi, Şanlıurfa
Amaç: Bu çalışma DSM-5 ölçütlerine göre mani şiddetini ölçmek amacıyla geliştirilen DSM-5 Mani Ölçeğinin Türkçe formunun güvenilirlik ve geçerliliğini çalışmayı amaçlamaktadır. Yöntem: Araştırma Celal Bayar Üniversitesi Tıp Fakültesi Psikiyatri Anabilim Dalı Yataklı Veya Ayaktan Tedavi Klinikleri’nde tedavi görmekte olan ve DSM-5 ölçütlerine göre bipolar bozukluk tanı ölçütlerini karşılayan, hastalığın manik veya ötimi dönemindeki 50 hasta ile yapılmıştır. Bipolar bozukluk dışında herhangi bir ruhsal veya bedensel hastalığı olan kişiler çalışmaya alınmamıştır. Sağlıklı kontrol grubunu ise herhangi bir ruhsal veya bedensel hastalığı bulunmayan 63 gönüllü oluşturmuştur. DSM-5 Mani Ölçeği dışında bipolar bozukluk mani döneminin değerlendirilmesinde yaygın olarak kullanılan Young Mani Derecelendirme Ölçeği (YMDÖ) birlikte geçerlilik için kullanılmıştır. Güvenilirlik analizlerinde içsel tutarlılık katsayısı ve madde-toplam puan korelasyon analizi, geçerlilik analizlerinde açıklayıcı faktör analizi, birlikte geçerlilik için Pearson Korelasyon Analizi ile korelasyon analizi yapılmıştır. Bulgular: Bipolar bozukluk grubunun yaş ortalaması 30.9±13.6, sağlıklı kontrol grubunun ise 22.4±5.8’dir ve örneklem grubunun %53.7’si (s=58) kadındır. Bipolar bozukluk grubunun hastalık süresi 7.2±7.9 yıldır. Mani Ölçeğinin içsel tutarlılığı 0.91 ve madde-toplam puan korelasyon katsayıları 0.67-0.85 arasında bulunmuştur. Mani Ölçeğinin açıklayıcı faktör analizinde örneklem yeterliliği için Kaiser- Meier-Olkin (KMO) katsayısı 0.85 ve Bartlett katsayısı 389.51 olarak bulunmuştur. Tek faktörlü çözüm elde edilmiştir ve öz değeri 3.69’dur, varyansın toplam %73.8’ini açıklamaktadır. Ölçek maddelerinin faktör yükleri 0.77-0.91 arasında bulunmuştur. YMDÖ ile DSM-5 Mani Ölçeğinin Türkçe formu arasında anlamlı ve yüksek düzeyde korelasyon saptanmıştır.(r=0.78) Sonuç: Bu bulgularla DSM-5 Mani Ölçeğinin Türkçe Formunun güvenilir ve geçerli olduğu gösterilmiştir.
Reliability and validity of Turkish Form of DSM-5 Mania Scale
Objective: This study aimed to demonstrate the reliability and validity of the Turkish form of DSM-5 Mania Scale which was developed according to DSM-5 criteria to measure the severity of mania. Methods: This study was conducted with 50 patients who meet the diagnostic criteria of bipolar disorders according to DSM-5 criteria who are within manic or euthymic episode. The patients were under treatment at inpatient and outpatient clinics of Psychiatry Department of Celal Bayar University, Medicine Faculty. Patients with any mental or physical disease except bipolar disorders were excluded. Sixty-three volunteers without any mental or physical disease were included as healthy control group. Beside DSM-5 Mania Scale the most widely used scale Young Mania Rating Scale (YMRS) was used for concurrent validity. In reliability analyses internal consistency coefficient and item-total correlation analysis; in validity analyses factor analysis and correlation analysis with the Pearson Correlation Analysis were performed. Results: The mean ages of the bipolar disorders group (n=50) and healthy control group (n=63) were respectively 30.9±13.6 and 22.4±5.8. 53.7% of the sample group (n=58) were female. Disease duration of bipolar disorder group was 7.2±7.9 years. The internal consistency of the DSM-5 Mania Scale was 0.91 and, itemtotal correlation coefficients of the DSM-5 Mania Scale were between 0.67 and 0.85. In the explanatory factor analysis, for sample adequacy Kaiser- Meier-Olkin (KMO) coefficient was calculated as 0.85 and Bartlett coefficient was 389.51. Single-factor solution was obtained and the eigenvalue was 3.69, explaining 73.8% of the total variance. Factor loadings of the items were between 0.77-0.91. Significant and high levels of correlation were determined between YMRS and DSM-5 Mania Scale (r=0.78). Conclusion: These findings have been shown that the DSM-5 Mania Scale is reliable and valid for Turkish.

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