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Yıl:2017; Cilt: 54; Sayı: 3>> Özet
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Nöropsikiyatri Arşivi; 2017;54(3):260-266
Allodini Varlığının Migren Hastalarında Allodini Semptom Anketi Tükçe Versiyonu (ASC/T) ile Saptanması: Geçerlilik ve Tutarlılık Çalışması
OÖ Yalın, D Uludüz, MA Sungur, H Sart, A Özge
İstanbul Üniversitesi İstanbul
Amaç: Kutanöz allodini migrende santral sensitizasyonun göstergesi olarak kabul edilmektedir. Altın standart kantitatif duysal test olmasına rağ- men, migren hastalarında allodini araştırılması için geliştirilmiş çok sayıda anket bulunmaktadır. Bu çalışmada 12 madde içeren allodini semptom anketinin (ASC) Türkçeye uyarlanması ile ilk Türkçe geçerliliği gösterilmiş anketin geliştirilmesi ve ilişkili faktörlerin araştırılması amaçlandı. Yöntem: Çalışmanın birinci aşaması anketin Türkçe’ye çevirisi ve kültü- rel adaptasyonunu içermektedir. İkinci aşamada, geliştirilen Türkçe anket Uluslarası Başağrısı Cemiyeti Başağrısı Sınıflandırması-3 beta (ICHD-3 beta)’ya göre tanı almış 344 epizodik ve kronik migren hastasına uygulandı. Bulgular: Toplam anket skoru test-tekrar test değerlendirmesinde mü- kemmel güvenilirlik gösterdi (r=0,821). Anketin içsel tutarlılığı Kronbach Alfa Değeri ile değerlendirildi ve kabul edilebilir tutarlılık gösterdi (Anket Kronbach Alfa değeri: 0,767). Veri analizleri ankette bulunan 10 maddenin allodinik bireylerin tespit edilmesinde yeterli olduğunu gösterdi. Kutanöz allodini 218 migren hastasında (%63,4) saptandı. Allodini auralı migren hastalarında (p=0,008) ve kadınlarda daha sıktı (p
Identification of Allodynic Migraine Patients with the Turkish Version of the Allodynia Symptom Checklist: Reliability and Consistency Study
Introduction: Cutaneous allodynia is regarded as an expression of central sensitization in migraine. Although the gold standard is quantitative sensory testing, several practical assessment questionnaires have been developed to assess allodynia in migraine. We aimed to establish the first valid Turkish allodynia assessment questionnaire based on a 12-item allodynia symptom checklist and to evaluate the associated factors. Methods: The first part of the study included the translation and cultural adaptation of a Turkish version of the checklist. The Turkish version of the questionnaire was administered to 344 episodic and chronic migraine patients, who were chosen according to the International Classification of Headache Disorders -III beta criteria. Results: The total checklist score showed excellent test–retest reliability (r=0.821). The internal consistency of the checklist was assessed using Cronbach alpha values and was found to be acceptable (Cronbach alpha for the checklist=0.767). Data analysis revealed that 10 items of the questionnaire adequately identified allodynic subjects. Cutaneous allodynia was present in 218 (63.4%) migraine patients. Allodynia was more prominent in patients experiencing migraine with aura (p=0.008) and in females (p

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