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Yıl:2019; Cilt: 30; Sayı: 4>> Özet
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Türk Psikiyatri Dergisi; 2019;30(4):272-278
Bipolar Spektrumu Tanı Ölçeği Türkçe Formu’nun Güvenilirlik ve Geçerlilik Çalışması
B İnce, A Cansız, S Ulusoy, KF Yavuz, E Kurt, K Altınbaş
Bakırköy Ruh ve Sinir Hastalıkları Eğitim ve Araştırma Hastanesi, İstanbul
Amaç: Bu çalışmada Bipolar Spektrumu Tanı Ölçeği Türkçe Formu’nun güvenilirlik ve geçerliliğini ortaya koymak amaçlanmaktadır. Yöntem: Araştırma Bakırköy Prof. Dr. Mazhar Osman Ruh Sağlığı ve Sinir Hastalıkları Eğitim ve Araştırma Hastanesi’nde ayakta izlenmekte olan ve bipolar I bozukluk tanısı konan 130, bipolar II bozukluk tanısı konan 15, majör depresif bozukluk tanısı konan 38 hasta ile yürütülmüştür. Birlikte geçerlilik amacıyla Duygudurum Bozuklukları Ölçeği uygulanmıştır. İstatistiksel değerlendirmede iç tutarlılık katsayısı, madde-toplam puan korelasyon katsayıları, test tekrar test korelasyon katsayısı, doğrulayıcı faktör analizi, diğer ölçeklerle korelasyon ve ROC eğrisi hesaplanmıştır. Bulgular: Doğrulayıcı faktör analizinde 20 maddelik versiyonunun yeterli uyum göstermediği saptandı. Düşük regresyon ağırlığı nedeniyle 4. madde modelden çıkarıldı. 19 maddelik revize edilmiş ve düzeltilmiş modelin bakılan uyum iyiliği indeksleri RMSEA = 0,040; CFI = 0,900; GFI = 0,890; IFI= 0,900 ve χ2 /df = 1,230 olarak saptandı. İç tutarlılık analizinde Cronbach alfa katsayısı 0,831 olarak bulundu. Bipolar Spektrumu Tanı Ölçeği Türkçe Formu’nun Duygudurum Bozuklukları Ölçeği ile korelasyon katsayısı 0,54 olarak saptandı. ROC analizinde ölçeğin kesme puanı duyarlılık değeri %78,6 özgüllük değeri %86,8 ile 12 olarak hesaplanmıştır. Sonuç: Bipolar bozukluğu taramaya yarayan Bipolar Spektrumu Tanı Ölçeğinin Türkçe Formu’nun ölçekten 4. madde çıkarıldıktan sonra güvenilir ve geçerli olduğu gösterilmiştir
Reliability and Validity Study of the Turkish Version of Bipolar Spectrum Diagnostic Scale
Objective: The purpose of this study is to evaluate the reliability and validity of the Turkish Version of the Bipolar Spectrum Diagnostic Scale (BSDS). Method: The study was carried out with 130 patients diagnosed with bipolar I disorder, 15 patients diagnosed with bipolar II disorder, and 38 patients diagnosed with major depressive disorder attending the outpatient psychiatry departments of the Bakirköy Prof. Dr. Mazhar Osman Training and Research Hospital for Mental Health and Neurological Diseases. The Mood Disorder Questionnaire (MDQ) was used for convergent validity. The internal consistency coefficient, itemtotal score correlation coefficients, test-retest correlation coefficient, confirmatory factor analysis, correlation with concurrent scale, and ROC curve were statistically calculated. Results: Confirmatory factor analysis indicated that the 20-item version did not show adequate goodness-of-fit. The item 4 with a relatively low regression weight was removed from the model. For the 19-item revised and corrected model, the observed goodness-of-fit indexes were RMSEA = 0.040, CFI = 0.900, GFI = 0.890, IFI = 0.900 and ?2 /df = 1.230. The internal consistency Cronbach’s alpha coefficient was 0.831. The correlation coefficient between the Turkish version of the BSDS and the MDQ was 0.54. The cutoff point of the scale calculated by the ROC analysis was 12 with a sensitivity of 78.6% and a specificity of 86.8%. Conclusion: The Turkish Version of the BSDS, has been shown to be reliable and valid tool for screening bipolar disorder after removal of the item 4 of the original version of the scale.

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