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Yıl:2020; Cilt: 31; Sayı: 4>> Özet
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Türk Psikiyatri Dergisi; 2020;31(4):269-279
Ebeveynlerin Ruhsal Hastalıklarda İçselleştirilmiş Damgalanma Ölçeği’nin Geçerlilik ve Güvenilirliği
G Dikeç, F Gümüş, A Atlı
Sağlık Bilimleri Üniversitesi, İstanbul
Amaç: Bu çalışmanın amacı daha önce Türkçe uyarlaması yapılan Ruhsal Hastalıklarda İçselleştirilmiş Damgalanma Ölçeği’nin ruhsal bozukluğu olan bireylerin ebeveynlerinde geçerlik ve güvenilirliğinin yapılmasıdır. Yöntem: Yöntemsel türdeki çalışma verileri Haziran 2017-Ağustos 2018 tarihleri arasında, bir üniversite hastanesi yetişkin psikiyatri polikliniğinde takip edilen ruhsal hastalık tanısı alan 281 bireyin ebeveynlerinden toplandı. Çalışmada veriler Bilgi Formu, Ebeveynlerin Ruhsal Hastalıklarda İçselleştirilmiş Damgalanma Ölçeği (ERHİDÖ) ve Ruhsal Hastalıklara Yönelik İnançlar Ölçeği kullanılarak toplandı. Verilerin analizinde SPSS 22.0 ve LISREL 8.89 yazılımı kullanıldı. Ölçeğin geçerlilik değerlendirmesinde kapsam geçerliliği, yapı geçerliliği; güvenilirlik değerlendirilmesinde ise iç tutarlılık değerleri hesaplandı. Bulgular: Ölçeğin Cronbach alfa katsayısının toplam puan için 0,87, alt ölçek için 0,69 ile 0,81 arasında değiştiği ve yapılan doğrulayıcı faktör analizi sonucunda ölçeğin Türkçe formunun bu örneklem grubunda beş faktörlü yapıyı doğruladığı ve uyum istatistik değerlerinin kabul edilebilir düzeyde olduğu belirlendi. Faktör yüklerinin 0,34 ile 0,74 aralığında değiştiği saptandı. Sonuç: ERHİDÖ geçerlik ve güvenilirlik analizleri, ölçeğin Türkçe versiyonunun bu örneklem grubunda geçerli ve güvenilir olduğunu göstermektedir. Ölçek, özellikle tedaviye uyumda önemli etkisi olan ebeveynlerin ruhsal hastalıklara yönelik içselleştirilmiş damgalanmasını değerlendirmede kullanabilir.
Validity and Reliability of the Parents’ Internalized Stigma of Mental Illness Scale
Objective: The purpose of this study is to investigate the validity and reliability of PISMI-TR, the Parents Internalized Stigma of Mental Illness scale, which had been previously adapted to the Turkish. Method: The data of this methodological study were acquired between June 2017 and August 2018 from the parents of 281 individuals who were diagnosed with a mental disorder and followed up at the adult psychiatry polyclinics of a university hospital, by means of an Information Form, the PISMI-TR scale and the Beliefs toward Mental Illness (BMI) scale. SPSS 22.0 and LISREL 8.89 were used for data analysis. The content and the construct validities were determined for the scale validity and the internal consistency values were calculated for the reliability. Results: The Cronbach’s alpha coefficient was 0.87 for the total score of the scale, and it varied in the 0.69-0.81 range for the subscale scores. The confirmatory factor analysis validated a 5-factor structure for the PISMI-TR scale tested on the participants of this study; and the adaptive ad statistical values were at an acceptable level. The factor loading was found to range between 0.34 and 0.74. Conclusion: The validity and reliability analyses carried out indicated that the PISMI-TR scale is both valid and reliable. The scale can be used to evaluate the internalized stigma in parents, who play an important role in adherence to treatment of the mentally ill offspring.

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