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Yıl:2020; Cilt: 9; Sayı: 3>> Özet
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Bilişsel Davranışçı Psikoterapi ve Araştırmalar Dergisi; 2020;9(3):187-195
Snaith-Hamilton keyif alma ölçeği’nin Türkçe versiyonunun geçerlilik ve güvenilirliği
HY Eser, MY İnan, MU Küçüker, CM Kılçıksız, S Yılmaz, N Dinçer, Ö Kılıç, AC Ercan, Ö Aydemir,
Koç University,İstanbul
Anhedoni, birçok psikiyatrik bozukluğun temel bir özelliğidir ve psikiyatrik bozuklukların boyutsal olarak anlaşılması için güvenilir bir şekilde değerlendirilmesi gerekir. Snaith-hamilton keyif alma ölçeği (shkö), anhedoniyi değerlendirmek için en yaygın kullanılan ölçeklerden biridir. Burada, shkö’nün türkçe versiyonunun geçerliliği ve güvenilirliğinin araştırılması amaçlanmıştır. Orijinal ölçeğin çevirisi iki aşamalı bir prosedürle tamamlanmıştır. 188 sağlıklı kontrol, 56 depresif bozukluk (ıcd-10’a göre f34.0 (siklotimi) dışında f32-f34 tanıları almış kişiler) ve 52 anksiyete, stres ilişkili veya somatoform bozukluk tanısı almış olan anksiyöz hasta (ıcd-10’a göre f40-49 tanıları almış kişiler) çalışmaya alınmıştır. Katılımcılar shkö’nün türkçe versiyonu, beck depresyon envanteri (bde), beck anksiyete envanteri (bae) ve belirti kontrol listesi-90-gözden geçirilmiş form (scl-90-r) ile değerlendirilmiştir. Shkö’nün türkçe versiyonu için cronbach alfa katsayısı 0,87 olarak bulunmuştur. Madde-toplam madde korelasyon endeksleri 0,39 ile 0,64 arasında değişmiştir. Temel bileşenler analizi iki faktörü ortaya çıkarmış ve toplam varyansın % 46,57‘ sini açıklamıştır. En yüksek shkö korelasyonu bde ve scl-90-r‘nin depresyon alt ölçeği skorları ile bulunmuştur. Shkö ayrıca scl-90-r‘nin obsesif kompulsif ve anksiyete alt ölçekleri ile zayıf fakat istatiksel olarak anlamlı bir korelasyon gösterirken, scl-90- r‘nin somatizasyon, kişilerarası duyarlılık, hostilite ve psikotisizm alt ölçekleri ile zayıf fakat istatistiksel olarak anlamlı olmayan bir ilişki göstermiştir. Depresif hasta grubunda kontrol grubuna ve anksiyöz hasta grubuna göre anlamlı derecede yüksek shkö skorları saptanmıştır. Anksiyöz hasta grubu ve kontrol grubu, shkö skorları için farklı bulunmamıştır. Bu çalışma, shkö’nün türkçe versiyonunun iyi psikometrik özellikleri olduğunu göstermektedir. Shkö puanları depresyon, somatizasyon ve kişilerarası duyarlılık puanları ile ilişkili olabilir ve depresif hastaları anksiyöz hastalardan ve kontrollerden ayırmada yardımcı olabilir.
Validity and reliability of the Turkish version of Snaith-Hamilton Pleasure Scale
Anhedonia is a core feature of many psychiatric disorders and its reliable evaluation is needed for the dimensional understanding of psychiatric disorders. Snaith-Hamilton Pleasure Scale (SHAPS) is one of the most widely used scales to assess anhedonia. Here, we aimed to search the validity and reliability of the Turkish version of SHAPS. Translation of the original scale was completed in a two-step procedure. 188 healthy controls, 56 patients with a depressive disorder (F32-F34, excluding F34.0 cyclothymic disorder, according to ICD-10), and 52 patients with anxiety, stress-related or somatoform disorder diagnoses (F40-49 diagnosis according to ICD-10) were recruited, and evaluated with the Turkish version of SHAPS, Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI) and Symptom Checklist-90-R (SCL-90-R). For the Turkish version of SHAPS, Cronbach’s alpha coefficient was found 0.87. The item-total item correlation indices ranged from 0.39 to 0.64. Principal components analysis extracted two factors and explained 46.57 % of total variance. The most significant correlation of SHAPS was found with BDI and depression subscale of SCL-90-R scores. SHAPS also weakly but significantly correlated with obsessive compulsive and anxiety subscales of SCL-90-R, and weakly but non-significantly with BAI and somatization, interpersonal sensitivity, hostility and psychoticism subscales of SCL-90-R. Depressive group had significantly higher SHAPS scores compared to controls and anxious group. Anxious group and control group were not significantly different for SHAPS scores. The current study shows that the Turkish version of the SHAPS has good psychometric properties. SHAPS scores may correlate with depression, somatization, and interpersonal sensitivity scores, and it may help to differentiate depressive patients from anxious patients and controls.

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