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Yıl:2023; Cilt: 60; Sayı: 3>> Özet
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Nöropsikiyatri Arşivi; 2023;60(3):257-264
Çocukluk Çağı Sözel Olmayan İletişim Ölçeği: Türkçe Adaptasyonu ve Psikometrik Özellikleri
N Yakşi, M Eroğlu , M Özdemir , DY Miniksar , T Kır , A Kuru , SZ Karslıoğlu , O Öztürk
Amasya Üniversitesi , Amasya
Amaç: Yaşamın ilk yılında sözel olmayan iletişim becerileri dramatik olarak gelişmektedir. Özellikle Otizm Spektrum Bozukluğu (OSB) olan çocuklarda erken dönemde bu becerilerde yaşanılan yetersizlikler, ilerleyen yıllardaki dil gelişimini olumsuz etkilemektedir. Otizm spektrum bozukluğu belirtilerinin erken fark edilmesi, çocuğun ilgili uzmana yönlendirilmesi açısından tanıyı kolaylaştırmanın ilk adımıdır. Türkiye’de OSB taranması amacı ile en erken dönemde uygulanan test Modified Checklist for Autism in Toddlers/M-CHAT’dir. Fakat bu test 18 ay ve sonrası için kullanılabilmektedir. Bu nedenle, bu çalışmada doğumdan 18 aya kadar olan çocuklarda sözel olmayan iletişim becerilerini değerlendirmek için İran’da geliştirilmiş olan Çocukluk Çağı Sözel Olmayan İletişim Ölçeği’nin (CNCS) Türkçe diline uyarlamasının yapılarak psikometrik özelliklerinin belirlenmesi amaçlanmaktadır. Yöntem: Çalışmamız 3–18 ay aralığında normal işiten 323 çocuğun ebeveynleri ile üç ilde gercekleştirilmiştir. Sosyodemografik form, CNCS Türkçe formu, LittleEARS İşitsel Anketi uygulanmıştır. Bulgular: Otuz yedi sorudan oluşan CNCS Türkçe formu iki faktörlü bir yapı göstermektedir. Otuz yedi maddelik ölçeğin güvenirlik katsayısı yüksek derecede güvenilirdir (KR-20=0,937). Ayrıca, toplam puanlar ile LittleEARS sonuçları arasında önemli bir korelasyona dayalı olarak iyi bir yakınsak geçerliliğe sahipti (r=0,804, p<0,001). Yaşa göre CNCS toplam puanı ile çizilen normatif eğriye göre sözel olmayan iletişim becerileri 3 ila 12 aylıkken dik bir eğimle ilerlemiş ve daha sonra 18 aylık olana kadar gelişim kademeli olarak devam etmiştir. Sonuç: Çocukluk Çağı Sözel Olmayan İletişim Ölçeği’nin Türkçe geçerlilik ve güvenirliğinin yeterli olduğu gösterilmiştir.
Childhood Non-verbal Communication Scale (CNCS): Turkish Adaptation and PsychometricProperties
Introduction: Nonverbal communication (NC) skills develop dramatically during the first year of life. Especially in children with Autism Spectrum Disorder (ASD), inadequacies in these skills in the early period negatively affect language development later. Therefore, early recognition of ASD symptoms is the first step in the diagnosis. The test to screen ASD at the earliest age is the Modified Checklist for Autism in Young Children/MCHAT in Turkey. However, this test can be used for 18 months or later. In the present study, we aimed to adapt the Childhood Nonverbal Communication Scale (CNCS) to Turkish, which was developed in Iran to evaluate NC skills in children from birth to 18 months and determine psychometric properties. Methods: This cross-sectional and methodological study was conducted in three provinces and included 323 parents of children who are normally hearing and 3–18 months old. Sociodemographic form, Ankara Development Screening Inventory, CNCS-Turkish form, and LittleEARS Auditory Questionnaire were applied. Results: CNCS Turkish form consisting of 37 questions shows a twofactor structure. The reliability coefficient of the 37-item scale is highly reliable (KR-20=0.937). It also had good convergent validity based on a significant correlation between total scores and LittleEARS results (r=0.804, P<0.001). According to the normative curve plotted by the CNCS total score for age, NC skills progressed with a steep slope from 3 to 12 months and then progressed gradually until 18 months. Conclusion: Childhood Nonverbal Communication Scale (CNCS) is a promising tool showing good validity and reliability in Turkish.

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