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Yıl:2006; Cilt: 9; Sayı: 1>> Özet
TAM METİN
Klinik Psikiyatri Dergisi; 2006;9(1):5-16
Hukuki Ehliyeti Değerlendirme Formu (HEDEF) Geçerlilik, Güvenilirlik ve Duyarlılığı
Y Can, M Sercan, Ö Saatçioğlu, H Soysal, N Uygur
Bakırköy Prof.Dr. Mazhar Osman Ruh Sağlığı ve Sinir Hastalıkları Eğitim ve Araştırma Hastanesi, İstanbul
Amaç: Kişilerin zihinsel olarak hukuki işlem yeterliliğinin belirlenmesi adli psikiyatri çalışma alanlarından biridir. Bu değerlendirmeye yönelik geliştirdiğimiz görüşme formu­nun, bu amaçla gönderilen kişilere uygulanarak hukuken yeterli olanlarla olmayanları ayırmadaki gücünün, güve­nilirliğinin ve geçerliliğinin saptanması amaçlanmıştır. Yöntem: Hukuki yeterliği belirlemek için bir psikiyatrik değerlendirme aracı olarak geliştirilen Hukuki Ehliyeti Değerlendirme Formu (HEDEF) dört maddeden oluşmak­tadır. Bakırköy Ruh ve Sinir Hastalıkları Hastanesi Adli Psikiyatri Birimi'ne, üç aylık süre içerisinde noterlik, tapu dairesi veya hukuk hakimliği tarafından gönderilen veya kendi dilekçeleri ile başvuranlar çalışmaya alınmıştır. HEDEF, tasarruf ehliyetinin olup olmadığı veya vasi tayinine gerek olup olmadığı sorulan 65 yaş üstündeki 38 kişiye iki psikiyatri uzmanı tarafından uygulanmıştır. Geçerlilik Kısa Akıl Muayenesi (KAM), Kısa Psikiyatrik-Değerlendirme Ölçeği (KPDÖ), Bütünsel Gerileme Ölçeği (BGÖ) ile araştırılmıştır. Hastanemiz sağlık kurulu rapor formun geçerliliğini değerlendirmede karşılaştırma amacı ile kullanılmıştır. Bulgular: HEDEF'in 38 kişiye uygulan­ması ile elde edilen içsel tutarlılığı ifade eden Cronbach Alfa değeri 0.9800'dür. Madde toplam korelasyonları 0.8712-0.9339 arasında değişmektedir. Tüm madde korelasyonları 0.001 anlamlılık düzeyindedir ve ortalama korelasyon 0.9009 bulunmuştur. HEDEF ile KAM, KPDÖ ve BGÖ arasında ilişki bulunmuştur. Sonuç: Görüşümüz; formun anlaşılabilir olmasının yanı sıra, bu alanda kul­lanılabileceği yönündedir.
Mental Competence Evaluation form (MCEF) for Assessment of Competency: Reliability, Validity and Sensitivity
Objectives: Determination of mental competence of the individual is needed for determination of whether per­sons are able to use their legal civil rights or not. It is aimed to determine the potency, reliability and validity of Mental Competence Evaluation Form (MCEF) that we have developed for evaluation of individual legal compe­tency. Method: In order to investigate the validity and reliability of the MCEF, it was applied by two psychiatrists to 38 persons, who all were over 65 [year]s, and who were send by notary, land office or legal judge, or were admit­ted by themselves to Forensic Psychiatry Unit of Bakirköy Mental Hospital in a period of three [month]s for evalua­tion competency. In order to investigate the validity of MCEF, Mini-Mental State Examination (MMSE), Brief Psychiatric Rating Scale (BPRS) and Global Deterioration Scale (GDS) were also applied to all patients. Report results which were presented to the health board of our hospital and were assessed by the mentioned board, were used for comparison in the evaluation of the validityof the form. Results: Cronbach Alpha value is 0.9800, which represents the internal consistency achieved by the application of MCEF to 38 individuals. Items' total correlations vary between 0.8712 and 0.9339. All items' correlations are within 0.001 signifi­cance level and mean correlation is found to be 0.9009. Relationship was detected between MCEF and MMSE, BPRS and GDS. Conclusion: Our point of view is that while this form appears to be comprehensible and prac­ticable, it may also be helpful in this area.

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