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Yıl:2012; Cilt: 49; Sayı: 1>> Özet
TAM METİN
Nöropsikiyatri Arşivi; 2012;49(1):6-13
Ayrılma Anksiyetesi Belirtileri İçin Yapılandırılmış Klinik Görüşmesi Türkçe Versiyonunun Psikometrik Özellikleri
M Diriöz, T Alkın, B Yemez, N Eminağaoğlu, E Onur
Dokuz Eylül Üniv. Tıp Fak., İzmir
Amaç: Ayrılma Anksiyetesi Belirtileri için Yapılandırılmış Klinik Görüşme'nin (AAB-YKG) Türkçe formunun psikometrik özelliklerinin değerlendirilmesi amaçlanmıştır.
Yön­tem­ler: Kısa Uluslar Arası Nöropsikiyatrik Görüşmeyle DSM-IV tanı ölçütlerine göre anksiyete bozukluğu ve/veya major depresyon tanısı almış, 282 hasta ile 128 sağlıklı, gönüllü olmak üzere toplam 410 kişi çalışmaya alınmıştır. Ayırt edici ve benzer ölçek geçerliliğin gösterilmesi amacıyla Ayrılma Anksiyetesi Belirti Envanteri (AABE), Yetişkin Ayrılma Anksiyetesi Anketi (YAA), Panik Bozukluğu Şiddeti Ölçeği (PBŞÖ), Yaşam Boyu Panik-Agorafobik Spektrum Ölçeği'nin (PASÖ-YB) Ayrılmaya Duyarlılık Alt Ölçeği ve Kaygı Duyarlılığı İndeksi (KDİ) kullanıldı. AAB-YKG'nin test-tekrar test güvenirliği 80 kişide, görüşmeciler arası güvenilirliği ise 60 kişide sınandı.
Bul­gu­lar: Geçerlik çalışmalarında, AAB-YKG'nin çocukluk ve yetişkinlik dönemi ayrılma anksiyetesi hastalarını sağlıklılardan ayırt ettiği gözlenmiştir. Çocukluk ve yetişkinlik AAB-YKG'leri hem birbirleriyle hem de AABE, YAA, PASÖ-YB puanlarıyla yüksek, KDİ ile orta düzeyde ve PBŞÖ ile düşük düzeyde korelasyon göstermiştir. Faktör analizi AAB-YKG'nin çocukluk kısmının 3 ve yetişkinlik kısmının 2 faktörlü yapıya sahip olduğunu açığa çıkarmıştır. AAB-YKG'nin orta düzeyde iç tutarlılık gösterdiği (Cronbach alfa değerleri: çocukluk için 0,57, yetişkinlik için 0,59?dur), madde-toplam puan korelasyonlarının orta düzeyde olduğu, test-tekrar test güvenirlikleri ve görüşmeciler arası tutarlılıklarının (Cohen's kappa) oldukça iyi olduğu saptanmıştır.
So­nuç: Bulgularımız Türkçe'ye uyarlanan AAB-YKG'nin geçerli ve güvenilir olduğunu ve çalışmalarda kullanılabileceğini göstermiştir.
Psychometric Properties of the Turkish Version of the Structured Clinical Interview for Separation Anxiety Symptoms
Objective: The aim of this study was to assess psychometric properties of the Turkish version of the Structured Clinical Interview for Separation Anxiety Symptoms (SCI-SAS).
Met­hods: The study sample included 410 participants: 282 adult psychiatric outpatients with Axis I anxiety and/or major depressive disorders according to the DSM-IV criteria and 128 non-psychiatric control subjects. The presence or absence of a psychiatric disorder was determined by M.I.N.I. (Mini International Neuropsychiatric Interview). The Separation Anxiety Symptoms Inventory (SASI), Adult Separation Anxiety Questionnaire (ASA), Panic Disorder Severity Scale (PDSS), Panic Agoraphobic Spectrum Scale-Self Report (PAS-SR) and the Anxiety Sensitivity Index (ASI) were used to determine convergent and discriminant validity of the SCI-SAS.
Re­sults: The validity assessments revealed that both parts of the SCI-SAS have discriminated the patients from the healthy controls. There was a high correlation between the childhood and adulthood parts of the SCI-SAS and also of the SCI-SAS with SASI, ASA and PAS-SR. The SCI-SAS correlated moderately with ASI and weakly with PDSS. Factor analysis showed the existence of 3 factors for the SCI-SAS-childhood and 2 factors for the SCI-SAS-adulthood. The SCI-SAS had a moderate level of internal consistency (Cronbach's alpha coefficient was 0.57 for the childhood and 0.59 for the adulthood parts). The items in both parts of the SCI-SAS have been found to have a moderate consistency with the instrument. The SCI-SAS had a very good test-retest and inter-rater reliability.
Conc­lu­si­on: The Turkish version of the SCI-SAS has been found to be a valid and
reliable tool that can be used in clinical studies.

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