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Yıl:2017; Cilt: 7; Sayı: 2>> Özet
Psikiyatride Güncel; 2017;7(2):106-112
Klinik uygulamalarda görüșmeye dayalı bilișsel değerlendirme
M Yıldız
Kocaeli Üniversitesi, Kocaeli
Şizofrenide bilişsel bozulma, hastalığın en temel özelliklerinden birisi olarak görülmektedir. Bilişsel bozulmanın değerlendirilmesi için kapsamlı sinirbiliş test bataryaları geliştirilmiştir. Ancak bu testlerin klinik pratikte uygulanmaları zordur, çünkü uzmanlaşmış nöropsikologlara gereksinim duyar ve zaman alır. Daha kısa sürede ve kolayca uygulanabilen sinirbiliş testleri geliştirilmiştir. Bunların kullanımları da yaygınlık kazanmamıştır. Başarıma dayalı sinirbiliş test uygulamalarının gerçek yaşamsal işlevselliği değerlendirmede sorunları vardır. Gerçek yaşamdaki bilişsel işlevselliği değerlendirmek üzere görüşmeye dayalı bilişsel değerlendirme ölçekleri geliştirilmiştir. Bunlar, uygulamaları basit ve hızlı olup güvenilir ve geçerli bulunmuşlardır. Bu derlemede Türkçeye çevrilip güvenirlik geçerlik çalışması yapılmış olan Bilişsel Değerlendirme Görüşmesinin (BDG) klinik kullanımı ele alınacaktır.
Interview based cognitive assessment in clinical practice
Cognitive impairment has been recognized as a core feature of schizophrenia. Many comprehensive neuropsychological batteries have been used to assess cognitive impairment in schizophrenia. In routine clinical practice, these batteries are difficult to implement, since they need trained professionals and take more time to be implemented. A few brief performance-based cognitive assessments have been developed to fulfill the need of a more feasible cognitive assessment for schizophrenia in clinical settings. However, their usability is in question. Some interview-based assessment tools of real world cognitive functioning have been developed, which have been proved to be a simple, fast, reliable and valid tool for the assessment of cognition in schizophrenia. In this article, usage of the Cognitive Assessment Interview (CAI) in clinical practice, which was translated and studied in Turkish reliability and validity, was presented.

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