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Yıl:2024; Cilt: 35; Sayı: 2>> Özet
TAM METİN
Türk Psikiyatri Dergisi; 2024;35(2):127-136
Sağlık Kaygısı Hakkında Üstbilişsel İnanışlar Anketi (ÜBA-SK) Türkçe Formunun Uyarlama, Geçerlik ve Güvenirlik Çalışması
S Kıran, AE Yılmaz
Atatürk Şehir Hastanesi,Balıkesir
Amaç: Bu çalışmanın amacı, Sağlık Kaygısı Hakkında Üstbilişsel İnanışlar Anketi’ni (ÜBA-SK; Metacognitive Beliefs about Health Anxiety Questionnaire-MCQ-HA) Türkçeye uyarlamak ve psikometrik özelliklerini değerlendirmektir. Yöntem: Çalışmada herhangi bir fiziksel hastalık tanısı olan 146 ve herhangi bir fiziksel hastalık tanısı olmayan 485 kişi olmak üzere toplam 631 katılımcı yer almıştır. Bulgular: Faktör analizi sonuçları ÜBA-SK’nın fiziksel bir hastalığı olan, fiziksel bir hastalığı olmayan ve karma gruplarda özgün formuna benzer şekilde üç faktörlü bir yapıya sahip olduğunu doğrulamaktadır. Güvenirlik analizlerinde ölçeğin bileşik güvenirlik, madde-toplam güvenirlik ve test-tekrar test güvenirliği katsayıları kabul edilebilir düzeyde bulunmuştur. Geçerlik analizleri ölçeğin fiziksel hastalığı olan ve olmayan gruplarda sağlık kaygısı ve bedensel duyumları abartma eğilimi ile anlamlı ve beklendik yönde ilişkiler gösterdiğini ortaya koymaktadır. Yanı sıra, herhangi bir sağlık problemi olmayan örneklemde, sağlık kaygısı düşük ve yüksek bireylerin sağlıkla ilgili üstbiliş puanları arasında anlamlı bir farklılık olduğu görülmüştür. Artımsal geçerliğe ilişkin sonuçlar, ÜBA-SK’nın sağlık kaygısı belirtilerini nörotisizm kişilik özelliği kontrol edildikten sonra da anlamlı olarak açıklayabildiğini göstermektedir. Sonuç: Türkçe ÜBA-SK’nın özgün formuyla benzer psikometrik özelliklere sahip, sağlık kaygısı ile ilgili çalışmalarda kullanılabilecek geçerli ve güvenilir bir değerlendirme aracı olduğu görülmektedir.
The Adaptation, Validity and Reliability Study of Turkish Metacognitive Beliefs about Health Anxiety Questionnaire (MCQ-HA)
Objective: The aim of the present study was to adapt the Metacognitive Beliefs about Health Anxiety Questionnaire (MCQ-HA) to Turkish, and to evaluate its psychometric properties. Method: The study consisted of 631 participants, 146 of whom were diagnosed with a physical illness, while 485 of whom did not have any physical illness. Results: As similar to its original form, factor analysis results confirmed a three-factor structure in samples with and without physical illness, as well as in the total sample. Results of composite reliability, itemtotal correlation and test-retest analyses revealed acceptable reliability coefficients for the MCQ-HA. Convergent validity of the MCQHA was supported with significant correlations with health anxiety symptoms and somatosensory amplification both in physical illness and healthy samples. Result of discriminant validity analysis revealed that the MCQ-HA was able to differentiate individuals with high and low levels of health anxiety. Incremental validity examinations showed that the MCQ-HA accounted for additional variance in health anxiety after controlling for neuroticism. Conclusion: The Turkish form of the MCQ-HA has similar psychometric properties to its original form, and a valid and reliable assessment device to be used in studies focusing on health anxiety.

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