土耳其版全球心理创伤筛查的心理测量验证和文化适应。

IF 0.6 4区 医学 Q4 PHARMACOLOGY & PHARMACY
Mihriban Heval Özgen, Chris Hoeboer, Cato M H de Vos, Tuğba Türk-Kurtça, Miranda Olff, Vedat Şar
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引用次数: 0

摘要

背景:由于暴露于创伤性事件的可能性增加,创伤相关疾病在 rkiye的患病率高于高收入国家。基耶群岛创伤相关疾病的高流行率强调需要有效的工具来筛查创伤相关症状。全球精神创伤筛查(GPS)是一种新开发的简短仪器,用于筛查与创伤相关的跨诊断症状和危险因素。然而,其在土耳其人口中的有效性尚未确定。本研究旨在评估土耳其版GPS在 rkiye一般人群样本中的心理测量特性。方法:对499名年龄在18 ~ 74岁(平均±SD = 24.58±9.26)的个体(男性36.3%,女性63.7%)进行土耳其版GPS数字化治疗。心理测量分析包括探索性因子分析、内部一致性、信度、临床效度和收敛-发散效度。具体的统计检验,如内部一致性的Cronbach's alpha检验和效度的验证性因子分析。趋同-发散效度是通过与创伤症状的其他既定测量方法,如创伤后应激障碍(PTSD)检查表(PCL)的相关性来评估的。线性回归检验了危险因素与创伤相关症状之间的关联。结果:探索性因素分析显示创伤相关症状具有单因素结构。GPS具有较强的内部一致性(α = 0.87)和信度。临床效度为中等,可能PTSD的截止分为3分,抑郁和焦虑的截止分为2分。这些截止分数导致高敏感性但低特异性。低社会支持、童年创伤、精神病史和暴露于其他压力事件等风险因素与较高的GPS症状显著相关。收敛效度分析显示,与PTSD检查表(PCL)有显著的相关性,具有收敛性(r = 0.48, P < 0.01)。结论:土耳其版GPS是一种有效可靠的创伤相关症状筛查工具,提供了一种快速有效的筛查过程。然而,建议在GPS筛查后进行临床访谈以确认诊断。这些发现支持土耳其GPS作为创伤相关症状的快速和文化适应性筛查工具,尽管确证性临床访谈仍然是诊断的必要条件。这些发现支持GPS在不同文化背景下的适用性。需要进一步研究其在其他地区和语言中的心理测量特性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Psychometric Validation and Cultural Adaptation of the Turkish Version of the Global Psychotrauma Screen.

Psychometric Validation and Cultural Adaptation of the Turkish Version of the Global Psychotrauma Screen.

Psychometric Validation and Cultural Adaptation of the Turkish Version of the Global Psychotrauma Screen.

Background: The prevalence of trauma-related disorders in Türkiye is higher than in high-income countries due to an increased likelihood of exposure to traumatic events. Türkiye's high prevalence of trauma-related disorders underscores the need for validated tools to screen for trauma-related symptoms. The Global Psychotrauma Screen (GPS) is a newly developed, brief instrument designed to screen for transdiagnostic trauma-related symptoms and risk factors. However, its validity in Turkish populations has yet to be established. This study aimed to evaluate the psychometric properties of the Turkish version of the GPS in a general population sample from Türkiye. Methods: The Turkish version of the GPS was administered digitally to 499 individuals (36.3% male, 63.7% female) aged 18 to 74 years (mean ± SD = 24.58 ± 9.26). Psychometric analyses included exploratory factor analysis, internal consistency, reliability, clinical validity, and convergent-divergent validity. Specific statistical tests such as Cronbach's alpha for internal consistency and confirmatory factor analysis for validity were conducted. Convergent-divergent validity was assessed using correlations with other established measures of trauma symptoms, such as the posttraumatic stress disorder (PTSD) Checklist (PCL). Linear regression examined associations between risk factors and trauma-related symptoms. Results: Exploratory factor analysis indicated a single-factor structure for trauma-related symptoms. The GPS showed strong internal consistency (α = 0.87) and reliability. Clinical validity was moderate with cut-off scores of 3 for probable PTSD and 2 for depression and anxiety. These cut-off scores resulted in high sensitivity but low specificity. Risk factors such as low social support, childhood trauma, a history of mental illness, and exposure to other stressful events were significantly associated with higher GPS symptoms. The convergent validity analysis indicated a significant correlation with the PTSD Checklist (PCL), showing convergence (r = 0.48, P < .01). Conclusion: The Turkish version of the GPS is a valid and reliable screening tool for trauma-related symptoms and provides a quick and efficient screening process. However, clinical interviews are recommended following GPS screening to confirm diagnoses. These findings support the Turkish GPS as a rapid and culturally adaptable screening tool for trauma-related symptoms, although confirmatory clinical interviews remain essential for diagnosis. These findings support the applicability of GPS across diverse cultural contexts. Further studies are needed to explore its psychometric properties in other regions and languages.

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来源期刊
Psychiatry and Clinical Psychopharmacology
Psychiatry and Clinical Psychopharmacology Medicine-Psychiatry and Mental Health
CiteScore
1.00
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14.30%
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0
期刊介绍: Psychiatry and Clinical Psychopharmacology aims to reach a national and international audience and will accept submissions from authors worldwide. It gives high priority to original studies of interest to clinicians and scientists in applied and basic neurosciences and related disciplines. Psychiatry and Clinical Psychopharmacology publishes high quality research targeted to specialists, residents and scientists in psychiatry, psychology, neurology, pharmacology, molecular biology, genetics, physiology, neurochemistry, and related sciences.
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