土耳其版双相情感障碍诊断量表的信度和效度研究。

B. Ince, A. Cansız, S. Ulusoy, K. F. Yavuz, E. Kurt, K. Altınbaş
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引用次数: 2

摘要

目的评价土耳其版双相情感障碍诊断量表(BSDS)的信度和效度。方法研究对象为Bakırköy Mazhar Osman精神卫生与神经疾病培训与研究医院精神科门诊的130例I型双相情感障碍患者、15例II型双相情感障碍患者和38例重度抑郁症患者。采用心境障碍问卷(MDQ)进行收敛效度分析。统计计算内部一致性系数、项目总分相关系数、重测相关系数、验证性因子分析、与并发量表的相关性、ROC曲线。结果验证性因子分析表明,20项量表的拟合优度不够。将回归权重相对较低的项目4从模型中剔除。对19项修正后的模型,观察到的拟合优度指数为RMSEA = 0.040, CFI = 0.900, GFI = 0.890, IFI = 0.900, χ2/df = 1.230。内部一致性Cronbach’s alpha系数为0.831。土耳其版BSDS与MDQ的相关系数为0.54。ROC分析计算的量表截断点为12,敏感性为78.6%,特异性为86.8%。结论土耳其语版BSDS在删除原量表第4项后,已被证明是一种可靠和有效的筛查双相情感障碍的工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Reliability and Validity Study of the Turkish Version of Bipolar Spectrum Diagnostic Scale.
OBJECTIVE The purpose of this study is to evaluate the reliability and validity of the Turkish Version of the Bipolar Spectrum Diagnostic Scale (BSDS). METHOD The study was carried out with 130 patients diagnosed with bipolar I disorder, 15 patients diagnosed with bipolar II disorder, and 38 patients diagnosed with major depressive disorder attending the outpatient psychiatry departments of the Bakırköy Prof. Dr. Mazhar Osman Training and Research Hospital for Mental Health and Neurological Diseases. The Mood Disorder Questionnaire (MDQ) was used for convergent validity. The internal consistency coefficient, itemtotal score correlation coefficients, test-retest correlation coefficient, confirmatory factor analysis, correlation with concurrent scale, and ROC curve were statistically calculated. RESULTS Confirmatory factor analysis indicated that the 20-item version did not show adequate goodness-of-fit. The item 4 with a relatively low regression weight was removed from the model. For the 19-item revised and corrected model, the observed goodness-of-fit indexes were RMSEA = 0.040, CFI = 0.900, GFI = 0.890, IFI = 0.900 and χ2/df = 1.230. The internal consistency Cronbach's alpha coefficient was 0.831. The correlation coefficient between the Turkish version of the BSDS and the MDQ was 0.54. The cutoff point of the scale calculated by the ROC analysis was 12 with a sensitivity of 78.6% and a specificity of 86.8%. CONCLUSION The Turkish Version of the BSDS, has been shown to be reliable and valid tool for screening bipolar disorder after removal of the item 4 of the original version of the scale.
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