[dsm -5疾病-临床医生版(SCID-5/CV)结构化临床访谈对土耳其语的适应性和可靠性]。

Müge Elbir, Özge Alp Topbaş, Serkan Bayad, T. Kocabaş, Osman Zülkif Topak, Şahabettin Çeti̇n, Osman Özdel, F. Atesci, Ö. Aydemir
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引用次数: 59

摘要

目的在本研究中,我们旨在将DSM-5-ClinicianVersion的结构化临床访谈改编为土耳其语,并证明其可靠性。方法:共纳入来自两所不同大学医院的住院和门诊患者185例。在数据收集之前举行了关于SCID-5/CV的特点和使用的培训班。在研究过程中,为了测试诊断的一致性和准确性,两位精神科医生在每个参与者的评估中保持在场;或者是采访者和观察者。计算每个诊断类别的评分者间信度的科恩卡帕系数。结果:患者组平均年龄37.2(±13.5)岁,女性55.7%。受教育程度:2.7%为文盲,1.7%为文盲但未受过初等教育,33%为初等教育,23.8%为中等教育,38.9%为高等教育。计算出的kappa值与精神分裂症(κ=0.93)、双相情感障碍(κ=0.96)、重度抑郁障碍(κ=0.89)、心境恶劣障碍(κ=0.82)、酒精使用障碍(κ=0.96)、惊恐障碍(κ=0.84)、广场恐怖症(κ=0.85)、社交焦虑障碍(κ=0.95)、广泛性焦虑障碍(κ=0.89)、强迫症(κ=0.87)、创伤后应激障碍(κ=0.89)、成人注意缺陷和多动障碍(κ=1.00)、特异性恐惧症(κ=0.82)与调节障碍(κ=0.78)和躯体症状障碍(κ=0.65)有很好的一致性。结论:与以往的SCID版本相似,kappa值相当高,且均具有统计学意义。土耳其版SCID-5/ CV可可靠地用于临床实践和临床研究。
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[Adaptation and Reliability of the Structured Clinical Interview for DSM-5-Disorders - Clinician Version (SCID-5/CV) to the Turkish Language].
OBJECTIVE In this study, we aimed to adapt the Structured Clinical Interview for DSM-5-ClinicianVersion into Turkish and to demonstrate its reliability.  METHOD: A total of 185 patients, both inpatient and outpatient, from two different university hospitals were included. Training sessions on the features and use of SCID-5/CV were held before the data collection. During the study, in order to test the diagnostic agreement and accuracy, two psychiatrists remained present at the evaluation of each participant; alternatively being interviewer and the observer. Cohen's kappa coefficient for inter-rater reliability was calculated for every diagnostic category.  RESULTS: The patient group had a mean age of 37.2 (±13.5) years and 55.7% were female. The education status was as follows: 2.7% were illiterate, 1.7% literate with no primary education, 33% had primary education, 23.8% had secondary education and 38.9% had higher education. The calculated kappa value showed excellent agreement for schizophrenia (κ=0.93), bipolar disorder (κ=0.96), major depressive disorder (κ=0.89), dysthymic disorder (κ=0.82), alcohol use disorder (κ=0.96), panic disorder (κ=0.84), agoraphobia (κ=0.85), social anxiety disorder (κ=0.95), generalized anxiety disorder (κ=0.89), obsessive compulsive disorder (κ=0.87), posttraumatic stress disorder (κ=0.89), adult attention deficit and hyperactivity disorder (κ=1.00), specific phobias (κ=0.82) and very good agreement with adjustment disorder (κ=0.78) and somatic symptom disorder (κ=0.65).  CONCLUSION: Similar to the past SCID versions, kappa values were found to be quite high and all were statistically significant. The Turkish version of SCID-5/ CV can be reliably used in both clinical practice and clinical studies.
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