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[土耳其临床和非临床样本中关于反刍的元认知量表的心理测量特性]

[Psychometric Properties of the Metacognition Scales about Rumination in Clinical and Non-clinical Turkish Samples].

作者信息

Yılmaz Adviye Esin, Sungur Mehmet Zihni, Konkan Ramazan, Şenormancı Ömer

出版信息

Turk Psikiyatri Derg. 2015 Winter;26(4):268-78.

PMID:26731024
Abstract

AIM

The aim of this study is to examine the reliability and validity of the Turkish adaptations of the Positive Beliefs about Rumination Scale (PBRS) and the Negative Beliefs about Rumination Scale (NBRS) in clinical and non-clinical samples.

METHOD

While the non-clinical sample of the study consisted of 455 participants, the clinical sample was composed of 60 major depressive disorder (MDD), 30 panic disorder (PD) and 30 social anxiety disorder (SAD) cases.

RESULTS

The results of the factor analyses confirm the construct validity and original factor structure of the scales. Findings obtained from internal consistency and test-retest analyses indicated good reliability for the scales. Supporting the convergent validity of the scales, the correlations between metacognitions about rumination and depressive symptoms, rumination, metacognitions about worry, pathological worry, and anxiety symptoms were found to be positive and significant in the non-clinical sample. Hierarchical regression analyses demonstrated that both scales have predictive validity for depressive symptoms after controlling for anxiety symptoms. As for extreme group comparisons, it supported the criterion-related validity of the scales. In discriminant clinical validity examinations, although both scales were able to differentiate MDD, PD, and SAD groups from healthy controls, they were unable to differentiate the depressive group from the other anxiety disorder groups.

CONCLUSION

A comprehensive psychometric evaluation of the scales demonstrated that both PBRS and NBRS are reliable and valid assessment devices that can be used for research purposes both in clinical and non-clinical groups in Turkey.

摘要

目的

本研究旨在检验在临床和非临床样本中,土耳其语版的关于反刍的积极信念量表(PBRS)和关于反刍的消极信念量表(NBRS)的信度和效度。

方法

本研究的非临床样本由455名参与者组成,临床样本包括60例重度抑郁症(MDD)、30例惊恐障碍(PD)和30例社交焦虑障碍(SAD)患者。

结果

因素分析结果证实了量表的结构效度和原始因素结构。内部一致性分析和重测分析结果表明量表具有良好的信度。为支持量表的聚合效度,在非临床样本中,发现关于反刍的元认知与抑郁症状、反刍、关于担忧的元认知、病理性担忧和焦虑症状之间的相关性为正且显著。分层回归分析表明,在控制焦虑症状后,两个量表对抑郁症状均具有预测效度。至于极端组比较,其支持了量表的效标关联效度。在判别性临床效度检验中,虽然两个量表都能够区分MDD、PD和SAD组与健康对照组,但它们无法区分抑郁组与其他焦虑障碍组。

结论

对量表进行的全面心理测量学评估表明,PBRS和NBRS都是可靠且有效的评估工具,可用于土耳其临床和非临床群体的研究目的。

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